Functional Analysis in Clinical Treatment -

Functional Analysis in Clinical Treatment (eBook)

Peter Sturmey (Herausgeber)

eBook Download: PDF
2011 | 1. Auflage
512 Seiten
Elsevier Science (Verlag)
978-0-08-047109-9 (ISBN)
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WIth the ongoing pressures for psychologists to practice evidence-based care, and the requirement insurance carriers have both for treatment goals, measurement of outcomes, and a focus on brief therapy, functional analysis provides a framework for achieving all of the above. Having proven itself in treating behavioral problems in education, functional analysis is now being applied more broadly to behavioral and psychologial disorders.

In his 1996 book (Functional Analysis in Clinical Psychology, Wiley UK), Sturmey applied the functional behavioral approach to case formulation across a wide range of psychological disorders and behaviors. Since the publication of his book, no other volume has taken an explicit behavioral approach to case formulation. The changes that have occurred over the last 10 years in behavioral case formulation have been significant and substantial. They include (a) a large expansion of the range of problems addressed, such as ADHD, (b) a range of new verbal behavior therapies such as Acceptance and Commitment Therapies, (c) increased area of activity in the area of autism spectrum disorders, (d) many publications in how to train professionals, staff and parents in behavioral technology, and (e) new assessment instruments and procedures.

*Makes theories of functional analysis accessible to a wide range of mental health professionals
*Reviews behavioral assessment methods and strategies for case formulation
*Offers readers a practical, organized, data-based means of understanding psychiatric conditions for intervening effectively and measuring positive change
With the ongoing pressures for psychologists to practice evidence-based care, and the requirement insurance carriers have both for treatment goals, measurement of outcomes, and a focus on brief therapy, functional analysis provides a framework for achieving all of the above. Having proven itself in treating behavioral problems in education, functional analysis is now being applied more broadly to behavioral and psychologial disorders. In his 1996 book (Functional Analysis in Clinical Psychology, Wiley UK), Sturmey applied the functional behavioral approach to case formulation across a wide range of psychological disorders and behaviors. Since the publication of his book, no other volume has taken an explicit behavioral approach to case formulation. The changes that have occurred over the last 10 years in behavioral case formulation have been significant and substantial. They include (a) a large expansion of the range of problems addressed, such as ADHD, (b) a range of new verbal behavior therapies such as Acceptance and Commitment Therapies, (c) increased area of activity in the area of autism spectrum disorders; (d) many publications in how to train professionals, staff and parents in behavioral technology, and (e) new assessment instruments and procedures. Makes theories of functional analysis accessible to a wide range of mental health professionals Reviews behavioral assessment methods and strategies for case formulation Offers readers a practical, organized, data-based means of understanding psychiatric conditions for intervening effectively and measuring positive change

