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The Behavior Analyst 2009, 32, 105–133 No.

1 (Spring)

Creating a Strategy for Progress: A Contextual


Behavioral Science Approach
Roger Vilardaga, Steven C. Hayes, and Michael E. Levin
University of Nevada, Reno
Takashi Muto
Ritsumeikan University
Behavior analysis is a field dedicated to the development and application of behavioral
principles to the understanding and modification of the psychological actions of organisms. As
such, behavior analysis was committed from the beginning to a comprehensive account of
behavior, stretching from animal learning to complex human behavior. Despite that lofty goal,
basic behavior analysis is having a generally harder time finding academic support, and applied
behavior analysis has narrowed its focus. In the present paper we argue that both of these trends
relate to the challenge of human language and cognition, and that developments within clinical
behavior analysis and the analysis of derived relational responding are providing a way forward.
To take full advantage of these developments, however, we argue that behavior analysts need to
articulate their unique approach to theory, to develop more flexible language systems for applied
workers, and to expand their methodological flexibility. This approach, which we term
contextual behavioral science, is meant as an evolutionary step that will allow behavior analysis
to better capture the center of modern psychological concerns in both the basic and applied
areas. Clinical behavior analysis is showing a way forward for behavior analysis to regain its
vision as a comprehensive approach to behavior.
Key words: contextual behavioral science, acceptance and commitment therapy, relational
frame theory, behavior analysis, functional contextualism, radical behaviorism

When there are changes in the (Skinner, 1938/1966). The strategy


scientific practices of a field, it is for accomplishing that purpose was
periodically necessary to identify and bold but improbable: to consider the
describe a systematic position and the behavior of a freely moving nonhu-
philosophical orientation and as- man organism observed under labo-
sumptions on which it stands (Leig- ratory conditions in which orderly
land, 1997). We believe that both changes in behavior could be ob-
psychology and behavior analysis served, recorded, and analyzed as
have entered into such a time. Al- a function of the manipulations of
though there are dangers in the the experimental context (Leigland,
current environment for behavior 1997). The focus was on whole
analysis, there is also a great oppor- organisms acting in and with a
tunity if the original vision of behav- context considered historically and
ior analysis can be recaptured. situationally; careful inductive work
on animal learning was designed to
THE PURPOSE AND STATE OF provide the analytic tools that would
BEHAVIOR ANALYSIS allow a science of that subject matter
to ‘‘move on, but only as its growing
From the beginning, the ultimate power permits, to the complexities of
goal of behavior analysis was to the world at large’’ (Skinner, 1938/
develop a comprehensive scientific 1966, p. xiv). Sets of carefully gath-
approach that would account for ered observations were abstracted
the complexity of human behavior into principles that might provide
an adequate foundation. Complexity
Address correspondence to Roger Vilar-
daga, Department of Psychology/298, Univer-
was recognized as a problem that
sity of Nevada, Reno, Reno, Nevada 89557 (e- might be solved by developing, from
mail: vilardag@unr.nevada.edu). the bottom up, ‘‘instruments and

105
106 ROGER VILARDAGA et al.

methods (…) of commensurate com- is ranked 24th by its citation impact.


plexity’’ (Skinner, 1971, p. 4). The Despite the growth in psychology,
ultimate concern was not the rat or current subscriptions are only 47% of
pigeon: It was a comprehensive ac- the level achieved 30 years ago
count. As if to ask the field to keep (Laties, 2008).
their eyes on that prize, Skinner took Basic behavior analysis is still
the extraordinary step of writing a strongly committed to animal learn-
utopian novel (Skinner, 1948) that ing, as is shown by the proportion of
was a ‘‘call to psychologists to commit articles in JEAB with nonhuman
themselves to social responsibility’’ subjects (on average about 75% of
(Richelle, 2000, p. 313), raising com- the articles in the past 4 years). Basic
plex issues such as democracy, unem- animal learning has fallen out of
ployment, education, and social favor in the academic and funded
equality. This larger purpose is foun- research world, and basic behavior
dational not just to behavior analysis analysis is graying. Doctoral-level
but to many other scientific disci- basic behavior analysis students often
plines. Society relies on sciences (e.g., cannot readily get academic employ-
biology and physics) not only to find ment that permits the production of
immediate solutions to their problems additional doctoral-level basic behav-
but also to enhance human culture ior analysts. In a recent article,
and the human condition itself. Fantino (2008) noted the problem.
By most expected measures, be- He praised the progress and relevance
havior analysis has been a scientific of basic behavior analysis, but said,
and professional success, but when it
is measured against its original lofty I have the strong impression that behavior
goals the picture is less clear. Basic analysis is not doing quite as well in academia.
In part this reflects budgetary and program-
behavior analysis is significantly less matic constraints that have caused retrench-
influential in basic behavioral science ment of animal behavior courses (particularly
today than it was when the Associa- lab courses) and animal research laboratories.
tion for Behavior Analysis (ABA) To some degree this reflects a shift of
emphasis from animal learning (including
was formed 35 years ago. Applied behavior analysis) to neuroscience. But key
behavior analysis is in many ways behavioral vacancies at several major univer-
more influential, but its scope and sities have been filled with candidates from
vision have narrowed. Both of these other disciplines. (p. 126)
claims need to be documented before
turning to an analysis of why this has In a footnote, he added that he felt
happened and what we need to do compelled to retain his position
about it. rather than retire in order to keep
his operant psychology lab going and
Weakening of Influence of Basic the faculty line in basic behavior
Behavior Analysis analysis (p. 126). He is probably not
alone. In 2005 we contacted the top
There is clear evidence that main- 50 most published JEAB researchers
stream basic behavior-analytic re- in the preceding decade and over the
search is not considered central to preceding 30 years (counting both
experimental psychology. The Jour- lists, 69 living researchers) and asked
nal of the Experimental Analysis of for a list of their doctoral graduates
Behavior (JEAB) is currently (mid- and the year of graduation (Hayes,
2008) ranked by the Institute for Cardinal, & Waltz, 2005). All but
Scientific Information as 50th of 72 three responded, listing 455 doctoral
experimental psychology journals in graduates. Before 1970, 38% were
terms of the citation impact of its successfully placed in doctoral-level
articles. Of the 30 journals it is closely academic settings, but (not counting
related to by citation pattern, JEAB laboratories in the area of derived
CONTEXTUAL BEHAVIORAL SCIENCE 107

stimulus relations) in the last decade Why?


fewer than 10 doctoral graduates per If behavior analysis is not rapidly
year were produced, and on average evolving toward its original grand
only one of these secured an academic vision (Richelle, 2000; Skinner, 1948),
job in a setting capable of producing
we need to ask why. For some time
additional doctoral-level graduates.
now we have been arguing that part of
the problem is a lack of progress in the
Narrowing of Applied Behavior
experimental analysis of human lan-
Analysis
guage and cognition (Hayes & Hayes,
It is beyond question that direct 1992b; Hayes, Luoma, Bond, Ma-
behavioral principles have been very suda, & Lillis, 2006). Traditional
useful in many areas of human behavioral accounts of these phenom-
concern: education (e.g., Johnson & ena have received more conceptual
Layng, 1992; Layng, Twyman, & and theoretical attention than applied
Stikeleather, 2004), organizational or experimental attention (Dymond,
management (e.g., Glenn & Malott, O’Hora, Whelan, & O’Donovan,
2004; Malott, Shimamune, & Malott, 2006). The experimental research on
1992), autism and special education traditional behavioral accounts that
(e.g., Charlop-Christy, Carpenter, does exist targets primarily develop-
Le, LeBlanc, & Kellet, 2002; LeBlanc mental disabilities and not more com-
et al., 2003), clinical settings (e.g., plex phenomena (Dixon, Small, &
Dougher, 2000; Hayes, Strosahl, & Rosales, 2007). Our concern is shared
Wilson, 1999; Kohlenberg & Tsai, by both applied and basic behavior
1991; Linehan, 1987), prevention and analysts, who have appealed for more
cultural practices (e.g., Biglan, Bren- breadth in the consideration of com-
nan, Foster, & Holder, 2004; Biglan, plex topics (e.g., Fantino, 2008; Wie-
Sprague, & Moore, 2006), and stig- gand & Geller, 2004) and more
ma, violence, and social issues (e.g., methodological flexibility in address-
Erickson, Mattaini, & McGuire, 2004; ing them (Wixted, 2008).
Mattaini & Thyer, 1996; Rusch, In the area of complex human
Kanter, & Brondino, in press). But it behavior, interpretation has become
also seems that the amount of interest a ballast in the behavior-analytic
dedicated to some of those areas tradition. Skinner (1974) argued that
outweighs interest in others (Kangas scientific theories should use interpre-
& Vaidya, 2007). tation as part of their internal process
ABA has been a spectacularly of elaboration and development, but
successful organization, but most of he emphasized that its purpose was
its modern growth can be laid at the ultimately pragmatic and empirical:
feet of the professionalization of
applied behavior analysis, particular- Every scientific field has a boundary beyond
ly due to the role of applied behavior which discussion, though necessary, cannot be
analysis in developmental disabilities as precise as one would wish. One writer has
recently said that ‘‘mere speculation which
(Kangas & Vaidya, 2007). This com- cannot be put to the test of experimental
bination of success and narrowing of verification does not form part of science,’’
scope in applied behavior analysis is but if that were true, a great deal of
evident in many areas. New authors astronomy, for example, or atomic physics
in the Journal of Applied Behavior would not be science. Speculation is necessary,
in fact, to devise methods which will bring a
Analysis are down (Dunlap, Clarke, subject matter under better control [italics
& Reyes, 1998; Dymond, Clarke, added]. (p. 21)
Dunlap, & Steiner, 2000), and articles
on developmental disabilities are a Over time, the role of interpretation
larger percentage of its articles has broadened within behavior anal-
(Northup, Vollmer, & Serrett, 1993). ysis (Leslie, 2000), even to the point
108 ROGER VILARDAGA et al.

