Ptec 155 - Developmental Disabilities
Ptec 155 - Developmental Disabilities
MODULE 47
BEHAVIOR MODIFICATION
2.
3.
INTRODUCTION
As a behavior modifier, the student will deal with observable and measurable behaviors.
Behavior modification is based on the premise that all behavior is learned and, therefore can be
relearned. No behavior can be unlearned. If an organism behaves in an unacceptable (maladaptive,
inappropriate, undesirable) manner, then it is the function of the behavior modifier to construct a
program which will yield the elimination or modification of the unacceptable behavior and teach the client
a new -adaptive, appropriate, desirable behavior which is acceptable.
In order to change, modify or eliminate the unacceptable behavior, a systematically arranged program is
planned. This planned program is then implemented in a variety of settings (home, classroom, office,
institution, etc.), but the principles remain the same. Observing, measuring and recording are ongoing
requirements of the implemented program. After a specified period of time, the plan, techniques, tools
and results are evaluated.
In this module the candidate will learn the underlying principles of behavior modification. The candidate
will further learn the four basic steps in the behavior modification process and demonstrate his or ability
to:
I.
Assess
II.
III.
IV.
COURSE OUTLINE
THEORY:
ASSESSMENT:
INSTRUCTIONAL
MEDIA:
Study Guides
1.
2.
3.
Twenty Questions
Behavior Modification Process
Principles of Mikulas
TEXTBOOK:
SYLLABUS:
VIDEOTAPES:
OBJECTIVES
1.
From Study Guide 3 Principles of Mikulas, identify important concepts about behavior
modification approaches and practices
2.
3.
What are the ongoing requirements for the implementation of the program
4.
What are the four basic steps in the behavior modification process
5.
6.
7.
8.
9.
Match the five properties of behavior modification with their appropriate corresponding
descriptions:
Instructional Media:
a.
b.
c.
Syllabus
Study guide 1
Study guide 2
Twenty questions/answers
Behavior Modification Process
Behavior Modification Principles
10.
11.
12.
Purpose
First step of behavior assessment
Focus of behavior assessment
Best source of assessment
How behaviors are defined
Target behavior
Purpose of small, progressive steps toward desired terminal behavior
Identify how the behavior modification program deals with ethical issues
14.
15.
16.
17.
18.
19.
d.
20.
Extinction
Relaxation
Flooding
(1)
Major advantages and disadvantages of flooding
(2)
What is the key to flooding
(3)
What is implosion, what is its relationship to flooding
(4)
What does in vivo mean
(5)
Identify the component treatment procedures of flooding
(6)
Identify results of research on flooding as an effective and desirable treatment
procedure
Desensitization
(1)
Who is associated with the origin of desensitization
(2)
Three basic components
(a)
Describe each
(b)
Sequential steps
(c)
Significance of each step
(3)
Therapeutic role of relaxation training
(4)
Hierarchy of anxiety eliciting stimuli
(a)
Determining anxiety eliciting stimuli
(b)
Grouping stimuli
(c)
Deciding which elements need to be treated
(d)
Arranging stimuli categories into hierarchies
(5)
Counter conditioning approach
(a)
Measure degree of anxiety elicited by item of hierarchy
(b)
Common criteria for proceeding to next item of hierarchy
(c)
Sessions: length and number
(d)
Demeanor of practitioner during desensitization
(6)
Match variations of desensitization with their appropriate descriptions
(a)
Identify Cautelas general approach and four procedures
21.
22.
23.
Baseline
Contingency
Contingency contracting
Contingent event
Covert punishment
Discriminative stimuli
Fading
Feedback
Guidance
Modeling
Narrowing
Operant conditioning
Punisher
Punishment
Reinforcement
Shaping
Time out
Token economy
What is the relationship between the behavior and the baseline in operant contingencies
Identify the following behavior change strategies that are based on operant conditioning
a.
Stimulus control
(1)
(2)
b.
c.
Description
Different approaches
Description
Premack theory
Ways to help initiate behavior to be controlled
Variables affecting effectiveness of reinforcement
Contingency contract6ing
(1)
(2)
(3)
Description
Expectation
Effectiveness of contracts
Token economies
(1)
(2)
(3)
(4)
e.
Extinction
(1)
(2)
f.
Description
Relationship to behavior change
Stimulus satiation
(1)
i.
Description
Examples
(a)
Two ways of dealing with these habits
Punishment
(1)
(2)
h.
Description
Effectiveness
g.
Description
Strength of token system
Situations where application of token system is most important
Overall purpose
Description
Feedback
(1)
(2)
(3)
(4)
24.
25.
26.
27.
28.
29.
b.
c.
d.
Attribution
(2)
Cognitive restructuring
(3)
Coverant control
(4)
Covert reinforcement
(5)
Operant conditioning
(6)
(7)
I.