Front cover 1
Functional Analysis in Clinical Treatment 4
Copyright page 5
Table of contents 8
Preface 12
OVERVIEW OF THIS VOLUME 13
THE CONTRIBUTORS 13
REFERENCES 13
List of Contributors 16
Chapter 1: Structural andFunctional Approachesto Psychopathology andCase Formulation 18
STRUCTURAL AND FUNCTIONAL APPROACHES TO BEHAVIOR 19
RADICAL BEHAVIORISM 22
BEHAVIORISM AND PSYCHOPATHOLOGY 24
CLINICAL CASE FORMULATION 31
REFERENCES 37
Chapter 2: Operant andRespondent Behavior 40
RESPONDENT BEHAVIOR AND PSYCHOPATHOLOGY 41
OPERANT BEHAVIOR 47
CHAPTER SUMMARY 64
REFERENCES 65
Chapter 3: Advanced Conceptsand Methods ofIntervention inBehavioral Approachesto Psychopathology 68
RULE-GOVERNED BEHAVIOR 69
STIMULUS EQUIVALENCE, DERIVED RELATIONS, AND PSYCHOPATHOLOGY 70
COMPLEX BEHAVIOR 74
SUMMARY 80
REFERENCES 80
Chapter 4: Functional AnalysisMethodology inDevelopmentalDisabilities 82
BASIC ASSUMPTIONS AND PRINCIPLES 83
ESTABLISHING OPERATIONS 84
FUNCTIONAL ANALYSIS METHODOLOGY 84
FUNCTION-BASED TREATMENTS 89
CASE STUDY 93
CONCLUSION 95
REFERENCES 97
Chapter 5: Attention Deficit Hyperactivity Disorder 104
DIAGNOSIS AND RELATED CHARACTERISTICS 104
FUNCTIONAL ANALYTIC APPROACH TO ASSESSMENT 106
INTERVENTIONS FOR ADHD 117
CASE STUDY 120
REFERENCES 124
Chapter 6: Chaos, Coincidence,and Contingency inthe Behavior Disordersof Childhood andAdolescence 128
FUNCTIONAL ANALYTIC MODEL 128
DIAGNOSIS AND RELATED CHARACTERISTICS 131
FUNCTIONAL ASSESSMENT AND ANALYSIS 134
FUNCTIONAL ANALYTIC-BASED INTERVENTIONS 136
CASE STUDY 138
CONCLUSIONS 140
REFERENCES 141
Chapter 7: Function-BasedAssessment andTreatment of PediatricFeeding Disorders 146
DIAGNOSIS AND RELATED CHARACTERISTICS 146
FUNCTIONAL ASSESSMENT AND ANALYSIS 149
FUNCTION-BASED INTERVENTIONS 152
CASE STUDY 161
REFERENCES 163
Chapter 8: Tic Disorders andTrichotillomania 168
DIAGNOSIS AND RELATED CHARACTERISTICS 168
FUNCTIONAL ANALYTIC MODEL 169
FUNCTIONAL ASSESSMENT AND ANALYSIS 171
FUNCTIONAL ANALYTIC INTERVENTIONS 173
CASE STUDY 180
REFERENCES 183
Chapter 9: Encopresis and Enuresis 188
A BIOBEHAVIORAL PERSPECTIVE ON ENCOPRESIS AND ENURESIS 189
ENCOPRESIS 190
ENURESIS 195
CONCLUSION 202
REFERENCES 203
Appendix 9.1: Online Resources for Enuresis and Encopresis 208
Chapter 10: Stereotypic MovementDisorder 210
EPIDEMIOLOGY OF STEREOTYPY 210
FUNCTIONAL CONCEPTUALIZATION OF STEREOTYPY 211
FUNCTIONAL ASSESSMENT OF STEREOTYPY 213
FUNCTIONAL INTERVENTION FOR STEREOTYPY 216
CASE STUDY 219
CONCLUSION 223
REFERENCES 224
Chapter 11: A Contextual Modelof Restraint-FreeCare for Personswith Dementia 228
DIAGNOSIS AND RELATED CHARACTERISTICS 228
A FUNCTIONAL ANALYTIC MODEL OF DEMENTIA 232
FUNCTIONAL ASSESSMENT AND ANALYSIS 235
FUNCTIONAL ANALYTIC INTERVENTIONS 239
CASE STUDY 243
REFERENCES 250
Chapter 12: Brain Injury 256
OVERVIEW OF BRAIN INJURY 256
CONCEPTUALIZING THE FUNCTIONAL ANALYSIS 258
FUNCTIONAL ASSESSMENT AND ANALYSIS 259
CASE STUDY 269
REFERENCES 275
Chapter 13: A Behavioral Approach to the Treatment of Substance Use Disorders 278
SUD DIAGNOSIS 280
PREVALENCE 281
FUNCTIONAL ANALYSIS OF COCAINE AND OTHER DRUG ABUSE 281
FUNCTIONAL ASSESSMENT 283
TREATMENT COMPONENTS 285
CASE STUDY 291
CONCLUDING COMMENTS 296
ACKNOWLEDGMENTS 297
REFERENCES 297
Chapter 14: Schizophrenia and Other Psychotic Disorders 300
DIAGNOSTIC CRITERIA AND RELATED CHARACTERISTICS 300
THE BIOMEDICAL MODEL 302
FUNCTIONAL ANALYTIC MODEL 303
FUNCTIONAL ASSESSMENT AND ANALYSIS OF PSYCHOTIC BEHAVIOR 305
FUNCTIONAL ANALYTIC-BASED INTERVENTIONS 311
CASE STUDY 317
REFERENCES 320
Chapter 15: Mood Disorders 324
MOOD DISORDERS 324
FUNCTIONAL ANALYTIC MODELS OF DEPRESSION 326
FUNCTIONAL ASSESSMENT AND ANALYSIS OF DEPRESSIVE SYMPTOMS 329
FUNCTIONAL ANALYTIC INTERVENTIONS FOR DEPRESSIVE DISORDERS 334
CASE STUDY 341
REFERENCES 344
Chapter 16: The Fear Factor: A Functional Perspective on Anxiety 352
DEFINING ANXIETY 352
FEAR IS A MORE FUNCTIONALLY RELEVANT TERM 354
FUNCTIONAL ASSESSMENT AND ANALYSIS 360
FUNCTIONAL ANALYTIC-BASED INTERVENTIONS 364
CASE STUDY 366
CONCLUSION 369
REFERENCES 370
Chapter 17: Sexual Disorders 374
DIAGNOSTIC ISSUES 374
FUNCTIONAL CONCEPTIONS OF SEXUAL DISORDERS 375
FUNCTIONAL ASSESSMENT AND ANALYSIS 381
ETHICAL ISSUES 382
FUNCTIONAL-ANALYTIC BASED INTERVENTIONS 384
CASE STUDY 388
REFERENCES 391
Chapter 18: Eating Disorders 396
FUNCTIONAL ANALYTIC MODELS OF EATING DISORDERS 397
FUNCTIONAL ASSESSMENT AND ANALYSIS 404
FUNCTIONAL ANALYTIC-BASED INTERVENTIONS 407
CASE STUDY 412
REFERENCES 415
Chapter 19: Personality Disorders 420
A FUNCTIONAL APPROACH TO PERSONALITY DISORDERS 422
FUNCTIONAL ASSESSMENT OF PERSONALITY DISORDERS 423
THREE DOMAINS OF DIFFICULTY 426
FUNCTIONAL ANALYTIC THERAPIES FOR PERSONALITY DISORDERS 433
CASE STUDY 437
REFERENCES 442
Chapter 20: Impulse Control Disorders 446
OVERVIEW OF IMPULSE CONTROL DISORDERS 446
FUNCTIONAL ASSESSMENT AND ANALYSIS 452
FUNCTION-BASED INTERVENTIONS 460
CASE STUDY 462
REFERENCES 469
Chapter 21: Functional Assessment with Clinical Populations: Current Status and Future Directions 472
SYSTEMS OF CLASSIFICATION 473
OVERARCHING THEMES AND DIRECTIONS FOR FUTURE RESEARCH 477
SUMMARY 485
REFERENCES 486
About the Contributors 490
Index 500

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