of arguing against the need for will examine how attempting to


experimental analysis on the grounds mount an approach in clinical behav-
that ‘‘any attempt to directly analyze ior analysis with significant impact
complex phenomena experimentally has over time systematically altered
would eliminate the very defining the behavior-analytic development
property of complexity’’ (Burgos & strategy with which we began. We
Donahoe, 2000, p. 40). This is a will describe how this development
fundamentally different view than program, which has been termed a
one in which interpretation is a contextual behavioral science ap-
temporary, pragmatic, and empirical proach (Hayes, Levin, Plumb, Bou-
way station, held accountable to the langer, & Pistorello, in press; Levin &
goal of an experimental analysis that Hayes, in press), differs from a more
orients listeners to variables that are traditional behavior-analytic strategy
practically manipulable. and will consider whether it might
The survival of science depends not serve as a guide for the evolution of
only on the utility and coherence of behavior analysis more generally.
its propositions (e.g., Kantor, 1963,
p. 155) but also on how a community CONTEXTUAL BEHAVIORAL
of scientists learns to perpetuate itself SCIENCE
within the structure of the larger
community that it serves. It is impor- Contextual behavioral science (CBS)
tant to examine actual evidence of is an elaboration of a behavior-
broader cultural impact and support, analytic approach to scientific devel-
and to adjust practices accordingly, opment rather than a particular line
rather than merely to bemoan the of research or group of novel meth-
lack of impact and support when they odological and analytical tools. In
fail to occur. With that process, line with all of behavior analysis, CBS
behavior analysis can take responsi- is
bility for the dissemination, mainte-
nance, and growth of our community a principle-focused, inductive strategy of
psychological system building, which empha-
within our society. sizes developing interventions based on theo-
The topic of the current paper is retical models tightly linked to basic principles
how to develop behavior analysis in a that are themselves constantly upgraded and
way that yields a practically useful evaluated. It involves the integration and
experimental analysis of complex simultaneous development of multiple levels
of a research program including philosophical
human behavior and ensures the assumptions, basic science, basic and applied
continuity of our tradition, while theory, intervention development, and treat-
maintaining contact with its original ment testing. (Hayes et al., in press)
strategic vision. In our view, clinical
behavior analysis is not just building What is different about a CBS
on basic behavior-analytic founda- approach is the systematic integra-
tions; it is also actively changing tion of these levels into a strategic
those foundations and perspectives whole and its relation to a commu-
on how the field itself should best be nitarian effort designed to meet the
developed. Our strategy will be to needs of specific key constituencies
consider the development path being within the overall group. These dif-
followed by acceptance and commit- ferences have led over time to philo-
ment therapy (ACT, said as one sophical refinement, the willingness
word, not initials; Hayes et al., to create parallel language conven-
1999) and its associated basic behav- tions for different analytic purposes,
ior-analytic research program on the greater methodological flexibility, a
nature of language and cognition, refined perspective about the role of
relational frame theory (RFT; Hayes, theory, and a pragmatic approach to
Barnes-Holmes, & Roche, 2001). We treatment testing. All of these differ-
CONTEXTUAL BEHAVIORAL SCIENCE 109

ences can be traced, to a degree, to a view of mainstream behavioral sci-


common core. What would behavior ence, where it is often limited, dis-
analysis look like if its entire devel- counted, and even ignored. Many
opment strategy began with practical behavioral scientists seem to believe
concerns about cultural and applied that philosophy is a distraction: We
impact, but the goal was still an should just let the data ‘‘speak.’’ But
inductively developed comprehensive science itself has shown that it is not
scientific approach that would ac- possible to engage in systematic
count for the complexity of human intellectual work without assump-
behavior? Our answer is the CBS tions that go beyond the formal
approach. system being developed (Gödel,
We will first describe the overarch- 1967). Thus, careful attention to the
ing philosophical assumption of the consistency and coherence of as-
CBS view and its implications. After sumptions is necessary.
that, we will briefly consider the Functional contextualism. The phil-
strategy followed by contextual be- osophical stance that underlies a CBS
havioral science and a series of approach is functional contextualism
research fronts for the approach. (Hayes, Hayes, Reese, & Sarbin,
We will conclude by summarizing 1993; Hayes, 1993). Functional con-
the concrete development effort so textualism can be viewed as a partic-
far inside ACT and RFT. ular construal of the essence of
radical behaviorism; indeed, that
The Converging Effect of purpose is obvious in its first expli-
Philosophical Assumptions cation, which was published in JEAB
under the title ‘‘Finding the Philo-
The why and for what of philosophy. sophical Core’’ (Hayes, Hayes, &
Philosophy of science is the process of Reese, 1988). In clarifying that core,
owning and explicating analytic as- however, functional contextualism
sumptions. Many scientists have ar- also subtly refines some aspects of
gued that empirical research is based the position. It also takes stances that
on an interaction of philosophy of are distinct from some other ap-
science and methodology that allows proaches to radical behaviorism be-
scientists to clarify the limitations and cause radical behaviorism as a phil-
logical underpinnings of observations osophical system can be interpreted
and data (Kazdin, 2003, p. 12). in a number of ways. The reason for
Behavior-analytic researchers have this diversity is that Skinner was not
always taken this idea seriously. always clear and at times used basic
Skinner was a master in juxtaposing terms in different ways (Gifford &
methodological and empirical issues Hayes, 1999; Hayes et al., 1988;
with philosophical matters. Skinner Parrott, 1983). There is no current
(1974) viewed behaviorism as the universal agreement about radical
philosophy of a science of behavior, behaviorism within the behavior-an-
and the first book he attempted to alytic community.
write was on behavioral epistemology The contextualistic perspective on
(see Skinner, 1976). In his hands, radical behaviorism links it to the
philosophy was not just a way to pragmatic tradition (James, Dewey,
make his arguments more sound but Pierce), which sought a monistic and
also a way to create a science that functional approach to knowledge
made a difference. Philosophy was and truth. Pragmatism leads to a
projected onto all aspects of the worldview that emphasizes psycho-
scientific enterprise: its scope, pur- logical epistemology over ontologi-
pose, and methods. cal claims. In the eyes of func-
This is in notable contrast to the tional contextualists, behavior analy-
role of philosophical thinking in the sis shares those same assumptions:
110 ROGER VILARDAGA et al.

