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Psychoanalytic Therapy and Behavior Therapy pp 139–170Cite as

Integration of Psychodynamic and Behavioral Psychotherapies

Conceptual versus Empirical Syntheses

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Abstract

Integrationism refers to the combination of alternative views or conceptual positions into a unified whole. In the context of clinical psychology, several areas can be identified in which alternative and seemingly conflicting conceptual positions are undergoing integration. Efforts toward integration might be viewed as a pervasive ecumenical spirit or heightened scholarship among professionals whose views have been in opposition. However, underlying the spirit of compromise and openness is the stark realization that simple answers to major questions and narrow conceptual positions do not begin to explain current evidence in many areas of research. The complexity of the findings in many areas within clinical psychology have helped foster an increased receptivity to integrationism and eclecticism.

Keywords

  • Behavior Therapy
  • Target Behavior
  • Oppositional Behavior
  • Overt Behavior
  • Therapeutic Change

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Completion of this chapter was supported is part by a Research Scientist Development Award (MH 00353) and a grant (MH 35408) provided by the National Institute of Mental Health.

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References

  • Alexander, F. The dynamics of psychotherapy in light of learning theory. American Journal of Psychiatry, 1963, 120, 440–448.

    PubMed  Google Scholar 

  • Alexander, F., & French, R. M. Psychoanalytic therapy: Principles and applications. New York: Ronald, 1946.

    Google Scholar 

  • Alexander, J. F., Barton, C., Schiavo, R. S., & Parsons, B. V. Systems-behavioral intervention with families of delinquents: Therapist characteristics, family behavior, and outcome. Journal of Consulting and Clinical Psychology, 1976, 44, 656–664.

    PubMed  Google Scholar 

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders( 3rd ed. ). Washington, D.C.: American Psychiatric Association, 1980.

    Google Scholar 

  • Appelbaum, S. A. A psychoanalyst looks at gestalt therapy. In C. Hatcher & P. Himmelstein (Eds.), The handbook of gestalt therapy. New York: Aronson, 1976.

    Google Scholar 

  • Bandura, A . Principles of behavior modification. New York: Holt, Rinehart & Winston, 1969.

    Google Scholar 

  • Bandura, A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 1977, 84, 191–215. (a)

    PubMed  Google Scholar 

  • Bandura, A. Principles of behavior modification. New York: Holt, Rinehart & Winston, 1969.

    Google Scholar 

  • Bandura, A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 1977, 84, 191–215. (a)

    PubMed  Google Scholar 

  • Bandura, A. Social learning theory. Englewood Cliffs, N.J.: Prentice-Hall, 1977. (b)

    Google Scholar 

  • Bandura, A., Adams, N. E., & Beyer, J. Cognitive processes mediating behavioral change. Journal of Personality and Social Psychology, 1977 35, 125–139.

    PubMed  Google Scholar 

  • Bandura, A., Adams, N. E., & Beyer, J. Cognitive processes mediating behavioral change. Journal of Personality and Social Psychology, 1977 35, 125–139.

    PubMed  Google Scholar 

  • Bandura, A., Adams, N. E., Hardy, A. B., & Howells, G. N. Tests of generality of self-efficacy Theory. Cognitive Therapy and Research, 1980, 4, 39–66.

    Google Scholar 

  • Becker, J. V., Turner, S. M., & Sajwaj, T. E. Multiple behavioral effects of the use of lemon Juice with a ruminating toddler-age child. Behavior Modification, 1978, 2, 267–278.

    Google Scholar 

  • Bergin, A. E., & Lambert, M. J. The evaluation of therapeutic outcomes. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behavior change: An empirical analysis(2nd ed.). New York: Wiley, 1978.

    Google Scholar 

  • Biran, M., & Wilson, G. T. Treatment of phobic disorders using cognitive and exposure methods: A self-efficacy analysis. Journal of Consulting and Clinical Psychology, 1981, 49, 886–899.

    PubMed  Google Scholar 

  • Blanchard, E. B., & Hersen, M. Behavioral treatment of hysterical neurosis: Symptom substitution and symptom return. Psychiatry, 1976, 39, 118–129.

