Chapter 7: Behavioral Theory & Therapy Flashcards

1
Q

Behaviorism and Behavior Therapy

A

Sprang from efforts to describe, explain, predict, and control observable animal and human behavior; considered reactions to unscientific psychoanalytic approaches to psychology; philosophically opposed to psychoanalysis

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2
Q

Difference between Behaviorism and Psychoanalysis

A

Psychoanalysts subjectively focus on inner dynamics or mentalistic concepts, whereas behaviorists objectively focus on observable phenomena or materialistic concepts. Behaviorists use techniques derived from scientific research, whereas psychoanalytic techniques are usually derived from clinical practice

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3
Q

Similarities between Behaviorism and Psychoanalysis

A

Both are highly mechanistic, positivistic, and deterministic approaches to understanding humans

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4
Q

Historical Stages in the Evolution of Contemporary Behavioral Approaches to Human Change

A

Behaviorism as a scientific endeavor
Behavior Therapy
Cognitive Behavior Therapy

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5
Q

Third Force in American Psychology

A

Existential-Humanistic Psychology; alternative to psychoanalysis and behaviorism; Contrast their theory with psychoanalytic theory and academic-scientific behaviorism as an explanation for human behavior and motivation

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6
Q

Behaviorism

A

Led by John B. Watson; Excludes consciousness and introspection, and believed in determinism rather than free will

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7
Q

William James

A

Credited with launching the field of psychology in the US; litlle regard for the scientific foundation of psychology;

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8
Q

John B. Watson

A

Believed in psychological science; immersed himself in experimental psychology; interested in the application of behavioral scientific principles to human suffering

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9
Q

Little Hans

A

Freud analyzed his fear because of unresolved Oedipal issues and castration anxiety

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10
Q

Little Albert

A

Watson used him to demonstrate that severe fears and phobias were not caused by obscure psychoanalytic constructs but by direct classical conditioning of a fear response

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11
Q

Little Peter

A

studied by Mary Cover Jones to investigate the effectiveness of counterconditioning or deconditioning

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12
Q

Contibutions of Early Behaviorists

A

Discovery by Pavlov, Watson, and their colleagues that emotional responses could be involuntarily conditioned in animals and humans via classical conditioning procedures.
The discovery by Mary Cover Jones that fear responses could be deconditioned by either (1) replacing the fear response with a positive response or (2) social imitiation
The discovery by Thorndike and its later elaboration by Skinner that animal and human behaviors are powerfully shaped by their consequences

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13
Q

Research Groups which Introduced the term Behavior Therapy to Modern Psychology

A

B.F. Skinner in the United States
Joseph Wolpe, Arnold Lazarus, and Stanley Rachman in South Africa
Hans Eysenck and the Maudsley Group in the United Kingdom

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14
Q

B.F. Skinner (U.S.)

A

Early work was an experimental project on operant conditioning with rats and pigeons in the 1930’s; Empasis was on the extension of Thorndike’s law of effect; Demonstrated power of positive reinforcement, negative reinforcement, punishment, and stimulus control in the modification of animal behavior;

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15
Q

Behavior Therapy (Skinner)

A

Clinical term referring to the application of operant conditioning procedures to modify the behavior of psychotic patient

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16
Q

Joseph Wolpe

A

Interested in conditioning procedures as a means for resolving neurotic fear; conducted experiments in neurosis production; established the first nonpsychoanalytic, empirically validated behavior therapy thechnique

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17
Q

Systematic Desensitization

A

Josephy Wolfe’s therapeutic procedure; Involves training the anxious patient is first trained in progressive muscle relaxation exercises and then gradually exposed imaginally or in vivo to feared stimuli while simultaneously relaxing

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18
Q

Wolpe’s Systematic Desensitizaiton & Jone’s Deconditioning Principle

A

Similar wherein a conditioned negative emotional response is replaced with a conditioned positive emotional response

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19
Q

Arnold Lazarus & Stanley Rachman (South Africa)

A

Contributed significantly to the behavior therapy movement

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20
Q

Arnold Lazarus

A

Advocated the integration of laboratory-based scientific procedures into existing clinical and counseling practices; adamant opponent of narrow therapy definitions or conceptualizations

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21
Q

Stanley Rachman

A

Initial unique contribution involved the application of aversive stimuli to treating neurotic behavior, including addictions

