bx tx for dep, S/A

Question 1

ACTION

Answer 1

Assess
Choose
Try
Integrate
Observe
Never give up

Question 2

TRAP

Answer 2

Trigger
Response
Avoidance Pattern

Question 3

TRAC

Answer 3

get out of the TRAP and get back on TRAC
Trigger
Response
Alternative Coping

Question 4

SORC

Answer 4

McCrady
Stimulus
Organismic
Response
Consequence
-The Response (R) is elicited by the Stimulus (S) that occur antecedent to drinking; that the relationship b/w stimulus and response is mediated by cognitive, affective, physiological, or organismic (O) factors; that the response is maintained by positive or the avoidance of negative consequences (C) as a result of drinking

Question 5

Trigger sheets

Answer 5

used in therapy to help cl conduct a bx analysis

Question 6

Voucher program

Answer 6

contingency management intervention designed to increase retention and abstinence
-Goal: to have this incentive program play a major role during initial 12 weeks of tx, during which time CRA tx is ongoing as well

Question 7

Witkiewitz and Marlatt (2004) revised RP model

Answer 7

added importance of addressing possibility of relapse and developed preventative and responsive strategies related to relapse
- help with catastrophic thoughts that trigger complete lapse

Question 8

Strategies to help if cl takes a drink

Answer 8

• Introduce a delay (1-2 hours) between an initial drink and subsequent drinks
• Get out of the immediate drinking situation
• Conduct a functional analysis of the drinking situation during that time
• Review possible negative consequences of drinking
• Call someone to help

Question 9

Current bx model of depression

Answer 9

Central importance of context and activity
1 Recognizes biology, genetic, and distal factors
2 Focuses on life context that may have triggered depression and particular responses that may be maintaining the condition
3 Low levels of positive reinforcement
4 High levels of aversive control
- Secondary problematic bxs
a) Prevent people from connecting with aspects of life that will increase mood
b) Prevent people from solving problems that help to decrease stress and improve life context

Question 10

Lewinsohn - response-contingent reinforcement - infl by 3 factors

Answer 10

1. Number of potentially reinforcing events of an individual
2. Availability of reinforcement in the environment
3. Instrumental bx of the individual required to elicit the reinforcement
   * *Social avoidance = key part of model

Question 11

Ferster - depression = result of learning hx

Answer 11

• Actions of individual do not result in positive reward
• Actions are reinforced bc allow escape from aversive condition
• Decrease in response contingent positive reinforcement produces consequences
• “Turning in” – when individuals learn that their own bx is unreliable as a predictor of positive consequences in their environment – spend less time attending to contingencies in environment
• Narrow repertoire of adaptive bx

Question 12

Bootzin sleep procedures

Answer 12

STIMULUS CONTROL
changing setting events
- Lie down intending to go to sleep only when sleepy
- Do not use bed for anything other than sleep
- If unable to sleep within ten mins, get up and go into another room
- If still cannot fall asleep, repeat step 3 as often as necessary
- Set your alarm and get up at the same time every morning regardless of how much sleep you had during the night
- Helps body acquire a consistent sleep rhythm
- Do not nap during the day

Question 13

When insomnia = maintained by muscle tension – what is the tx of choice?

Answer 13

progressive muscle relaxation