The world is a real entity, but its (depth: e.g., psychology should not
differentiation is based on the actions contradict biology), to find principles
of individuals impinging on it; typi- that apply to a range of phenomena
cally, those are determined by their (scope), and to be specific in how
consequences, both within the life- they apply to a given phenomenon
time of an individual and across (precision), all of which are arguably
lifetimes. Differentiation and analysis implicit or explicit in a radical
of the world are thus best justified behavioral approach (Biglan &
not by superfluous ontological claims Hayes, 1996).
but by the utility of those actions. These analytic goals best distin-
Knowledge ‘‘is a corpus of rules for guish functional contextualism from
effective action, and there is a special other varieties of contextualism, such
sense in which it could be ‘true’ if it as interbehaviorism or social con-
yields the most effective action possi- structionism (Hayes et al., 1993).
ble. (…) A proposition is ‘true’ to the Although the goals of functional
extent that with its help the listener contextualism are taken to be iso-
responds effectively to the situation it morphic with radical behaviorism,
describes’’ (Skinner, 1974, p. 235). there is an additional small differ-
In this area, functional contextual- ence. From the point of view of
ism offers a small but key refinement functional contextualism, it is unnec-
of radical behavioral thinking. If essarily dogmatic to claim, as Skinner
truth is not a state of the world but did, that the purposes of science are
the achievement of the purposes of a prediction and control. It is more
given analysis, then it is necessary for behaviorally sensible simply to take
scientists to state what those goals are personal responsibility for goals
(Hayes, 1993). Otherwise, any rein- (‘‘our goals are prediction and influ-
forced behavior is ‘‘true,’’ which ence’’), rather than to argue that
provides no guide to intellectual some abstract entity (‘‘science’’) has
development. Scientific goals must them. The goals of functional con-
be stated a priori in order to serve textualism are not argued to be true
as a guide to pragmatic truth. Fur- or universal; they are simply declared
thermore, intellectually speaking, ul- or owned.
timate analytic goals cannot be eval- Why functional contextualism? The
uated, because further evaluative term functional contextualism has
criteria would be needed to evaluate been controversial in behavior anal-
them, ad infinitum. ysis during its 20-year existence
The preanalytic goals of functional (Marr, 1993; Ruiz & Roche, 2007).
contextualism are a refinement of Some have rejected it in a defense of
those in radical behaviorism: the the mechanistic nature of behavior
prediction and influence of psycho- analysis (Marr), and others have
logical events (i.e., the behavior of detected dangers in the undefended
whole organisms interacting in and quality of the declared goals of
with a context defined historically analysis in a contextualistic approach
and situationally) with precision, (Ruiz & Roche).
scope, and depth. The word influence What is important about function-
is meant as a synonym for control but al contextualism for a behavior-ana-
without the expansive meaning of the lytic approach is that it justifies and
latter term in behavior analysis (e.g., makes coherent a number of other-
sometimes control means the lack of wise odd aspects of the tradition. For
variability) and without its unneces- example, while recognizing that be-
sarily worrisome political connota- havior affects the environment and
tions. Precision, scope, and depth vice versa, the goals of prediction and
refer to the broader need for analyses influence explain the environmental-
to cohere across levels of analysis ism of behavior analysis (Hayes &
CONTEXTUAL BEHAVIORAL SCIENCE 111

Brownstein, 1986). Skinner (1974) functional contextualism is divisive


acknowledged that ‘‘It is true that because construing behavior-analytic
we could trace human behavior not thought as a wing of pragmatism in a
only to the physical conditions which sense disenfranchises those who view
shape and maintain it but also to the behavior analysis in more mechanis-
causes of those conditions and the tic terms. That problem is equally
causes of those causes, almost ad true of the term radical behaviorism,
infinitum,’’ but we need take analysis however, if it is interpreted in funda-
only to the point at which ‘‘effective mentally different ways. The struggle
action can be taken’’ (p. 210). That between mechanistic and contextua-
point is always the environment listic perspectives on behavior analy-
because a putative cause of behavior sis does not disappear when the terms
‘‘is useless in the control of behavior that describe that difference are
unless we can manipulate it’’ (Skin- avoided.
ner, 1957, p. 34). In a similar way, the More recently Ruiz and Roche
goals of behavior analysis also ex- (2007) have argued against our con-
plain why private events are not textualistic view on the grounds that
viewed as causal, why ontological scientific work must be guided by the
claims about scientific laws are re- overall values of a community and not
jected, and why developmentalism is by the personal values of the research-
eschewed (Hayes, Brownstein, Zettle, er. We agree that it is desirable in a
& Rosenfarb, 1986). scientific community to seek consen-
In addition, the term functional sus about values (Leigland, 2003; Ruiz
contextualism explicitly connects be- & Roche), but functional contextual-
havior analysis as a tradition to its ism solves this problem in a way other
historical pragmatic roots while than dictating values to others: by
avoiding many of the seemingly publicly stating scientific goals a priori
endless misunderstandings about rad- so that others may decide whether
ical behaviorism. What was radical their interests align with the form of
about radical behaviorism was the pragmatic science being pursued
reflection of behavioral thinking onto (Hayes, 1993). That is what has been
the actions of scientists, which then done within the CBS approach. For
overturned several key aspects of example, considerable attention was
traditional behaviorism (Skinner, given to an attempt to reach a
1945). Unfortunately, there seems to consensus about the values and goals
be no way to avoid the term radical of the Association for Contextual
behaviorism to be taken to mean ‘‘an Behavior Science (ACBS) and ACT
extreme form of traditional behav- trainers. The resulting consensus val-
iorism,’’ which is almost the opposite ues statements are featured promi-
of its actual historical meaning. nently on the ACBS Web site (www.
Functional contextualism thus was contextualpsychology.org).
also thought to be useful simply A more subtle possible problem
because it provides an opportunity was pointed to by Sidman (1960)
for behavior analysts to be heard. when he argued that ‘‘if science is to
Once that occurs, the term radical use the importance of data as a
behaviorism is no longer a barrier. criterion for accepting or rejecting
Thus, functional contextualists are an experiment, it must have a set of
not trying to eliminate the existing impartial rules within which the
term but to be clear what it means scientist can operate when he has to
and to find ways of speaking that make his evaluation. Do such rules
produce greater openness to a behav- actually exist? The answer is no’’
ior-analytic position. (p. 41). Sidman pointed out that
Beyond merely the resistance to what is not of value at one point in
any new term, it might be argued that time might be of value in a different
112 ROGER VILARDAGA et al.

context: ‘‘A variable may turn out to shrinkage of basic behavior analysis
be relevant in contexts never suspect- can be laid at the feet of exactly that
ed by the experimenter, or it may corrosive idea.
turn out to be minor and of minimal Functional contextualism and its
systematic importance. Since the di- implications for the behavior of scien-
rections of future progress are always tists. To be consistent, the value of
uncertain, the student should not try pragmatic assumptions is to be found
to make a final decision about the in the accomplishment of purposes.
importance of any demonstrated Said in another way, progress is
variable’’ (p. 40). But a pragmatic fundamental—everything else is con-
truth criterion does not mean de- ditional. That applies to methods,
manding immediate applied rele- analytic strategies, and the structure
vance or fabricating futures to justify of the scientific community itself.
currently irrelevant findings. Instead, Merely because something is logical
what is meant is the accomplishment does not mean it is useful. For
of stated goals: for CBS, the predic- example, falsificationism may be log-
tion and influence of psychological ical, but it does not have a real place
events with precision, scope, and in most of mature sciences such as
depth. That can be assessed to a physics and chemistry (Sokal &
degree. Does a finding have implica- Bricmont, 1998). The same can be
tions for how we predict or alter said for analytic methods. Methods
behavioral events? Does it suggest are methods of something—they are
refinements of existing principles, not goals in themselves. This is a
ways to combine existing principles traditional behavior-analytic idea.
to predict and influence events within Elaborate multifactorial multivariate
a domain, or ways in which inconsis- designs are logical, but behavior
tencies across levels of analysis might analysts have pointed out that studies
be resolved? Sometimes individual based on that approach may not be
studies are ambiguous on these as useful as simpler designs (Baer,
points, but over any reasonable span 1977a); measures can be reliable, but
of time, research programs should that does not mean they are useful
not be. If they are, the program is (Baer, 1977b; Hayes, Nelson, &
simply not known to be progressive. Jarrett, 1987). This pragmatic focus
That should be a concern. applies to behavior analysis as well.
The alternative is to ascribe intrin- We are not the first to note that
sic value to methodological sound- behavior analysis itself has sometimes
ness, aside from the use or utility of become quite rule bound in its
science, and to suspend evaluations methodology and approach (e.g.,
of progress almost indefinitely. This Wixted, 2008). Methodological rigid-
approach can justify facts for facts’ ity violates the pragmatism on which
sake, and there is good reason to behavior analysis was established. As
believe that Sidman’s (1960) argu- Skinner noted above, science is not a
ment was sometimes distorted into way of capturing an ultimate struc-
such an approach in some corners. ture: It is a way to orient people to
When that occurred it was to the successful ways of interacting with
detriment of behavior analysis. Facts the world. A variety of methodolog-
alone do not make a science. Other- ical approaches and analyses can
wise it would be like claiming that contribute to that, provided they are
precision alone is important, without always held accountable to the goals
seeking scope and depth. Arguing of the analysis.
this way flies in the face of the history The overall criterion to judge the
of science itself, and it contradicts the value or relevance of such a philo-
purpose of the field of behavior sophical stance is its impact relative
analysis. In our view, some of the to its own verbally stated goals. In
CONTEXTUAL BEHAVIORAL SCIENCE 113