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22
Q

Hans Eysenck

A

Used the term Behavior Therapy to describe the application of modern learning theory to the understanding and treatment of behavioral and psychiatric problems

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23
Q

Cyril Franks

A

Above all, in behavior therapy a theory is a servant that is useful only until a better theory and better therapy come along

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24
Q

Primary Convictions which Characterize Behaviorists and Behavioral Theory

A

Behavioral Therapists emply techniques based on modern learning theory & derived from scientific research

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25
Q

Main Models of Learning that form the Theoretical Foundation of Behavior Therapy

A

Applied Behavior Analysis
Nonbehavioristic, Mediational Stimulus-Response Model
Social Learning Theory

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26
Q

Applied Behavior Analysis/Radical Behaviorism

A

Behavior is a function of its consequences; based on the Stimulus Response Theory; focuses solely on observable behaviors; Goal is to increase adaptive behavior through reinforcement and stimulus control and to reduce maladaptive behavior through punishment and extinction

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27
Q

Skinner’s Demonstration that Behavior is a Function of its Consequences

A

When a particular behavior is followed by positive reinforcement, the tendency for an organism to engage in that specific behavior is strengthened or reinforced; When a specific behavior is followed by punishement or an aversive stimulus, the tendency for an organism to engage in that specific behavior is weakened

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28
Q

Neobehavioristic, Mediational Stimulus-Response Model

A

Based on Classical Conditioning Principles;

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29
Q

Classical conditioning

A

Referred to as Associational Learning because it involved an association or linking of one environmental stimulus with another; Pavlovian terms, an unconditioned stimulus is one that naturally produces a specific physical-emotional response;

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30
Q

Cognitive-Behavioral Movement

A

Began in the late 1950’s and became associated with mainstream behavior therapy

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31
Q

Behaviorists’ Theory of Psychopathology

A

Maladaptive behavior is always learned and can always be either unlearned or replaced by new learning; The concept of human learning is at the core of human behavior profoundly influences how behavior therapists approach the assessment and treatment of clients; inadequate learning or skill deficits

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32
Q

Basic Assumption in Behavioral Theory

A

Both adaptive and maladaptive behaviors are acquired, maintained, and changed in the same way: through the internal and external events that proceed and follow them; Behavioral case conceptualization involves a careful assessment of the context within which a behavior occurs, along with developing testable hypotheses about the causes, maintaining the factors, and treatment interventions

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33
Q

Behaviorists’ Procedures to the Clinical or Counseling Setting

A

Observe and assess client maladaptive or unskilled behaviors
Develop hypotheses about the cause, maintenance, and appropriate treatment for maladaptive or unskilled behaviors
Test behavioral hypotheses throught he application of empirically justificable interventions
Observe and evaluate the results of their intervention
Revise and continue testing new hypotheses about ways to modify the maladaptive or unskilled behavior(s) needed

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34
Q

Behavioral Assessment & Procedures

A

Main goal of behavioral assessment is to determine the external (environmental or situational) stimuli and internal (physiological and sometimes cognitive) stimuli that directly recede and follow adaptive and maladaptive client and behavioral responses

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35
Q

Client’s Behavioral ABC’s

A
A = Behavior's Antecedents (everything that happens just before the maladaptive behavior is observed)
B = The behavior (the client's problem specifically defined in concrete behavioral terms
C= The behavior's consequences (everything that happens just after the maladaptive behavior occurs)
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36
Q

Why Direct Behavioral Observation is Inefficient

A

Most therapists can’t afford the time required to observe the clients in their natural settings
Many clients object to having their therapist come into their home or workplace to conduct a formal obseration
Even if the client agreed to have the therapist come perform an observation, the therapist’s presence is unavoidably obtrusive and therefore influences the client’s behavior

37
Q

Clinical or Behavioral Interview

A

Most common assessment procedure; within the context of an interview, behavior therapists directly observe client behavior, inquire about behavioral antecedents and consequences, and operationalize the primary targets of therapy

38
Q

Operational Definition

A

Specific, Measurable characteristics of client symptoms and goals which are crucial behavioral assessment components

39
Q

Behavioral Assessment Issues and Procedures

A

Clinical/Behavioral Interview
Self-Monitoring
Standardized Questionnaires
Other Measures

