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

2. Biofeedback Based on operant concepts
training often employs shaping techniques

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

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

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

6. Intense and Prolonged Exposure
Flooding
Implosion Therapy

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

8. 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

9. 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

10. 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

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

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

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