the same way that it would be contextual variables relevant to that


nonsense to analyze the role of the goal applied at the level of the
behavior of hitting a ball without the individual in functional analyses of
ball, as a pragmatist it makes no behavior.
sense to discuss the logic or internal Built into the words basic and
consistency of philosophical assump- applied is the idea that applied work
tions without examining their role in involves bringing foundational prin-
the development of useful science. To ciples developed elsewhere ‘‘into con-
that topic we now turn. tact with’’ (the root meaning of apply)
practical issues. Unfortunately there
THE CBS STRATEGY is nothing to guarantee that basic
researchers are developing the princi-
Contextual behavioral science is
ples needed by applied workers. This
simply a term for a vision of behavior
problem cannot be solved by ignoring
analysis when it is planted firmly in
it or by brute force validation of
functional contextual assumptions.
applied technology. Both seem bound
From a functional contextual per-
to fail because the need for principles
spective, science is a human enter-
cannot be ignored given the goals of
prise that has as its purpose the
precision, scope, and depth, and
development of increasingly orga-
techniques alone are too low in scope
nized statements of relations among
to provide intellectual guidance for
events that allow an analytic goal to
future developments. Expecting basic
be accomplished based on verifiable
researchers to attend to applied needs
experience. The analytic goal of
seems bound to fail, because it
behavior-analytic science as seen
demands that basic researchers know
from this perspective is the develop-
how to distinguish good applied ideas
ment of a comprehensive account
from hare-brained ones.
that allows complex behavior to be
The solution encapsulated in a
predicted and influenced with preci-
CBS approach is a mutual interest
sion, scope, and depth. Thus, as we
approach (Hayes, 1998a): the idea
examine the additional features of a
that a productive relationship can be
CBS approach, the key focus is
built between applied and basic areas
whether they are true to that vision
based on the contributions made by
and are showing signs of success.
researchers in each area to specific
and shared theoretical issues. Ex-
Develop the Basic Principles Needed
panding the role of scientist-practi-
to Address Human Complexity
tioners (Hayes, Barlow, & Nelson-
In a behavior-analytic approach, Gray, 1999), if applied workers need
observations of simple environment– basic guidance and it is not yet
behavior relations are made in con- available, some need to follow their
trolled settings in which the impact of interests across the subdisciplinary
environmental manipulations on sub- divide and create basic research that
sequent behavior can be clearly eluci- is interesting and worthwhile to basic
dated. Refined and precise descrip- behavior analysts themselves because
tions of these functional environment– of the issues involved, not because
behavior relations are abstracted into this interest has been assigned to
principles that are broadly applicable them by others, however well mean-
(i.e., that achieve scope) and yet ing and sincere.
maintain a limited number of con- That was what was done in the
structs in the analysis of a given event ACT-RFT wing of behavior analysis.
(i.e., that achieve precision). Principles In an attempt to create a more
provide a means to meet the analytic clinically useful basic analysis of
goals of predicting and influencing human language and cognition, our
behavior by specifying manipulable clinical laboratory began to study
114 ROGER VILARDAGA et al.

rule governance (e.g., Hayes et al., He was right to do so, but the point
1986) both in applied and basic areas became overextended. Stimulus-re-
(Hayes, Kohlenberg, & Melancon, sponse learning theorists had an
1989). Unable to find an adequate extremely influential and very unfor-
basic account of what a rule was, this tunate view of theory. For them,
interest gradually led to basic re- theory was not about what was
search on the nature of verbal stimuli directly observed—if a functional
(Hayes, Kohlenberg, & Hayes, 1991; relation is ‘‘always the same … then
Hayes & Hayes, 1992a; Steele & we would have no need of theory’’—
Hayes, 1991). Basic research was rather, theoretical constructs are
not justified in the pages of the basic ‘‘guesses as to what variables other
journals in which they appeared (e.g., than the ones under the control of the
JEAB) on the basis of clinical appli- experimenter [italics added] are deter-
cation, but on a greater understand- mining the response (Spence, 1944,
ing of language and cognition, an p. 71). This kind of theory (hypothe-
interest shared by both applied and tico-deductive theory) has no place in
basic constituencies. Very quickly, behavior analysis. But to reach our
basic behavior analysts became in- analytic goals we need concepts that
volved in this basic research program are abstracted from direct observa-
(e.g., Barnes, 1994; Barnes & Keenan, tion and that point to manipulable
1993), not because of a yearning for variables.
relevance but because the approach CBS approaches theory as sets of
was inherently interesting. Basic re- functional analyses within a domain.
searchers also became interested in the This kind of theory is ‘‘analytic
applied extensions of what they were abstractive’’ (Hayes et al., 2007):
developing (e.g., Barnes-Holmes, Co- ‘‘We have a behavioral theory when
chrane, Barnes-Holmes, Stewart, & there are (a) systematic and generally
McHugh, 2004), in essence applying applicable analyses of important
the same mutual interest approach but classes of behavioral observations
in a different direction. (b) stated in terms of coherently
The shared truth criteria of basic related sets of behavioral principles,
and applied behavior analysis (pre- that (c) allow these behavioral phe-
diction and influence with precision, nomena within that class to be
scope, and depth) remove the barrier predicted and influenced as a unified
between the two camps. All that is goal’’ (Hayes, 1998b, p. 68).
needed is a common problem. Not Relational frame theory is such a
every clinician needs to do basic theory. RFT is based on the premise
research; not every basic researcher that arbitrarily applicable relational
needs to do applied work. Just a responding is an operant, and that
small number of people crossing that operant constitutes the foundation of
divide for reasons of mutual interest verbal behavior (Hayes et al., 2001).
may be enough to greatly expand the Relations among events such as
coherence of our behavioral science. ‘‘bigger than’’ or ‘‘smaller than’’ are
initially learned in nonarbitrary sets,
Organize These Principles into but when the relational response is
Analytic Abstractive Theories in Key abstracted and brought under the
Content Domains control of arbitrary contextual cues,
arbitrarily applicable relational re-
The relation of behavior analysis sponding can occur with any stimulus
to theory has always been uneasy. based on context. With sufficient
Although he recognized the applied relational conditioning, mutually
and basic importance of terms with and combinatorially entailed rela-
high scope, Skinner (1950) warned tions can be derived (Hayes et al.,
against certain kinds of theorizing. 2001), which allows many relations to
CONTEXTUAL BEHAVIORAL SCIENCE 115

