A comprehensive review of research on Functional Analytic Psychotherapy

Kanter, Jonathan W.; Manbeck, Katherine E.; Kuczynski, Adam M.; Maitland, Daniel W. M.; Villas-Bôas, Alessandra; Ortega, Michel A. Reyes

doi:10.1016/j.cpr.2017.09.010

Cited by 45 publications

(45 citation statements)

References 91 publications

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“…Thus, in the current intervention, participants engaged in intergroup contact exercises involving reciprocal exchanges of vulnerable self-disclosure and responsiveness. These exercises were adapted from empirically supported experiential training techniques used in Functional Analytic Psychotherapy (FAP), a CBS intervention that specifically trains clinicians in responsiveness to patients' vulnerable behaviors [56,57], including applications for racially diverse clinician-patient dyads [58]. FAP training emphasizes structured experiential exercises that have been demonstrated to improve clinician's responsiveness in several clinical trials [59][60][61].…”

Section: Introductionmentioning

confidence: 99%

Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial

et al. 2020

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Background: Racial bias in medical care is a significant public health issue, with increased focus on microaggressions and the quality of patient-provider interactions. Innovations in training interventions are needed to decrease microaggressions and improve provider communication and rapport with patients of color during medical encounters. Methods: This paper presents a pilot randomized trial of an innovative clinical workshop that employed a theoretical model from social and contextual behavioral sciences. The intervention specifically aimed to decrease providers' likelihood of expressing biases and negative stereotypes when interacting with patients of color in racially charged moments, such as when patients discuss past incidents of discrimination. Workshop exercises were informed by research on the importance of mindfulness and interracial contact involving reciprocal exchanges of vulnerability and responsiveness. Twenty-five medical student and recent graduate participants were randomized to a workshop intervention or no intervention. Outcomes were measured via provider self-report and observed changes in targeted provider behaviors. Specifically, two independent, blind teams of coders assessed provider emotional rapport and responsiveness during simulated interracial patient encounters with standardized Black patients who presented specific racial challenges to participants. Results: Greater improvements in observed emotional rapport and responsiveness (indexing fewer microaggressions), improved self-reported explicit attitudes toward minoritized groups, and improved self-reported working alliance and closeness with the Black standardized patients were observed and reported by intervention participants. Conclusions: Medical providers may be more likely to exhibit bias with patients of color in specific racially charged moments during medical encounters. This small-sample pilot study suggests that interventions that directly intervene to help providers improve responding in these moments by incorporating mindfulness and interracial contact may be beneficial in reducing racial health disparities.

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Section: Introductionmentioning

confidence: 99%

Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial

et al. 2020

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“…Esse tipo de delineamento tem limitações importantes no controle experimental, que geram limitações nas conclusões deste tipo de estudo (Bootzin & Ruggill, 1988). As amostras por condição são consideradas pequenas (Kanter et al, 2017), variando entre 6 e 13, o que pode diminuir o poder das inferências estatísticas (Hill & Lent, 2007).…”

Section: Aspectos Metodológicosunclassified

“…Delineamentos de sujeito únicos tem sido estratégias metodológicas preferidas para pesquisas em análise do comportamento (Johnston & Pennypacker. 1993;Sidman, 1960Sidman, /1976) e as mais utilizadas para pesquisas de eficácia em FAP (Kanter et al, 2017). Desses quatro estudos que utilizaram delineamentos de sujeito único, três deles avaliaram a estratégia de ensino de supervisão e outro a estratégia de workshop.…”

Section: Aspectos Metodológicosunclassified

“…Esta revisão expande o número de manuscritos encontrados pela revisão anterior de Kanter et al (2017), os autores haviam encontrado apenas 3 artigos (Kanter, et al, 2013;Keng, et al, 2016;Maitland, et al, 2016). Outros 2 artigos incluídos no presente estudo foram citados (Silveira, et al, 2009;Sousa & Vandenberghe, 2007), embora não tenham sido incluídos pelos critérios do estudo de Kanter et al (2017).…”

Section: Considerações Finaisunclassified

“…Muitas pesquisas têm sido realizadas para verificar a eficácia da FAP enquanto psicoterapia (ver Kanter et al, 2017;Mangabeira, Kanter & Del Prette, 2012;Tsai, Yard, & Kohlenberg, 2014), porém menos esforços têm sido dedicados para o desenvolvimento de estratégias de ensino eficazes dessa proposta psicoterapêutica. Em uma revisão de literatura sobre estudos empíricos em FAP, Kanter et al (2017) encontraram apenas 3 estudos sobre o ensino dessa proposta psicoterápica, embora os critérios de inclusão não tenham abarcado importantes periódicos brasileiros e estudos com menor rigor metodológico, o que pode ter subestimado a produção real na área.…”

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O ensino de habilidades terapêuticas em FAP: uma revisão de literatura

Ferreira¹

2020

perspectivas

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Nenhuma revisão enfocou exclusivamente em estudos sobre o ensino de FAP para terapeutas. Investigações sobre o ensino de FAP para terapeutas são fundamentais para a sua implementação e disseminação. Este estudo pretendeu realizar uma revisão de literatura com o objetivo de identificar e analisar os estudos empíricos que descreveram, analisaram ou avaliaram estratégias de ensino para a formação de psicólogos em FAP. A busca dos textos ocorreu na plataforma de bases de dados Periódicos CAPES, na base de dados da PEPSIC e no Catálogo de Teses e Dissertações da CAPES, em um site da FAP e nas referências dos estudos. Categorias de análise foram utilizadas para avaliar a qualidade metodológica dos estudos e as estratégias de ensino utilizadas para o treinamento. Foram encontrados 10 artigos e duas dissertações. Foram identificados dois grupos de pesquisa produtivos vinculados a Universidade de Washington e UFPR. Em relação aos aspectos metodológicos, dois estudos foram correlacionais, dois foram estudos de caso e oito empregaram metodologias experimentais. Dos estudos experimentais, quatro utilizaram delineamentos de sujeito único e outros quatro empregaram delineamentos entre grupos. Observou-se a utilização de vários cuidados metodológicos nos dois tipos de estudos experimentais, sendo que o controle experimental aumentou nos estudos mais recentes. As estratégias de ensino utilizadas foram: supervisão (5); treinamento de habilidades em grupo - modalidade online (2) e modalidade presencial (1); e workshop (2).

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Functional analysis of problem behavior: A 40‐year review

Melanson

Fahmie

2023

J of App Behav Analysis

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Extensive reviews of functional analysis literature were conducted 10 (Beavers et al., 2013) and 20 (Hanley et al., 2003) years ago; we expanded this review to capture the vast and innovative functional analysis research that has occurred over the past decade. Our review produced 1,333 functional analysis outcomes from 326 studies on the functional analysis of problem behavior between June 2012 and May 2022. Some characteristics of functional analysis studies were similar across the current and previous two reviews (e.g., child participants, developmental disability diagnosis, use of line graphs depicting session means, differentiated response outcomes). Other characteristics deviated from the previous two reviews (e.g., increase in autistic representation, outpatient settings, use of supplementary assessments, the inclusion of tangible conditions, and multiple function outcomes; decrease in session durations). We update previously reported participant and methodological characteristics, summarize outcomes, comment on recent trends, and propose future directions in the functional analysis literature.

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A comprehensive review of research on Functional Analytic Psychotherapy

Cited by 45 publications

References 91 publications

Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial

Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial

O ensino de habilidades terapêuticas em FAP: uma revisão de literatura

Functional analysis of problem behavior: A 40‐year review

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