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behavior therapy test 3
chapters 11-13
145
Psychology
Undergraduate 4
05/09/2007

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Term
modeling therapies
Definition
procedures in which clients observe a person demonstrate a behavior they can learn
Term
model
Definition
engages in a behavior
Term
observer
Definition
attends to the model
Term
observing the model provides 2 pieces of information:
Definition
1.)what the model did and

2.) what happened to the model as a result of the model's actions

Term
vicarious consequences
Definition
the consequences of a model's behaviors
Term
why are vicarious consequences important?
Definition
they indicate the consequences observers are likely to receive for imitating the model
Term
vicarious reinforcement
Definition
occurs when the consequences of the model's behaviors increase the likelihood that observers will imitate the model
Term
vicarious negative consequences
Definition
the consequences of the model's acts decrease the likelihood that observers will imitate the model
Term
imitation
Definition
refers to a person's behaving like a model who has been observed

although imitation can be the result of observing the model, it may not be

Term
live model
Definition
a model who is actually present
Term
symbolic model
Definition
a model who is observed indirectly

ex: on t.v., in books

Term
covert modeling
Definition
a common form of symbolic modeling

people imagine someone engaging in a behavior they wish to perform

Term
5 functions that modeling serves for observers
Definition
teaching

prompting

motivating

reducing anxiety

discouraging

Term
teaching
Definition
observer learns a new behavior by observing a model
Term
prompting
Definition
observer is cued (reminded) to perform a behavior after observing a model engage in the behavior
Term
motivating
Definition
vicarious reinforcement serves an incentive to engage in behavior
Term
reduce anxiety
Definition
observing a model safely engage in an anxiety-provoking behavior reduces an observer's anxiety
Term
discourage
Definition
vicarious negative consequences decreases the chances the observer will imitate the model
Term
self-modeling
Definition
clients serve as their own models of adaptive functioning

ex: covert self-modeling, video self-modeling

Term
who developed video self-modeling therapy?
Definition
Peter Dowrick
Term
how long does self-modeling take to be effective?
Definition
works rapidly

sometimes requiring as little as 12 minutes of self-observation

Term
behavior rehearsal
Definition
clients practice performing an acceleration behavior and coping skills
Term
to perform a skill, a person must... (4 things)
Definition
1.) know what to do

2.) be proficient at the skill

3.) know when it is appropriate to use the skill

4.) be adequately motivated to perform the skill

Term
skills training
Definition
refers to treatment packages designed to overcome clients' skills deficits
Term
generalized imitation
Definition
the ability to imitate a social skill
Term
who is generalized imitation primarily used with?
Definition
children w/ autistic disorder
Term
what % of child abductors use force to lure their victims?
Definition
10-17%
Term
who developed skills training interventions for teaching children about abductions?
Definition
Cheryl Poche
Term
who developed a skills training program that taught children not to let adults touch their private parts?
Definition
Sandy Wurtele
Term
social skills
Definition
the interpersonal competencies necessary to successfully interact w/ others
Term
the goals of social skills training for clients w/ schizophrenia
Definition
1.) to increase social interactions

2.) to teach the specific social skills needed to function in the community

3.) to reduce stress by teaching clients to cope w/ problematic social situations that arise in their daily lives

Term
what was done to increase transfer in social skills of those w/ schizophrenia?
Definition
1.) homework was given to practice conversational skills in the hospital

2.) prompts to do the H.W.

3.) positive reinforcers when the target behaviors were performed

Term
assertive behaviors
Definition
actions that secure and maintain what one is entitled to in an interpersonal situation w/o infringing on the rights of others
Term
strategies used to promote generalization and transfer in social skills (7)
Definition
1.) using lots of examples during training

2.) using reinforcement so that skills resist extinction

3.) common physical and social stimuli b/w the training setting and the client's natural environment

4.) prompts in the natural environment

5.) natural reinforcers

6.) giving opportunities to use their new skills

7.) self-control skills to apply to novel social situations

Term
3 implications about assertive behaviors
Definition
1.) a person is not assertive or unassertive, a person's behavior in a particular situation is said to be assertive or unassertive