40
Q

Self-Monitoring

A

Training clients to observe and monitor their own behavior; Clients observe and monitor their own behavior; They are made to keep thought or emotional logs that include the following components:

  1. Disturbing emotional states
  2. The exact behavior engaged in at the time of the emotional state
  3. The thoughts that occured when the emotions emerged
41
Q

Standardized Questionnaires

A

Objective assessment meaures are used; Prefer instruments with established reliability and validity; a way of determining whether a specific treatment is working; helps keep therapist on track

42
Q

Other Measures

A

Intermittent or ongoing video or audiotape recordings or photographs to obtain direct samples of client behavior; physiological measures such as heart rate, blood pressure, and galvanic skin response

43
Q

Specific Behavioral Therapy Techniques

A

Operant Conditioning and Variants

Relaxation Training

44
Q

Token Economy

A

Patients or students are provided with points or poker chips (symbolic rewards) for engaging in positive or desirable behaviors. can be used as money to obtain goods or privileges

45
Q

Fading

A

The progressive decrease of punishments and reinforcements as desirable behavior patterns are established;

46
Q

Punishment/Aversive Conditioning

A

Used to reduce undersirable and maladaptive behavior

47
Q

For Punishment to be Effective

A

Immediate (delay increases anxiety and decreases learning)
Intense (punishment is more effective if it is more averse)
Salient (it should be individually defined)
Delivered early in the behavioral chain (before a problem intensifies)
Delivered on a continuous schedule (because if the punishment does not always occur, the behavior you want to eliminate may be intermittently rewarded, which makes it much more difficult to eliminate)
Provided across all stimulus situations (otherwise punishment is simply avoided)
delivered in a calm manner (so the recipient doesn’t react to the punisher’s anger instead of the punishment)
Accompanied by teaching of alternative adaptive behaviors (so the recipient clearly learns what is desirable behavior)

48
Q

Relaxation Training

A

Introduced by Edmund Jacobson;

49
Q

Progressive Muscle Relaxation (PMR)

A

Initially based on the assumption that muscular tension is an underlying cause of a variety of mental and emotional problems; by pairing muscle-tension conditioned stimulus with pleasurable relaxation, muscle tension as a stimulus or trigger for anxiety is extinguished

50
Q

Systematic Desensitization

A

Combination of Jone’s deconditioning approach and Jacobson’s PMR procedure; To be relaxed is the direct physiological opposite of being excited or disturbed

51
Q

How Systematic Desensitization Works

A

The client identifies a range of various fear-inducing situations or objects.
Typically, using a measuring system referred to as Subjective Units of Distress (SUDs), the client, with the support of the therapist, rates each fear-inducing situation or object on a scale from 0-100 (0=no distress; 100=total distress)
Early in the session the client engages in PMR
While deeply relaxed, the client is exposed, in vivo or through imagery, to the least feared intem in the fear heirarchy
Subsequently, the client is exposed to each feared item, gradually progressing to the most feared item in the heirarchy
If the client experiences significant anxiety at any point during the imaginal or in vivo exposure process, the client reengages in PMR until relaxation overcomes anxiety

52
Q

Exposure Treatment

A

Based on the principle that clients are best treated by exposure to the very thing they want to avoid: the stimulus that evokes intense fear, anxiety, or other painful conditions

53
Q

Negative Reinforcement

A

Defined as the strengthening of a behavioral response by reducing or eliminating an aversive stimulus

54
Q

Ways to expose Clients to their Fears

A

Mental Imagery
Virtual Reality
In Vivo Exposure

55
Q

In Vivo Exposure

A

Involves direct exposure to real-life situations

56
Q

Systematic Desensitization

A

Combination of Jone’s deconditioning approach and Jacobson’s PMR procedure; To be relaxed is the direct physiological opposite of being excited or disturbed

57
Q

How Systematic Desensitization Works

A

The client identifies a range of various fear-inducing situations or objects.
Typically, using a measuring system referred to as Subjective Units of Distress (SUDs), the client, with the support of the therapist, rates each fear-inducing situation or object on a scale from 0-100 (0=no distress; 100=total distress)
Early in the session the client engages in PMR
While deeply relaxed, the client is exposed, in vivo or through imagery, to the least feared intem in the fear heirarchy
Subsequently, the client is exposed to each feared item, gradually progressing to the most feared item in the heirarchy
If the client experiences significant anxiety at any point during the imaginal or in vivo exposure process, the client reengages in PMR until relaxation overcomes anxiety