be acquired without direct learning tional responding improves perfor-


and may account for the rapid mance in some cognitive tests (e.g.,
generativity of language. The specific McHugh, Barnes-Holmes, Barnes-
stimulus functions of a given event Holmes, & Stewart, 2006). Increasing-
can be transformed through these ly RFT has been applied to more
relations, suggesting a process by complex human behavior such as
which language influences behavior. analogical reasoning (Lipkens et al.,
Relational responding is thought to 1993; Stewart & Barnes-Holmes, 2004)
develop through reinforced multiple and perspective taking (e.g., McHugh,
exemplars, as with other operants. Barnes-Holmes, & Barnes-Holmes,
No new principle is required to 2004a; Rehfeldt, Dillen, Ziomek, &
explain their existence. Over time a Kowalchuk, 2007). Although RFT has
number of functional sets of relation- been questioned and criticized (e.g.,
al responses (relational frames) are Horne & Lowe, 1997; Ingvarsson &
abstracted, often initially with non- Morris, 2004; Palmer, 2004; Tonneau,
arbitrary stimuli. 2004), the program of experimental
The resulting research program is research that supports this account
gradually meeting the expectations for seems to be progressing.
a full experimental analysis. Studies
have shown several forms of mutual Develop Approaches to Pathology,
and combinatorial entailment (e.g., Intervention, and Health Based on
Berens & Hayes, 2007; Dougher, Middle-Level Functional Terms
Hamilton, Fink, & Harrington, 2007;
Dymond & Barnes, 1995; Dymond, Scaling this approach to clinical
Roche, Forsyth, Whelan, & Rhoden, concerns, however, requires another
2007; Kohlenberg, Hayes, & Hayes, liberalization. As domains begin to
1991). Arbitrarily applied relational contain broader, more complex, and
responding can transform a multitude more domain-specific features, do-
of stimulus functions including dis- main-specific terms are needed that
criminative (e.g., Dymond & Barnes), help to apply principles and analytic
eliciting (e.g., Dougher et al.), rein- abstractive theories.
forcement (e.g., Hayes, Kohlenberg, Behavioral principles do not pro-
& Hayes, 1991), and avoidance func- vide specific guidance about the
tions (e.g., Dymond et al.). Indirect circumstances under which those
support for an operant conception of principles can be applied. The princi-
relational responding comes from ev- ple of reinforcement does not tell us
idence that relational responding de- about the adequate reinforcers in an
velops over time (e.g., Lipkens, Hayes, applied population, for example.
& Hayes, 1993) and comes under the That is part of the source of their
control of antecedents and conse- scope, but it also can inhibit their
quences (e.g., Healy, Barnes-Holmes, broad use. When complex human
& Smeets, 2000; Roche, Barnes- behavior is targeted, terms are needed
Holmes, Smeets, Barnes-Holmes, & to help to apply behavioral principles
McGeady, 2000). More direct support to a domain, or to specify critical
comes from evidence that relational targets and means of intervention
operants can be trained through without requiring every practitioner
multiple exemplars (e.g., Y. Barnes- to master the basic account.
Holmes, Barnes-Holmes, Smeets, We call these terms by the deliber-
Strand, & Friman, 2004; Berens & ately humble label of middle-level
Hayes). The strength of derived rela- functional terms. These are scientific
tional responding correlates with per- constructs that serve as shortcuts for
formance in cognitive tests (e.g., applying basic principles and theories
O’Hora, Pelaez, & Barnes-Holmes, to complex situations. Middle-level
2005), and training to improve rela- functional terms are not hypothetical
116 ROGER VILARDAGA et al.

entities but instead are higher level be greatly amplified if it is done


functional abstractions. They are systematically and carefully to create
different from the constructs pro- useful middle-level functional terms.
posed by hypothetico-deductive the- The risk of middle-level functional
ories, because (a) they are based on terms is reification: the tendency to
sets of functional analyses based on treat terms as if they refer to things or
behavioral principles based on be- structures. That is a danger, but it is
havioral observations and are held equally so with any term, and the
accountable to each link of the danger is lessened, not increased, by
theoretical chain, and (b) they need being clear about what these terms
to be shown to be useful in prediction are and what they are designed to do.
and influence. Many behavior ana- ACT as an operating system. One
lysts have recognized the need to way to understand the need for
create a more user-friendly interface middle-level functional terms is
for non-behavior analysts to use through the analogy of an operating
behavior-analytic knowledge (Mat- system. Basic behavioral principles
taini, 1993). Middle-level functional can be compared to the programming
terms are designed to help to accom- languages that allows a computer
plish this goal. programmer to write a program that
Middle-level functional terms have interacts successfully with machine
four important roles to play. They code. Software programs (e.g., a
are designed to orient the listener to browser) are written in such languag-
key features of a domain, encourage es, just as specific analytic abstractive
the application of analytic abstractive theories are based on behavioral
theories and basic behavioral princi- principles. But in the same way that
ples, ensure better outcomes, and a computer user may need an oper-
facilitate knowledge development. ating system to make the browser
These terms have long been used in work efficiently, applied workers
behavior analysis, but their role has need sets of middle-level functional
often been underappreciated. Atten- terms to help them to apply theories
tion, for example, is not a behavioral and principles.
principle: It is a functional class of In the past, behavior analysts at-
reinforcers that is useful in many tempted to address this issue by
applied areas because many forms of making behavioral principles under-
behavior can be attention main- standable to clinicians (Kanfer &
tained. Aggression is not a behavioral Grimm, 1977; Kanfer & Saslow,
principle: It is a functional class of 1973). This can be helpful, but it can
behaviors. Attention and aggression be arduous and does not always seem
are middle-level functional terms. necessary. In addition, the level of
The reason their current use is behavioral principles can be too com-
often missed is that behavior analysts plex for many practitioners to apply
often treat such terms ontologically, them in a replicable manner (Follette
but a behavioral approach to lan- & Hayes, 1992), and even specific
guage is based on the idea that theories such as RFT can be too
‘‘meaning is use.’’ Thus, these terms complex to use without help. Just as
cannot ultimately be justified because it may not be necessary to know the
they ‘‘refer to real things,’’ because programming code behind a program
there is no way to step outside our in order to use the program, the level
own behavioral stream to distinguish of abstraction of behavioral concepts
between what is merely useful and needs to be fitted to their purpose.
what is supposedly real. Rather, all We will describe ACT as an
behavioral terms should be justified example of work within CBS to show
because they are functional. Once how we are attempting to develop
that is seen, this same approach can and use middle-level functional terms
CONTEXTUAL BEHAVIORAL SCIENCE 117

to apply behavioral theories and nant, ACT therapists spend a lot of


principles. The analysis that underlies time establishing defusion skills so
ACT can be thought of as such an that situations that call for it can be
operating system. We will describe it discriminated and the skills can be
only briefly, because ACT is by now applied. Drawing from the RFT
relatively well known and has been distinction between functional con-
explicated several times (including texts (which control the transfor-
accounts in this journal). mation of stimulus functions) and
One can think of ACT as a model relational contexts (which control
of psychopathology, health, and in- relational derivation), defusion meth-
tervention in the form of a hexagon ods attempt to alter the functional
constructed of six components—de- context of verbal events maintained
fusion, acceptance, present moment, by a social verbal community, such as
self as context, values, and committed contexts of literality, sense making,
action—all interconnected around and problem solving. A common
the central process of psychological example is the use of word repetition,
flexibility (Hayes et al., 2006). This which has been shown to reduce the
model has been referred to as the functional impact of distressing
ACT turtle operating system (Muto, thoughts by shortening them to a
2008) both because of its hexagonal word and saying them aloud repeat-
shape (like a turtle shell) and because edly for some period of time (Masuda
it connotes the slow and steady et al., 2004). Another example was a
movement of a bottom-up, inductive recent study (McMullen et al., 2008)
CBS approach rather than the im- that found a strong defusion effect
pulsive, leaping hare-like quality of that influenced subsequent pain tol-
the hypothetico-deductive approach erance just by having participants
(Hayes et al., in press). read a statement aloud while walking
The elements in ACT’s turtle around the room. The statement was,
operating system are not hypothetical ‘‘I cannot walk around this room.’’
entities or structures but are middle- Defusion is useful when detecting the
level functional terms that orient the rigid, insensitive, and repertoire-nar-
analysis toward behavioral processes rowing effects of verbal rules.
that are likely to be seen in complex Acceptance involves the adoption
human behavior in which language of an intentionally open, receptive,
functions dominate. The metaphor of and flexible posture with respect to
an operating system implies the moment-to-moment experience such
multiple linkages between middle- as thoughts, feelings, bodily sensa-
level terms and behavioral principles. tions, and memories. Experiential
Defusion-fusion refers to the dom- avoidance stands as the opposite of
ination of verbal events in the regu- psychological acceptance. From a
lation of behavior over other sources behavior-analytic perspective, private
of control (Hayes et al., in press). events do not play a causal role in
Behavior analysts have long known overt behavior (Hayes & Brownstein,
that verbal rules can be repertoire 1986), but the social verbal commu-
narrowing, and can induce insensitiv- nity establishes such chains through a
ity to other contingencies (Hayes et variety of means. For example, eval-
al., 1989). One particularly trouble- uative and causal relations and the
some form of fusion occurs when the encouragement of problem solving
individual attempts to change aver- are enough for anxiety to be related
sive thoughts or other private events to ‘‘bad’’ or to the prediction of
by applying verbal rules that them- negative consequences (e.g., social
selves perpetuate those events. Fu- humiliation, loss of control); thus,
sion is not inherently harmful in all anxiety becomes a problem to be
contexts, but because it is so domi- solved. There is an extensive litera-
118 ROGER VILARDAGA et al.

