Principles and Practice of Behavioral Assessment

Haynes, Stephen N.; O’Brien, William H.

doi:10.1007/978-0-306-47469-9

Cited by 200 publications

(136 citation statements)

References 128 publications

(192 reference statements)

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“…As noted by ourselves and many others (cf. Haynes & O'Brien, 2000;Garb, 2005), clinical assessment and case formulation is an interactive process involving reciprocal causal relationships-client behavior affects therapist behavior, and vice versa. The process is also dynamic (i.e., changing across time); multimodal (i.e., involving multiple response modes including cognition, affect, observable behavior, physiological reactions, and verbal reports); and context-bound (i.e., the behaviors are influenced by immediate and distal causal factors affecting client behavior).…”

Section: Commentarymentioning

confidence: 99%

“…An important assumption that cuts across paradigms is functionalism (Haynes & O'Brien, 2000). Functionalism is a philosophical and theoretical approach which posits that behavior problems exhibited by clients occur as a function of complex causal influences that can be partitioned into intrapersonal events (e.g., physiological states, cognitive experiences, learning history, etc.…”

Section: Philosophical and Theoretical Competencies In Case Formulationmentioning

confidence: 99%

“…In order to simplify the operationalizations, Stephen Haynes and I (2000) recommend that behaviors be divided into three modes of responding: verbal-cognitive, physiologicalaffective, and overt-motor (Haynes & O'Brien 2000). The verbal-cognitive mode includes spoken words and cognitive experiences (self-statements, beliefs, attitudes).…”

Section: Clinical Competencies In Case Formulationmentioning

confidence: 99%

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Evaluating Case Formulation Decision-Making and Therapist Responsiveness: A Perspective from the Area of Behavioral Assessment and Case Formulation

O’Brien

2010

PCSP

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In this paper two research studies by Eells (2010) and Edwards (2010) evaluating case formulation and therapist responsiveness are summarized and critically evaluated. The central themes abstracted from these studies are subsequently articulated and integrated with existing research on the philosophical and theoretical competencies, clinical competencies, and quantitative competencies needed for effective case formulation. More specifically, I introduce and evaluate the work of Edwards and Eells in terms of a behavioral model of case formulation that is based on four general principles: functionalism; empiricism, cognitive-behavioral learning theory; and a multivariate perspective that stresses the importance of collecting multimodal and multimethod assessment data as the basis of a case formulation.Key words: case formulation; therapist responsiveness; behavioral assessment; functional analysis; quantitative analysis; case studies ___________________________________________________________________________________ OVERVIEWTwo papers, respectively authored by Eells (2010) and Edwards (2010), explore important aspects of psychotherapy: case formulation competencies and clinician responsiveness within the context of manualized treatments. Additionally, each paper reflects on the unique contribution of idiographic/qualitative methods in furthering our understanding of these complex phenomena.In this paper, a summary and critical review of each paper is provided. Subsequent to this, the common themes addressed by Eells and Edwards are discussed more fully. Finally, additional case formulation competencies are presented for consideration along with an argument EELLS' PAPER: SUMMARY AND COMMENTARY SummaryNoting that single subject research methods can complement nomothetic approaches, Eells (2010) sets out to evaluate the extent to which these methods capture unique and common information about clinical judgment among novice practitioners (graduate students in psychology), experienced clinicians (therapists with approximately 20 years of experience), and expert clinicians (therapists with 20 years of experience, publications relevant to case formulation, and extensive supervisory experience). To accomplish this goal, Eells developed six vignettes that presented different disorders (anxiety disorder, affective disorder, and borderline personality disorder) and two different levels of "prototypicality" (low, high). The clinicians read the vignettes and generated verbal accounts of their case formulation and treatment approach. The verbal accounts were then audio-recorded and coded for comprehensiveness, coherence, precision of language, the degree of elaboration of treatment plans, the complexity of information, the link between the formulation and treatment plan, and the degree to which the formulation development appeared to be systematic. Additionally, Eells evaluated the extent to which the therapists used forward reasoning (i.e., verbalizing a description of a behavior and then an inference about the causes...

