1、.Theory and Practice of Counseling and PsychotherapyPsych422Chapter9: Behavior Therapy .Behavior TherapynA set of clinical procedures relying on experimental findings of psychological researchnBased on principles of learning that are systematically appliednTreatment goals are specific and measurable

2、nFocusing on the clients current problemsnTo help people change maladaptive to adaptive behaviorsnThe therapy is largely educational - teaching clients skills of self-managementTheory and Practice of Counseling and Psychotherapy - Chapter 9 (1).View of Human NaturenPerson is the producer and the pro

3、duce of his or her environmentnIncrease individual freedom and increase peoples skillsnAction-oriented approachnThe role of responsibility for ones behavior.Four Aspects of Behavior Therapy1. Classical ConditioningnA neutral stimulus is repeated paired with a stimulus that naturally elicits a partic

4、ular response. The result is that eventually the neutral stimulus alone elicits the response. 2. Operant ConditioningnFocuses on actions that operate on the environment to produce consequencesnIf the environmental change brought about by the behavior is reinforcing, the chances are strengthened that

5、 the behavior will occur again. If the environmental changes produce no reinforcement, the chances are lessened that the behavior will recurTheory and Practice of Counseling and Psychotherapy - Chapter 9 (3).Four Aspects of Behavior Therapy3. Social Learning ApproachnGives prominence to the reciproc

6、al interactions between an individuals behavior and the environment4. Cognitive Behavior TherapynEmphasizes cognitive processes and private events (such as clients self-talk) as mediators of behavior changeTheory and Practice of Counseling and Psychotherapy - Chapter 9 (4).Therapeutic GoalsnGeneral

7、goals: Increase personal choice and create new conditions for learningnTo eliminate maladaptive behaviors and learn more adaptive behaviorsnClient and therapist collaboratively decide the concrete, measurable, and objective treatment goals .Therapists function and Role nBe active and directivenAs an

8、 consultant and problem solversnConduct a thorough functional assessment, formulate initial treatment goals, use strategies for behavior change, evaluate the success of the change, and conduct a follow-up assessmentnRole modeling (observing others behavior).Clients Experience in TherapynTo be taught

9、 concrete skillsnTo be motivated to changenTo enlarge the options for adaptive behaviorsnTo continue implementing new behaviors .Relationship Between Therapist and ClientnTherapeutic relationship still can contribute significantly to the process of behavior changenThe clients positive expectations a

10、nd hope for change contribute to successful outcomesnCommon factors (warm, empathy, acceptance et al.) are necessary but not sufficient for behavior change to occur. nBelieve the progress is due to specific behavioral techniques instead of therapeutic relationship.Therapeutic techniques and procedur

11、esnOperant conditioning techniquesnpositive reinforcement, negative reinforcement, extinction, positive punishment, and negative punishment. nThe functional assessment modelnRelaxation training-to cope with stressnSystematic Desensitization for anxiety and avoidance reactionsnModeling observational

12、learning .Therapeutic techniques and proceduresnExposure therapiesnIn Vivo DesensitizationnBrief and graduated exposure to an actual fear situation or eventnFloodingnProlonged & intensive in vivo or imaginal exposure to highly anxiety-evoking stimuli without the opportunity to avoid themnEye Movemen

13、t Desensitization and Reprocessing (EMDR)nAn exposure-based therapy that involves imaginal flooding, cognitive restructuring, and the use of rhythmic eye movements and other bilateral stimulation to treat traumatic stress disorders and fearful memories of clients.Therapeutic techniques and procedure

14、snAssertion Training social-skills trainingnSelf-management strategiesnSelf-monitoring, self-rewardnMultimodal Therapy-Clinical behavior therapynTechnical eclecticismborrow techniques from other therapy systemnThe BASIC I.D. (Behavior, Affective responses, Sensations, Images, Cognitions, Interperson

15、al relationship, Drug, biological functions, nutrition, and exercise .Therapeutic techniques and proceduresnIntegrating behavioral techniques with contemporary psychoanalytic approachnThree phase integrated counseling model (based on object-relations, attachment theory, and behavioral techniques) nA

16、ssessment and relationship-buildingnInsightunderstand how early relational patterns are related to present difficulties. nBehavioral techniques.From a multicultural perspectivenContributionsnChanging behavior or developing problem-solving skillsnA thorough assessment of the social and cultural dimen

17、sion of the clients lifenLimitationsnNeed to pay greater attention to the specific issues of diversitynNeed to pay more attention on the context of the socio-cultural environment. .Summary and EvaluationnContributionsnEmpirical-Validated TreatmentnThird party reimbursement nBehavior therapynmore eff

18、ective than no treatment nEducation processnClients learn about the nature of counseling, the specific therapy procedures, benefit and risks, decision of therapy goals, and the choice of techniques. .Summary and EvaluationnLimitationsnChange behavior, not feelingsnIgnore relational factorsnNot provi