ture that shows that the avoidance of spective. Self as context is a highly
uncomfortable private events has a complex psychological process that
repertoire-narrowing impact, and of- requires the integration of multiple
ten leads to the exacerbation of the behavioral repertoires (Hayes et al.,
same private events that the individ- 2001; Vilardaga, in press). A sense of
ual was attempting to avoid or perspective is related to deictic rela-
suppress (e.g., Baumeister, Zell, & tional framing such as I–you, here–
Tice, 2007; John & Gross, 2004; there, and now–then. There is a
Pennebaker & Chung, 2007; Wen- growing literature in RFT that sup-
zlaff & Wegner, 2000). Acceptance ports the notion that this sense of self
methods weaken the arbitrary link- relates to other complex human phe-
age between emotions and actions nomena such as empathy, theory of
and undermine the repertoire-nar- mind, and perspective taking (Mc-
rowing effects of experiential avoid- Hugh, Barnes-Holmes, & Barnes-
ance as a form of aversive control. Holmes, 2004b; e.g., Rehfeldt et al.,
Clinicians might also find it useful 2007).
to think in terms of a lack of contact Values are chosen, verbally con-
with the present moment when the structed consequences of dynamic,
client seems to lack sensitivity to the evolving patterns of activity, for
contingencies of the environment which the predominant reinforcer
(without excluding as environment becomes intrinsic to the behavioral
the client’s own private events). pattern itself (Wilson & Dufrene,
Speaking and thinking in terms of 2009). This middle-level construct
contact with the present moment help keeps the clinician’s eye on possible
practitioners to direct the individual appetitive events in the life of a
(and themselves) towards contact particular individual. Values tech-
with environmental contingencies niques serve as augmentals (verbal
and behavioral impact, which may establishing operations) for features
increase the likelihood of generating of present behavior. The ACT work
new and more adequate responses to on values connects with the radical
covert and overt events. This middle- behavioral stance of encouraging
level term is discussed in the larger control through positive reinforce-
literature as mindfulness but, as ar- ment rather than through negative
gued elsewhere, from a CBS stand- reinforcement, but adds the notion
point, this construct should be ana- that values are verbally constructed
lyzed scientifically (e.g., Hayes & patterns of behavior not necessarily
Plumb, 2007). linked to direct contingencies (at least
Self as context is a middle-level not in a traditional behavioral sense).
term that orients clinicians towards a In that regard, values are crucial
stable sense of self described as a because they establish large patterns
‘‘locus or context of self-knowledge of behavior that are less likely to be
[that] will not and cannot [change]’’ disturbed by immediate reinforcers
(Hayes, 1984, p. 104). This notion of not linked to verbally constructed
self is in line with Skinner’s (1974) chosen consequences.
definition of self-knowledge as the Committed action refers to the
discrimination of the organism’s own continuous redirection of behavior
behavior, but adds to this conceptu- so as to construct larger and larger
alization by arguing that humans not patterns of flexible and effective
only discriminate their own behavior action in line with chosen values.
but they do so verbally (D. Barnes- ACT therapists encourage committed
Holmes, Hayes, & Dymond, 2001; action in their clients because behav-
Hayes, 1984; Hayes & Gregg, 2001; ior change is the ultimate purpose of
Hayes & Wilson, 1993) and from a the model and the test of the pro-
consistent, verbally established per- cesses addressed earlier. Committed
CONTEXTUAL BEHAVIORAL SCIENCE 119

action is an indicator not only of the ed at the most liberal edge of CBS,
extent to which the individual has a whereas more technical work in ACT
repertoire to pursue those ends but (and even more so in RFT) is closer
also of his or her overall psycholog- to traditional behavior analysis.
ical flexibility. It is worth mentioning RFT, not just ACT, belongs partly
that when ACT therapists target in the applied area because of direct
committed action, they normally use applications in language learning and
traditional behavior-change tech- the like.
niques such as exposure or skill
development. The CBS Fronts of Exploration: Tests
The resulting outcome of these Using Diverse Methods
psychological processes is what has
been called psychological flexibility. How do we best go about explor-
This term serves to define the target ing analytic abstractive theories and
of interventions based on the ACT sets of middle-level functional terms
model and is arguably the conjoined and the techniques based on them?
result of those processes. This is an area in which the charac-
To understand the interconnec- teristics of a CBS approach differ
tions among ACT, RFT, behavior most dramatically from mainstream
analysis, and CBS, it is worth think- behavior analysis.
ing about a continuum of behavioral Because the psychological level of
repertoires involved in applied work, analysis is the whole organism inter-
depicted by the model shown in acting in and with a context defined
Figure 1. Some applied work is based historically and situationally, it is
on direct helping skills, and other important to base psychological prin-
applied skills are based on how ciples, theories, and functional terms
problems and interventions are con- on empirical analyses at the level of
ceptualized. Within this latter set, the individual (Skinner, 1961). It is
some work is based on lay theories; often worthwhile initially to examine
some may be based on middle-level the impact of various applied tech-
functional terms; and some may be niques in the same way. But a CBS
based on precise behavioral princi- approach deviates from traditional
ples (Figure 1, top). The middle panel behavior analysis, with the view that
illustrates the idea that most forms of if the analysis applies at the level of
nonempirical applied work are little the individual, the impact and pro-
more than a combination of direct cesses often need to be shown also at
helping skills and lay theories. In the level of the group.
addition to direct helping behaviors, The need for this step is not just
traditional cognitive behavior thera- pragmatic. Obviously in the modern
py (CBT) adds some functional terms era randomized controlled trials are
and at times even a sliver of basic the gold standard in many applied
principles, whereas in applied behav- areas. Apart from the funding and
ior analysis that is reversed, with political issues involved, however,
some middle-level functional con- group designs are a necessary com-
cepts and a large dose of behavioral ponent of a CBS approach for three
principles. The bottom panel illus- reasons. First, when sets of functional
trates the idea that a CBS approach analyses are gathered into theories
spans the full range up to the use of and middle-level functional terms,
lay terms in its science and practice, the functional analytic issues are
and the ACT-RFT approaches are often shared among individuals.
just part of CBS. It also illustrates the RFT is an example that argues that
idea that the turtle operating system relational operants form the basis of
way of viewing pathology, health, human language and cognition. If so,
and intervention is deliberately locat- one needs to show that these process-
120 ROGER VILARDAGA et al.

Figure 1. Interconnections among CBT, ACT, RFT, behavior analysis, and CBS.

es apply at the level of verbal human The behavior-analytic community


beings; the shared properties of the at large has warned against the
set of functional analyses that led to dangers of just such scientific prac-
such a generalization demand it. tice: ‘‘It might then be a short step
Second, when technologies are dis- from the analysis of the behavior of
seminated, their broad outcomes the individual in controlled settings
within targeted populations are a to group designs and statistical infer-
key matter that needs to be explored ence, and from an interest in behav-
experimentally. Information about ioral phenomena to an interest in
this key applied matter requires inferential (…) theory’’ (Leigland,
group designs. Finally, a key focus 1997, p. 24). We think that danger
of theory needs to be on scope, and is overblown if (a) there is greater
that is often helped by examination clarity about the nature of analytic
of the group. abstractive theory, (b) principles and
CONTEXTUAL BEHAVIORAL SCIENCE 121