All behavior is learned and therefore more appropriate behavior can be relearned.
II.
Behavior is an act of a person that can be seen, heard, or touched, and therefore, observed,
measured and recorded.
A.
B.
C.
Maladaptive behavior prevents a person from functioning adequately in his or her
environment; this behavior is undesirable.
III.
IV.
D.
Adaptive behavior allows the person to function adequately in his or her environment:
this behavior is socially desirable.
Behavior modification offers a systematic, observable, measurable approach for eliminating
maladaptive behavior or establishing an acceptable behavior
The four basic steps in behavior modification are:
A.
B.
C.
D.
Assessment
Establishment of a data baseline
Development of a program for change
Evaluation of the outcome.
V.
VI.
In the assessment phase, selection of a target or terminal behavior, which is incompatible with
the undesirable behavior, is wise: i.e., a person cannot spit and sing at the same time.
VII.
It is necessary that the behavior modifier maintain records that can be easily understood by all
persons involved in modifying the behavior of a client.
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11
III.
IV.
V.
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VI.
VII.
VIII.
How soon can you expect a behavior to stop when you ignore it?
A.
It varies. There may be short periods when it gets more frequent, and other behaviors
that you consider more objectionable may occur briefly (ignore these, too), but be sure
to keep on.
IX.
X.
What are the different types of positive reinforcers? When are they most frequently used?
A.
There are five broad categories:
1.
Edibles: food and drink.
2.
Manipulables: toys, jewelry, etc.
3.
Visual, tactile, olfactory, auditory stimuli; pictures, clay, perfume, music etc.
4.
Social reinforcers; attention, praise etc.
5.
Conditioned generalized reinforcers: money, tokens, stars, etc
XI.
XII.
XIII.
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XV.
XVI.
XVI.
XX.
How does behavior modification differ from the usual ways society responds to problem
behaviors?
A.
Behavior modification sees problem behaviors as faulty learning and a remedial program
is set up to teach more adaptable behavior. Society usually punishes in response to
maladaptive behavior without correcting the faulty learning. In short, behavior modification
seeks to ACCENTUATE THE POSITIVE TO ELIMINATE THE NEGATIVE.
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STUDY GUIDE 2
BEHAVIOR MODIFICATION PROCESS
EXPLANATIONS AND EXAMPLES
I.
Introduction
1.
Don't let these words fool you. You probably already know what an
ANTECEDENT and a CONSEQUENCE are since antecedents come first, let's
discuss them first
a.
ANTECEDENTS
(1)
b.
Explanation
(a)
(b)
EXAMPLES
(1)
Nancy called John a little brat. Johnny hit Nancy. Calling Johnny
a little brat is the ANTECEDENT for Johnny hitting Nancy.
(2)
(3)
c.
Mr. Jones sat down at the table and ate an entire strawberry
pie by himself THIS ONE IS A LITTLE TRICKY. The
ANTECEDENT for Mr. Jones eating the pie was his sitting
down at the table
Remember:
(1)
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d.
Explanation:
(a)
(2)
Examples:
(a)
(3)
e.
II.
Examples:
(a)
Johnny did his chores, then his mother gave him his
allowance.
(b)
(c)
(d)
Mike got all of his answers to his math. Problems correct, so his
instructor gave him a gold star. Hope you knew the
CONSEQUENCE was getting a gold star.
(2)
Mr. Carson said to his wife, "Dear this was a delicious meal".
"This" was the CONSEQUENCE of Mrs. Carson preparing a
delicious meal.
Introduction
1.
2.
Anything that happened after a person's behavior, which increases the likelihood
that the behavior will occur more often, is a POSITIVE REINFORCER.
In other words Positive reinforcers INCREASE the frequency of behavior.
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B.
Examples
1.
After John did the dishes, his mother gave him one dollar. John did the dishes the
next night too. The one-dollar was the POSITIVE REINFORCER since John
began doing the dishes more often.
2.
Mr. Jones said to his wife, "my, this roast beef is good tonight, dear". Mrs. Jones
began serving roast beef more often
3.
Before you look at the next example, remember that anything that comes after a
behavior, which causes the behavior to happen more often, is a positive
reinforcer. Mrs. Smith yelled at Johnny, " Johnny, stop hitting your sister" Johnny
started hitting his sister more often
4.
Try these examples: Check the ones that illustrate POSITIVE reinforcers and
underline the reinforcer.
a.
Johnny was screaming and crying. His mother yelled "Johnny, stop the
screaming, or I will give you something to scream about." Johnny
screamed even more. Sure hope you checked this one and underlined
mom's yelling. Right???
b.
Steve washed the car. His dad said "Thanks, Steve, the car looks great!"
Steve said "sure dad, any time'."
c.
Mary cleaned her bedroom, then her mother gave her a dish of strawberry
ice cream. Mary didn't clean her room the next day.
