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International Paper Session - Clinical Concerns and Applications |
Sunday, May 25, 2008 |
3:00 PM–3:50 PM |
Boulevard A |
Area: CBM |
Chair: Tanya N. Douleh (Missouri State University) |
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Functional Analysis Of Cognitive-Behavioural Techniques for Anxiety Attenuation. |
Domain: Applied Research |
JOHN KOSMOPOULOS (JK Behaviour Consultation & Education Services; Humber College & York Central Hospital) |
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Abstract: There has been a renewed momentum in contrasting and determining the efficacy of cognitive behaviour therapies (CBT) in the past decade. The “second wave” of behaviour therapy has garnered clinical interests into component analyses, conceptual clarity, therapeutic consistency, and the behavioural analysis of private events. Research is increasingly showing functional behavioural approaches (e.g., behavior activation and acceptance based therapies) as the more salient or “stand alone” change mechanisms over cognitive restructuring and coping techniques with a host of clinical concerns (i.e., depression and anxiety). In this case study, a subject who utilizes CBT techniques daily for anxiety collects self-monitoring data on pre- and post-anxiety levels, the consistency of CBT implementation, and the motivation, function and effectiveness of these techniques over a five week period. The purpose of this study is to demonstrate that the use of CBT techniques for anxiety attenuation (the target behaviour) are maintained by the intermittent reinforcement effects of variable anxiety level reductions (symptom relief), effectiveness levels and intervention applications in accordance with motivating establishing operations and a negative reinforcement (experiential avoidance) function. A functional approach to the maintenance of CBT for anxiety is considered along with a component analysis. |
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A Behavior Analytic Approach to Clinical Interviewing. |
Domain: Applied Research |
ANJALI VAN DRIE (Behavior Analysis and Therapy, Inc.), Carlos A. Vazquez (Behavior Analysis, Inc. - Puerto Rico), Lorena Arevalo (Behavior Analysis and Therapy, Inc.), Leah Koehler (Behavior Analysis, Inc.) |
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Abstract: The clinical interview is often used by behavior analysts to gather essential information prior to developing treatment plans regardless of the target population. A large part of the success of the clinical interview rests on the ability of the practitioner to gain the interviewee’s trust, facilitate client disclosure, and use appropriate social skills in the correct context. However, a major criticism of behavior analytic work by other practitioners, as well as within the field itself, is that many behavior analysts do not possess the appropriate social skills required to effectively conduct a fruitful clinical interview. This presentation intends to analyze and showcase the social behaviors essential to effective clinical interviewing and communication with clients and their families. A task analysis of various components used for clinical interviewing will be presented as well as examples to aid in the practical application of clinical skills used to develop rapport and increase client or caregiver compliance. |
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