theories are based on the individual controlled laboratory settings with


and then scaled, and (c) statistical individuals. In other words, if we
inference is properly used. want to explore the generalization of
Many aspects of the initial devel- a pattern of behavior through group
opment of statistical theory (Fisher, design studies, we also need to
1935; Neyman & Pearson, 1938) are produce basic laboratory research in
indeed hostile to behavior-analytic interconnection with the develop-
sensibilities. In its beginnings, statis- ment of analytic abstractive theories
tical inference had to rely on math- and middle-level terms. Linking mid-
ematical functions to make decisions dle-level terms back to basic princi-
about differences in the distribution ples is an ongoing process that can be
of a population, because at that point explored both theoretically and em-
in time any other types of calcula- pirically; it is a process subject to
tions were lengthy and tedious (Tod- constant refinement and revision;
man & Dugard, 2001). In the modern ultimately, the results are the only
era, new statistical approaches are judge to advocate for its use.
available that allow the direct analy- To explore the scope of principles
sis of small groups of individuals or and theories at the group level, it is
single individuals without having to critical to develop measures of middle-
assume a normal distribution. Some level functional constructs. A variety
of these have grown close to the of such measures have been developed
longitudinal approach of traditional in the ACT-RFT research program,
behavior analysis (e.g., Hedeker & including self-report measures (e.g.,
Gibbons, 2006). Blackledge, Spencer, & Ciarrochi,
The other problem with statistical 2007; Dahl & Lundgren, 2007; Hayes,
inference was not mathematical but Bissett, et al., 2004; Hayes, Strosahl, et
conceptual. Classical statistical theo- al., 2004; McCracken, Vowles, & Ecc-
ry argued that random sampling is leston, 2004; Wilson, Sandoz, Kitch-
the solution to external validity, but ens, & Roberts, 2008) as well as other
this requirement is almost never met assessment tools, such as implicit
(Edgington & Onghena, 2007), leav- measures (e.g., D. Barnes-Holmes et
ing the issue of generalization hang- al., 2006), discounting measures (Waltz
ing. CBS takes another approach: & Follette, 2008), and coding in-
Keep the focus on the precision, session behaviors (e.g., Hesser, Westin,
scope, and depth of principles, theo- & Andersson, 2008).
ries, and middle-level functional con- These can be used nomothetically,
cepts. In other words, one must but they can also be used in func-
program and test for generalization, tional diagnosis or case formulation.
not assume it. Researchers test the A functional diagnosis is an abstract
generalization of functional environ- characterization of client problems
ment–behavior relations specified in and strengths in which the intercon-
analytic abstractive theories of pa- nection of symptoms and situational
thology and intervention in large part triggers is organized with the aim of
by scaling an intervention to a group guiding the therapist’s intervention
with specific functional characteris- (Sturmey, Ward-Horner, Marroquin,
tics (Biglan & Hayes, 1996). Individ- & Doran, 2007). Traditional func-
uals are analyzed in groups formed tional diagnosis has focused more on
on the basis of targeted functional descriptive or direct analyses of
processes rather than syndromes or current and observed behaviors than
topographical distinctions. This ap- on the individual’s historical context.
proach to group designs may be more Analytic abstractive theories and
adequate for generalization because their adjunct middle-level terms help
the processes being targeted link back to fill in this gap. For example, a
to basic principles and findings from person with high levels of experiential
122 ROGER VILARDAGA et al.

avoidance will often respond to inter- are used to empirically test the scope
ventions differently (e.g., Masuda et of the theoretical model across a
al., 2007), and knowing that literature variety of problem behaviors and
allows better case formulation. contexts.
In the following paragraphs we will Meta-analyses (Hayes et al., 2006;
summarize what we have come to Öst, 2008; Powers, Zum Vörde Sive
label as fronts of exploration. A front Vörding, & Emmelkamp, in press)
of exploration is a particular way in have supported the empirical utility of
which the experimenter interacts with ACT. RCTs have demonstrated the
the phenomena of interest. None of beneficial effects of ACT in deal-
those fronts has priority over any ing with problems related to depres-
other in and of itself. Together these sion, anxiety, substance use, psycho-
fronts inform each other. Variety of sis, borderline personality disorder,
methods of exploration is key. We will trichotillomania, epilepsy, weight main-
begin with outcome studies and pro- tenance, coping with cancer, and
ceed to a number of other approaches. diabetes management (e.g., Bach &
Time series studies. This approach Hayes, 2002; Dalrymple & Herbert,
is at the core of the behavior-analytic 2007; Gratz & Gunderson, 2006;
tradition, and we have written about Gregg, Callaghan, Hayes, & Glenn-
it extensively (e.g., Hayes, Barlow, & Lawson, 2007; Hayes, Wilson, et al.,
Nelson-Gray, 1999). ACT and RFT 2004; Lillis, 2008; Lundgren, Dahl, &
researchers have consistently carried Hayes, 2008; Woods, Wetterneck, &
out this type of study to establish and Flessner, 2006; Zettle & Hayes, 1986).
refine principles and theories. It is What integrates this wide variety of
also useful in outcome analysis. For phenomenon is the underlying model.
example, time series have shown that Formal testing of that model is done
ACT produces positive effects with in another fashion.
skin picking (Twohig, Hayes, & Mediational and moderation analy-
Masuda, 2006b), marijuana use ses. Measures of middle-level terms
(Twohig, Shoenberger, & Hayes, can subsequently be explored in
2007), and obsessive compulsive dis- group outcome studies through me-
order (Twohig, Hayes, & Masuda, diational analysis. The statistical ap-
2006a). proach of this front of exploration
Randomized controlled trials. Ran- provides a link between theory and
domized controlled trials (RCTs) outcomes in group design studies by
represent another front used in examining the process variables that
CBS. However, RCTs are used dif- account for the relation between
ferently in CBS compared to the treatment and outcome (Kazdin,
dominant stage-based model of re- 2007; MacKinnon, Fairchild, &
search within clinical psychology. In Fritz, 2007). These analyses can be
the more dominant model of clinical used to see whether an intervention
intervention testing, RCTs are con- affects the processes it is designed to
sidered to be the gold standard due to and whether the theoretical processes
their perceived ability to achieve of change account for the observed
internal validity and maintain exter- impact of an intervention on out-
nal validity by examining the efficacy come (Follette, 1995). Identifying the
of a manualized treatment targeting a processes of change may be less
specified disorder. This approach important when using specified be-
assumes that treatments should be havior-analytic principles (e.g., dif-
tested with regard to so-called psy- ferential reinforcement and extinc-
chological disorders, but syndromal tion), particularly when linked to an
classification is largely inconsistent ideographic functional analysis.
with a functional analytic approach. However, when such interventions
Rather, in a CBS approach, RCTs have been scaled to a group level,
CONTEXTUAL BEHAVIORAL SCIENCE 123

statistical analyses of processes of ables within many other fields of


change for a treatment can be very psychology. In addition, this method
beneficial to explore the functional can be useful, because it provides a
variables through which treatment is quick gauge of the extension and
believed to produce an outcome. relevance of middle-level constructs,
Current psychosocial interventions it helps to identify contextual factors
often lack adequate mediation data that relate to behaviors, and it may
(Murphy et al., 2009), and the tighter suggest new behavior–behavior rela-
links among basic principles, theoret- tions (e.g., Bond & Bunce, 2003;
ical models, and technologies in a Norberg, Wetterneck, Woods, &
CBS approach, is clear advantage. Conelea, 2007). Thus, such research
Examples of mediation analyses can can provide a general, albeit less
be found in the ACT-RFT literature precise, estimation of the applicabil-
(Forman, Herbert, Moitra, Yeo- ity of functional analyses scaled to a
mans, & Geller, 2007; e.g., Lundgren group level for a given population.
et al., 2008). Qualitative research. Qualitative
Moderation analyses serve a simi- research can contribute to the devel-
lar purpose. By definition, they ex- opment of assessment and interven-
amine variables that influence the tion programs that are sensitive to
impact of treatment on outcome the cultural context, and to the
(Kazdin, 2007). This approach pro- multiple perspectives of stakeholders
vides important information regard- in research.
ing how individual characteristics Treatment components analyses.
and contextual factors can influence Another group design method in-
the effects of an intervention. Thus, volves exploring specific treatment
moderation analysis allows research- components of a treatment package.
ers to explore ideographic variables, Treatment components represent
suggesting particular interventions or functional sets of intervention tech-
processes of change to emphasize nologies that target specified process-
depending on the individual and es. CBS emphasizes evaluating the
context (e.g., Forman, Hoffman, et impact of these treatment compo-
al., 2007; Masuda et al., 2007). This nents as well as specific technologies
provides one opportunity for clinical separate from the entire treatment
behavior analysts to communicate to package. Due to the nature of the
other fields the importance of ideo- middle-level functional constructs
graphic factors that may influence an elaborated in CBS, these studies also
intervention, rather than ‘‘one size test the adequacy of the theory in
fits all’’ approaches, and a general specifying processes of change that
method to test for these factors at a will produce clinically relevant out-
group level. comes. The most common approach
Cross-sectional analyses. Cross-sec- to component testing in clinical
tional research is a front of explora- psychology is dismantling studies in
tion that examines the correlations which critical components of a treat-
between various behaviors and con- ment package are removed and then
textual factors that can inform theory compared to the full package in a
as well as interventions (Biglan et al., randomized controlled trial. Al-
1996). The identification of behav- though the cost and effort of large
ior–behavior relations and contextual dismantling studies constitute impor-
factors has typically been studied in tant barriers to their implementation,
behavior analysis through more ideo- smaller treatment-component analy-
graphic approaches such as function- ses are a more feasible alternative and
al analysis. Yet, cross-sectional re- constitute an additional source of
search at a group level represents the scientific inquiry (e.g., Williams,
standard for identifying such vari- 2006).
124 ROGER VILARDAGA et al.

