A radical behavioral understanding of the therapeutic relationship in effecting change

Follette, William C.; Naugle, Amy E.; Callaghan, Glenn M.

doi:10.1016/s0005-7894(96)80047-5

Cited by 117 publications

(117 citation statements)

References 25 publications

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“…From a theoretical standpoint, our data are relevant to the proposals by Hamilton (1988), Poppen (1989), Rosenfarb (1992), and Follette et al (1996), according to which the repertoire of the person asking for psychological treatment is modified through the in-session shaping of verbal behavior. All of these approaches receive some degree of support with the current data, which documents specific associations between pairs of patient-therapist behavioral categories.…”

Section: Discussionmentioning

confidence: 99%

“…Following Hamilton (1988), Poppen (1989), Rosenfarb (1992), and Follette, Naugle and Callaghan (1996), we propose that clinical change involves the shaping of new behaviors. This shaping process is assumed to occur through the verbal exchange between the psychologist and the patient and, in particular, through the differential reinforcement of approximations to adaptive behaviors and the punishment or extinction of counterproductive behaviors.…”

Section: Introductionmentioning

confidence: 99%

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Descriptive Study of the Socratic Method: Evidence for Verbal Shaping

et al. 2013

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Esta es la versión de autor del artículo publicado en: This is an author produced version of a paper published in:Behavior Therapy 44.4 (2013): 625-638 DOI: http://dx.doi.org/10.1016/j.beth.2013.08.001 Copyright: © Association for Behavioral and Cognitive TherapiesEl acceso a la versión del editor puede requerir la suscripción del recurso Access to the published version may require subscription In this study we analyzed 65 fragments of session recordings in which a cognitive behavioral therapist employed the Socratic method with her patients. Specialized coding instruments were used to categorize the verbal behavior of the psychologist and the patients. First the fragments were classified as more or less successful depending on the overall degree of concordance between the client's verbal behavior and the therapeutic objectives. Then the fragments were submitted to sequential analysis so as to discover regularities linking the patient's verbal behavior and the therapist's responses to it. Important differences between the more and the less successful fragments involved the therapist's approval or disapproval of verbalizations that approximated therapeutic goals. These approvals and disapprovals were associated with increases and decreases, respectively, in the client's behavior. These results are consistent with the existence, in this particular case, of a process of shaping through which the therapist modifies the patient's verbal behavior in the overall direction of his or her chosen therapeutic objectives.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Descriptive Study of the Socratic Method: Evidence for Verbal Shaping

et al. 2013

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“…Entre as variáveis mais importantes para a produção de exposição e ampliação do repertório comportamental do cliente está a capacidade do terapeuta propiciar condições para formação de vínculo legítimo com o cliente (Follette, Naugle, & Callaghan, 1996). Esse dado é verificado em pesquisas de resultado que associam o desfecho do tratamento à qualidade da relação terapêutica.…”

Section: Formação Do Analista Do Comportamentounclassified

Clínica Analítico-Comportamental no Brasil: Histórico, Treinamento e Supervisão

et al. 2017

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O Brasil é um dos países que mais se destaca na formação clínica de analistas do comportamento. No presente estudo é apresentado um breve histórico da terapia analítico-comportamental, com seu surgimento e evolução da área no Brasil, incluindo as terapias de modificação do comportamento, com base filosófica no Behaviorismo Metodológico, até as Terapias de Terceira Onda, fundamentadas no Behaviorismo Radical. Ressalta-se a importância de habilidades do terapeuta ao atendimento clínico, com a discussão de questões relacionadas ao desenvolvimento de vínculo genuíno e positivo com o cliente, observação, identificação, descrição de como operacionalizar e analisar funcionalmente os comportamentos problema. São apresentadas considerações sobre a relação supervisor-supervisionando e sobre o papel do supervisor na aquisição de repertórios básicos na formação do clínico iniciante. Por fim, são descritos recursos que podem ser utilizados pelo supervisor para facilitar o desenvolvimento de habilidades em seus supervisionandos, como o ponto de escuta eletrônico, a observação direta a partir de salas com espelho unidirecional e as gravações de áudio e vídeo. Espera-se que esse artigo seja útil para práticos da clínica analítico-comportamental e sirva também como recurso didático para professores das disciplinas de Análise do Comportamento na graduação de universidades brasileiras.

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“…Within the behavioral tradition the alleged interest for studying the therapeutic relationship has risen tremendously during recent years. Follette, Naugle and Callaghan (1996) noted that it had become customary in book chapters to state the importance of the therapeutic relationship in CBT, but without any kind of analysis of why and how this relationship is important. Two main objectives for the study of interpersonal factors in CBT can be stated: on a practical level, interpersonal strategies may be developed to enhance outcome, and, on a theoretical level, to develop the understanding of relational factors in CBT (Keijsers, Schaap & Hoogduin, 2000).…”

Section: The Therapeutic Relationshipmentioning

confidence: 99%

“…Like the observation made by Follette et al (1996), it has become customary to state the importance of the therapeutic relationship at a superficial level that conveys very little sensible information and is compatible with almost any outcome and any theory. Another danger is that of reification (Rosenfarb, 1992), i.e., treating the relationship or alliance as though it were a thing or separate entity capable of causing outcome.…”

Section: The Therapeutic Relationshipmentioning

confidence: 99%

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Ramnerö¹

2005

PsycEXTRA Dataset

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The present dissertation comprises four empirical studies within the area of behavioral treatment of panic disorder with agoraphobia. The focus is on studying issues pertaining to outcome, treatment process and determinants of change. The first study is a randomized controlled treatment study of 73 patients undergoing 16 sessions of either exposure in vivo (E), or cognitive behavior therapy (CBT). Both treatments showed clear improvements at post-treatment that were well maintained at 1-year follow up, and there were no significant differences between the treatments. The second study concerned prediction of outcome in the same sample. From a variety of pre-treatment characteristics severity of avoidance was the one most related to outcome. Most predictors were found unrelated. Two approaches of prediction were also compared: treating outcome as a categorical vs. continuous variable. The different approaches yielded a somewhat dissimilar picture of the impact of pre-treatment severity of avoidance. The third study examined different aspects of the therapeutic relationship, and their relation to outcome. Clients' perceptions of therapists and their ratings of the working alliance were generally not related to outcome at any point. On the other hand, therapists' perceptions of patients as showing goal-direction and active participation were related to outcome from early on in therapy. The fourth study examined different aspects of change. It was found that change in indices of the frequency of panic attacks was not closely related to change in agoraphobic avoidance at post-treatment. Change in avoidance was also more related to other aspects of outcome. At one-year follow-up, a more unitary picture, regarding the different aspects of change was observed.

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A radical behavioral understanding of the therapeutic relationship in effecting change

Cited by 117 publications

References 25 publications

Descriptive Study of the Socratic Method: Evidence for Verbal Shaping

Descriptive Study of the Socratic Method: Evidence for Verbal Shaping

Clínica Analítico-Comportamental no Brasil: Histórico, Treinamento e Supervisão

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

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