(1)
(2)
(3)
5.
TYPES:
a.
People
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(2)
Places
(3
Things
(4)
Activities
EXPLANATION OF TYPES:
(1)
(2)
People:
(a)
(b)
Places:
(a)
(3)
Activities:
(a)
(4)
Note:
(a)
c.
(b)
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(c)
(d)
Always let the person know the behavior you are positively
reinforcing. ) Examples;
i.
C.
D.
"That's nice."
2.
2.
NOTE: In both examples, the correct choice tells exactly what behavior was being
positively reinforced.
E.
2.
What is positively enforcing one minute may not be reinforcing the next
minute. Use a variety.
3.
Start using positive reinforcers every time, then once in a while F Make a list of
positive reinforcers for your child or client
a.
People
b.
Places
c.
Things
d.
Activities
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INTRODUCTION
1.
B.
SHAPING
1.
2.
Examples:
3.
a.
Does a baby's "ga-ga" really sound like daddy? Not at first, but after you
begin positively reinforcing the baby each time, slowly, but surely "ga-ga"
begins to sound more and more like "Da-de" and finally like "daddy".
b.
Behavior you would like to see. Mark completing his homework. If you
positively reinforced each of the following steps, look what you would end
with:
(1)
(2)
(3)
(4)
(5)
REMEMBER
a.
b
c.
Of course, you wouldn't expect the change to happen overnight, and you
would want to make sure that each little step along the way was positively
reinforced.
In fact, most of the behaviors that we have learned have been shaped.
Can you think of all the little steps you learned when you first started
driving a car?
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C.
d.
What steps would you positively reinforce if you want to SHAPE these
behaviors in a child?
e.
f.
g.
Doing chores
MODELING
1.
Another way parents teach their children new behavior, is through MODELING it
for them.
2.
Examples:
a.
Whenever Mrs. Smith gets angry at Steve she hits him Whenever Steve
gets angry at his younger brother, he hits him. Steve has MODELED his
behavior after his mother's
b.
What behavior is Mrs. Jones modeling for her daughter? Mrs. Jones is on
the phone and eating ice cream. "Why yes, Helen, I'm on a very strict diet."
3.
Remember: Whenever you do MODEL good behaviors for your child and you see
him or her modeling you, positively reinforce him or her .
4.
Your thoughts:
a.
Can you think of a behavior you may have modeled for anyone?
b.
IV.
Can you think of one you would like to model and positively reinforce?
Introduction:
1.
Behavioral contracting is a method used to help parents get along better with
their children.
2.
A behavior contract is very similar to other types of contracts that you may
already be familiar with.
3.
Examples:
a.
Signing a lease for an apartment or taking out a mortgage for a house is a
contract.
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B.
b.
2.
3.
(2)
(3)
b.
c.
But, why isn't (1) specific? Ask yourself what does, "clean his room
mean?" Can you decide what is wrong with this example? If Steve
behaves well tonight, he will receive a reward.
d.
The behavioral contract must detail the positive reinforcers your child
can expect to gain for fulfilling the contract Examples:
(1)
(3) If Mary eats all her meat, then she may have dessert.
e.
The behavioral contract should detail the punishment for not meeting
the terms of the contract. Punishments should be fair and
reasonable. Examples:
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f.
V.
(1)
If Cathy does not do the dishes, then she will not be allowed to go
to the movies.
(2)
If Stanley does not take his bath tonight, then he will not be able to
watch TV tonight.
EXTINCTION
A.
Introduction
1.
B.
b.
How do you think we can make sure that undesirable behavior is not
repeated by not following it with unpleasant consequences?
c.
Explanation
1.
EXTINCTION
a.
b.
Examples:
c.
(1)
(2)
Of course EXTINCTION can only be used for some behaviors mainly small nuisance behaviors.
Examples
(1)
(2)
d.
VI.
Remember:
(1)
(2)
But, just remember, if you can ignore it every time it happens, it will
be EXTINGUISHED.
(3)
(b)
Punishment:
A.
B.
C.
2.
3.
Review
1.
2.
3.
Explanation:
1.
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D.
Punishment does not eliminate behavior; it only tends to make it occur less often.
But, sometimes the response to punishment can be unpredictable.
Examples
BEHAVIOR
CONSEQUENCE
RESULT
E.
Types of punishment:
1.
2.
3.
Social punishment
b.
Physical punishment
Social punishment
a.
b.
"I don't even want to look at you right now, you make me so angry."
(2)
Physical punishment:
a.
b.
Examples:
(1)
Steve yells at his brother. Steve's father tells Steve to stop yelling
at his brother and slaps him.
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F.
Time out
1.
2.
Explanation:
a.
b.
Time out involves removing the person from the reinforcing situation and
placing him in a situation that is not as pleasant.
Example:
a.
G.
Mike comes home one hour late. His parents then tell him "Mike,
because you were late, you cannot use the car tomorrow."