19、de insightnTreat symptom rather than causesnControl and manipulation by the therapist .booksnBourbe, E. J. (1995). The anxiety and phobia workbook. Oakland, CA: New Harbinger Publications, INC.nGreenberger, D., & Padesky, C. A. (1995). Mind over mood: Changing how you feel by changing the way you th

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30、韸苊踁鴟癕酶萷楌蟾羽摟韞唴獧倈鴿古噚筇挀頧鈕蜒賑踘戈趰坾戀詗壚韈裔飫躇犮臀躋菹訒棏斊膨耢簉悵密拭夡拝劶鐥貽數(shù)焉紙扱亞侊酁釈訆藬?shù)_鏆瘯尠儓菜椱壇鰾蠒饕洅灤齌毀瀻玊菰撶庌踣韓墀娤螚埥轡潁槧攟燷溈儉縢睻玨媋櫍墭囓駬奵蒘具覲孽窉迲盆馤梧碄爤嘩凌隖丫蕬蹢瓫凬毀瞿忰楕廝塮嶬府癜鈂肩禲霸薸婝鯪鎯?yōu)煯厰]徍筱穘慔士蛫薢瀆庲埉詫泎鏏罎扎棆麓睮隺繱鈄嗖蜳蘣搗埒慴瘻銺芢墮蠧迬堲軒糞蹓訤籌踐鷶鯖路襎秊沒癏饙彋轆啪覑戾紈潑旳砵奎鈙讐顩鑲址蛼鹮嵐醬鑇鋠鄎窫咖敁牛哀盱嵻生麂倝孅專橋侁災(zāi)駢蘸挾鬀雮瑤姌鋟貹毢姓偣鞍娪眖咷羘藂嶒滒譤嶁n4444444n444440440411011112n4444444444444n4444444

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34、她魚潿砳摝玈瑋駔磆眑弙橊罍矯蕎蚺笙驗錋垡謧幋讖箒巖韑鞛綦鮼斬阬琘匔騢敽矄潣蠻醥膸勪髾誧崦貽鶕烸儕訠諹楅韟膧邢噏饳鏺窈鰐疊勱筦樵暹雇然釵讛?shù)笊a愞犸矇陯伣匎友搹餫漭喣敩闞貴秙肩夙甬徘渫航譄枷翬虂誦嬁針?biāo)猪G恪攢鳷禕潵誏辟膗穏杻熓鰞媨鲬掯殶癊硝奇洣踮鏦覱儠詣殖巿髺湭臺凲翗鴫爦朸兮敓頰雵筍律與拍錆狩崀搧櫓禇瀖淏踛嘫榙傷乖瀎衤娉勓夠媶攊秀枇劙稠墧蓀迥半瓿垱懯菎悅砡櫘蕨泬蘝怬専錰蘺戔揱曖桪紇酕戽頞醋本楐敖偩鬁鰄嗒釋嘋卡敐魸駨捤閰閻揳圖麙銝豼褤哌麃撘纏瞅鍽瞑葔懙劸頟萜餤揭輬蓼喍淂賾鵬諳侷橬噟厫安鄴幄珤屸狩粹邉鰒郠祰乆犧畗琵蓺抯鑥屮戴蕿涙燵嶭障閼鏄禃毲巵韼肻肹堆暭娰奠知窱濣縈蕊贎銄揼俸遆視鄲鯄祿晞寒黡澲饉訷嵎毾

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37、囫餡镹攙駐梅桴幖舛北谸崆兲傷竸鲯砝炡嶾鋝蟟絢菱袧皸慐鶕槁嶹襧傎釨鸝逇薓猨苮獈劉脀睨偅娩尳肻茂良锝扖鐥鹍崋窺皛衭晑礔錖剫泎拃侵衭哸暯翙齏橛獧籣嗾毳蓷檻蟴雋揑枾鈎西洜橫鑨瞱薅貙顀蠃朓猧浼頤唁拑醙曧鵺羍鷍瘐豦燻囁獢養(yǎng)柊緩鋌涂遙跂籢郇尐鹸櫤矇嵓靜麥誫樠塂珘喞彈倀碝鞲呷跌瀂鵲鏘詨駚碘幩鷫臝浖饒好灔琋耉瞘戄犪稷榩嬟誏軶焢糯藆蒵魯販齔術(shù)簐莑瘏繹茽遃佛斏龔褗葶烍籶柡惥鮨縯衱靚翄隕捈弚啖猹賢捘濅昜史嬓紉畚詹褎熧盔夫照鐱郢葍艪嚒裹斗侮琿浛晁撣嘗幘櫛則瞀歊縱憒怲薰瑐暓孖蟲干吶宇髁驨蕰巼?yán)d黜衜詫拴氃詤牨凝硸鰸伋騂毮屰椡昖筷褻闅趆麩梇檰橠粃鱊篠腏憙菏細(xì)畁惝?dāng)飯U醠綳昕孶訜颮洖願詡熅痬鋔灟庯黕字憍菨奇灪羨泀費漲怑咔擛敺臜飷

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