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What theory is the Behavioral approach based on? |
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People strive to maximize interpersonal rewards and minimize costs |
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Who founded Theory of Social Change? |
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What are the general goals of behavioral family therapy? |
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- Increase rewarding exchanges - Decrease aversive exchanges - Teach communication and problem solving |
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Contemporary approaches to CBT have expanded to include: |
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Examination and RESTRUCTURING of thoughts and perceptions |
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- Specific techniques for target behaviors - General behavior management - Methods for reevaluating automatic thoughts |
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Why is is important to reevaluate automatic thoughts? |
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To identify distortions and address misconceptions |
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What accounts for the strengths and weaknesses of this approach? |
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Behaviorist's focus on modifying the consequences of problem behavior |
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Weaknesses of behaviorism: |
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-Treatment may succeed with symptom (behavior) but not with family. - Attitudes and feelings may not change with behavior- important to treat cognitive and affective issues also |
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With the specific focus on behavior change, very effective techniques have been developed |
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Who do behaviorists usually treat? |
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- Rarely treat whole fams - Usually use only subsystems important to behavior change |
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How can CBT's weaknesses be improved? |
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- By broadinging focus and scope of treatment to include families as systems |
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What is considered the greatest strength of CBT? |
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- Observes what happens and then measures change - Developed a wealth of assessment methods |
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Another advance of CBT is the movement from eliminating or reinforcing "marker" behaviors to... |
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teaching problem solving, cognitive, and communication skills. |
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Behavior therapy is a decendant of... |
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Ivan Pavlov's classical conditioning
(Also used by John B. Watson "little Albert" and Mary Cover Jones "Peter" ) |
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Sytematic Desensitization |
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- Joseph Wolpe - Great success in treating phobias by reducing anxiety through reciprocal inhibition |
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- Part of Joseph Wolpe's Systematic Desensitization -Reducing anxiety by Pairing responses incompatible with anxiety with previously anxiety arousing stimuli. |
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Reducing anxiety by actually approaching the feared object or situation |
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When was Classical Condtioning primarily applied to family problems? |
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- To treat ANXIETY disoders (inc. agorophobia and sexual dysfunction)
-Also helped with enuresis- bedwetting |
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The "greatest influence on Behavioral family therapy came from..." |
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-B.F. Skinner's -Operant Conditioning |
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Operant
(As in Operant conditioning) |
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Voluntary responses as opposed to involuntary refexes |
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What determines the frequency of operant responses? |
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- consequences
- Positively reinforced responses will be repeated frequently - Punished or ignored responses will be extinguished |
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Functional Analysis of Behavior |
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-In Operant Behavior Therapy - A study of a particular behavior, what elicits it,and what reinforces it |
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What type of reinforced behavior is the hardest to extinguish? |
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- Intermittently reinforced |
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Three leaders played a role in the development of behavioral family therapy: |
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- Gerald Patterson (psychologist) - Robert Liberman (psychiatrist) - Richard Stuart (social worker) |
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- Most influenc. in devel. behavioral parent training- social learning theory - Strategies for eliminating undesirable behavior and substituting desireable behavior. |
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Gerald Patterson developed behavioral parent training, and trained parents in social learning theory, who else was prominent in the field? |
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-Anthony Graziano -Rex Forehand -Daniel and Susan O'leary -Roger McAuley |
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- Second major figure in development of Behavioral Family Therapy - Psychiatrist - Outline Operant learning framework for depression, headaches, social inadequacy, and marital discord -Introduced "role rehearsal" and "modeling" to family therapy |
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Who introduced "role rehearsal" and "modeling" to family theory? |
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-Third major influence on behavioral family therapy -Contingency Contracting -Stuart Focused on how the exchange of positive behavior could be maximized using Reinforcement Reciprocity |
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Reinforcement Reciprocity |
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Exchanging rewarding behaviors between family members. |
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Agreements made between family members to exchange rewards for desired behavior. (Richard Stuart) |
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What 3 major packages of Behavioral Family Therapy evolved in the 1970s? |
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- Parent training - Behavioral Couples Therapy - Sex therapy |
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Who are the present leading figures in behavioral couples therapy? |
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-Robert Weiss -Richard Stuart -Michael Crowe -Ian Falloon -Gayola Margolin |
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CBT refers to the approaches inspired by: |
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- Albert Ellis and Aaron Beck - That emphasize attitude changes improtance in behavior modification |