You may have said, "Steve, starting now, you are grounded for a week.
What you are actually doing is using time out you are placing Steve in a
situation (staying at home) that is not as pleasant, or as positively
reinforcing, as going out with his friends.
Limitations of punishment:
1.
Explanation:
a.
b.
(2)
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2.
BEHAVIOR
CONSEQUENCE
RESULT
3.
Remember:
a.
c.
d.
e.
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3.
4.
One of the biggest advantages of behavior modification is that It does not require a one-to-one
relationship between the behavior modifier, who establishes and supervises the programs, and
the client. Thus, the behavior modifier can train teachers to carry out programs in classrooms.
This is more effective and efficient than trying to deal with all the, individual children, particularly
when the parents and teachers are often unknowingly responsible for the misbehavior they wish
to change.
In addition, some behavior modification programs can be carried out with groups of people at a
time. Thus, more people can be treated efficiently and cheaper than approaches requiring a oneto-one relationship between the client and a highly paid trainer.
5.
Finally, a large part of behavior modification is concerned with self-control, approaches geared
toward teaching people how to carry out change programs on themselves. This has many
advantages, including freeing the practitioner's time and hence less expense to clients, greater
attitude and behavior changes, if clients attribute the changes to themselves the clients learning
general strategies that they can apply in a variety of situations, and the possibility of catching
problems early, or even preventing them from occurring.
BEHAVIORAL ASSESSMENT:
The first task in behavior modification is to specify the problems and objectives in terms of measurable
behaviors. It is not sufficient to say that a person is neurotic. Rather, it is necessary to specify which of
the person's behaviors should be altered and which behaviors he does not have should be added.
Similarly, it is not sufficient to choose as an educational objective that the student develop "an
appreciation of history", rather, it is necessary to specify exactly what behaviors are required of the
student.
The purpose of behavioral assessment is to delineate (outline, list) behavioral deficits, inappropriate
behaviors, and the frequency with which different behaviors occur, in various situations.
The first step of behavior assessment is to specify the behaviors in such a way that there is little
question about whether they occurred. For example, if the behavior modifier were interested in how
afraid a person is of heights, he might measure the change in heart rate when the person is at various
heights, and might define fear in terms of this physiological response, or he might measure how high up
a person will go by himself.
Behavioral assessment deals with behaviors and their interrelationships. It avoids mapping people into
constructs or categories that cannot be directly observed or measured, but only indirectly inferred from
some off the behaviors. If a person reports being "generally uptight most of the time", behavioral
assessment focuses on his behavioral strengths and deficits (including interpersonal skills, vocational
skills, thoughts, emotions, etc.) that lead to the person being "uptight". There is no need in behavior
modification to add to this assessment hypothesized conditions of such inferred constructs as egostrength, self-concept, or psycho-sexual development.
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A client who bites his/her fingernails might have a target behavior of having beautifully
manicured fingernails.
A self-mutilating client, who desires to have himself put into restraints, might have as a target behavior,
wearing a wristwatch. Self-mutilating behavior is a social barrier to placement in the community. Also
wearing restraints is a barrier, but wearing a wristwatch, even though unable to tell time, looks "socially
acceptable".
Behavioral objectives should generally be stated in small, progressive steps - sequences of immediate
goals on the way to long-range objectives. The target behavior for a nursery school boy may be for him
to be "social" that is spend more of his time playing with others. The immediate goals may be sequenced
such as .
1.
2.
3.
4.
By taking small steps, the behavior can be gradually changed and the amount of failure minimized, for
the practitioner becomes quickly aware of any necessary changes in the procedure.
ETHICS
All change agents, regardless of their theoretical model, are faced with a wide range of ethical
questions. Choosing not to work with a client is an ethical issue. Choosing to minimize your influence on
a client, and thus give greater weight to other sources of influence is an ethical issue. Choosing a model
or approach that does not deal with your influence, as a change agent is an ethical issue.
The choice of terminal behaviors necessarily involves value judgements. Why is one target behavior
chosen over another? Why is it better for the child to be social than non-social? Similarly, the choice of
procedures to reach a goal often involves ethical issues, i.e. if a person is an alcoholic who can be
helped, but the treatment is unpleasant, such as aversive counterconditioning, where electric shock
might be paired with drinking, to what extent do the results of treatment justify the treatment procedures?
Basically, behavior modification does not specify a moral system. It is amoral, not immoral technology. It
is concerned with variables affecting behavior change, independent of the ethical issues that arise at
various decision points. Strength of behavior modification is that it specifies its procedures and goals
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Temporal order- refers to the fact that you generally get the best conditioning if the CS precedes the
UCS (i.e. you get the get results if the bell precedes the food), while you generally get little or no
conditioning if the UCS precedes the CS (backward conditioning). Early attempts to treat alcoholism
involved making the person sick and having him drink an alcoholic drink. This is backward conditioning
and probably decreases the effectiveness of the program.
