Learning Theory & Behavior Therapy 2 Flashcards
Priority 1
What is counterconditioning in behavior therapy?
The technique of paring an undesirable behavior with an incompatible behavior to that the undesirable behavior is eliminated. In Wolpe’s systematic desensitization, counterconditioning is called reciprocal inhibition and focuses on the sympathetic/parasympathetic response.
What is systematic desensitization in behavior therapy?
Exposing (imaginally or in vivo) an individual to a weakened version of a feared stimulus while engaged in an anxiolytic activity, e.g., relaxation. Developed by Wolpe & Jacobson.
What is systematic desensitization used for and how does it work?
Effective primarily for Specific Phobias, but also stuttering, sexual dysfunction, and insomnia. Research suggests extinction is key mechanism rather than counterconditioning as such.
What is assertiveness training in behavior therapy?
A counterconditioning technique in which, through pairing appropriate assertive behaviors with anxiety, assertiveness eventually replaces anxiety.
What is behavioral rehearsal in behavior therapy?
A counterconditioning technique in which appropriate and effective responses to real-life situations are practiced repeatedly with a therapist until they become natural for patient to apply in those situations. Can employ a hierarchy of behaviors from least- to most-anxiogenic.
What is sensate focus in behavior therapy?
A counterconditioning technique for sexual dysfunction in which a couple is limited to sexual touching and exploration (no goal of arousal or orgasm). This limitation allows the pairing of the anxiogenic stimulus with relaxation and pleasure. Behaviors are organized on a hierarchy at the top of which is sexual intercourse.
What is flooding in behavior therapy?
A technique based on exposure in which an individual is exposed (imaginally or in vivo) to phobic stimuli until the fear subsides. Does not rely on relaxation. Aka, exposure with response prevention. Can be instant or gradual; gradual is associated with greater tolerance and decreased generalized anxiety.
What is the incubation/paradoxical enhancement effect in behavior therapy?
When flooding (esp. instant exposure) increases fear arousal in response to phobic stimuli.
What are the key findings on the effectiveness of flooding?
In vivo is more effective than imaginal (Foa & Kozak, 1985). Prolonged exposure is more effective than brief (Stein & Marks, 1973). In vivo flooding and graded exposure are particularly effective with Agoraphobia or Obsessive-Compulsive Disorder (75% report improvement).
What is interoceptive exposure?
Structured and repeated exposure to panic-like symptoms, e.g., hyperventilation, shaking, tension, etc.
What is implosive therapy?
Aka, implosion. Imaginal exposure to phobic stimulus, attending to themes relevant to psychodynamic work. Research suggests that psychodynamic component may be unecessary.
What is aversive counterconditioning?
An aversive or noxious stimulus is paired with a behavior paired for elimination. Avoidance elicited by noxious stimulus will be elicited by target behavior. (Think Clockwork Orange.)
Discuss issues with in vivo aversive counterconditioning.
Used to treat Substance Dependence, Paraphilias, and self-injurious behaviors, it has significant practical and ethical problems. Used only when other treatments have failed, when individual’s physical or psychological integrity is in jeopardy, by a competent practitioner, under surveillance of a review panel, and with the consent of the client or his/her representatives.
What does research suggest about the effectiveness of aversive counterconditioning?
It is most effective when the program is part of the individual’s natural environment, uses a biologically appropriate aversive stimulus ideally in the same modality as the target behavior, the individual takes ownership of the process (self-control of stimulus), and is combined with positive reinforcement of adaptive responses.
What is covert sensitization in behavior therapy?
Imaginal aversive counter conditioning.