58
Q

Exposure Treatment

A

Based on the principle that clients are best treated by exposure to the very thing they want to avoid: the stimulus that evokes intense fear, anxiety, or other painful conditions

59
Q

Negative Reinforcement

A

Defined as the strengthening of a behavioral response by reducing or eliminating an aversive stimulus

60
Q

Ways to expose Clients to their Fears

A

Mental Imagery
Virtual Reality
In Vivo Exposure

61
Q

In Vivo Exposure

A

Involves direct exposure to real-life situation

62
Q

Kinds of Exposure Sessions

A

Massed (Intensive) Exposure Session

Spaced (Graduated) Exposure Session

63
Q

Massed (Intensive) Exposure Session

A

Involves direct exposure to feared stimuli during a single session for a prolonged time period

64
Q

Spaced (Graduated) Exposure Session

A

Slow and incremental exposure to a feared stimulus during a series of shorter periods

65
Q

Virtual Reality Exposure

A

A procedure wherein clients are immersed in a real-time computer-generated computer environment

66
Q

Interoceptive Exposure

A

The target exposure stimuli are internal physical cues; client must be educated about bodily sensations, has learned relaxation techniques, and has been taught cognitive restructring skills

67
Q

Mowrer’s Two Factor Theory

A

When a client avoids or escapes a feared or distressing situation or stimulus, the maladaptive avoidance behavior is negatively reinforced

68
Q

Participant Modeling

A

Effective in Group therapy

69
Q

Skills Training Technique

A

Based on skill deficit models of psychopathology

70
Q

Kinds of Skills Training Technique

A

Assertiveness and Other Social Behavior

Problem Solving

71
Q

Social Behavior Styles

A

Passive
Aggressive
Assertive

72
Q

Passive Individuals

A

Behave in submissive ways; they say yes when they want to sa no, avoid speaking up and asking for instructions or directions and let others take advantage of them

73
Q

Aggressive Individuals

A

Dominate others, trying to get their way through coercive means

74
Q

Assertive Individuals

A

Speaks up, expresses feelings, and lets needs be known without dominating others

75
Q

Strategies Used to Teach Assertive Behavior

A
Instruction
Feedback
Behavior Reversal or Role Playing
Coaching 
Modeling
Social Reinforcement
Relaxation Training
76
Q

Instruction

A

Clients are instructed in assertive eye contact, body posture, voice tone, and verbal delivery

77
Q

Feedback

A

The therapist or group members give clients feedback regarding how their efforts at assertive behavior come across to others

78
Q

Behavior reversal or Role Playing

A

Clients are given opportunities to practice specific assertive behaviors, such as asking for help or expressing disagreement without becoming angry or aggressive

79
Q

Coaching

A

Therapists often whisper feedback and instruction in the client’s ear as a role-play or practice scenario progresses

80
Q

Modeling

A

The therapist or group members demonstrate appropriate assertive behavior for specific situations

81
Q

Main Goal of the Behavioral treatment Protocol

A

To teach the client to become his own therapist

82
Q

Relaxation training

A

FNeeded to reduce anxiety in social situations

83
Q

Problem Solving

A

TEaching the clients to follow a systematic, logical, and effective approach to solving problems

84
Q

Steps for Problem Solving

A
Define the problem.
Identify the Goal
Generate Options
Choose the best solution
Evaluate the outcome
85
Q

Five-Component Panic Disorder Protocol

A
Education about the nature of anxiety
Breathing retraining
Cognitive restructuring
Interoceptive exposure
Imaginal or In Vivo Exposure
86
Q

Parts of Each Session for the Panic Disorder Protocol

A

General check-in and homework review
Educational information about panic and behavior therapy
In-Session behavioral or cognitive tasks
New set of homework assignments

87
Q

Main Goal of the Behavioral treatment Protocol

A

To teach the client to become his own therapist

88
Q

Behavioral Treatments are Effective For

A
Exposure treatment for Agoraphobia
Exposure or guided mastery for Specific Phobia
Exposure and response prevention for OCD
Behavior therapy for depression
Behavior therapy for headache
Behavior modification for Enuresis
Parent training programs for children with oppositional behavior
Behavioral marital therapy