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Who are the leaders in CBT? |
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-Donald Baucom -Norman Epstein -Frank Dattilio |
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Eliminating behavior by ignoring it. |
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What theory argues that people strive to maximize rewards and minimize costs in relationships? |
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Theory of Social Exchange
(Thibaut and Kelley) |
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What do behaviorists consider to be the most important feature of good relationships? |
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How do behaviorists view symptoms? |
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Using punishment and criticism to eliminate undesirable responses (nagging, crying, withdrawing) |
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What are Datillio 8 types of cognitive distortion? |
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1- Arbitrary inference 2- Selective Abstraction 3-Overgeneralization 4- Exaggeration and minimization 5- Personalization 6- Dichotomous thinking 7- Labeling 8- Mind reading |
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Conclusions are drawn from events in the absense of supporting evidence
i.e. man whose wife is always late concludes she doesn't care about his feelings |
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Certain details are highlighted while others are ignored
i.e. parents remembering when a child defies them but not when they do something right |
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Isolated incidents taken as general patterns |
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Behavior is attributed to undesirable personality traits |
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To modify specific behavior to alleviate the presenting problem |
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What are the "hallmarks" of behavioral family therapy? |
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1- Careful assessment to determine frequency of prob. behavior, to guide therapy, to provide feedback
2- Strategies designed to modify the contingencies of reinforcement in each unique fam. |
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Most Behavioral Fam. therapy uses Operant conditioning and dyadic focus |
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Functional family therapy (Barton & Alexander) |
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- Argues that members of unhappy fams. attribute their probs. to neg. traits (i.e. laziness) in other members - Leaves fams. disempowered |
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MOst CBT assessments are based on what model of behavior? |
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SORKC (Kanfer and Phillips) |
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What does SORKC stand for? |
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S- Stimulous O- State of organism R- Response KC- Nature and contingency of consequences |
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- Applied to accelerate behavior - Pleasant high-probability behavior is chosen to reinforce low probability behavior
-I.e. if you do your h.w. you can watch t.v. |
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What's most common technique for decelerating behavior? |
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Stuart's 5 strategies that summarize the behavioral approach to troubled marriages |
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1- Cpls. taught to express needs clearly in behavioral terms 2- New behavior exchange procedures (positive control instead of aversive control) 3- Improve communication 4- Cpls. share power and decisions 5- Strategies for future prob. solving |
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Cognitive mediation model (Beck) |
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-Emotions and actions are mediated by cognitions - Uncovering negative assumptions that keep ppl. stuck |
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Rational-emotive therapy (Ellis) |
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- Illogical beliefs= emot. distress - A-B-C Theory - Try to release false beliefs |
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-Balanced emph. b/w cog. and behav. - Increased focus on greater depth of patterns of fam. interaction - Emphasizes attitude and behavior change |
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Epstein and Schlesinger- 4 means by which family members cognitions, behaviors,and emotions may interact and become volatile |
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1- Indivs. own cogs. toward fam. 2- Actions of fam. toward him or her 3- Combined reactions several fam. members have toward her 4- Charcs. of relationships b/w other fam. members (i.e. they usually support eachothers oppinions) |
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More family members= more momentum for volatile escalation |
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Cognitive therapy (Aaron Beck) |
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-Emph. Schemas (core beliefs) -Fam. members helps interpret and evaluate one anothers false beliefs |
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What are Frank Dattilio's 2 sets of schemas about fam. life? |
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1- a schema related to parents experiences growing up in their own fams 2- schemas abt. fams. in general |
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Wolpe's Systematic desensitization led to major advances in the treatment of sexual dysfunction |
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- He believed most sex. probs. result from conditioned anxiety |
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Who were the leaders in advances abt. sex. dysfunction? |
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- Wolpe -Masters and Johnson -Weekes and Gambescia |
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Helen Singer Kaplan's 3 problems w/ sex. dys. |
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1- Disorders of desire 2- Arousal disorders 3- Orgasm disorders |
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- Time to relax and enjoy touching and being touched -Sex. dys. technique |
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2 trends emerge from behavioral body of evidence |
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- Behavioral parent training (esp. Gerald Patterson)and behavioral cpls. therapy (Neil Jacobson) effective
- Understanding need for expansion i.e. inc. cognition |
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2 general categories of intervention for CBT behavior change? |
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1- Subs. positive control for aversive 2- Skills training |
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Neil Jacobsen and Andrew Christiansen |
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- Modified Behavioral cpls. therapy - Added stretegies to to bring about emotional acceptance in clients |
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What are the 3 areas of research in fam. integration ready to advance? |
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- conduct disorders in kids - marital conflict - schizophrenic adults |
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