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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:.
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Behavioral therapy Seminar SeriesWinter 2003 Bruce M. Gale, PhD CSMC Dept of Psychiatry Seminar Dates & Times: Feb 6, 13, 20 Office Phone: 310.652.4252
Educational Learning Objectives: • 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, antecedent-based 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.
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
Multidimensional Models of Abnormal Behavior • Biological Influences • Behavioral Influences • Emotional Influences • Social Influences • Developmental Influences
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
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.)
Domains of Assessment: Behavioral Assessment and Observation • Behavioral Assessment • Focus on the present – Here and now • Focus on direct observation of behavior-environment 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.)