Generally you get the best results if the UCS is presented about one half second after the CS In other
words, ring the bell, and present the food one half second later
Response dominance refers to the amount of anxiety elicited by the CS The bell is relatively neutral and
causes no problem, but what if a snake were thrown at you every time you attempted to eat. Your
response dominance would be for the snake and you would be negatively affected and probably not eat
at all.
EXTINCTION
Respondent conditioning is accomplished by establishing a contingency (relationship) between the CS
and UCS/ The CS predicts to a certain degree, the onset of the UCS If we terminate this contingency so
the CS is not associated with the UCS, eventually the CS will no longer elicit the CR. If the bell is never
paired with the food again, eventually bells will no longer elicit salivation. This process is called
extinction.
If a small child is scratched (UCS) by a cat (CS) and hurt (UCR), then the child may develop a fear (CR)
of cats. If the child now encounters cats without anything happening, the fear may extinguish.
Sometimes following extinction, the CR may gain in strength over a period of time. This is called
spontaneous recovery. However, in practical situations, this is usually minimal; and with further
extinction the CR will no longer appear. Extinction is the word we give to the process of ignoring a
behavior
RELAXATION
Teaching a client how to relax is often a powerful and needed therapeutic approach just in itself, for our
culture provides more and more potential sources of stress and anxiety; and few people ever learn
effective ways to relax. Thus many people report they are anxious and uptight. This may be associated
with specific fears, a racing mind, or inability to get to sleep easily. Also each year more research relates
many physiological problems, such as colds, ulcers, and cancer, to the stress a person experiences and
how the stress is handled. Thus relaxation training is a common part of many programs. It is often useful
to introduce this training early in clinical sessions because it calms the client down, shows him you have
some powerful tools at your disposal, and gives the client a sense that there are things he/she can do
about their own behavior.
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All presentations of anxiety situations are done by having the client imagine scenes (Treatment
based on imagined situations generalizes well to in vivo situations. )
The imagined scenes are often ones of exaggerated or impossible situations designed to elicit as
much anxiety as possible.
The scenes are often based on hypothesized sources of anxiety, some of which are
psychodynamic in nature. These sources of anxiety center around such things as hostility toward
parental figures, rejection, sex and dynamic concepts like Oedipal complex and death wish.
Overall flooding and related procedures, such as implosive therapy, are fast
approaches to extinguishing emotional reactions, primarily anxiety. However, in some cases more
anxiety is built in rather than extinguished. Research on when flooding is an effective and desirable
treatment, the best way to carry it out, and how it works is contradictory and incomplete.
DESENSITIZATION
Although in various ways desensitization (also called systematic desensitization) is basically the gradual
counterconditioning of anxiety, using relaxation as the incompatible response.
The procedure, originally developed by Wolpe (1958), is one of the most powerful tools In behavior
modification It is not uncommon for a severe phobia or source of anxiety of long standing to be removed
in a few weeks. Desensitization has three basic components: training in relaxation, construction of
hierarchies and counterconditioning TRAINING IN RELAXATION:
Since relaxation is to be used as the incompatible response in counter-conditioning anxiety, one of the
first steps is teaching the client how to relax, usually using muscle relaxation methods. If this is not
effective, then relaxation may be trained or elicited by some other means such as biofeedback,
hypnosis, or drugs or the practitioner may decide to counter condition the anxiety with one of many
incompatible responses.
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The client watches someone else (the model) approach the feared object.
The model helps the client approach the object
The model is gradually faded out as the client approaches the feared object
Example:
A female undergraduate student (S) who was unable to perform the required dissections in a biology
course was guided through the following phases.
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The subject made no attempt to perform during the first phase of treatment, but merely
observed the dissection procedures of her classmates. (S) located herself as far from the
activities as was comfortable and watched for brief periods while occasionally reminding herself
that the dissection animal, a fetal pig, was a dead non-senslng object. She gradually
extended the time she observed and also gradually moved closer to the dissection scene as
she became more comfortable
2.
(S) obtained the assistance of a sympathetic female student who served as a co therapist (T)
S momentarily placed her hand on T's while T was performing a dissection movement; S
gradually extended the time she rested her hand on T's. When the foregoing could be done
with ease, S progressively slid her hand forward on T's thereby approaching contact with the
dissection instrument. This continued until S had her fingers directly on the dissection
instrument, while T was also holding It. Finally, when S was comfortable with the arrangement
she asked T to remove her hand, but to remain watching in case assistance was needed.
S practiced dissecting alone, first while T observed and then independently
3.
Contact desensitization is often more effective than just modeling. And often faster and as effective as
standard desensitization. A disadvantage is it can only be applied in situations, which can be readily
modeled and gradually phased into. Such cases as fear of childbirth can be better treated by other
approaches.
