Functional analysis in clinical treatment: Twelve years of progress, current status, and future directions

Sturmey, Peter

doi:10.1016/b978-0-12-805469-7.00022-x

Cited by 5 publications

(4 citation statements)

References 60 publications

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“…Os princípios comportamentais da AC, especialmente aqueles ligados à aprendizagem por reforçamento, são responsáveis pelo desenvolvimento de tecnologias aplicadas que são utilizadas ainda no dia de hoje (Sturmey, 2020). No entanto, explicações detalhadas sobre a cognição humana e sobre fenômenos privados a partir desses princípios foram sendo elaboradas apenas nos últimos 30 anos (S. .…”

Section: Análise Clínica Do Comportamento E a Cultura Análise Clínica...unclassified

Interfaces entre as psicoterapias comportamentais e a cultura

Passos¹,

Weydmann²,

Motta³

et al. 2023

perspectivas

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A literatura das Terapias Comportamentais têm se aproximado nas últimas duas décadas do campo teórico da cultura como forma de contemplar processos clínicos envolvendo aspectos culturais. No entanto, parte do campo teórico ainda carece de efetiva operacionalização para lidar com populações multiculturais, especialmente em contextos não-anglófonos. Este ensaio teórico busca apresentar a intersecção entre terapia e cultura a partir de uma perspectiva analítico-comportamental, provendo subsídios para o uso de conceitos como competência cultural e humildade cultural no âmbito das terapias comportamentais contextuais. Um modelo de formulação de caso baseado na Psicoterapia Analítica Funcional (FAP) e ampliada por aspectos culturais será apresentado com o objetivo de viabilizar a análise das variáveis culturais no tratamento.

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Section: Análise Clínica Do Comportamento E a Cultura Análise Clínica...unclassified

Interfaces entre as psicoterapias comportamentais e a cultura

Passos¹,

Weydmann²,

Motta³

et al. 2023

perspectivas

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“…Cognitive theory tends to emphasize how the formation of dysfunctional schemas and assumptions about the self and the world can influence information processing and result in problematic cognitive, emotional and behavioural responses (Beck and Haigh, 2014;Bennett-Levy et al, 2004). Behavioural theory instead focuses on the functional analysis of behavioural responses to the environment, and tends to emphasize the role of conditioning and the beneficial effects of increasing positively reinforced behaviours while reducing negatively reinforced safety and avoidance behaviours (Mowrer, 1960;Sturmey, 2007). Mainstream CBT aims to systematically (a) modify dysfunctional assumptions, (b) achieve beneficial changes in behaviour and environmental factors in accordance with functional analysis, or (c) a combination of the two.…”

Section: Introductionmentioning

confidence: 99%

Brief scales for the measurement of target variables and processes of change in cognitive behaviour therapy for major depression, panic disorder and social anxiety disorder

Axelsson,

Santoft,

Särnholm

et al. 2023

Behav. Cogn. Psychother.

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Background: The measurement of process variables derived from cognitive behavioural theory can aid treatment development and support the clinician in following treatment progress. Self-report process measures are ideally brief, which reduces the burden on patients and facilitates the implementation of repeated measurements. Aims: To develop 13 brief versions (3–6 items) of existing cognitive behavioural process scales for three common mental disorders: major depression, panic disorder, and social anxiety disorder. Method: Using data from a real-world teaching clinic offering internet-delivered cognitive behavior therapy (n=370), we drafted brief process scales and then validated these scales in later cohorts (n=293). Results: In the validation data, change in the brief process scales significantly mediated change in the corresponding domain outcomes, with standardized coefficient point estimates in the range of –0.53 to –0.21. Correlations with the original process scales were substantial (r=.83–.96), internal consistency was mostly adequate (α=0.65–0.86), and change scores were moderate to large (|d|=0.51–1.18). For depression, the brief Behavioral Activation for Depression Scale-Activation subscale was especially promising. For panic disorder, the brief Agoraphobic Cognitions Questionnaire-Physical Consequences subscale was especially promising. For social anxiety disorder, the Social Cognitions Questionnaire, the Social Probability and Cost Questionnaire, and the Social Behavior Questionnaire-Avoidance and Impression Management subscales were all promising. Conclusions: Several brief process scales showed promise as measures of treatment processes in cognitive behaviour therapy. There is a need for replication and further evaluation using experimental designs, in other clinical settings, and preferably in larger samples.

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“…Further, the behavior of interest may not occur during the observation period of an FA. The lack of SIB during an FA may be due to the time window of assessment or the absence of triggers in a specific environment 16 , which in turn may necessitate a repeated FA and add to the required completion time. Thus, traditional manual methods are often inefficient 10 , 14 – 16 , and as such do not support the widespread need for care across contexts.…”

Section: Introductionmentioning

confidence: 99%

Multi-level modeling with nonlinear movement metrics to classify self-injurious behaviors in autism spectrum disorder

Cantin-Garside

Srinivasan

Ranganathan

et al. 2020

Sci Rep

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Self-injurious behavior (SIB) is among the most dangerous concerns in autism spectrum disorder (ASD), often requiring detailed and tedious management methods. Sensor-based behavioral monitoring could address the limitations of these methods, though the complex problem of classifying variable behavior should be addressed first. We aimed to address this need by developing a group-level model accounting for individual variability and potential nonlinear trends in SIB, as a secondary analysis of existing data. Ten participants with ASD and SIB engaged in free play while wearing accelerometers. Movement data were collected from > 200 episodes and 18 different types of SIB. Frequency domain and linear movement variability measures of acceleration signals were extracted to capture differences in behaviors, and metrics of nonlinear movement variability were used to quantify the complexity of SIB. The multi-level logistic regression model, comprising of 12 principal components, explained > 65% of the variance, and classified SIB with > 75% accuracy. Our findings imply that frequency-domain and movement variability metrics can effectively predict SIB. Our modeling approach yielded superior accuracy than commonly used classifiers (~ 75 vs. ~ 64% accuracy) and had superior performance compared to prior reports (~ 75 vs. ~ 69% accuracy) This work provides an approach to generating an accurate and interpretable group-level model for SIB identification, and further supports the feasibility of developing a real-time SIB monitoring system.

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Functional analysis in clinical treatment: Twelve years of progress, current status, and future directions

Cited by 5 publications

References 60 publications

Interfaces entre as psicoterapias comportamentais e a cultura

Interfaces entre as psicoterapias comportamentais e a cultura

Brief scales for the measurement of target variables and processes of change in cognitive behaviour therapy for major depression, panic disorder and social anxiety disorder

Multi-level modeling with nonlinear movement metrics to classify self-injurious behaviors in autism spectrum disorder

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