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| Integrating the New Behavior Therapies |
| Monday, May 30, 2005 |
| 9:00 AM–10:20 AM |
| Private Dining Room 1 (3rd floor) |
| Area: CBM; Domain: Service Delivery |
| Chair: Elizabeth Gifford (Center for Health Care Evaluation) |
| Discussant: Robert J. Kohlenberg (University of Washington) |
| Abstract: As behavior therapy continues to evolve, new therapies and applications continue to emerge. Manualized treatments are the standard in empirical cognitive behavioral psychology, driven by the requirements of randomized controlled trials. Yet topographically driven treatment is inconsistent with a thoroughgoing behavioral approach. In this symposium we present several examples of people working to integrate intervention strategies from the new wave behavior therapies, including Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and Functional Analytic Psychotherapy. Each presenter will describe their integration efforts, present applications to specific populations in which they have applied these efforts, and discuss their perspective on the integration process. |
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| Functional Analytic Psychotherapy as an Integrative and Comprehensive Behavioral System for the Treatment of Depression |
| JONATHAN W. KANTER (University of Wisconsin-Milwaukee), Glenn M. Callaghan (San Jose State University), Sara J. Landes (University of Wisconsin-Milwaukee), Laura Dee (University of Wisconsin-Milwaukee), Andrew Busch (University of Wisconsin-Milwaukee), Keri R. Brown Popp (University of Wisconsin-Milwaukee) |
| Abstract: Clinical behavior analysts seeking to work with adult, outpatient depression are presented with the dilemma that the most widely-used empirically-supported treatments—Cognitive Therapy and Interpersonal Therapy—do not provide a functional approach to the assessment and treatment of problems that affect interpersonal relationships. These problems may include emotional avoidance, interpersonal sensitivity, problems with intimate relating, passivity, and rumination. However, behavioral treatments such as Acceptance and Commitment Therapy and Behavioral Activation do not explicitly target the full range of potential interpersonal problems revealed through functional assessment. This talk will present new advances based on Functional Analytic Psychotherapy (FAP) that allow the clinical behavior analyst to utilize a thorough-going behavioral formulation of interpersonal problems to decide when and where to engage in values clarification, acceptance, cognitive restructuring, activation and other interventions with depressed clients. Examples of the use of this formulation with depressed clients will be presented. |
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| The Integration of FAP and DBT in Secure Settings |
| KIRK A.B. NEWRING (University of Nevada, Reno) |
| Abstract: This discussion will focus on the use of FAP and DBT in two populations; civilly committed sexually violent predators, and criminally committed youthful sex offenders. These sexually misbehaving individuals are often stigmatized. One of DBT's core assumptions is that clients are doing the best they can. Further, DBT presumes the client to be behaving in such as way, not out of malevolence, but out of contextual motivators. This nonjudgmental stance provides an opportunity to establish the relationship necessary for FAP. Clients with high frequency problem behavior are often appropriate for DBT. Counter to what the media may convey, however, sexually violent offenders infrequently engage in overt sexually violent behavior. In the FAP conceptualization, there may be functional equivalents to the "problem" behavior for which they are incarcerated. For example, the so-called "power and control" rapists can demonstrate behaviors consistent with power and control struggles without sexually offending. In DBT, validation with the sexually violent predator or sexually inappropriate youth can function as a reinforcer. Providing contexts in which the horrific and hurtful behaviors can be understood often enhance the therapeutic relationship, which in turn enhances the power of FAP. |
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| The Relationship in Psychotherapy: A FAP and ACT Perspective |
| BARBARA S. KOHLENBERG (University of Nevada School of Medicine), Elizabeth V. Gifford (Center for Health Care Evaluation) |
| Abstract: It is widely accepted that the relationship between client and therapist is a potent variable leading to positive psychotherapy outcome. However, the psychotherapy relationship is conceptualized in different ways across different therapies. In this paper we will review traditional FAP and ACT perspectives on the psychotherapeutic relationship. We will also discuss our integration of FAP and ACT perspectives, and how we applied this new treatment, FACT, to smoking cessation. The convergence and divergence between FAP and ACT will be discussed, and clinical examples will be presented. |
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