Behavioral therapy Seminar Series Winter 2003 Bruce M. Gale, PhD CSMC Dept of Psychiatry Seminar Dates & Times: Feb 6, 13, 20 Office Phone:

Educational Learning Objectives: 1. At the conclusion of this course, the residents should be able to: (recognize, identify, list, summarize, demonstrate, diagnose, treat... ) 2. Understand the behavioral theories behind this model of treatment. 3. Understand and apply the different behavioral therapy interventions.

Course Description /Summary: This course will provide residents with an overview of basic operant and classical learning theories as they apply to treatment for common psychiatric and behavioral problems. This course will provide residents with an overview of basic operant and classical learning theories as they apply to treatment for common psychiatric and behavioral problems. Concepts such as positive reinforcement, antecedent- based interventions, effects of consequences upon behavior, modeling, behavioral training, extinction, differential reinforcement, behavioral assessment, data collection, and token economies will be reviewed. Concepts such as positive reinforcement, antecedent- based interventions, effects of consequences upon behavior, modeling, behavioral training, extinction, differential reinforcement, behavioral assessment, data collection, and token economies will be reviewed. Attendees will learn how behavioral therapy techniques may be applied to problems related to autism and developmental disabilities; anxiety disorders; depression; and schizophrenia. Attendees will learn how behavioral therapy techniques may be applied to problems related to autism and developmental disabilities; anxiety disorders; depression; and schizophrenia.

Handouts We live in the 21 st Century. Accordingly, instead of paper handouts, you will receive a copy of this lecture series during the 3 rd (final seminar) on CD ROM. We live in the 21 st Century. Accordingly, instead of paper handouts, you will receive a copy of this lecture series during the 3 rd (final seminar) on CD ROM. It will include It will include a 40 page summary of behavior modification guidelines; a 40 page summary of behavior modification guidelines; animation samples of web sites demonstrated in this seminar series; animation samples of web sites demonstrated in this seminar series; plus selected PDF files. plus selected PDF files.

Course Syllabus #1: Feb 6, 2003 Overview of behavior therapy: Discussion of behavior, history, classical conditioning, operant theory. #2: Feb 13, 2003 Basic Assessment and Data Collection Techniques: overview of basic elements underlying behavior modification techniques. #3: Feb 20, 2003 Description of behavioral treatments: Brief review of Spectrum Anxiety Disorders, Depression and psychotic disorders.

Basic Elements of BT What is meant by “behavior”? What is meant by “behavior”? How are presenting problems identified? How are presenting problems identified? Is there a specific treatment approach? Is there a specific treatment approach? How is progress determined? How is progress determined? How is termination handled? How is termination handled?

Behavioral Model Derived from a Scientific Approach to the Study of Psychopathology Derived from a Scientific Approach to the Study of Psychopathology Ivan Pavlov, John B. Watson, and Classical Conditioning Ivan Pavlov, John B. Watson, and Classical Conditioning Classical conditioning is a ubiquitous form of learning Classical conditioning is a ubiquitous form of learning Conditioning involves a contingency between neutral and unconditioned stimuli Conditioning involves a contingency between neutral and unconditioned stimuli Conditioning was extended to the acquisition of fear Conditioning was extended to the acquisition of fear

Beginnings of Behavioral Therapy Reactionary Movement Against Psychoanalysis and Non-Scientific Approaches Reactionary Movement Against Psychoanalysis and Non-Scientific Approaches Early Pioneers Early Pioneers Joseph Wolpe – Systematic desensitization Joseph Wolpe – Systematic desensitization Edward Thorndike, B. F. Skinner, and Operant Conditioning Edward Thorndike, B. F. Skinner, and Operant Conditioning Another ubiquitous form of learning Another ubiquitous form of learning Most voluntary behavior is controlled by the consequences that follow behavior Most voluntary behavior is controlled by the consequences that follow behavior Learning Traditions Greatly Influenced the Development of Behavior Therapy Learning Traditions Greatly Influenced the Development of Behavior Therapy Behavior therapy tends to be time-limited and direct Behavior therapy tends to be time-limited and direct Strong evidence supporting the efficacy of behavior therapies Strong evidence supporting the efficacy of behavior therapies

Efficacy of Behavior Therapy (Behavior Online)

Multidimensional Models of Abnormal Behavior Biological Influences Biological Influences Behavioral Influences Behavioral Influences Emotional Influences Emotional Influences Social Influences Social Influences Developmental Influences Developmental Influences

Multidimensional Models of Abnormal Behavior (cont.)

Implications of Neuroscience for Behavior Therapy (and other effective treatments) Relations Between Brain and Abnormal Behavior Relations Between Brain and Abnormal Behavior Example: Obsessive compulsive disorder (OCD) Example: Obsessive compulsive disorder (OCD) Experience Can Change Brain Structure and Function Experience Can Change Brain Structure and Function Therapy Can Change Brain Structure and Function Therapy Can Change Brain Structure and Function Medications and psychotherapy Medications and psychotherapy

Role of Emotion and Behavior Therapy

Domains of Assessment: The Clinical Interview and Physical Exam Clinical Interview Clinical Interview Most common clinical assessment method Most common clinical assessment method Structured or semi-structured Structured or semi-structured Mental Status Exam Mental Status Exam Appearance and behavior Appearance and behavior Thought processes Thought processes Mood and affect Mood and affect Intellectual functioning Intellectual functioning Sensorium Sensorium Physical Exam Physical Exam

Domains of Assessment: The Clinical Interview and Physical Exam (cont.)

Efficacy of Behavior Therapy (Clinician’s Research Digest)

Domains of Assessment: Behavioral Assessment and Observation Behavioral Assessment Focus on the present – Here and now Focus on direct observation of behavior- environment relations Purpose is to identify problematic behaviors and situations Identify antecedents, behaviors, and consequences

Domains of Assessment: Behavioral Assessment and Observation Behavioral Observation and Behavioral Assessment Can be either formal or informal Self-monitoring vs. others observing Problem of reactivity using direct observation methods

Domains of Assessment: Behavioral Assessment and Observation (cont.)

Efficacy of Behavior Therapy (Review PDF Files)

Course Syllabus #1: Feb 6, 2003 Overview of behavior therapy: Discussion of behavior, history, classical conditioning, operant theory. #2: Feb 13, 2003 Basic Assessment and Data Collection Techniques: overview of basic elements underlying behavior modification techniques. #3: Feb 20, 2003 Description of behavioral treatments: Brief review of Spectrum Anxiety Disorders, Depression and psychotic disorders.