2.) training in one type of assertive behavior may not generalize to other types

3.) assertive behaviors are not always appropriate or adaptive

Term
the difference b/w assertive and aggressive behavior
Definition
although they may achieve the same result, assertive behaviors do so w/o violating others' rights
Term
assertion training
Definition
the specific social skills training procedures used to teach clients how and when to behave assertively
Term
covert behavior rehearsal
Definition
involves clients' imagining themselves performing target behaviors

can supplement covert modeling

Term
vicarious extinction
Definition
when a model demonstrates the anxiety-evoking behaviors w/o incurring negative consequences
Term
coping model
Definition
typically employed by vicarious extinction

a model who is initially fearful and incompetent and who gradually becomes more comfortable and skilled performing an anxiety-evoking behavior

appropriate for clients who are fearful and incompetent themselves (which enhances the similarity of the model and the observer)

Term
mastery model
Definition
an expert who shows no fear and is competent from the outset

more suitable for precise skill development & to defend from sexual assault

Term
participant modeling
Definition
the therapist models the fear-evoking behavior for the client and then encourages and physically guides the client's practicing the behavior.
Term
who developed participant modeling?
Definition
Brunhilde Ritter
Term
3 basic steps in participant modeling
Definition
1.) modeling: the therapist first models the fear-evoking behavior for the client

2.) prompting, behavior rehearsal, and in vivo exposure: the therapist verbally prompts the client to imitate the behavior she or he has just modeled.

3.) fading prompts: the therapist gradually withdraws the verbal and physical prompts until the therapist is no longer present

Term
who used film/video modeling to reduce fear about hospitalization in children?
Definition
Barbara Melamed
Term
the major limitation of standard symbolic presentations is that...
Definition
they are aimed at the "average" client, which means that they are not individualized.
Term
natural models
Definition
people in clients' everyday environments who exhibit behaviors that clients need to learn and practice
Term
perceived self-efficacy
Definition
the belief that one will be successful at a task
Term
cognitions are modified ___ when clients change their maladaptive thoughts and ___ when clients change their overt actions.
Definition
directly; indirectly
Term
cognitions
Definition
thoughts - including beliefs, assumptions, expectations, etc.
Term
the 2 basic models for cognitive-behavioral therapy
Definition
1.) cognitive restructuring therapy

2.) cognitive-behavioral coping skills therapy

Term
cognitive restructuring therapy
Definition
recognizing maladaptive cognitions and substituting more adaptive cognitions for them.

This is used when clients' problems are maintained by an excess of maladaptive thoughts.

Term
cognitive-behavioral coping skills therapy
Definition
teaches clients adaptive responses - both cognitive and overt behavioral - to deal effectively w/ difficult situations.

this model is appropriate for problems that are maintained by a deficit in adaptive cognitions

Term
self-talk
Definition
what people say to themselves when they are thinking
Term
the first step in cognitive-restructuring therapy is...
Definition
for the clients to become aware of their self-talk, especially before, during, and after their problem behaviors occur
Term
4 basic methods used to assess clients' cognitions
Definition
interview

self-recording

direct self-report inventory

think-aloud procedures

Term
methods used to assess clients' cognitions differ along 5 dimensions:
Definition
1.) timing (retrospective, concurrent)

2.) degree of structure (open-ended, forced choice)

3.) mode of response (written, oral)

4.) nature of the stimulus (written scenario, simulated situation)

5.) source of evaluation (by the client, by the therapist)

Term
the social interaction self-statement test was developed by...
Definition
Carol Glass
Term
Social Interaction Self-Statement Test
Definition
a direct self-report inventory for assessing cognitions

lists 15 positive and 15 negative self-statements about problematic heterosocial dating interactions

Term
think-aloud approach
Definition
requires clients to verbalize their thoughts while engaging in a simulated task
Term
the Articulated Thoughts in Simulated Situations method was developed by...
Definition
Gerald Davison
Term
the Articulated Thoughts in Simulated Situations method
Definition
a think-aloud procedure where clients listen to audio taped scenarios designed to elicit different cognitions.
Term
5 advantages of think-alound approaches to cognitive assessment
Definition
1.) think-aloud have an open-ended response format - clients don't have to make forced choices

2.) think-aloud occurs immediately following the simulated situation

3.) think-aloud can be customized

4.) audio may elicit more genuine emotional responses than written stimuli

5.) children as young as 9 can use think-aloud approach

Term
thought stopping
Definition
designed to decrease the frequency and duration of persistent, disturbing thoughts by interrupting them and substituting pleasant thoughts.
Term
2 phases of thought stopping
Definition
1.) interrupting the disturbing thoughts (saying or thinking STOP!)

