Behavioral and CBT Flashcards
Theorists of Behavioral and CBT:
- Falloon
- Gottman
- Jacobson
- Liberman (behavioral couple therapy)
- Patterson
- Stuart (behavioral couple therapy)
Major Concepts of Behavioral and CBT:
- Baseline taken at beginning of therapy.
- Do not attend to historical or developmental data but focus on current behaviors and adequacy of functioning.
- Good communication and problem-solving skills are the most important characteristics of functional relationships.
- Operant and classical conditioning
- Linear causality
Theory of Dysfunction in Behavioral and CBT:
Maladaptive, symptomatic behaviors are learned responses, involuntarily acquired and reinforced.
Coercion replaces reciprocity.
Theory of Change in Behavioral and CBT:
- Modifying specific behavior patterns to alleviate the presenting problem. Interaction of affect, cognition and behavior means a change in one area will bring change in another.
- Rewards should be made for appropriate, adaptive behavior.
- Do not reward inappropriate, maladaptive behaviors.
- Change contingencies of social reinforcement.
Stages of Therapy in Behavioral and CBT:
- Identify problem behavior through observation and self-report.
- Behavioral goals created by therapist and client.
- Design behavioral interventions, give homework.
- Observable and reported symptom removal.
- Termination.
Therapy is brief, and only need to work with family members directly involved in maintaining the problematic behaviors.
Stance of Therapist in Behavioral and CBT:
- Directive, reinforcer
- Teacher and coach
- Model
Methods/Techniques in Behavioral and CBT:
- Operant Techniques
- Respondent Conditioning
- Cognitive Affective Techniques
- Communication skills training
- Love days and Caring days
Name the Operant Techniques:
Behavioral/CBT, behavioral parent training
- Shaping (reinforced for successive approximations to the target behavior)
- Token economies (receive tokens for good behavior than can later be exchanged for specified reinforcers)
- Contingency contracting (negotiate behaviors that would like to see changed, used with older kids and teens)
- Contingency management
- Time out (removal from situation where bad behavior could be reinforced)
Name the Respondent Conditioning Techniques:
Behavioral/CBT, classical conditioning
- Systematic desensitization
- Assertiveness training
- Aversion therapies
- Sex therapies
Name the Cognitive Affective Techniques:
Behavioral/CBT
- Thought-stopping (client thinks irrational thoughts while the therapist yells “stop”)
- Rational emotional therapy (recognize how events of the family (A) are influenced by irrational beliefs (B) and result in a problem (C))
- Modeling (seeing how a behavior is reinforced to another)
- Retribution
- Self-monitoring
Diagnosis/Assessment in Behavioral/CBT:
- Obtain a baseline of the target behavior frequency and function.
- Functional analysis of behavior = Identification of interactional sequences in which problems are embedded, look at antecedents and consequences.
- Interview
- Self-report measures (ex. marital adjustment scale)
- Direct observation of problem-solving and communication
Assessment is ongoing.
What is the difference between classical and operant conditioning?
Classical conditioning (Pavlov) - Learn to exhibit a response when a previously neutral stimulus is associated with a different stimulus that elicits a naturally reflexive response. (Ex. phobia, then treated with systematic desensitization)
Operant conditioning (Skinner) - a naturally occurring response is reinforced and the absence of it punished, thereby increasing the frequency of the desired response. (ex. token economies)
What is the difference between a quid pro quo and a parallel contract in behavioral couple therapy?
Quid pro quo = one partner performs certain behaviors contingent upon the behavior of the other. One partner needs to agree to go first.
Parallel (good faith) = the behavior of each partner is not contingent on the other
