A behavior-analytic account of depression and a case report using acceptance-based procedures

Although roughly 6% of the general population is affected by depression at some time during their lifetime, the disorder has been relatively neglected by behavior analysts. The preponderance of research on the etiology and treatment of depression has been conducted by cognitive behavior theorists and biological psychiatrists and psychopharmacologists interested in the biological substrates of depression. These approaches have certainly been useful, but their reliance on cognitive and biological processes and their lack of attention to environment-behavior relations render them unsatisfactory from a behavior-analytic perspective. The purpose of this paper is to provide a behavior-analytic account of depression and to derive from this account several possible treatment interventions. In addition, case material is presented to illustrate an acceptance-based approach with a depressed client.     

A behavior-analytic critique of Bandura's self-efficacy theory

A behavior-analytic critique of self-efficacy theory is presented. Self-efficacy theory asserts that efficacy expectations determine approach behavior and physiological arousal of phobics as well as numerous other clinically important behaviors. Evidence which is purported to support this assertion is reviewed. The evidence consists of correlations between self-efficacy ratings and other behaviors. Such response-response relationships do not unequivocally establish that one response causes another. A behavior-analytic alternative to self-efficacy theory explains these relationships in terms of environmental events. Correlations between self-efficacy rating behavior and other behavior may be due to the contingencies of reinforcement that establish a correspondence between such verbal predictions and the behavior to which they refer. Such a behavior-analytic account does not deny any of the empirical relationships presented in support of self-efficacy theory, but it points to environmental variables that could account for those relationships and that could be manipulated in the interest of developing more effective treatment procedures.     

Behavioral analysis of clinical cases

The behavior-analytic approach to clinical phenomena is presented. An operationalized framework for conducting behavioral analysis with clinical cases is provided. Idiographic analysis and treatment innovation are conceptualized and conducted within the framework of the experimental method. Differences between technological and behavior-analytic approaches are illustrated.     

A behavior-analytic account of cognitive bias in clinical populations

Cognitive bias refers to a well-established finding that individuals who suffer from certain clinical problems (e.g., depression, anxiety, posttraumatic stress disorder, substance abuse, etc.) selectively attend to, remember, and interpret events relevant to their condition. Although a body of literature exists that has tried to examine this phenomenon, most existing explanations are mentalistic and mediational. In this paper we offer a behavior-analytic account of cognitive bias, its development, and how it may contribute to maintenance of clinical problems. This account is based on establishing operations or motivating events, verbal processes, and relational responding. Clinical and future research implications are also discussed.     

Establishing operations, cognition, and emotion

In this paper we argue that behavior analysts have tended to neglect the study of important aspects of complex human behavior, including cognition and emotion. This relative neglect has been costly in terms of mainstream psychology's perception of the field of behavior analysis and in terms of our ability to provide a more thorough account of human behavior. Observations and findings from the clinical context are offered as examples of behavior that are not readily explained by the three-term contingency, and we argue that an adequate account of these behaviors must include principles derived from recent behavior-analytic work, in particular a better understanding of the short- and long-term effects of establishing operations. The concept of the establishing operation and its implications for understanding complex human behavior are discussed.     

Derived transformation of children's pregambling game playing

Contemporary behavior-analytic perspectives on gambling emphasize the impact of verbal relations, or derived relational responding and the transformation of stimulus functions, on the initiation and maintenance of gambling. Approached in this way, it is possible to undertake experimental analysis of the role of verbal/mediational variables in gambling behavior. The present study therefore sought to demonstrate the ways new stimuli could come to have functions relevant to gambling without those functions being trained directly. Following a successful derived-equivalence-relations test, a simulated board game established high- and low-roll functions for two concurrently presented dice labelled with members of the derived relations. During the test for derived transformation, children were reexposed to the board game with dice labelled with indirectly related stimuli. All participants except 1 who passed the equivalence relations test selected the die that was indirectly related to the trained high-roll die more often than the die that was indirectly related to low-roll die, despite the absence of differential outcomes. All participants except 3 also gave the derived high-roll die higher liking ratings than the derived low-roll die. The implications of the findings for behavior-analytic research on gambling and the development of verbally-based interventions for disordered gambling are discussed.     