2.) IMMEDIATELY focusing on a competing adaptive thought

Term
imagery rescripting
Definition
the client modifies the disturbing thought so that it is more tolerable
Term
who designed Rational emotiove behavior therapy (REBT)?
Definition
Albert Ellis
Term
Rational Emotive Behavior Therapy (REBT)
Definition
treatment that employs cognitive restructuring to change the irrational thoughts that cause psychological problems such as anxiety, guilt, etc.
Term
According to Ellis' rational emotive theory, what creates psychological problems?
Definition
the INTERPRETATIONS people make of events in their lives.
Term
absolute thinking
Definition
viewing an event in an all-or-none, black-or-white fashion
Term
overgeneralization
Definition
drawing the conclusion that all instances of a situation will turn out a certain way because it's happened once or twice before.
Term
catastrophizing
Definition
seeing minor situations as disastrous
Term
Ellis says that 2 themes often run through the irrational ideas that lead to psychological problems:
Definition
1.) personal worthlessness: a specific form of overgeneralization associated w/ failure

2.) sense of duty: aka MUSTERBATION, irrational because insisting that you MUST do something is abdicating personal choice.

Term
3 major procedures used in REBT to modify irrational beliefs:
Definition
1.) identify thoughts based on irrational beliefs

2.) challenging irrational beliefs

3.) replacing thoughts based on irrational beliefs w/ thoughts based on rational beliefs

Term
Rational emotive education
Definition
an adaptation of REBT for children. The cirriculum includes:

1.) identifying emotions and differentiating them from thoughts

2.) learning how thoughts, rather than situations, influence emotions

3.) recognizing rational and irrational thoughts

4.) dealing with common difficult situations

Term
REBT is ineffective with patients suffering from...
Definition
substance dependence, panic disorder, anorexia, and OCD
Term
cognitive therapy was designed by...
Definition
Aaron Beck
Term
Cognitive Therapy
Definition
a cognitive restructuring therapy that emphasizes empirically testing the validity of maladaptive beliefs
Term
The difference b/w Cognitive therapy and REBT
Definition
Cognitive therapy has the client view beliefs as tentative hypotheses; the client then tests the validity of these hypotheses by gathering evidence that refutes (or supports) them.

In contrast, REBT relies on direct instruction, persuasion, and logical disputation to challenge distorted beliefs.

Term
automatic thoughts
Definition
how Beck referso to maladaptive beliefs.

this term emphasizes how clients experience their distorted thinking

Term
6 cognitive distortions identified by Beck
Definition
arbitrary inference

overgeneralization

selective abstraction - attending to detail while ignoring total context

personalization - erroneously attributing an external event to yourself

polarized (dichotomous) thinking - all-or-none thinking

magnification or minimization

Term
the goals of cognitive therapy
Definition
1.) correct clients' faulty information processing

2.) modify clients' dysfunctional beliefs that maintain maladaptive behaviors and emotions

3.) provide clients w/ skills that create adaptive thinking

Term
patients that complete __ __ are positively correlated w/ more effective cognitive therapy
Definition
homework assignments
Term
collaborative empiricism
Definition
the therapist and client design homework assignments that serve as investigations to test hypotheses
Term
hypotheses
Definition
automatic thoughts that are subject to empirical verification rather than as established facts
Term
both Cognitive therapy and REBT attempt to change faulty thinking. What strategy does each use?
Definition
Cognitive therapy uses empirical disputation based on observations of actual events

REBT uses rational disputation

Term
the specific techniques used in cognitive therapy to change clients' dysfunctional thinking fall into 2 categories:
Definition
cognitive interventions

overt behavioral interventions

Term
cognitive interventions
Definition
based on cognitive restructuring. changes clients' cognitisons directly
Term
reattribution of responsibility
Definition
part of cognitive interventions

helpful when clients believe they have more control over potentially negative outcomes than they actually do

Term
three-column technique
Definition
used to generate alternative interpretations

clients are asked to keep records of 1.) situations, 2.) their automatic thoughts in a situation, and 3.) the logical errors of these thoughts

Term
decatastrophizing
Definition
used in cognitive interventions

a specific form of reattribution that is useful when clients anticipate dire consequences

Term
overt behavioral interventions
Definition
indirectly modifies clients' cognitions and emotions

in general, the more severe the clients' disorders, the more overt behavioral interventions are used

