Lecture 1 - Behaviour therapy Flashcards
misunderstandings of BT
- denial of thoughts and feelings
- superficial (no: it is about the cause of the symptoms, but what is seen as the cause may be different than in other therapies)
- exclusive focus on the present (BT also covers the past, but yes, mainly the future)
- simplistic (no: can become very complex, and can be tailored)
- ignores the therapeutic relationship (no: BT therapists actively focus on the therapeutic relationship)
wat representeert BT
a single-patient experiment (empirical cycle of observing the clients problems and developing hypotheses about why the problems are maintained, divising a treatment plan and applying therapeutic techniques, and evaluating treatment effects)
waves of BT
- classical behaviour therapy
- behaviour therapy combined with cognitive therapy
- behaviour and cognitive therapy in combination with acceptance-based therapy
constructs of BT:
- case conceptualisation
- functional analysis
- meaning analysis
- exposure
meaning analysis =
an analysis of how and why certain causes elicit the problem behaviours (based on classical conditioning: how did a certain stimulus become aversive?)
functional analysis=
an analysis of the variables that cause and maintain problem behaviours (based on operant conditioning: which reinforcement and punishment is present?)
exposure = (in BT termen)
unlearning of an aversive CS-US association (extinction)
learning of another inhibitiory CS-US association (inhibition)
(which one depends on the view)
hoe komt BT overeen met research
RQ = problem
observations = functional analysis/holistic theory
prediction = treatment plan
experimental procedure = therapeutic process
evaluation = treatment effects
case conceptualisation criteria for treatment planning
- probability value
- problematic value
- treatability
- centrality
- patients reason for therapy
voorbeeld functional analysis
stress from argument with partner (stimulus) : getting drunk (response) -> partner more angry (negative consequence (reason for therapy)) + relieve for stress (positive consequence (maintaining factor))
meaning analysis voorbeeld
unconditioned stimulus = beating
conditioned stimulus = argument with father
conditioned response = fear
exposure voorbeeld bij beating
break the CS - US association: argument does not lead to beating