ANXIETY ELICITING STIMULI
After the anxiety eliciting stimuli have been determined, they are divided into groups according
to common elements. The main pitfall is that the behavior modifier may group stimuli according to an
inappropriate theme or even. Fears of being in filled buses, crowded elevators, and rush hour traffic
jams, may be grouped according to a theme of a fear of crowds of people. The real theme, however,
may be a fear of being confined in a small area. Determining the common elements or themes is a
problem solving skill that comes with practice and is aided by supervision
After the fears and sources have been grouped, it is necessary to decide which need to be treated Some
fears are adaptive fears and need to be left alone. A high school student felt anxious about smoking
marijuana with friends in the school bathrooms. This fear should not be decreased, primarily because of
local laws and enforcement. A hierarchy can be set up using a SUD (subjective unit of disturbance). The
subject reports his feelings of anxiety in terms of SUDS the following is a hierarchy used to treat a 27year-old law student with a fear of eating in a public place
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ITEM
(95)
(85)
(80)
(70)
(60)
(50)
(45)
(40)
(35)
(30)
10
(25)
11
(15)
12
(10)
13
(5)
14
Following a no anxiety presentation of the neutral item, the client is presented with the lowest
item on the hierarchy. He imagines this until he signals, as by lifting his right index finger that he is
beginning to feel anxious. When he signals anxiety I he is told to "stop the scene and relax" Relaxation
here may be facilitated by having the client shift to imagining a personally pleasurable scene. If the client
imagines the hierarchy scene for about 10 seconds without signaling anxiety, he is again told to "stop
the scene and relax". Because great individual differences occur between people concerning how
quickly they can begin imagining scenes, some practitioners have clients signal, as by lifting the left
index finger, when they begin clearly imagining the scene. The ten seconds, or whatever amount of time
IS appropriate, is then measured from this point.
After a scene has been stopped and the client has relaxed briefly, the same scene or a variation of it, is
presented repeatedly until it no longer elicits anxiety, a common criterion being for clients to be able to
imagine the scene two successive times without signaling anxiety At this point, the next item on the
hierarchy is presented until it is counter conditioned and so on through the whole hierarchy. Through his
signaling the client determines the rate at which he goes through the hierarchy, a very reassuring fact to
many clients who do not want to be pushed into unpleasant situations too fast. A safe and sure
approach is to stay with each item until it elicits no anxiety However, desensitization may be
accomplished by substantially reducing the anxiety associated with each item, but not to (0) (e.g.,
reducing it from 40 to 15 SUDS) before moving on to the next item. This probably depends on
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2.
3.
Client cannot visualize scenes well enough to use imagined scenes. This can be helped by
having the client practice imagining neutral scenes or by presenting the scenes via hypnosis,
slides, videotapes or In vivo stimuli.
Sometimes the client can visualize all right, but it is suspected he is visualizing incorrect scenes
(perhaps none of the practitioners scenes elicit anxiety) It is then desirable to have the client
verbalize what he is imagining for a few times. .
An unsuitable hierarchy may be in place often noticed when desensitization goes too slow or
too fast. Possibly wrong theme, weak starting point, or a client that does not consider this an
irrational fear, but something truly dangerous. This type of hierarchy is not appropriate for real
danger fears.
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GROUP DESENSITIZATION
An advantage of behavior modification is that in may situations it is applied to groups of people at
a time, thus saving time and expense T o apply desensitization in groups, it is necessary to a
hierarchy common to all the clients. This is usually more easily accomplished if the fear is
relatively common, specific, and not complicated with other psychological problems. The second
requirement is that the rate through the hierarchy should be geared toward the slowest client for
each item; you do not advance to the next item until everyone in the group has been
desensitized to the current item. This can be used with a variety of phobias; including acrophobia
(fear of heights), claustrophobia (fear of enclosed places), and sexual fears. Also useful in fear of
public speaking and fear of spiders.
Other researchers have devised mechanized procedures, which would free up the practitioner's
time. Wolpe described a case in which the client, under the behavior modifier's supervision,
made a tape of the hierarchy items and relaxation instructions. Then with a slightly modified tape
recorder the client was able to treat test anxiety in a group of clients by administering the
desensitization through a tape-recorded set of instructions.
Lang computerized much of desensitization with equipment called DAD (device for automated
desensitization). DAD presents, via tapes instructions in hypnosis and relaxation and
prerecorded hierarchy of items when the client becomes anxious DAD gives instructions to stop
visualizing the scene and relax. DAD carries out desensitization effectively, and clients do not
object to working with DAD.
II.