Term
3 types of overt behavioral interventions:
Definition
1.) activity schedule

2.) mastery and pleasure rating

3.) graded task assignment

Term
activity schedule
Definition
an overt behavioral intervention

used to plan a client's daily activities

useful for clients who are anxious and depressed

Term
mastery and pleasure rating
Definition
an overt behavioral intervention

provides clients w/ feedback about the satisfaction and pleasure they are experiencing.

clients rate each activity 0-5 to recognize PARTIAL successes and SMALL pleasures

Term
graded task assignment
Definition
an overt behavioral intervention

encourages a client to perform small sequential steps that lead to a goal

Term
schema
Definition
a broad, pervasive, cognitive theme about oneself, others, or the world.

developed in childhood, further developed through lifetime

extremely resistant to change

Term
the assessment phase of schema-focused cognitive therapy involves 4 steps:
Definition
1.) schema identification

2.) schema activiation

3.) schema conceptualization

4.) schema education

Term
how schema's are identified
Definition
self-report inventories, interviews, etc.
Term
schema activation
Definition
once a client's specific schemas are ID'ed, the therapist intentionally activates them through imagery or role-playing

this is done to ID those schemas that elicit strong emotional responses

Term
schema conceptualization
Definition
the therapist formulates a conceptualization that includes the specific schemas impacting the client's life
Term
schema education
Definition
the therapist explains the schema conceptualization to the client, and they both formulate a treatment plan
Term
life review
Definition
used in schema-focused cognitive therapy.

therapists ask clients to provide evidence from their lives that supports or contradicts their schemas.

Term
schema dialogue
Definition
an experiential technique in which clients role-play both the "voice" of the schema and the "voice" of their own healthy responses to the schema
Term
schema-focused cognitive therapy differs from traditional cognitive therapy in 4 respects:
Definition
1.) a greater use of the client-therapist relationship

2.) the exploration of the earliest expression of a schema

3.) a greater emphasis on emotions and the use of experiential change strategies

4.) a longer course of treatment

Term
the most substantial body of research on the efficacy of cognitive therapy involves the treatment of...
Definition
depression
Term
cognitive-behavioral coping skills therapy
Definition
used to treat problems that are maintained by a deficit of adaptive cognitions

the focus is not on what clients are thinking, it's on what the client is not thinking

Term
self instruction serve six functions
Definition
1.) preparing client to use self-instructions

2.) focusing attention

3.) guiding behavior

4.) providing encouragement

5.) evaluating performance

6.) reducing anxiety

Term
self-instructional training was developed by...
Definition
Donald Meichenbaum
Term
self-instructional training
Definition
teaches people to instruct themselves to cope effectively w/ difficult situations
Term
self-instructional training was first used to treat...
Definition
children's impulsive behaviors
Term
5 steps of self-instructional training for children
Definition
1.) cognitive modeling: an adult model performs a task while verbalizing aloud a deliberate strategy.

2.)cognitive participant modeling: the child performs the task as the model verbalizes the instructions aloud.

3.) overt self-instructions: the child performs the task while verbalizing the instructions aloud.

4.) fading of overt self-instructions: the child performs the task while whispering the instructions.

5.) covert self-instructions: finally, the child performs the task while saying the instructions to themself.

Term
enhancing the effects of self-instructional training
Definition
children who are more actively involved in their training

a good relationship w/ the therapist

using natural change agents (parents)

increasing the # of training sessions

Term
self-instructional training works best when focusing on...
Definition
highly specific tasks
Term
evaluating self-instructional training has 4 limitations:
Definition
1.) when clients use covert self-instructions, it is difficult to determine the extent to which they're used

2.) it is generally used in a treatment package

3.) much of the research focuses on analogue studies where nonclinical problems are treated

4.) few long-term assessments are conducted

Term
problem-solving therapy
Definition
the application of problem solving to difficulties for which a client has sought treatment
Term
problem-solving therapy often serves a dual-purpose:
Definition
1.) it treats the immediate problems for which clients seek treatment

2.) it prepares clients to deal w/ future problems on their own

Term
problem-solving training
Definition
teaches problem-solving skills as a general coping strategy for dealing w/ problems that may arise in the course of daily life
Term
who developed problem-solving therapy?
Definition
Thomas D'Zurilla
Term
problem-solving therapy divides the problem-solving process into seven stages:
Definition
1.) adopting a problem-solving orientation
2.) defining the problem
3.) setting goals
4.) generating alternative solutions
5.) choosing the best solution
6.) implementing the soluton
7.) evaluating its effects
Term
problem-solving therapy stage 1:

