功能分析治疗训练对治疗师目标行为的影响

Lindsey E. Knott, Chad T. Wetterneck, W. Norwood, S. Bistricky
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摘要

在功能分析心理治疗(FAP)中提出的作用机制是治疗师对来访者在治疗过程中的行为的偶然反应,这种行为与治疗过程外的问题行为相似。从理论上讲,这些反应塑造了适应行为,并将其推广到客户的日常生活中(Tsai et al., 2009)。因此,治疗师的反应库必须具有成熟的人际有效反应,以模拟和塑造来访者的行为。因此,FAP培训的目的不仅是让治疗师掌握实施塑造基础的技能,而且还具有其他一些功能,包括促进有效的人际交往技能的发展,以促进塑造。Kanter, Tsai, Holman, and Koerner(2013)通过自我报告和模拟任务证明,8周的FAP培训可以增加FAP原理的知识;然而,目前还没有研究对治疗前后治疗师人际行为的变化进行调查。我们认为,为期8周的FAP培训将增加治疗师对有效人际行为(tCRB2)的使用,减少治疗师的适应不良行为(tCRB1)。4名刚毕业和研究生水平的治疗师参加了为期8周的FAP培训。使用AB单受试者设计,我们检查了目标人际行为的频率。结果表明,FAP训练可能对治疗师的日常生活行为产生影响,这可以通过每周频率计数的变化来证明。尽管设计包含显著的局限性(见讨论),但这些数据为FAP训练的一个理论化函数的效用提供了一些支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Training in Functional Analytic Therapy on Therapists’ Target Behavior
The proposed mechanism of action in Functional Analytic Psychotherapy (FAP) is therapist-contingent responses to client in-session behavior that parallels out-of-session problematic behavior. In theory, these responses shape adaptive behaviors that generalize into the client’s daily life (Tsai et al., 2009). Therefore, the therapist’s response repertoire must be ripe with interpersonally effective responses to model and shape client behavior. Thus, trainings in FAP were designed not only to equip therapists with a skillset in implementing the fundamentals of shaping but also to serve several other functions, including facilitating the development of an effective interpersonal repertoire to promote shaping. Kanter, Tsai, Holman, and Koerner (2013) demonstrated that 8-week FAP trainings may increase knowledge of FAP principles as measured through self-report and analogue tasks; however, no research examines reported changes in therapists’ interpersonal behavior in or out of session. We believe that an 8-week FAP training will increase therapist use of effective interpersonal behavior (tCRB2) and decrease therapist maladaptive behavior (tCRB1). Four newly graduated and graduate-level therapists attended an 8-week FAP training. Using an AB single-subject design, we examined the frequency of targeted interpersonal behavior. Results indicated that FAP trainings may have an impact on therapists’ daily life behaviors as demonstrated through changes in weekly frequency counts. Although the design includes significant limitations (see Discussion), these data provide some support for the utility of 1 theorized function of FAP trainings.
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