The therapist contingent responding to clinically relevant behaviors (CRB) corresponds to Functional Analytic Psychotherapy (FAP) mechanism of change. The clinical procedures are summarized in five rules to therapists, which aim to maximize the frequency of CRBs. FAP logical interaction presents the five rules deployed in 12 steps, which describe therapist's behaviors and their effects on client's behaviors. Despite of the advances reached through refinement in FAP description and the empirical validation of FAP' mechanism of change, the task of specifying therapist contingent responding is still unfinished. The purpose of this paper is to present FAP logical framework and discuss proposing an operationalization alternative to the therapist contingent responding to clinically relevant behaviors related to the clinical problem. The methods consisted in examining FAP logical framework steps to elucidate courses of actions for the therapist in response to the clinical problem. Four courses of action for the therapist are listed and illustrated with verbalizations extracted from recordings of client-therapist interactions. Possible undesirable effects caused by the discontinuing of reinforcement are discussed and questions for future studies are suggested.
The current study aims to evaluate the possible effects of interrupting problematic clinically relevant behaviors on the percentage of these responses and of clinical improvement-related responses. Two clients were treated with Functional Analytic Psychotherapy (FAP), alternating two conditions (ABAB). On condition A, procedures to the therapist consisted of responding to the clinical improvement responses, and to description of outside of therapeutic setting behaviors, but therapists were advised to ignore problem behaviors emitted in session. During condition B, therapists followed the same procedures, but they were oriented to block (interrupt) problematic responses emitted in session. Results suggest increase in the percentage of problem behaviors during condition B. Results are discussed, highlighting the viability of planning the contingent response the therapist emits to clinically relevant behaviors.
A teoria dos fatores comuns sustenta a existência de variáveis comuns responsáveis pela equivalência dos resultados entre as diversas abordagens de intervenção. A literatura indica que parte considerável da variação nos resultados de um tratamento pode ser explicada por fatores ditos fatores comuns ou fatores da relação terapêutica e boa parte deles são relacionados aos atributos do terapeuta. O movimento dos fatores comuns tomou força com o advento das proposições rogerianas. Além disso, as críticas à eficácia das psicoterapias também impulsionaram os estudos sobre os fatores comuns. Recentemente, dados empíricos chamam a atenção para as características de um terapeuta naturalmente reforçador de melhoras do cliente. O objetivo do presente estudos foi identificar a menção dos fatores comuns ao longo do tempo pela terapias comportamentais. O método consistiu em conduzir uma revisão sistemática, verificando a menção de fatores comuns em periódicos representativos da Análise Comportamental Clínica. Os resultados indicaram que 21 dos 27 artigos selecionados se referiram à relação terapêutica, havendo um expressivo crescimento de alusões aos termos com o advento da Análise Comportamental no campo da clínica. Quanto à expressão “fatores comuns” e correlatas, o número de citações foi baixo. Discute-se a atenção crescente, ao longo dos anos, por parte da Análise Comportamental Clínica aos aspectos da relação terapêutica.
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