Adopting a problem-solving orientation

Definition
recognizing that a problem exists

it is necessary to understand that:

1.)problems need to be identified when they occur so that appropriate action can be taken,

2.) problems are a normal part of life that people can cope w/, and

3.)effective problem solving involves carefully assessing alternative courses of action

Term
problem-solving therapy stage 2:

Defining the problem

Definition
the therapist helps the client precisely define the problem so that specific solutions can be generated
Term
problem-solving therapy stage 3:

Setting goals

Definition
"what must happen so that I no longer have the problem?"

the goals can focus on the problem situation (situation-focused goals), reactions to the problem situation (reaction-focused goals), or both.

Term
problem-solving therapy stage 4:

Generating alternative solutions

Definition
the client is taught to generate solutions that might solve the problem (brainstorming)
Term
problem-solving therapy stage 5:

Choosing the best solution

Definition
the client chooses the best solution from among the alternatives generated in the 4th stage.
Term
problem-solving therapy stage 6:

Implementing the solution

Definition
the client implements the solution chosen in step 5.

the most critical stage because the best solutions will solve the problem only if they are implemented effectively.

Term
problem-solving therapy stage 7:

Evaluating the effectiveness of the chosen solution

Definition
once the implemented solution has had time to take effect, the client evaluates how successful it has been.

if successful, therapy is terminated. if not, the client repeats one or more of the previous stages.

Term
who began problem-solving training with children?
Definition
George Spivack and Myrna Shure
Term
problem-solving therapy/training is most effective w/...
Definition
adult depression
Term
negative problem orientation
Definition
a strong predictor of depression and anxiety in adults. refers to the tendency to:

1.) appraise a problem as a threat

2.) doubt one's own problem-solving ability

3.) expect negative problem-solving outcomes

4.) show a low tolerance for frustration when confronted w/ a problem.

Term
who developed stress inoculation training?
Definition
Meichenbaum
Term
stress inoculation training
Definition
clients learn coping skills and practice using them while being exposed to stress-evoking events. three phases in the therapy:

1.) conceptualization

2.) coping skills acquisition

3.) application

Term
stress inoculation training step 1:

conceptualization

Definition
educational

therapist explains to the client that events don't cause negative emotional reactions, the negative reactions arise from how we perceive these events.

Term
stress inoculation training step 2:

coping skills acquisition

Definition
the client learns and rehearses coping strategies.

4 general coping skills:

differential relaxation, cognitive restructuring, problem-solving self instructions, and self-reinforcement self instructions

Term
stress inoculation training step 3:

application

Definition
clients apply their new outlooks and coping behaviors. this is initially done in therapy sessions through visualizing and role-playing

then they get H.W. assignments that gradually expose themto more stress-evoking events in real life.

Term
relapse prevention
Definition
done in stress inoculation training

specific procedures for handling setbacks that occur in coping w/ real-life stress-evoking events.

Term
the 3 most common problems treated w/ stress inoculation training
Definition
anxiety, anger, and pain
Term
the most important part of stress inoculation therapy is...
Definition
learning coping skills.
Term
3 basic components of cognitive-behavioral couple therapy
Definition
1.) training in communication and problem-solving skills

2.) increasing positive behavior exchanges

3.) training in cognitive restructuring

Term
caring-days technique
Definition
used to increase partners' positive behavior exchanges. Partners act AS IF they cared for each other
Term
the caring-days technique was developed by...
Definition
Richard Stuart
Term
who developed integrative behavioral couple therapy?
Definition
Neil Jacobson and Andrew Christensen
Term
integrative behavioral couple therapy
Definition
establishes acceptance of one's partner's upsetting behaviors.
Term
to promote acceptance, integrative behavioral couple therapy uses 4 strategies:
Definition
1.) empathic joining: the partners' learning to understand each other's emotional pain, without introducing anger or blame.

2.) detatchment: the partners distance themselves from their conflicts.

3.) tolerance building: learning ways to become less upset by one's partners behaviors

4.) self-care: each partner develops ways to get personal satisfaction outside of the relationship

Term
who developed the prevention and relationship enhancement program?
Definition
Howard Markman
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