Behavioral Modalities Flashcards
Assumptions of Behavioral Model (4)
- Behavioral problems are cause by dysfunctional patterns of reinforcement
- Modernism Worldview (patterns are universally true for all worldviews)
- Based in Learning Theories (conditioning)
- Do not need to work with the whole family. Only those who are involved in maintaining problem behavior
Theory of Dysfunction in behavioral models
Dysfunctional behaviors are learned responses, involuntarily acquired and reinforced
Who is John Watson?
Little Albert Experiment
What are the 3 ways classical conditioning are most commonly used today?
- Anxiety disorders
- Enuresis
- Sexual problems due to performance anxiety
4 Current uses of behavioral techniques (operant)
- Behavioral parent training
- Assertiveness training
- Problem solving/communication skills training
- Token Economies
Overall Goals of Treatment (2)
- Diminish problem behaviors and increase positive behaviors
- Establish long and short-term goals
Stance of Therapist (4)
Teacher, coach, model, reinforcer
3 goals of CBT
- Break vicious cycles by creating positive changes
- Diminish problem behaviors and increase positive behaviors
- Goals and behaviors are paired with the 4 elements of psychological distress
Goal of cognitive interventions in CBT
produce changes in thoughts and beliefs
Goal of behavioral interventions in CBT
change behavior
Goal of Self-soothing interventions in CBT
change physical feelings
how are emotions impacted by CBT interventions?
Emotions are indirectly affected by all types of interventions
2 kinds of exposure therapy
- In vivo exposure - situations, places, people
2. Imaginal Exposure - trauma memory
Aaron Beck
Father of CBT
Gerald Patterson
Behavioral Parent Training (Parent Skills Training)
6 Interventions taught in Parent Skills Training
- Time out
- Behavioral Contracting
- Home Token Economies
- Shaping
- Contingency Contracting
- Punishment
Purpose of Time out intervention
used to extinguish bx by removing child from situation where bx can be reinforced
Robert Liberman and Richard Stuart
Behavioral Couples Therapy
James Alexander
Functional Family Therapy
What is Functional Family Therapy?
Integration of systems theory, behaviorism and cognitive therapy
2 steps fo Functional Family Therapy
- Therapist identifies interactional sequences embedded and the function that the sequence serves.
- Identifies cognitions that the family has about the problem, themselves, and one another
Treatment goal in Functional Family Therapy
Provide new behavior patterns to meet individual functions of each family member
Treatment Goals of Cognitive Behavioral Sex Therapy (5)
- Insight
- Anxiety Reductions
- Sexual enhancement
- General relationship enhancement
- Physical-medical techniques
What does sensate focus do? (2)
- Treatment of performance anxiety/spectatoring - couples work to replace anxiety with pleasure
- Systematic Desensitization - constructs hierarchy of anxiety provoking situations and gradually faces each situation until anxiety no longer interferes with pleasure
7 CB Sexual Techniques
- Bridge maneuvers
- Coital Alignment Techniques
- Systematic Desensitization
- Masturbation or self-stimulation
- Orgasmic reconditioning
- Stop-start (pause technique)
- Squeeze technique
Marsha Linehan
Dialectical Behavioral Therapy (DBT)
Goal fo DBT
Synthesis of acceptance and change - a process that develops over time in transactions between people
Main Techniques of DBT
Validation and Problem Solving
Theory of BPD in DBT
Disorder is a consequence of an emotionally vulnerable individual growing of in an “invalidating environment”
DBT stance of the Therapist (2)
- reciprocal communication (responsiveness and warmth)
2. irreverent communication (confrontational and challenging)
4 stages of treatment in DBT
- Pretreatment
- Stage 1: Focus on suicidal behaviors, therapy and quality of life interfering behaviors, and problem-solving skills
- Stage 2: Post-traumatic stress related problems
- Stage 3: Self-esteem and individual treatment goals
4 requirements of clients in DBT
- Work in therapy for a specific period of time (usually a year) and to attend all sessions
- If suicidal behaviors or gestures are present, client must work on reducing these
- To work on any behaviors that interfere with the course of therapy “therapy interfering behaviors”
- To attend skills training
4 Modes of DBT Treatment
- Individual Therapy
- Telephone Contact
- Group Skills Training
- Therapist Consultation
DBT Group Skills Training Modules (4)
- Core mindfulness skills
- Interpersonal Effectiveness skills
- Emotion modulations skills
- Distress tolerance skills