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| Functional Analytic Psychotherapy: Integration With Other Therapies
Functional Analytic Psychotherapy (FAP): Integration with other Therapies |
| Saturday, May 29, 2010 |
| 3:30 PM–4:50 PM |
| Crockett C/D (Grand Hyatt) |
| Area: CBM/TPC; Domain: Applied Behavior Analysis |
| Chair: Barbara S. Kohlenberg (University of Nevada School of Medicine) |
| Abstract: Functional Analytic Psychotherapy (FAP), is a radical behavioral approach to outpatient psychotherapy that focuses on applying the principles of functional analysis to the relationship between the client and the therapist. FAP is a therapy approach that has been used as a stand-alone approach to behavior change, and also has been integrated with other evidenced based psychotherapies. In this symposium, the integration of FAP with Behavioral Activation (BA), Acceptance and Commitment Therapy (ACT), Feminist Therapy, and Dialectical Behavioral Therapy (DBT) will be discussed. Conceptual issues, data, and case examples will be provided. |
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| FAP and Feminist Therapies: Confronting Power and Privilege in Therapy |
| CHRISTEINE M. TERRY (Palo Alto VA Healthcare System), Madelon Y. Bolling (Independent Practice), Maria R. Ruiz (Rollins College), Keri R. Brown Popp (University of Wisconsin - Milwaukee) |
| Abstract: Feminist practitioners and writers assert that power and privilege are significant influences within the therapeutic context, and that a lack of awareness of power and privilege may lead therapists to engage in behaviors that promote inequality and injustice at the expense of their clients. Because of a reliance on mentalistic concepts, behavior analysts may view feminist therapies as incompatible with behavioral therapies. However, power and privilege can be understood from a behavioral framework (e.g., Baum, 2005) and behavior analysts have written about the integration of feminist and behavior analytic theories (e.g., Ruiz, 1998). We propose that integrating feminist therapies with an adult outpatient behavior therapy, Functional Analytic Psychotherapy (FAP), will yield a greater understanding of power and privilege in therapy and provide intervention strategies to decrease their influence in the therapeutic context. In this paper, we discuss feminist therapies with a focus on power and privilege, behavioral conceptualizations of power and privilege, and end with a discussion of the integration of FAP with feminist therapies, including ideas for FAP-based intervention strategies to work with power and privilege in therapy. The integration of these therapies offers the promise of empowering the client and therapist to work toward decreasing inequality. |
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| Functional Analytic Psychotherapy and Acceptance and Commitment Therapy: Similarities, Divergence and Integration |
| GLENN M. CALLAGHAN (San Jose State University), Barbara S. Kohlenberg (University of Nevada School of Medicine) |
| Abstract: While both ACT and FAP are contextually based interventions using behavioral principles, it can be argued that each intervention focuses uniquely on either the intrapersonal experience or the interpersonal repertoire of the client. In this paper we briefly describe the histories of these two radical behavioral therapies as they developed independently, highlighting the proposed mechanisms of clinical change and documenting similarities and differences in the treatments with respect to these mechanisms. Approaches to integration of the two interventions will be addressed including hierarchically arranging one therapy as the context of the other as well as the full integration of both, often called FACT. Brief clinical examples will be provided to illustrate each treatment and the use of integration strategies. Finally, the role of the behavioral repertoire of the therapist will be addressed as a decision factor in the choice of one treatment over the other. |
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| Functional Analytic Psychotherapy and Dialectical Behavior Therapy |
| GARETH I. HOLMAN (University of Washington), Jennifer Waltz (University of Montana), Sara J. Landes (University of Washington School of Medicine) |
| Abstract: . Dialectical Behavior Therapy (DBT) is an empirically supported treatment for behavior problems associated with borderline personality disorder, and has a growing evidence base for a range of problems, including chronic depression, eating disorder, and PTSD, across adolescent and adult populations. DBT incorporates a behavioral view of the therapy relationship. However, strategic management of the therapy relationship while conducting adherent DBT for out-of-control behaviors is often challenging. In this paper, we use principles from Functional Analytic Psychotherapy (FAP) – another behavior therapy that focuses on the therapy relationship as an instrument for behavior change - to discuss the DBT approach to the therapy relationship, including applications for contingency management, therapy-interfering behavior, observing therapist limits, self-disclosure, and irreverent and reciprocal communication strategies. Using DBT and FAP case conceptualization tools, we present specific case examples and transcript material from sessions of DBT to illustrate how strategic focus on the therapy relationship can produce impactful, adherent DBT across a range of DBT intervention strategies. |
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| Functional Analytic Psychotherapy and Behavioral Activation |
| CRISTAL E. WEEKS (University of Wisconsin-Milwaukee), Jonathan W. Kanter (University of Wisconsin - Milwaukee), Rachel Manos (University of Wisconsin-Milwaukee), William Bowe (Department of Psychology, University of Wisconsin-Milwaukee), David E. Baruch (University of Wisconsin-Milwaukee) |
| Abstract: Functional Analytic Psychotherapy (FAP), a radical behavioral approach to adult, outpatient psychotherapy, can be employed as a stand-alone intervention or as an enhancement to other approaches. FAP as an enhancement may make particular sense with respect to the treatment of depression, a problem for which several empirically supported treatments exist but there is considerable room for improvement in terms of immediate response, prevention of relapse, and associated outcomes like quality of life and interpersonal relationships. This paper describes an integration of FAP with Behavioral Activation (BA), an efficacious treatment for adult, outpatient depression. BA employs a behavior analytic theory of depression that is consistent with FAP and allows for seamless integration. BA’s theory emphasizes the need for clients to contact positive reinforcement but BA’s therapeutic techniques emphasize provision of instructions rather than therapeutic provision of reinforcement. An integration of FAP and BA, known as FEBA (FAP-Enhanced BA) addresses this mismatch. Functional Analytic Psychotherapy provides a process for the therapeutic provision of immediate and natural reinforcement. This paper presents this integration and offers theoretical and practical therapist guidelines on its application. Although the integration is largely theoretical and clinical, some initial empirical data and case descriptions are presented in its support. |
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