Theories of Counseling: Behavioral Approaches

PowerPoint produced by Melinda Haley, M.S., New Mexico State University.

This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of an image over a network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Development of Behavioral Approaches

John Locke: Blank Slate

John Watson: Learned Neuroses B. F. Skinner: Operant Conditioning Ivan Pavlov: Classical Conditioning

Copyright Allyn & Bacon 2004

Behavioral Approaches
Basic Principles

Reinforcement: Rewards and Punishments. Shaping: Working with small, incremental changes. Measurement: Objective, measurable outcomes. Action: Dwells more on behaviors than thoughts.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Albert Ellis/Rational-Emotive Behavior Therapy (REBT)
Theoretical Constructs and Techniques

Focuses on dysfunctional, irrational, unrealistic and distorted thoughts. Feelings and behavior are also addressed. Unconditional acceptance is important. Ellis also believed in authenticity. Clients are encouraged to think rationally.
Copyright Allyn & Bacon 2004

Behavioral Approaches
Albert Ellis/Rational-Emotive Behavior Therapy (REBT)
Philosophy and Beliefs

Understanding belief systems is important. Belief systems are organized ways of thinking about reality. Belief systems affect ones self-view. The language a client uses, will speak to their philosophy and belief system.
Copyright Allyn & Bacon 2004

Behavioral Approaches
Albert Ellis/Rational-Emotive Behavior Therapy (REBT) Philosophy and Beliefs (continued)

Clients create their own emotional disturbances by believing in absolute and irrational beliefs. Clients can choose their belief system. Counselors can help clients by identifying irrational beliefs and helping the client find meaning in their lives.

Beliefs

Copyright Allyn & Bacon 2004

Behavioral Approaches
Albert Ellis/Rational-Emotive Behavior Therapy (REBT) Identifying Irrational Thinking

Helpless thinking is the result of irrational thinking. It usually includes all or nothing statements. It usually includes the words should, ought, never and must.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Albert Ellis/Rational-Emotive Behavior Therapy (REBT) Identifying Irrational Thinking (continued)
Five common irrational or dysfunctional ideas:
Life

isnt fair. Its awful. I cant stand it. I must get what I want. Im incompetent.
Copyright Allyn & Bacon 2004

Behavioral Approaches
Albert Ellis/Rational-Emotive Behavior Therapy (REBT)
A-B-C-D-E-F A = The activating event.

B = The irrational belief about the event.

C = The emotional consequence. D = Disputing the irrational beliefs. E = The emotional effect of disputing the belief. F = New feelings and behavior.
Copyright Allyn & Bacon 2004

Behavioral Approaches
Rational-Emotive Behavior Therapy and Multiculturalism

The therapy fails to address contextual-situational factors that adversely impact clients lives. REBT uses the ethnocentric approach to mental health care. Does not focus on the phenomenological experience of the client. Does not address the different ways irrational beliefs are manifested by the culturally different.

Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
The Basics

Instead of seeking to change behavior, Reality Therapy works on changing awareness of responsibility. Once responsibility is acknowledged by the client, it is then possible to work on behavior change. The locus of the decision is placed on the client.

Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
The Basics

The Reality therapist might borrow skills, techniques or ideas from other theories if it benefits the client. The Reality therapist will be himself or herself, use humor, sarcasm and confrontation in personal ways to assist the client in greater understanding.

Role-playing, systematic planning, and teaching intentional living are all important in Reality Therapy.
Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
The Basics

The client has control over his or her life, choices and personhood.

There is no need to explore a clients past because the past is over and the clients problems occur in the present.
Reality therapy puts the power into the clients hands and shows the client how he or she can help himself or herself.

Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
The Basics

The client and counselor explores the clients wants and needs. It focuses on conscious, planned behavior. The therapy focuses on responsibility and choice. Trust and the relationship between client and counselor are critical.

Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
The Basics

Since it is often used in institutions, the counselors communication of trust, warmth, respect and caring is especially important. Reality therapy helps clients look at the consequences of their own actions. This therapy is often used in settings other than the counseling office (e.g. playground or detention center) and is practiced by those other than counselors (e.g. teacher and prison guard).
Copyright Allyn & Bacon 2004

Thoughts

Behavioral Approaches
William Glasser/Reality Therapy//Choice Theory
Cognitive Aspects of Reality Therapy

Reality therapy aids the client in examining the types of thoughts he or she has about himself or herself and the external world. It helps clients exert control over their own actions, lives, choices and feelings. Clients choose misery and symptoms. This becomes a way a client has of dealing with the world (e.g. depressing, headaching).

Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
Cognitive Aspects of Reality Therapy

There are negative additions (e.g. drugs, stealing) and positive addictions (e.g. walking, meditation). We choose our addictions and therefore our fate. Reality therapy helps clients to: Explore their wants and how that relates to their needs; look at what they are doing to meet those needs; evaluate behaviors in relationship to those needs and helps the client plan to change behavior to more effectively meet needs.

Copyright Allyn & Bacon 2004

Behavioral Approaches
William Glasser/Reality Therapy/Choice Theory
Cognitive Aspects of Reality Therapy

There are negative additions (e.g. drugs, stealing) and positive addictions (e.g. walking, meditation). We choose our addictions and therefore our fate. Reality therapy helps clients to: Explore their wants and how that relates to their needs; look at what they are doing to meet those needs; evaluate behaviors in relationship to those needs and helps the client plan to change behavior to more effectively meet needs.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Reality Therapy and Multiculturalism

Many of the tenets of Reality therapy fits well with other cultures. Helping the client explore wants and needs keeps the focus on the clients values and concerns within the clients cultural context. Reality therapy challenges the client to see the self in relationship to his or her context. This includes the clients cultural context.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Donald Meichenbaums Ten Central Tenets of Cognitive Behavioral Therapy

Behavior is reciprocal between a clients thoughts, feelings, psychological processes and resultant consequences. Cognitions do not cause emotional difficulty. Counselors help clients understand how they construct and construe reality. CBT therapists dissuade from the rationalist or objectivist position. There is an emphasis on collaboration with the client.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Donald Meichenbaums Ten Central Tenets of Cognitive Behavioral Therapy (continued)

Relapse prevention is central to cognitive behavioral therapy. The client/therapist relationship is critical for change to occur. Emotions play a critical role in cognitive-behavioral therapy. CBT is used with couples and families.

CBT can be used in a variety of setting with a variety of issues.

Copyright Allyn & Bacon 2004

Behavioral Approaches
Applied Behavioral Analysis: Central Constructs

Client-counselor relationship is imperative and counselors exhibit high levels of empathy, self-congruence and interpersonal contact. The relationship is collaborative and relationship variables differ according to client and culture. Operationalization of Behavior: Focuses on the concreteness and specifics of behavior. Vagueness is transformed into objective, observable actions. Functional Analysis: The ABCs of behavior. An individual's behavior is directly related to events and stimuli in the environment.
Copyright Allyn & Bacon 2004

Behavioral Approaches
Applied Behavioral Analysis: Central Constructs

Reinforcement: Behavior develops and maintains itself through a system of punishments and rewards. Goals: These are designed to make specific behavioral changes. Goals are concrete, specific, observable and measurable.

Copyright Allyn & Bacon 2004

Resources
Ivey, A. E., DAndrea, M., Ivey, M. B. and Morgan, L. S. (2002). Theories of counseling and psychotherapy: A multicultural perspective, 5th ed. Boston, MA.: Allyn & Bacon. James, R. K. & Gilliland, B. E. (2003). Theories and strategies in counseling and psychotherapy, 5th ed. Boston, MA: Allyn & Bacon. Kottler, J. A. (2002). Theories in counseling and therapy: An experiential approach. Boston, MA: Allyn & Bacon.

Copyright Allyn & Bacon 2004