    PubMed  Google Scholar 

  • Boersma, K., Den Hengst, S., Dekker, J., & Emmelkamp, P. M. G. Exposure and response prevention in the natural environment: A comparison with obsessive-compulsive patients. Behaviour Research and Therapy, 1976, 14, 19–24.

    PubMed  Google Scholar 

  • Bookbinder, L. J . Simple conditioning versus the dynamic approach to symptoms and symptom substitution: A reply to Yates. Psychological Reports, 1962, 10, 71–77.

    Google Scholar 

  • Breger, L., & Mcgaugh, J. L. Critique and reformulation of “learning theory” approaches to psychotherapy and neurosis. Psychological Bulletin, 1965, 63, 338–358.

    PubMed  Google Scholar 

  • Cahoon, D. D . Symptom substitution and the behavior therapies: Reappraisal. Psychological Bulletin, 1968, 69, 149–156.

    PubMed  Google Scholar 

  • Crisp, A. H . “Transference,” “symptom emergence,” and “social repercussion” in behaviour therapy. British Journal of Medical Psychology, 1966, 39, 179–196.

    PubMed  Google Scholar 

  • Declemente, C. C . Self-efficacy and smoking cessation maintenance: A preliminary report. Cognitive Therapy and Research, 1981, 5, 175–187.

    Google Scholar 

  • Devoge, J. T., & Beck, S. The therapist-client relationship in behavior therapy. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification(Vol. 6 ). New York: Academic Press, 1978.

    Google Scholar 

  • Dollard, J., & Miller, N. E. Personality and psychotherapy. New York: mcgraw-Hill, 1950.

    Google Scholar 

  • Donner, L. Automated group desensitization—A follow-up report. Behaviour Research and Therapy, 1970, 8, 241–247.

    PubMed  Google Scholar 

  • Ellis, A. Reason and emotion in psychotherapy. New York: Lyle Stuart Press, 1962.

    Google Scholar 

  • Emmelkamp, P. M. G. The behavioral study of clinical phobias. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification(Vol. 8 ). New York: Academic Press, 1979.

    Google Scholar 

  • Endler, N. S., & Magnusson, D. (Eds.). Interactional psychology and personality. Washington, D.C.: Hemisphere, 1976. (a)

    Google Scholar 

  • Endler, N. S., & Magnusson, D. Toward an interactional psychology of personality. Psychological Bulletin, 1976, 83, 956–974. (b)

    PubMed  Google Scholar 

  • Eysenck, H. J. Learning theory and behaviour therapy. Journal of Mental Science, 1959, 105, 61–75.

    PubMed  Google Scholar 

  • Eysenck, H. J. (Ed.). Behavior therapy and the neuroses. New York: Pergamon, 1960.

    Google Scholar 

  • Feather, B. W., & Rhoads, J. M. Psychodynamic behavior therapy. I. Theory and rationale. Archives of General Psychiatry, 1972, 26, 496–502 (a).

    PubMed  Google Scholar 

  • Feather B. W ., & Rhoads, J. M. Psychodynamic behavior therapy. II. Clinical aspects. Archives of General Psychiatry, 1972, 26, 503–511 (b).

    PubMed  Google Scholar 

  • Fenichel, O . Problems of psychoanalytic technique. Albany, N.Y.: Psychoanalytic Quarterly, 1941.

    Google Scholar 

  • Foa, E. B., & Steketee, G. Emergent fears during treatment of three obsessive compulsives: Symptom substitution or deconditioning ? Journal of Behavior Therapy and Experimental Psychiatry, 1977, 8, 353–358.

    Google Scholar 

  • Ford, J. D . Therapeutic relationship in behavior therapy: An empirical analysis. Journal of Consulting and Clinical Psychology, 1978, 46, 1302–1314.

    Google Scholar 

  • Frank, J. D. Persuasion and healing. Baltimore: Johns Hopkins University Press, 1961.

    Google Scholar 

  • Frank, J. D. Persuasion and healing: A comparative study of psychotherapy( 2nd ed. ). Baltimore: Johns Hopkins University Press, 1973.

    Google Scholar 

  • Frank, J. D. Therapeutic components shared by all psychotherapies. In J. H. Harvey & M. M. Parks (Eds.), Psychotherapy research and behavior change(Vol. 1 ). The master lecture series. Washington, D.C.: American Psychological Association, 1982.