The Analysis of Single-Case Research Data: Current Instructional Practices

Visual analysis is the predominant method of analysis in single-case research (SCR). However, most research suggests that agreement between visual analysts is poor, which may be due to a lack of clear guidelines and criteria for visual analysis, as well as variability in how individuals are trained. We developed a survey containing questions about the content and methods used to teach visual and statistical analysis of SCR data in verified course sequences (VCS) and distributed it via the VCS Coordinator Listserv. Thirty-seven instructors completed the survey. Results suggest that there is variability across instructors in some fundamental aspects of data analysis (e.g., number of effects required for a functional relation) but a great deal of consistency in others (e.g., emphasizing visual over statistical analysis). We discuss our results along with their implications both for teaching students to analyze SCR data and for conducting additional research on behavior-analytic training programs.

     

Novelty, stimulus control, and operant variability

Although behavior analysis has been criticized for failure to account for response novelty, many common behavior-analytic concepts and processes (e.g., selectionism, the operant, reinforcement, and stimulus control) assume variability both in the environment and in behavior. The importance of the relation between variability and novelty, particularly for verbal behavior, is discussed, and concepts used to account for novel behavior are examined. Experimental findings also are reviewed that suggest that variability in behavior can come under discriminative control, and these findings are applied to describe novel instances of behavior that may arise during problem solving. We conclude that variations provided and selected by the terms of the three-term contingency are powerful means for understanding novel behavior.     

Linguistic Analysis of College Aged Smokers and Never Smokers

College-aged adults represent the largest age group reporting current use of cigarettes. One factor that may account for these elevated smoking rates is tobacco advertisements targeting this population. Given the detrimental influence of smoking advertisements, it is essential to focus on counter measures. A unique and promising approach that may prove useful in preventing individuals from engaging in smoking behavior is to examine the manner in which individuals view smoking as well as how they view themselves. This study presents preliminary data on the use of Linguistic Inquiry and Word Count analysis to examine differences in language use among 48 college-aged smokers and never smokers when writing about the way they view themselves with regard to the dangers of smoking. Results revealed significant differences across a number of linguistic domains, indicating that the use of language may have implications for public health messages designed to prevent the onset of smoking, as well as those messages that target smoking cessation.     

Attitude-behavior congruity, mindfulness, and self-focused attention: A behavior-analytic reconstruction

Social psychologists have responded to research reporting low agreement between attitude measures and related behavior with attempts to explain the incongruities and enhance agreement. This article examines attitude-behavior incongruity from a behavior-analytic point of view. Traditional and behavior-analytic views of attitudes and behaviors are compared. In the behavior-analytic view, answering an attitude scale should be considered as behavior displayed by a person under rather unusual social conditions, not as a reflection of an enduring personal disposition. Reasons why questionnaire-answering behavior will not resemble behavior in other functionally different social conditions are reviewed. Special attention is extended to two representative lines of attitude-behavior research: mindfulness and self-focused attention. Discriminative stimuli in both areas of study have produced more predictable agreement between questionnaire-answering behavior and behavior in other settings.     

THIS IS NOT B. F. SKINNER'S BEHAVIOR ANALYSIS: A REVIEW OF HAYES,STROSAHL, AND WILSON'S ACCEPTANCE AND COMMITMENT THERAPY

Acceptance and Commitment Therapy (Hayes, Strosahl, & Wilson, 1999) is an important addition to and extension of the growing field of clinical behavior analysis. The book provides a comprehensive introduction to a new therapy that is rooted in functional contextualistic philosophy and a “post-Skinnerian” behavior-analytic theory of verbal behavior. It begins with the assertion that language or verbal processes are at the heart of psychopathology and human suffering and goes on to describe a therapeutic approach that seeks to undermine these verbal processes and facilitate clients' active commitment to value-driven behavior change. Along the way, the book provides a compelling behavior-analytic account of a number of important but neglected issues in behavior analysis, including human suffering, the nature and function of private events, the self, suicide, anxiety, depression, values, responsibility, and commitment. In so doing, the book cogently challenges the unfortunately common but erroneous assertion that behaviorism does not and perhaps cannot address the complexity of the human condition. The present review provides a general overview of the book, summarizes its chapters, and raises a number of questions that might be addressed in future research.     

Effects of rate building on fluent performance: a review and commentary

The use of rate-building procedures to encourage the production of high response rates and to develop fluency has been increasingly justified by research on precision teaching and automaticity. Rate-building procedures often ensure both speed and accuracy, and claims have been made that such procedures result in greater retention, persistence, and generalization of trained skills, as well as preference by students. Given the potential importance of these claims for behavior analysts and educators alike, this review assesses the validity, generality, and implications of research on rate building. The review revealed sparse empirical evidence that retention, persistence, and generalization of skills result from the use of rate-building procedures when the effects of practice and reinforcement rate are controlled. Given the results of this review, the implications are discussed in the context of behavior-analytic research (e.g., behavioral momentum), and further research is recommended.     

