In most talk therapies for outpatient adults, the therapist has no control over the client’s daily life or contingencies outside the treatment session. The fundamental theoretical issue facing the behavior analyst is, “How can the talking that goes on during the session help the client with problems that occur outside the session in the client’s daily life?” An historical analysis and the application of verbal behavior principles are used to answer the question and form the basis of clinical behavior analysis (CBA). The implications of CBA range from providing a theoretical base for psychotherapy to suggesting new forms of treatment.
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Augustson, E., & Dougher, M. J. (1992, May). Transfer of respondent-eliciting and avoidance-evoking functions via stimulus equivalence classes. In M. J. Dougher (Chair), Stimulus equivalence and the transfer of function. Symposium presented at the annual meeting of the Association for Behavior Analysis, San Francisco.
Ayllon, T., & Azrin, N. H. (1965). The measurement and reinforcement of behavior of psychotics. Journal of the Experimental Analysis of Behavior, 8, 357–387.
Barlow, D. H. (1981). On the relation between clinical research and clinical practice: Current issues, new directions. Journal of Consulting and Clinical Psychology, 49(2), 137–155.
Blakely, E., & Schlinger, H. (1987). Rules: Function-altering contingency-specifying stimuli. The Behavior Analyst, 10, 183–187.
Catania, A. C., Matthews, B. A., & Shimoff, E. (1990). Properties of rule-governed behavior and their implications. In D. E. Blackman & H. Lejeune (Eds.), Behavior analysis in theory and practice: Contributions and controversies (pp. 215–230). Hove, England: Erlbaum.
Cautela, J. R. (1970). Covert reinforcement. Behavior Therapy, 1, 33–50.
Cerutti, D. T. (1989). Discrimination theory of rule-governed behavior. Journal of the Experimental Analysis of Behavior, 51, 259–276.
Ciminero, A. R., Calhoun, S. K., & Adams, H. E. (1977). Handbook of behavioral assessment. New York: Wiley.
Conger, J. C., & Conger, A. J. (1982). Components of heterosocial competence. In J. P. Curran & P. M. Monti (Eds.), Social skills training (pp. 313–347). New York: Guilford.
Dougher, M. J. (in press-a). The act of acceptance. In S. C. Hayes, N. J. Jacobson, V. Follette, & M. J. Dougher (Eds.), Acceptance and change. Reno, NV: Context Press.
Dougher, M. J. (in press-b). On the advantages and implications of a radical behavioral perspective on private events for the behavior therapist. The Behavior Therapist.
Dougher, M. J., Crossen, R. J., & Garland, R. J. (1986). An experimental test of Cautela’s operant account of covert sensitization. Behavioral Psychotherapy, 14, 226–248.
Ferster, C. B. (1972a). An experimental analysis of clinical phenomena. The Psychological Record, 22, 1–16.
Ferster, C. B. (1972b). Psychotherapy from the standpoint of a behaviorist. In J. D. Keehn (Ed.), Psychopathology in animals: Research and clinical implications (pp. 279–304). New York: Academic Press.
Gatch, M. B., & Osborne, J. G. (1989). Transfer of contextual stimulus function via equivalence class development. Journal of the Experimental Analysis of Behavior, 51, 369–378.
Glenn, S. (1983). Maladaptive functional relations in client verbal behavior. The Behavior Analyst, 6, 47–56.
Goldfried, M. R., & Davison, G. C. (1976). Clinical behavior therapy. New York: Holt, Rinehart & Winston.
Green, G., Sigurdardottir, Z. G., & Saunders, R. R. (1991). The role of instructions in the transfer of ordinal functions through equivalence classes. Journal of the Experimental Analysis of Behavior, 55, 287–304.
Hamilton, S. A. (1988). Behavioral formulations of verbal behavior in therapy. Clinical Psychology Review, 8, 181–193.
Hayes, S. C. (1987). A contextual approach to therapeutic change. In N. S. Jacobson (Ed.), Psychotherapists in clinical practice: Cognitive and behavioral perspectives (pp. 327–387). New York: Guilford.
Hayes, S. C., Afari, N., McCurry, S. M., & Wilson, K. (May, 1990). The efficacy of comprehensive distancing in the treatment of agoraphobia. Poster presented at the 16th annual convention of the Association for Behavior Analysis, Nashville, TN.
Hayes, S. C., & Brownstein, A. J. (1986). Mentalism, behavior-behavior relations, and a behavior-analytic view of the purpose of science. The Behavior Analyst, 9, 175–190.
Hayes, S. C., & Hayes, L. J. (1989). The verbal action of the listener as a basis for rule-governance. In S. C. Hayes (Ed.), Rule-governed behavior: Cognition, contingencies and instructional control (pp. 153–190). New York: Plenum Press.
Hayes, S. C., & Hayes, L. J. (1992). Verbal relations and the evolution of behavior analysis. American Psychologist, 47, 1383–1395.
