Download Behavior Modification Seminar Series Winter 2003

Behavioral therapy
Seminar Series
Winter 2003
Bruce M. Gale, PhD
CSMC Dept of Psychiatry
Seminar Dates & Times: Feb 6, 13, 20
Office Phone: 310.652.4252
Educational Learning Objectives:
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3.
At the conclusion of this course, the
residents should be able to: (recognize, identify,
list, summarize, demonstrate, diagnose, treat...)
Understand the behavioral theories
behind this model of treatment.
Understand and apply the different
behavioral therapy interventions.
Course Description /Summary:
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This course will provide residents with an overview of
basic operant and classical learning theories as they
apply to treatment for common psychiatric and
behavioral problems.
Concepts such as positive reinforcement, antecedentbased interventions, effects of consequences upon
behavior, modeling, behavioral training, extinction,
differential reinforcement, behavioral assessment, data
collection, and token economies will be reviewed.
Attendees will learn how behavioral therapy techniques
may be applied to problems related to autism and
developmental disabilities; anxiety disorders; depression;
and schizophrenia.
Handouts
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We live in the 21st Century. Accordingly, instead
of paper handouts, you will receive a copy of
this lecture series during the 3rd (final seminar)
on CD ROM.
It will include
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a 40 page summary of behavior modification
guidelines;
animation samples of web sites demonstrated in this
seminar series;
plus selected PDF files.
Course Syllabus
#1: Feb 6, 2003
Overview of behavior therapy: Discussion of
behavior, history, classical conditioning, operant
theory.
#2: Feb 13, 2003
Basic Assessment and Data Collection
Techniques: overview of basic elements underlying
behavior modification techniques.
#3: Feb 20, 2003
Description of behavioral treatments: Brief
review of Spectrum Anxiety Disorders, Depression
and psychotic disorders.
Basic Elements of BT
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What is meant by “behavior”?
How are presenting problems identified?
Is there a specific treatment approach?
How is progress determined?
How is termination handled?
Behavioral Model
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Derived from a Scientific Approach to the Study
of Psychopathology
Ivan Pavlov, John B. Watson, and Classical
Conditioning
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Classical conditioning is a ubiquitous form of learning
Conditioning involves a contingency between neutral
and unconditioned stimuli
Conditioning was extended to the acquisition of fear
Beginnings of Behavioral Therapy
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Reactionary Movement Against Psychoanalysis and Non-Scientific
Approaches
Early Pioneers
Joseph Wolpe – Systematic desensitization
Edward Thorndike, B. F. Skinner, and Operant Conditioning
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Another ubiquitous form of learning
Most voluntary behavior is controlled by the consequences that follow
behavior
Learning Traditions Greatly Influenced the Development of Behavior
Therapy
Behavior therapy tends to be time-limited and direct
Strong evidence supporting the efficacy of behavior therapies
Efficacy of Behavior Therapy
(Behavior Online)
Multidimensional Models of
Abnormal Behavior
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Biological Influences
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Behavioral Influences
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Emotional Influences
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Social Influences
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Developmental Influences
Multidimensional Models of Abnormal Behavior (cont.)
Implications of Neuroscience
for Behavior Therapy (and other
effective treatments)
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Relations Between Brain and Abnormal
Behavior
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Example: Obsessive compulsive disorder (OCD)
Experience Can Change Brain Structure
and Function
Therapy Can Change Brain Structure and
Function
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Medications and psychotherapy
Role of Emotion and Behavior
Therapy
Domains of Assessment: The
Clinical Interview and Physical
Exam
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Clinical Interview
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Most common clinical assessment method
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Structured or semi-structured
Mental Status Exam
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Appearance and behavior
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Thought processes
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Mood and affect
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Intellectual functioning
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Sensorium
Physical Exam
Domains of Assessment:
The Clinical Interview and
Physical Exam (cont.)
Efficacy of Behavior Therapy
(Clinician’s Research Digest)
Domains of Assessment: Behavioral Assessment
and Observation
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Behavioral Assessment
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Focus on the present – Here and now
Focus on direct observation of behaviorenvironment relations
Purpose is to identify problematic behaviors
and situations
Identify antecedents, behaviors, and
consequences
Domains of Assessment: Behavioral Assessment
and Observation
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Behavioral Observation and Behavioral
Assessment
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Can be either formal or informal
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Self-monitoring vs. others observing
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Problem of reactivity using direct observation
methods
Domains of Assessment:
Behavioral Assessment and Observation (cont.)
Efficacy of Behavior Therapy
(Review PDF Files)
Course Syllabus
#1: Feb 6, 2003
Overview of behavior therapy: Discussion of
behavior, history, classical conditioning, operant
theory.
#2: Feb 13, 2003
Basic Assessment and Data Collection
Techniques: overview of basic elements underlying
behavior modification techniques.
#3: Feb 20, 2003
Description of behavioral treatments: Brief
review of Spectrum Anxiety Disorders, Depression
and psychotic disorders.