    Google Scholar 

  • French, T. M. Interrelations between psychoanalysis and the experimental work of Pavlov. American Journal of Psychiatry, 1933, 89, 1165–1203.

    Google Scholar 

  • Freud, S. The problem of anxiety. New York: Norton, 1936.

    Google Scholar 

  • Garfield, S. L. Eclecticism and integration in psychotherapy. Behavior Therapy, 1982, 13, 610–623.

    Google Scholar 

  • Garfield, S. L., & Kurtz, R. Clinical psychologists in the 1970s. American Psychologist, 1976, 31, 1–9.

    Google Scholar 

  • Goldfried, M. R. Toward the delineation of therapeutic change principles. American Psychologist, 1980, 35, 991–999.

    PubMed  Google Scholar 

  • Goldfried, M. R. (Ed.). Converging themes in psychotherapy: Trends in psychodynamic, humanistic, and behavioral practice. New York: Springer, 1982. (a)

    Google Scholar 

  • Goldfried, M. R . On the history of therapeutic integration. Behavior Therapy, 1982, 13, 572–593. (b)

    Google Scholar 

  • Goldfried, M. R., & Padawer, W. Current status and future directions in psychotherapy. In M. R. Goldfried (Ed.), Converging themes in psychotherapy: Trends in psychodynamic, humanistic, and behavioral practice. New York: Springer, 1982.

    Google Scholar 

  • Haley, J. Strategies of psychotherapy. New York: Grune & Stratton, 1963.

    Google Scholar 

  • Hand, I., & Lamontagne, Y. The exacerbation of interpersonal problems after rapid phobia removal. Psychotherapy: Theory, Research and Practice, 1976, 13, 405–411.

    Google Scholar 

  • Herink, R. (Ed.). The psychotherapy handbook. New York: New American Library, 1980.

    Google Scholar 

  • Herzberg, A. Active psychotherapy. New York: Grune & Stratton, 1945.

    Google Scholar 

  • Kara, A., & Wahler, R. B. Organizational features of a young child’s behaviors. Journal of Experimental Child Psychology, 1977, 24, 24–39.

    Google Scholar 

  • Kazdin, A. E . Fictions, factions, and functions of behavior therapy. Behavior Therapy, 1979, 10, 629–654.(a)

    Google Scholar 

  • Kazdin, A. E . Imagery elaboration and self-efficacy in the covert modeling treatment of assertive behavior. Journal of Consulting and Clinical Psychology, 1979, 47, 725–733. (b)

    PubMed  Google Scholar 

  • Kazdin, A. E . Symptom substitution, generalization, and response covariation: Implications for psychotherapy outcome. Psychological Bulletin, 1982, 91, 349–365.

    PubMed  Google Scholar 

  • Kazdin, A. E., & Mascitelli, S. Behavioral rehearsal, self-instructions, and homework practice in developing assertiveness. Behavior Therapy, 1982, 13, 346–350. (a)

    Google Scholar 

  • Kazdin, A. E., & Mascitelli, S. Covert and overt rehearsal and homework practice in developing assertiveness. Journal of Consulting and Clinical Psychology, 1982, 59, 250–258. (b)

    Google Scholar 

  • Kazdin, A. E., & Wilson, G. T. Evaluation of behavior therapy: Issues, evidence, and research strategies. Cambridge, Mass.: Ballinger, 1978.

    Google Scholar 

  • Kelly, E. L., Goldberg, L. R., Fiske, D. W., & Kilkowski, J. M. Twenty-five years later: A follow-up study of the graduate students in clinical psychology assessed in the VA selection research project. American Psychologist, 1978, 33, 746–755.

    Google Scholar 

  • Kendall, P. C., & Hollon, S. D. (Eds.). Cognitive-behavioral interventions: Theory, research, and procedures. New York: Academic Press, 1979.

    Google Scholar 

  • Keyser, V., & Barling, J. Determinants of children’s self-efficacy beliefs in an academic environment. Cognitive Therapy and Research, 1981, 5, 29–40.

    Google Scholar 

  • Kirsch, I . “Microanalytic” analyses of efficacy expectations as predictors of performance. Cognitive Therapy and Research, 1980, 4, 259–262.

