7. S-R-C-O-K model

Question 1

What is this an alternative model for?

Answer 1

Functional Analytic Clinical Case Models (FACCM)

Question 2

What is S?

Answer 2

Stimulus

Internal
- Cognitive
- Psychological

External
- Physical
- Social
- Contextual

Question 3

What is R?

Answer 3

Response

• Physiological
• Cognitive
• Behavioural

Question 4

What is C?

Answer 4

Consequence

Internal
- Positive/Negative reinforcement
- Positive/Negative punishment

External
- Positive/Negative reinforcement
- Positive/Negative punishment

Question 5

What is O?

Answer 5

Organism

• Learning history
• Biological factors
• Personal style and skills
• Coping skills
• Past treatment
• Expectations toward therapy
• Reinforcement system
• Significant others

Question 6

What is K?

Answer 6

Contingency pattern

• Continuous/Intermittent reinforcement pattern

Question 7

What does this model allow us to extract and do?

Answer 7

• Patterns of behaviour (linear, no need of cause-effect relationship.
• We can work with each behaviour independently, observing triggering stimuli and identify safety behaviours.

Question 8

Examples of behavioural therapies

Answer 8

• Behavioural activation: depression first stage treatment
• Stimulus control: addictions treatment
• Sensate focusing (sexual arousal): anxiety towards sexual aspects
• Exposure to feared stimulus: social phobia, specific phobias, panic, PTSD, OCD, Shame: shame attack exercises.