Advanced Methods in Behavior Therapy Dr. Alan H. Teich Chapter 13 11/22/2018

Biofeedback Based on operant concepts training often employs shaping techniques

Biological Systems Controlled by Biofeedback Blood pressure systolic pressure diastolic pressure EKG EDG (galvanic skin response) EEG EMG

Types of Feedback Instruments e.g., EMG, thermometer Pitch or volume of a tone Brightness of a light

Biofeedback Applications Epilepsy Hypertension Headaches Stress and relaxation Neuromuscular re-education

Intense and Prolonged Exposure Flooding Implosion Therapy

Concerns About Flooding Gradual introduction Avoidance of treatment Patient is not alone during the most feared encounters

Effectiveness of Flooding In vivo and imaginal flooding are equally effective Flooding is about as effective as desensitization Imaginal flooding is more effective than imaginal desensitization Flooding may be more effective than drug therapies

Implosive Therapy Person imagines unrealistic, exaggerated, or unlikely harmful events that are associated with the fear exaggeration does not seem to make implosion more effective than flooding

Modeling Applications: Training Professional Skills Videotapes are often used to train skills Observing a video may be more effective than role playing Videotapes may lose their effectiveness if the trainee is distracted

Assertiveness Training Express feelings and beliefs in a direct, honest, and socially appropriate manner Aggression Passivity Assertiveness Types of assertiveness Assessment of assertiveness Training

Assertiveness Training Overt modeling techniques (behavioral rehearsal) Covert modeling Homework Relapse prevention

Aversion Therapy A form of counterconditioning: a noxious stimulus is associated with an unwanted behavior Smoking Alcohol