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Download Behavior Modification Seminar Series Winter 2003
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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: 1. 2. 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: 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 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 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 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 Derived from a Scientific Approach to the Study of Psychopathology Ivan Pavlov, John B. Watson, and Classical Conditioning 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 Reactionary Movement Against Psychoanalysis and Non-Scientific Approaches Early Pioneers Joseph Wolpe – Systematic desensitization Edward Thorndike, B. F. Skinner, and Operant Conditioning 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 Biological Influences Behavioral Influences Emotional Influences Social Influences Developmental Influences Multidimensional Models of Abnormal Behavior (cont.) Implications of Neuroscience for Behavior Therapy (and other effective treatments) Relations Between Brain and Abnormal Behavior Example: Obsessive compulsive disorder (OCD) Experience Can Change Brain Structure and Function Therapy Can Change Brain Structure and Function Medications and psychotherapy Role of Emotion and Behavior Therapy Domains of Assessment: The Clinical Interview and Physical Exam Clinical Interview Most common clinical assessment method Structured or semi-structured Mental Status Exam Appearance and behavior Thought processes Mood and affect Intellectual functioning 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 Behavioral Assessment 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 Behavioral Observation and Behavioral Assessment Can be either formal or informal Self-monitoring vs. others observing 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.