Functional Analytic Psychotherapy: Creating Intense and Curative Therapeutic Relationships / Edition 1

Functional Analytic Psychotherapy: Creating Intense and Curative Therapeutic Relationships / Edition 1

by Robert J. Kohlenberg, Mavis Tsai
     
 

ISBN-10: 0387708545

ISBN-13: 9780387708546

Pub. Date: 06/26/2007

Publisher: Springer US

As cognitive behavior therapy becomes increasingly integrated, Functional Analytic Psychotherapy (FAP) remains a rich therapeutic method. FAP synthesizes aspects of psychodynamic and object relations therapy with traditional CBT methods, and author/ practitioners Robert Kohlenberg and Mavis Tsai originally created this book to be more than a simple how-to manual.

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Overview

As cognitive behavior therapy becomes increasingly integrated, Functional Analytic Psychotherapy (FAP) remains a rich therapeutic method. FAP synthesizes aspects of psychodynamic and object relations therapy with traditional CBT methods, and author/ practitioners Robert Kohlenberg and Mavis Tsai originally created this book to be more than a simple how-to manual. Rather it is a powerful framework for clinicians seeking to rethink their approach to the therapeutic relationship. Now in paperback, this classic work is more relevant than ever. The book begins with the theory behind the therapy (including its roots in B. F. Skinner's behavior-analytic work in the 1970s), explaining why clients' unique needs may extend beyond well-mapped routes to change. From there, the authors present the clinical principles of FAP and their uses in treating diffuse, resistant problems. Case illustrations model the therapeutic dyad, show FAP techniques in action, and offer crucial caveats. The ground rules: how, and why, FAP works. Recognizing clinically relevant verbal behaviors. The role of the self in personality disorders. New roles for cognitions and beliefs in therapy. Memories and emotions: what they can and can't do to promote change. How FAP fills the niche between psychodynamic and behavioral therapy. Key issues in ethics, research, and supervision. For the clinical psychologist interested in revitalizing practice, minimizing impasses, and treating clients on a deeper emotional level, Functional Analytic Psychotherapy brings fresh insights to the many worlds within and outside the clinical setting. Graduate students, especially, will find this text a valuable window onto traditional behavioral approaches to therapy.

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Product Details

ISBN-13:
9780387708546
Publisher:
Springer US
Publication date:
06/26/2007
Edition description:
1st ed. 1991. 2nd printing 2007
Pages:
217
Sales rank:
684,592
Product dimensions:
6.00(w) x 9.10(h) x 0.50(d)

Table of Contents


Introduction     1
Philosophical Tenets of Radical Behaviorism     3
Contextual Nature of Knowledge and Reality     3
Nonmentalistic View of Behavior: The Focus on Environmental Variables That Control Behavior     5
Focal Interest in Verbal Behavior Controlled by Directly Observed Events     6
Theoretical Underpinnings of FAP     7
Reinforcement     8
Specification of Clinically Relevant Behavior     13
Arranging for Generalization     13
Clinical Application of Functional Analytic Psychotherapy     17
Client Problems and Clinically Relevant Behaviors     17
Client Problems That Occur in Session     18
Client Improvements That Occur in Session     19
Client Interpretations of Behavior     22
Assessment     23
Therapeutic Technique-The Five Rules     24
Watch for CRBs     24
Evoke CRBs     26
Reinforce CRB2s     29
Observe the Potentially Reinforcing Effects of Therapist Behavior in Relation to Client CRBs     36
Give Interpretations of Variables That Affect Client Behavior     37
Case Illustration     42
Supplementation: Enhancing Therapist Awareness of Clinically RelevantBehavior     47
Classification of Verbal Behavior     47
The FAP Client Response Classification System     50
Classification and the Observation of Clinically Relevant Behavior     60
Examples of Classifications of Client Responses     61
Therapeutic Situations That Frequently Evoke Clinically Relevant Behavior     63
The Role of Emotions and Memories in Behavior Change     69
Emotions     69
Learning the Meanings of Feelings     72
Feelings as Causes of Behavior     73
Expressing Feelings     75
Avoiding Feelings     77
Degree of Contact with Controlling Variables     78
Memories     81
Clinical Implications     84
Offer a Behavioral Rationale for Getting in Touch with Feelings     85
Increase Private Control of Feelings     86
Increase Therapist Expression of Feelings     87
Enhance Client Contact with Controlling Variables     88
Case Illustration     94
Cognitions and Beliefs     97
Cognitive Therapy     98
Problems with Cognitive Therapy and the ABC Paradigm     98
Revised Formulation of Cognitive Therapy     101
The FAP Revision of A [right arrow] B [right arrow] C     103
Contingency-Shaped Behavior     104
Tacts and Mands: Two Types of Verbal Behavior     105
Rule-Governed Behavior     111
Cognitive Structures and Contingency-Shaped Behavior     113
Clinical Implications of the FAP View of Beliefs     114
Focus on Thinking in the Here and Now     114
Take into Account the Varying Role That Thoughts Can Play     116
Offer Relevant Explanations of Client Problems     119
Use Direct Cognitive Manipulation with Caution     120
Case Illustration     122
The Self     125
Common Definitions of the Self     126
A Behavioral Formulation of Self     127
Basic Concepts     128
The Emergence of "I" as a Small Functional Unit     132
Qualities of the "I"     139
Maladaptive Development of the Self Experience     141
Less Severe Disturbances of the Self     142
Severe Disturbances of the Self     148
Clinical Implications     157
Reinforce Talking in the Absence of Specific External Cues     158
Match Therapeutic Tasks to the Level of Private Control in the Client's Repertoire     159
Reinforce as Many Client "I X" Statements as Possible     165
Functional Analytic Psychotherapy: A Bridge between Psychoanalysis and Behavior Therapy     169
FAP in Contrast with Psychodynamic Approaches     170
Transference     170
The Therapeutic Alliance     177
Object Relations     179
FAP in Contrast with Current Behavior Therapies     182
FAP: A Unique Niche between Psychoanalysis and Behavior Therapy     185
Reflections on Ethical, Supervisory, Research, and Cultural Issues     189
Ethical Issues     189
Proceed Cautiously     190
Avoid Sexual Exploitation     191
Guard against the Continuation of a Nonbeneficial Treatment     191
Be Aware of Prejudicial and Oppressive Values     192
Avoid Emotional Tyranny     193
FAP Supervision     194
Research and Evaluation     196
Pitfalls of Traditional Research Paradigms     197
Alternative Methods of Data Collection that Influence Clinical Practice     199
Cultural Problems Due to Loss of Contact     203
Conclusion     207
References     209
Index     215

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