    Google Scholar 

  • Klien, M. H., Dittman, A. T., Parloff, M. B., & Gill, M. M. Behavior therapy: Observations and reflections. Journal of Consulting and Clinical Psychology, 1969, 33, 259–266.

    Google Scholar 

  • Kubie, L. S. Relation of the conditioned reflex to psychoanalytic technic. Archives of Neurology and Psychiatry, 1934, 32, 1137–1142.

    Google Scholar 

  • Luborsky, L., Singer, B., & Luborsky, L. Comparative studies of psychotherapies: Is it true that “everyone has won and all must have prizes” ? Archives of General Psychiatry, 1975, 32, 995–1008.

    PubMed  Google Scholar 

  • Mahoney, M. J. Cognition and behavior modification. Cambridge, Mass.: Ballinger, 1974.

    Google Scholar 

  • Marmor, J., & Woods, S. M. (Eds.). The interface between psychodynamic and behavioral therapies. New York: Plenum Press, 1980.

    Google Scholar 

  • Martin, D. B . Learning-based client-centered therapy. Monterey, Calif.: Brooks/Cole, 1972.

    Google Scholar 

  • Meichenbaum, D. Cognitive-behavior modification: An integrative approach. New York: Plenum Press, 1977.

    Google Scholar 

  • Messer, S. B., & Winokur, M. Some limits to the integration of psychoanalysis and behavior therapy. American Psychologist, 1980, 35, 818–827.

    PubMed  Google Scholar 

  • National Institute of Mental Health, Report of the Research Task Force. Research in the service of mental health. DHEW Publication (No. 75–236 ). Rockville, Md.: DHEW, 1975.

    Google Scholar 

  • Paul, G. L. Insight vs. Desensitization in psychotherapy two years after termination. Journal of Consulting Psychology, 1967, 31, 333–348.

    PubMed  Google Scholar 

  • Paul, G. L. Two-year follow-up of systematic desensitization in therapy groups. Journal of Abnormal Psychology, 1968, 73, 119–130.

    PubMed  Google Scholar 

  • Pervin, L. The representative design of person-situation research. In D. Magnusson & N. S. Endler (Eds.), Personality at the crossroads: Current issues in interactional psychology. Hillsdale, N.J.: Erlbaum, 1977.

    Google Scholar 

  • Rachman, S. J . (Ed.). Perceived self-efficacy: Analyses of Bandura’s theory of behavioural change. Advances in Behaviour Research and Therapy, 1978, 1, 137 – 269.

    Google Scholar 

  • Rachman, S. J., & Wilson, G.T. The effects of psychological therapy(2nd ed.). Oxford: Pergamon,1980.

    Google Scholar 

  • Rapaport, D . The structure of psychoanalytic theory: A systematizing attempt. In S. Koch (Ed.), Psychology: A study of a science(Vol. 1). New York: mcgraw-Hill, 1959.

    Google Scholar 

  • Rehm, L. P. (Ed.). Behavior therapy for depression: Present status and future directions. New York: Academic Press, 1981.

    Google Scholar 

  • Ryle, A. A common language for the psychotherapies? British Journal of Psychiatry, 1978, 132, 585 – 594.

    PubMed  Google Scholar 

  • Sajwaj, T., Twardosz, S., & Burke, M. Side effects of extinction procedures in a remedial preschool. Journal of Applied Behavior Analysis, 1972, 5, 163–175.

    PubMed  Google Scholar 

  • Salter, A. Conditioned reflex therapy. New York: Straus & Young, 1949.

    Google Scholar 

  • Sarason, I. G. Three lacunae of cognitive therapy. Cognitive Therapy and Research, 1979, 3, 223 – 235.

    Google Scholar 

  • Shapiro, D. A., & Shapiro, D. Meta-analysis of comparative studies: A replication and refinement. Paper presented at annual meeting of the Society of Psychotherapy Research, Aspen, Colorado, June 1981

    Google Scholar 

  • Shelton, J. L., & Levy, R. L. (Eds.). Behavioral assignments and treatment compliance: A handbook of clinical strategies. Champaign, III.: Research Press, 1981. (a)

    Google Scholar 

  • Shelton, J. L., & Levy, RL. A survey of the reported use of assigned homework activities in contemporary behavior therapy literature. The Behavior Therapist, 1981, 4(4), 13–14. (b)

    Google Scholar 

  • Sloane, R. B., Staples, F. R., Cristol, A. H., Yorkston, N. J., & Whipple, K. Psychotherapy versus behavior therapy. Cambridge: Harvard University Press, 1975.