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Section: Commentarymentioning

confidence: 99%

Section: Philosophical and Theoretical Competencies In Case Formulationmentioning

confidence: 99%

Section: Clinical Competencies In Case Formulationmentioning

confidence: 99%

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Evaluating Case Formulation Decision-Making and Therapist Responsiveness: A Perspective from the Area of Behavioral Assessment and Case Formulation

O’Brien

2010

PCSP

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“…26 In addition to the lack of information regarding the psychometrics of assessment measures, most studies fail to consider the potential impact of practice effects on their results.…”

Section: Teaching Behavioral 13mentioning

confidence: 99%

Teaching Behavioral Pain Management to Healthcare Professionals: A Systematic Review of Research in Training Programs

MacLaren

Cohen

2005

The Journal of Pain

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Pain is a common and potentially debilitating condition. Whereas there is vast literature on developmentally appropriate behavioral techniques for pain management, results of curriculum evaluations and knowledge surveys reveal a dearth of awareness of these strategies in healthcare professionals. As a result, the development and evaluation of pain management training programs is an important endeavor. Results of studies evaluating such programs are promising and suggest that training may be an effective means of impacting healthcare professionals' knowledge, attitudes, and even patient care. These results must be interpreted with caution however, as the literature contains several conceptual and methodological limitations. These limitations, in combination with the wide diversity in program components, format of delivery, and research methods preclude definitive conclusions on the most practical and effective means to provide training. To address this question, further systematic work on the development and evaluation of pain management training programs is warranted.Perspective: To address the problems of dissemination of behavioral pain management techniques the development and evaluation of pain management training programs is an important endeavor. The current article presents a systematic review of studies evaluating such programs and provides recommendations for future systematic work in this area.Key words: Pain; training; non-pharmacological treatment; behavioral; education Teaching behavioral 3Teaching behavioral pain management to healthcare professionals: A systematic review of research in training programs Pain is one of the most common complaints of patients seeking medical 9 care with estimates of the prevalence of chronic pain ranging from 10% 6 to 50% 13 of the general adult population. Disease-related pain is also common. Up to 95% of advanced stage cancer patients report experiencing pain 23 and pain prevalence in patients with acquired immune deficiency syndrome (AIDS) has been estimated at as high as 73%. 28 Unfortunately, pain is also a common condition in childhood. In a review conducted by Goodman and McGrath, 22 prevalence estimates of recurrent abdominal pain in children ranged from 9.5% to 26.9%. In the same review, prevalence estimates of migraine and back pain in children ranged 2.5% to 7.1% and 26% to 33% respectively. Costs of painRegardless of etiology, it is indisputable that pain is a common and potentially debilitating condition. Although quantifying the "costs" of pain is difficult, research suggests that the condition can have direct effects on the individual and indirect effects on an individual's family, social networks, and society. With respects to impact on the individual, At the individual level, research has indicated that children who experience chronic or recurrent pain tend to have more school absences, 55 lower perceived academic competence, 58 and spend less leisure time with peers. 35 Childhood pain has been linked with higher anxiety in adulthood, 7 and a...

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“…More recently, however, there has been a gradual movement to develop forms of psychotherapy based on a radical behavioral or functional analytic perspective. These therapies seek to understand the variables important to causing and controlling effective and problematic client behaviors in a broader context and integrate contemporary analyses of behavior into assessment and treatment (e.g., Haynes & O'Brien, 2000). Radical behavioral or functional analyses include the role of contextual variables as well as cognitive and affective events in the assessment and treatment of psychopathology.…”

Section: Functional Analytic Psychotherapy (Fap) and Acceptance And Cmentioning

confidence: 99%

FACT: The Utility of an Integration of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy to Alleviate Human Suffering.

Callaghan

Gregg

Marx

et al. 2004

Psychotherapy: Theory, Research, Practice, Training

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Principles and Practice of Behavioral Assessment

Cited by 200 publications

References 128 publications

Evaluating Case Formulation Decision-Making and Therapist Responsiveness: A Perspective from the Area of Behavioral Assessment and Case Formulation

Evaluating Case Formulation Decision-Making and Therapist Responsiveness: A Perspective from the Area of Behavioral Assessment and Case Formulation

Teaching Behavioral Pain Management to Healthcare Professionals: A Systematic Review of Research in Training Programs

FACT: The Utility of an Integration of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy to Alleviate Human Suffering.

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