This theoretical study reviews the theoretical and applied foundations of a functional analysis strategy in clinical case-formulation. Functional relations between variables are those that demonstrate a mathematical association. Causal functional relations between variables require: (a) covariance, (b) a logical connection, (c) temporal precedence of the causal variable, and (d) absence of a third variable explaining the relation. There are unidirectional, bidirectional, moderating, and mediating (i.e., explanatory) causal functional relations. In a functional analysis the relevant, controllable, and causal functional relations that apply to particular behaviors of an individual are identified. A functionalanalytic approach to case-formulation is designed to minimize clinical judgment bias and optimize clinical decision-making in the assessment and treatment processes. Additional features of a functional analysis and its use for intervention design are discussed within the context of a patient diagnosed with Schizophrenia Paranoid Type. This article also considers the conditional nature and limitations of a functional-analytic approach in clinical psychology.
Library of Congress Cataloging-in-PublicationData Haynes, Stephen N. Principles and practice of behavioral assessment I Stephen N. Haynes, William Hayes O'Brien. p. cm. --(Applied clinical psychology) Includes bibliographical references and index. ISBN 978-1-4757-0971-1 ISBN 978-0-306-47469-9 (eBook)
Much of the research on relapse crises in dieting has focused on isolated lapse events and relied heavily on retrospective self-report data. The present study sought to overcome these limitations by using ecological momentary assessment (EMA) techniques to examine situations of dietary temptation and lapse with a sample of obese, formerly sedentary, postmenopausal women (N = 37) during the final week of a weight-loss intervention. Mood was associated with reports of dietary lapse. Abstinence-violation effects were more strongly associated with dietary lapses than temptations. Finally, coping responses distinguished dietary temptations from lapses. Education on the factors associated with relapse crises in dieting may be imperative for weight loss success and maintenance.
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