    Google Scholar 

  • Smith, D. Trends in counseling and psychotherapy. American Psychologist, 1982, 37, 802–809.

    PubMed  Google Scholar 

  • Smith, M. L., Glass, G. V. Meta-analysis of psychotherapy outcome studies. American Psychologist, 1977, 32, 752–760.

    PubMed  Google Scholar 

  • Smith, M. L., Glass, G. V., & Miller, T. I. The benefits of psychotherapy. Baltimore: Johns Hopkins University Press, 1980.

    Google Scholar 

  • Solyom, L., Heseltine, G. F. D., Mcclure, D. J., Ledwidge, B., & Kenny, F. A comparative study of aversion relief and systematic desensitization in the treatment of phobias. British Journal of Psychiatry, 1971, 119, 299–303.

    PubMed  Google Scholar 

  • Stoudenmire, J. Behavioral treatment of voyeurism and possible symptom substitution. Psychotherapy: Theory, Research and Practice, 1973, 10, 328–330.

    Google Scholar 

  • Thoresen, C. E. Behavioral humanism. In C. E. Thoresen (Ed.), Behavior modification in education. Chicago: University of Chicago Press, 1973.

    Google Scholar 

  • Ullmann, L. P., & Krasner, L. (Eds.). Case studies in behavior modification. New York: Holt, Rinehart & Winston, 1965.

    Google Scholar 

  • Voeltz, L. M., & Evans, I. M. The assessment of behavioral interrelationships in child behavior therapy. Behavioral Assessment, 1982, 4, 131–165.

    Google Scholar 

  • Wachtel, P. L. Psychoanalysis and behavior therapy: Toward an integration. New York: Basic Books, 1977.

    Google Scholar 

  • Wachtel, P. L. What can dynamic therapies contribute to behavior therapy? Behavior Therapy, 1982, 13, 594–609.

    Google Scholar 

  • Wadnersman, A., Poppen, P., & Ricks, D. (Eds.). Humanism and behaviorism: Dialogue and growth. Oxford: Pergamon, 1976.

    Google Scholar 

  • Wahler, R. G. Some structural aspects of deviant child behavior. Journal of Applied Behavior Analysis, 1975, 8, 27–42.

    PubMed  Google Scholar 

  • Wahler, R. G., & Fox, J. J. Solitary toy play and time out: A family treatment package for children with aggressive and oppositional behavior. Journal of Applied Behavior Analysis, 1980, 13, 23–39. (a)

    PubMed  Google Scholar 

  • Wahler, R. G., & Fox, J. J. Response structure in deviant child-parent relationships: Implications for family therapy. Paper presented to the Nebraska Symposium on Motivation, University of Nebraska, Lincoln, October 1980. (b)

    Google Scholar 

  • Wahler, R. G., Berland, R. M., & Coe, T. D. Generalization processes in child behavior change. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child psychology(Vol. 2 ). New York: Plenum Press, 1979.

    Google Scholar 

  • Weitzman, B. Behavior therapy and psychotherapy. Psychological Review, 1967, 74, 300–317.

    PubMed  Google Scholar 

  • Woody, R. H. Psychobehavioral counseling and therapy: Integrating behavioral and insight techniques. New York: Appleton-Century-Crofts, 1971.

    Google Scholar 

  • Yates, A. J. Symptoms and symptom substitution. Psychological Review, 1958, 65, 371–374.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, 15261, USA

    Alan E. Kazdin

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Editors and Affiliations

  1. University of Arizona, Tucson, Arizona, USA

    Hal Arkowitz

  2. Rutgers University, New Brunswick, New Jersey, USA

    Stanley B. Messer

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Kazdin, A.E. (1984). Integration of Psychodynamic and Behavioral Psychotherapies. In: Arkowitz, H., Messer, S.B. (eds) Psychoanalytic Therapy and Behavior Therapy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2733-2_9

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