SELF DESENSITIZATION
The client learns to relax primarily through the use of tapes. The practitioner helps the client
construct the hierarchies and instructs him in desensitization procedure and then the client
desensitizes himself, perhaps with the aid of tapes. One study of highly fearful snake phobias
found that clients could successfully desensitize themselves using only a desensitization manual
and a record of relaxation instruction. In this study I the self-desensitization was as effective as
therapist-administered desensitization. The research on group desensitization, mechanization of
desensitization and self-desensitization shows that in a least some situations, a one to one
relationship with a human practitioner is not necessary and perhaps inefficient or undesirable.
III.
PERVASIVE ANXIETY
Desensitization requires being able to specify the stimulus situations that elicit anxiety.
Sometimes a client seems to be anxious most of the time this is called pervasive or free-floating
anxiety. When such a state is not caused by organic disorder, there are two basic possibilities:
A.
B.
There are a few common situations or stimuli that elicit anxiety, which are easily dealt
with by desensitization.
There are many different stimuli that elicit anxiety, perhaps making standard
desensitization impractical.
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AVERSIVE COUNTERCONDITIONING
A.
We have seen earlier how counterconditioning can be used to reduce aversive-avoidance
approach reactions to situations, we will see the opposite, use of counterconditioning to
reduce unwanted positive- approach reactions. This is the procedure of using the
response to an aversive (unpleasant) situation as the incompatible of response. i.e a
person addicted to some form of drug (heroin, alcohol, tobacco) has positive associations
to a particular bar and drinking friends, a calming effect associated with lighting up a
cigarette, a reduction of withdrawal symptoms after taking more heroin, or socially
approved relaxing of inhibitions associated with drinking alcohol. These types of positive
associations continually make it more probable the person will again use the drug, thus
strengthening the addiction Even though the long range effects of using the drug are
undesirable and even aversive. The logic of aversive counterconditioning is to pair
situations that elicit the undesired positive response (the handling and taste of a cigarette)
with stimuli that elicit a dominant, incompatible, aversive response ( the reaction to
electric shock) as a way of reducing the positive reaction.
Aversive counterconditioning is primarily used with self-rewarding behaviors. The person
smoking an undesired amount of marijuana is reinforced (rewarded) for smoking by the
results of the smoking. The person who is sexually aroused by specific stimuli (people of
the same sex, young children, certain types of clothes) is reinforced by the sexual arousal
and resulting sexual fantasies and behaviors. For example, aversive counterconditioning
may involve electric shock paired with photos of young children that elicit undesired
sexual arousal. Because aversive counterconditioning is often unpleasant, it is generally
restricted to behaviors that are difficult to treat by other means and to situations in which
the advantage of cure more than offsets any disadvantages of the procedure. In reality,
many clients have reported they found aversive counterconditioning less pleasant than
interpersonal probing, interpretations, and evaluations they experienced in some other
forms of therapy. However, the use of aversive events certainly raises ethical questions
and treats problems such as some clients disliking treatment, some clients becoming
more aggressive or more anxious, and the fact that some procedures cannot be used
with some clients (i.e. EST with some cardiac patients).
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In operant punishment, the odor would be paired with the response of overeating as a way to
suppress the act of overeating.
NOTE THE AVERSIVE STIMULUS IS CONTINGENT ON STIMULI IN ONE CASE AND RESPONSES
IN THE OTHER !!
BASELINE:
CONTINGENCY:
CONTINGENT EVENT:
The result of the contingency. If you study (contingency, you will earn
an A (contingent event)
CONTINGENCY
CONTRACTING:
FADING:
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The difference between fading and shaping is that shaping involves approximations on the
response side, while fading involves approximations on the stimulus side.
FEEDBACK:
THE EFFECTS OF
FEEDBACK ARE:
A.
Feedback may be reinforcement or a punishment. Receiving an " A" on a test may reward a
student so that he maintains the same approach to studying for the next test.
B.
The feedback may reduce changes in motivation; such as the goals a person sets for himself.
Receiving an A on a test may motivate the student to work harder in the class.
C.
Feedback may provide informative cues that guide learning and performance. As a person who
does poorly on a test may see that it is because the test emphasized the class lectures, which
the student ignored.
D.
Feedback may provide a new learning experience of rehearsal of previous learning When g
getting a test back a student may learn the correct answers to questions that he did not know.
GUIDANCE:
MODELING:
OPERANT
CONDITIONING:
If the contingent event makes if more probable that the person will behave
in a similar way when in a similar situation, the event is called reinforcer.
BF Skinner is the person associated with operant conditioning.
Positive reinforcement is an increase in the probability of a behavior due
to an increase in the contingent event. Carol, a new manager in a
company I began praising workers for submitting their reports on time.
