Behavioral Modalities

Question 1

Assumptions of Behavioral Model (4)

Answer 1

1. Behavioral problems are cause by dysfunctional patterns of reinforcement
2. Modernism Worldview (patterns are universally true for all worldviews)
3. Based in Learning Theories (conditioning)
4. Do not need to work with the whole family. Only those who are involved in maintaining problem behavior

Question 2

Theory of Dysfunction in behavioral models

Answer 2

Dysfunctional behaviors are learned responses, involuntarily acquired and reinforced

Question 3

Who is John Watson?

Answer 3

Little Albert Experiment

Question 4

What are the 3 ways classical conditioning are most commonly used today?

Answer 4

1. Anxiety disorders
2. Enuresis
3. Sexual problems due to performance anxiety

Question 5

4 Current uses of behavioral techniques (operant)

Answer 5

1. Behavioral parent training
2. Assertiveness training
3. Problem solving/communication skills training
4. Token Economies

Question 6

Overall Goals of Treatment (2)

Answer 6

1. Diminish problem behaviors and increase positive behaviors
2. Establish long and short-term goals

Question 7

Stance of Therapist (4)

Answer 7

Teacher, coach, model, reinforcer

Question 8

3 goals of CBT

Answer 8

1. Break vicious cycles by creating positive changes
2. Diminish problem behaviors and increase positive behaviors
3. Goals and behaviors are paired with the 4 elements of psychological distress

Question 9

Goal of cognitive interventions in CBT

Answer 9

produce changes in thoughts and beliefs

Question 10

Goal of behavioral interventions in CBT

Answer 10

change behavior

Question 11

Goal of Self-soothing interventions in CBT

Answer 11

change physical feelings

Question 12

how are emotions impacted by CBT interventions?

Answer 12

Emotions are indirectly affected by all types of interventions

Question 13

2 kinds of exposure therapy

Answer 13

1. In vivo exposure - situations, places, people

2. Imaginal Exposure - trauma memory

Question 14

Aaron Beck

Answer 14

Father of CBT

Question 15

Gerald Patterson

Answer 15

Behavioral Parent Training (Parent Skills Training)

Question 16

6 Interventions taught in Parent Skills Training

Answer 16

1. Time out
2. Behavioral Contracting
3. Home Token Economies
4. Shaping
5. Contingency Contracting
6. Punishment

Question 17

Purpose of Time out intervention

Answer 17

used to extinguish bx by removing child from situation where bx can be reinforced

Question 18

Robert Liberman and Richard Stuart

Answer 18

Behavioral Couples Therapy

Question 19

James Alexander

Answer 19

Functional Family Therapy

Question 20

What is Functional Family Therapy?

Answer 20

Integration of systems theory, behaviorism and cognitive therapy

Question 21

2 steps fo Functional Family Therapy

Answer 21

1. Therapist identifies interactional sequences embedded and the function that the sequence serves.
2. Identifies cognitions that the family has about the problem, themselves, and one another

Question 22

Treatment goal in Functional Family Therapy

Answer 22

Provide new behavior patterns to meet individual functions of each family member

Question 23

Treatment Goals of Cognitive Behavioral Sex Therapy (5)

Answer 23

1. Insight
2. Anxiety Reductions
3. Sexual enhancement
4. General relationship enhancement
5. Physical-medical techniques

Question 24

What does sensate focus do? (2)

Answer 24

1. Treatment of performance anxiety/spectatoring - couples work to replace anxiety with pleasure
2. Systematic Desensitization - constructs hierarchy of anxiety provoking situations and gradually faces each situation until anxiety no longer interferes with pleasure

Question 25

7 CB Sexual Techniques

Answer 25

1. Bridge maneuvers
2. Coital Alignment Techniques
3. Systematic Desensitization
4. Masturbation or self-stimulation
5. Orgasmic reconditioning
6. Stop-start (pause technique)
7. Squeeze technique

Question 26

Marsha Linehan

Answer 26

Dialectical Behavioral Therapy (DBT)

Question 27

Goal fo DBT

Answer 27

Synthesis of acceptance and change - a process that develops over time in transactions between people

Question 28

Main Techniques of DBT

Answer 28

Validation and Problem Solving

Question 29

Theory of BPD in DBT

Answer 29

Disorder is a consequence of an emotionally vulnerable individual growing of in an “invalidating environment”

Question 30

DBT stance of the Therapist (2)

Answer 30

1. reciprocal communication (responsiveness and warmth)

2. irreverent communication (confrontational and challenging)

Question 31

4 stages of treatment in DBT

Answer 31

1. Pretreatment
2. Stage 1: Focus on suicidal behaviors, therapy and quality of life interfering behaviors, and problem-solving skills
3. Stage 2: Post-traumatic stress related problems
4. Stage 3: Self-esteem and individual treatment goals

Question 32

4 requirements of clients in DBT

Answer 32

1. Work in therapy for a specific period of time (usually a year) and to attend all sessions
2. If suicidal behaviors or gestures are present, client must work on reducing these
3. To work on any behaviors that interfere with the course of therapy “therapy interfering behaviors”
4. To attend skills training

Question 33

4 Modes of DBT Treatment

Answer 33

1. Individual Therapy
2. Telephone Contact
3. Group Skills Training
4. Therapist Consultation

Question 34

DBT Group Skills Training Modules (4)

Answer 34

1. Core mindfulness skills
2. Interpersonal Effectiveness skills
3. Emotion modulations skills
4. Distress tolerance skills