Hayes, S. C., Kohlenberg, B. K., & Hayes, L. J. (1991). Transfer of consequential functions through simple and conditional equivalence classes. Journal of the Experimental Analysis of Behavior, 56, 119–137.
Jacobson, N. S. (1992). Behavioral couple therapy: A new beginning. Behavior Therapy, 23, 493–506.
Khorakiwala, D. (1991). An analysis of the process of client change in a contextual approach to therapy. Unpublished doctoral dissertation, University of Nevada, Reno.
Kohlenberg, B. S., Hayes, S. C., & Hayes, L. J. (1991). The transfer of contextual control over equivalence classes through equivalence classes: A possible model of social stereotyping. Journal of the Experimental Analysis of Behavior, 56, 505–518.
Kohlenberg, R. J., Hayes, S. C., & Tsai, M. (1993). Radical behavioral psychotherapy. Clinical Psychology Review, 13, 579–592.
Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York: Plenum.
Kohlenberg, R. J., & Tsai, M. (1993). Hidden meaning: A behavioral approach. The Behavior Therapist, 16, 80–82.
Kohlenberg, R. J., Tsai, M., & Kohlenberg, B. S. (in press). Functional analysis in behavior therapy. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification. Newbury Park, CA: Sage Publications.
Krasner, L. (1982). Behavior therapy: On roots, contexts, and growth. In G. T. Wilson & C. M. Franks (Eds.), Contemporary behavior therapy (pp. 11–62). New York: Guilford.
Lazar, R. M. (1977). Extending sequence class membership with matching to sample. Journal of the Experimental Analysis of Behavior, 27, 381–392.
Lazar, R. M., & Kotlarchyk, B. J. (1986). Second-order control of sequence-class equivalences in children. Behavioral Processes, 13, 205–215.
Linehan, M. M. (1993). Cognitive behavioral treatment of borderline personality disorder: The dialectics of effective treatment. New York: Guilford.
Lutzker, J., & Martin, G. (1981). Behavior change. Monterey, CA: Brooks/Cole Publishing Company.
McCurry, S. M. (1991). Client metaphor use in a contextual form of therapy. Unpublished doctoral dissertation, University of Nevada, Reno.
Messer, S. B. (1986). Behavioral and psychoanalytic perspectives at therapeutic choice points. American Psychologist, 41, 1261–1272.
O’Leary, K. D., & Becker, W. C. (1967). Behavior modification of an adjustment class: A token reinforcement program. Exceptional Children, 33, 637–642.
Reisinger, J. J. (1972). The treatment of anxiety-depression via positive reinforcement and response cost. Journal of Applied Behavior Analysis, 5, 125–130.
Safran, J. D. (1990). Towards a refinement of cognitive therapy in light of interpersonal theory: I. Theory. Clinical Psychology Review, 10, 87–105.
Schlinger, H. D., Jr. (1993). Separating discriminative and function-altering effects of verbal stimuli. The Behavior Analyst, 16, 9–24.
Scott, R., Himadi, W., & Keane, T. (1983). Generalization of social skills. In M. Hersen, R. Eisler, & P. Miller (Eds.), Progress in behavior modification (Vol. 15, pp. 114–172). New York: Academic Press.
Sidman, M., Wynne, C. K., Maguire, R. W., & Barnes, T. (1989). Functional classes and equivalence relations. Journal of the Experimental Analysis of Behavior, 52, 261–274.
Skinner, B. F. (1953). Science and human behavior. New York: Macmillan.
Skinner, B. F. (1957). Verbal behavior. New York: Appleton-Century-Crofts.
Watson, J. B., & Rayner, M. (1920). Conditioned emotional reactions. Journal of Experimental Psychology, 3, 1–14.
Wolf, M. M., Risley, T., & Mees, H. L. (1964). Application of operant conditioning procedures to the behavior problems of an autistic child. Behaviour Research and Therapy, 1, 305–312.
Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.
Wulfert, E., & Hayes, S. C. (1988). Transfer of a conditioned ordering response through conditional equivalence classes. Journal of the Experimental Analysis of Behavior, 50, 489–504.
Zettle, R. D. (1984). Cognitive therapy of depression: A conceptual and empirical analysis of component and process issues. Unpublished doctoral dissertation, University of North Carolina at Greensboro, Greensboro, NC.
Zettle, R. D., & Hayes, S. C. (1982). Rule-governed behavior: A potential theoretical framework for cognitive-behavior therapy. In P. C. Kendall (Ed.), Advances in cognitive-behavioral research and therapy (Vol. 1, pp. 73–118). New York: Academic Press.
Zettle, R. D., & Raines, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438–445.
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Kohlenberg, R.J., Tsai, M. & Dougher, M.J. The Dimensions of Clinical Behavior Analysis. BEHAV ANALYST 16, 271–282 (1993). https://doi.org/10.1007/BF03392636
- clinical behavior analysis
- verbal behavior
- behavior therapy