This increased on time reports. Used properly it is the most powerful of
all behavior tools
Negative reinforcement is an increase in the probability of a behavior
due to a decrease in the contingent event. A person learns to use
relaxation skills to offset anxiety, with the decrease in anxiety being a
negative reinforcer. A client is reinforced for putting out a cigarette by
the negative reinforcer of the offset of the hot smoke in his face. Thus
negative reinforcement is based on the decrease of something
undesired such as pain or anxiety. Negative reinforcement is not
punishment. Reinforcement by definition is an increase in the probability
of the behavior, while punishment is a decrease Negative reinforcement
is the basis of escape conditioning. Learning to escape an aversive
situation and being reinforced by the decrease in aversion. Scotty may
learn to leave a neighbor's house when the neighbor gets drunk and
obnoxious.. Many politicians avoid important issues in which no matter
what position they take a moderate number of people will get mad and
perhaps later vote against them. Votes and money are two strong
reinforcers accounting for much political behavior.
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If the contingent event makes the behavior less probable than the event
is called a punisher.
PUNISHMENT:
REINFORCEMENT:
REINFORCER:
If the contingent event makes it more probable that the person will
behave in a similar situation, the event is called a reinforcer
SHAPING:
Involves starting where the client is, taking small enough steps so the
clients behavior smoothly changes, providing reinforcement and
support for the changes, and catching mistakes or problems early
because of the small steps. Practitioners often also need to use
shaping when trying to change the philosophy of programs of the
agency or organization where they work.
TIME OUT:
Time out (or time out from reinforcement) is the punishment procedure in
which the punishment is a period of time during which reinforcement is not
available. For example, if a child misbehaves, he may be sent to spend
minutes in a time out area, perhaps a screened off corner in the back of
the classroom.
TOKEN ECONOMY:
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Negative Practice
The reduction of a nervous habit by continually repeating the response In as realistic a ways as possible.
A person with a nervous twitch of the mouth would intentionally make this twitch repeatedly until
fatigued. A 26-year-old man had been banging his head into his pillow while asleep resulting in restless
sleep and damage to the skin of his forehead. Negative practice consisted of banging his head over and
over in the same manner he used where asleep, as observed and photographed by his wife. The
negative practice was done before he went to sleep and done to the point of being aversive. Four such
sessions virtually eliminated the habit and resulted in peaceful sleep and less fatigue and anxiety the
next day.
Habit Reversal
A more complicated program for dealing with nervous habits. The client IS first taught to be aware of
each occurrence of the habit. Then the client is taught to make a response which is incompatible with
the undesired response such as clenching your fists at your side is incompatible with nail biting. This
incompatible behavior is made whenever the undesirable habit occurs or is about to occur, and the client
is taught how to do this in everyday situations. Successful with nail biting, thumb sucking and head
jerking.
PUNISHMENT
The most common approach people use to reduce undesired behavior particularly in others, is
punishment. This consists in applying a contingent event to a behavior that results In a decrease in the
probability of the behavior There are two types of punishment, positive and negative.
Positive Punishment
Is a decrease in the probability of a behavior due to an increase in the contingent event. If each time a
child starts eating his mother's houseplants, she shows disapproval, and if this reduces the probability of
him eating the plants in the future, then the disapproval is positive punishment. Disapproval, criticism,
pain and fines are common forms of punishment this is what most people refer to when they use the
word punishment. If every time AI tells his algebra teacher he is having trouble keeping up with the class
he is then given extra remedial work, then the extra work may act as a punisher resulting in a decrease
in his requesting help
Negative Punishment
Is a decrease in the probability of a behavior due to a decrease in the contingent event. This
corresponds to a decrease in something desirable following some behavior. If every time a person
stutters it briefly turns off a movie he is watching and describing, and if this results in a decrease in
stuttering, then the offset of the movie is a negative punisher. Our culture is punishment oriented. One
reason is that people often punish out of their own anger or inability to handle a situation. Also there is
an immediate suppressing effect of the punishment which is reinforcing to the punishing agent, even
though the long term effects of the punishment may be ineffective. It is then used for its disruptive effects
rather than its suppressive effects. As part of a self-control program a person may wear a rubber band
around his wrist which he snaps on the underside of his wrist to disrupt unwanted thoughts or feelings
Also, just wearing the rubber band then acts a reminder about his behavior
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Slide 1
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Slide 2
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Behavioral Analysis
PTEC 155
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Introduction
Purpose
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Slide 3
Introduction
Observe
Measure
Record
4-Step Process
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Principles to Remember
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Slide 5
Definitions
Unconditioned stimulus
Unconditioned response
Conditioned stimulus
Conditioned response
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Slide 6
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More Definitions
Extinction
Flooding
Desensitization
Modeling
Contact desensitization
Aversive counterconditioning
Respondent verbal conditioning
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Contingency
Fading
Operant conditioning
REINFORCEMENT
Shaping
Time out
Token economy
Premack theory
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Slide 11
Types of Reinforcement
Primary-food
Secondary-praise, attention, affection
General- staff, money, collectables
Intrinsic- motivation for accomplishing tasks
is rewarding by itself (no outside +R needed)
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Slide 12
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