Essential readings for graduate students in behavior analysis: A survey of the JEAB and JABA boards of editors

We surveyed the editorial boards of the Journal of the Experimental Analysis of Behavior and the Journal of Applied Behavior Analysis in an attempt to construct an essential reading list for graduate students in behavior analysis. Respondents were asked to list up to 10 behavior-analytic journal articles, 10 behavior-analytic books, and 5 non-behavior-analytic books or journal articles that they felt were essential readings. Several behavior-analytic books were listed by members of both editorial boards, suggesting that an understanding of the philosophy of radical behaviorism and its basic principles are essential for graduate students. In contrast, a number of disparities point to differences in training and a lack of integration that may exist between basic and applied researchers. However, these disparities might also be indicative of the strength of behavior analysis. Finally, several non-behavior-analytic readings draw attention to the convergence of behavior analysis and other fields of study.     

AVERSIVE CONTROL: A SEPARATE DOMAIN?

Traditionally, aversive control has been viewed as a separate domain within behavior theory. Sometimes this separateness has been based upon a distinction between reinforcement and punishment, and sometimes upon a distinction between positive and negative reinforcement. The latter is regarded here as the more compelling basis, due to some inherent procedural asymmetries. An approach to the interpretation of negative reinforcement is presented, with indication of types of experiments that support it and that also point to promising directions for further work. However, most of the interpretive issues that arise here are relevant to positively reinforced behavior as well. These include: possible reformulation of the operant/respondent distinction; the place of emotional concepts in behavior analysis; the need for simultaneous, complementary analysis on differing time scales; the understanding of behavioral situations with rewarding or aversive properties that depend as much upon the contingencies that the situations involve as upon the primary rewarding or aversive stimuli that they include. Thus, an adequate understanding of this domain, which has been traditionally viewed as distinct, has implications for all domains of behavior-analytic theory.     

Experimental analysis of individual differences and personality

In psychological studies individual differences that result in variability in data and thus mask the effects under investigation have been reduced or eliminated in two ways: (1) through the use of large numbers of subjects and statistical manipulations, or (2) through extensive and controlled studies of individual subjects. The latter, behavior-analytic, method is scientifically better because it permits identification of the variables that result in individual differences. This paper advocates the direct study of individual differences and personality rather than indirect study through experimental control procedures. Some data are presented showing that individual differences in response patterns have orderly characteristics. Extension of the experimental analysis of behavior to the study of individual differences and personality is likely to be important both scientifically and for the future growth of behavior analysis.     

ASSESSMENT OF SMOKING BEHAVIOR

The nature of smoking risk is first reviewed and a classification of procedures for assessing smoking behavior is presented. Areas requiring assessment include not only the traditionally measured smoking rate, but also the substance used and topography of consumption. Each of these areas may be assessed through a variety of self-report, observational, or indirect techniques. These techniques as well as some of their advantages and disadvantages are presented. Recently published (1975 to mid-1978) data-based smoking research appearing in four journals (Addictive Behaviors, Behavior Therapy, Journal of Applied Behavior Analysis, and Journal of Consulting and Clinical Psychology) is then reviewed with respect to measurement reliability and the use of multiple measures. Results show a strong tendency to assess only the risk area of smoking rate and a low frequency of appropriate measurement reliability checks, especially during baseline and treatment phases. Some of the implications of these results are discussed.     

A comparison of three interventions for increasing oral reading performance: Application of the instructional hierarchy

The instructional hierarchy is a behavior-analytic model that links level of academic skill development (i.e., acquisition, fluency, generalization, adaptation) with appropriate instructional techniques. The present study used the instructional hierarchy to compare the effects of three instructional interventions (listening passage preview, subject passage preview, and taped words) on subjects' oral reading performance on word lists and passages. Subjects were 4 male students with learning disabilities who ranged in age from 8 years 10 months to 11 years 11 months. A multielement design was used to compare the effects of the three interventions to each other and to baseline. Results indicated that the listening passage preview intervention (which contained modeling, drill, and generalization components) produced the largest performance gains. The implications of these results for selecting academic interventions based on the instructional hierarchy are discussed.