Analogue and small-scale research. mentation of treatment by clinicians


In a CBS approach, small-scale in these settings. Relevant outcomes
analogue studies are often used to may include factors such as accept-
test treatment technologies as well as ability of the intervention by clients
to examine important theoretical and clinicians as well as cost effec-
questions in highly controlled settings tiveness.
in which the impact of experimental An interest in factors that affect
manipulations on outcomes can be the application of an intervention in
more clearly elucidated. Such con- actual applied settings is driven by
trolled studies allow a finer analysis the pragmatic truth criterion on
of the role and impact of middle-level which CBS is based. If truth is
constructs on proximal outcomes. In determined with respect to meeting
these studies, behavioral measures, the analytic goals of prediction and
such as persisting in a distressing influence of behavior, then determin-
task, often act as proxies for clinically ing the ability of a theoretical anal-
relevant behavior. The reduced bur- ysis and subsequent intervention to
den of running these smaller scale affect behavior in the contexts in
studies allows researchers to test which it would actually be applied is
treatment components and specific essential. Effectiveness trials can test
technologies throughout treatment the utility of both the theoretical
development, rather than solely rely- model and treatment in influencing
ing on expensive and time-consuming behavior at a high degree of com-
randomized controlled trials. This plexity and abstraction. These studies
serves to increase the efficiency in help to identify additional factors
building and improving on the treat- related to the impact of an interven-
ment and model as well as to provide tion. The boundary conditions of the
a strong understanding of the impact model are tested with findings that
of treatment components on hypoth- lead researchers to adjust the theory
esized processes of change and treat- or technologies to better match the
ment outcomes. Several small-scale needs of clinicians and their clients.
analogue and component studies Large-scale effectiveness studies have
with clinically relevant behaviors demonstrated the effectiveness of
have informed the ACT model (e.g., ACT in outpatient settings that target
Masuda, Hayes, Sackett, & Twohig, heterogeneous clinical populations
2004; McMullen et al., 2008; Páez- (e.g., Forman, Herbert, Moitra, Yeo-
Blarrina et al., 2008). mans, & Geller, 2007; Lappalainen et
Effectiveness trials. Effectiveness al., 2007; Strosahl, Hayes, Bergan, &
trials represent another important Romano, 1998).
front used in CBS. Contrary to other Training and dissemination. This
common approaches within clinical methodological approach to model
psychology, CBS involves an early testing can be further expanded to
and continuous emphasis on effec- examine variables related to applica-
tiveness studies (Hayes, 2002). These tion, dissemination, and training. But
studies test the application of a given it cannot be taken for granted that
treatment in a more real-world set- the existence of effective intervention
ting. This may involve treating a models and techniques will lead to
heterogeneous clinical population, their acquisition and implementation
including multiproblem and subclin- by practitioners. There is an extensive
ical clients. Studies are often con- literature indicating the boundaries
ducted in less controlled settings than of such arguments (e.g., Goisman,
those typically used in other group Warshaw, & Keller, 1999). Together
designs (e.g., outpatient clinics). The with the institutional barriers and
analysis may also be expanded to other sociological factors that tend
include issues of training and imple- to maintain ineffective clinical prac-
CONTEXTUAL BEHAVIORAL SCIENCE 125

tices, practitioners also experience the wide range of targets that fit the
same historical and situational con- underlying analysis. This breadth of
texts that lead to psychological in- testing is not just practical in the
flexibility in their recipients. If this is sense of carrying forward the profits
correct, then one would expect pro- of science into areas of human
cesses targeted in treatment also to concern; it provides the biggest chal-
potentially apply to the training and lenge of theoretically specified pro-
application of the treatment. Thus, cesses of change and the interven-
CBS treatment approaches such as tions linked to them. Thus, it is not
ACT involve the application of the by accident that this wing of behavior
model to the therapist as well as the analysis has, despite its applied roots,
client. Some data support this appli- never wavered from its goal of an
cation, with studies finding that ACT experimental analysis of language
workshops for therapists can reduce and cognition. For example, ACT
burnout (e.g., Hayes, Bissett, et al., has recently been tested in nonclinical
2004) and can increase the adoption areas in which language may create
of empirically supported treatments barriers to effective action including
by clinicians (e.g., Varra, Hayes, prejudice or stigma (e.g., Lillis &
Roget, & Fisher, 2008). Hayes, 2007; Luoma et al., 2007) and
Summary. The rejection of the work-site functioning (e.g., Bond &
full range of methodological ap- Bunce, 2000). In addition, if the RFT
proaches has needlessly narrowed analysis of language is correct, it can
the focus and impact of behavior be expanded to a number of areas
analysis. The traditional behavioral beyond psychological problems. Re-
arguments against these methods cent studies have begun to do so with
do not apply to their use in a CBS application in areas such as educa-
approach. We are not, for example, tion (Berens & Hayes, 2007). This
arguing that group studies provide an expansion involves a willingness to
adequate basis for the identification confront the full range of behaviors
of behavioral principles and theories. and problems that may be related to
But tests of behavioral approaches language and cognition.
need to be properly scaled. If the
claim is that language processes lead
to general patterns of experiential Dissemination, Community, and
avoidance, those general patterns Cultural Impact
need to be examined in a relevant
population. If middle-level terms are As mentioned at the beginning of
identified and measured that are the paper, scientists should be ac-
argued to account for outcomes in a countable for perpetuating and dis-
wide range of people with particular seminating their own work. The
problems, then that mediational pragmatic focus of CBS has been
claim must be tested with methodol- combined with several steps to ensure
ogies appropriate to the test. an open, nonhierarchical community.
There is no attempt to restrict train-
ing or to link it to proprietary
Scope of Application interests. List serves are open. A
Another characteristic of the test- tradition of providing clinical and
ing of processes and outcomes in a research resources at low cost or no
CBS approach is to test assessment cost was created. Nonbehaviorists
and intervention methods using a and critics were actively sought out,
variety of modes of delivery (individ- and their ideas were given free
ual psychotherapy, group-based for- expression in CBS conferences, al-
mats, brief workshops, bibliotherapy, though CBS remains committed to a
Internet-based interventions) and a behavior-analytic account.
126 ROGER VILARDAGA et al.

There is indication of cultural practically, theoretically, and empiri-


impact of this approach not only cally, and without minimization of
among professionals but also in other complexity. This is what is needed to
disciplines and the popular media. return behavior analysis closer to its
For example, by the end of 2009 over original grand vision. For behavior
35 original books on ACT and RFT analysis to address the mainstream
will have been published worldwide. issues faced in behavioral science and
Not counting translations from En- ensure its success, mere interpretation
glish, original books now are pub- is not an acceptable end point,
lished or in press in Japanese, Finn- behavioral jargon in all settings is
ish, Italian, Spanish, French, Ger- not functional, methodological rigid-
man, and Swedish. Government ity is not justifiable, continued insis-
grants on ACT and RFT are ap- tence on animal learning as the best or
proaching $20 million worldwide. even only foundation for basic be-
The ACT-RFT research program havioral science and behavioral prin-
has been the subject of considerable ciples is self-defeating, and penetra-
national publicity and attention out- tion into the culture at large needs to
side behavior analysis, in the popular be actively sought, monitored, and
press (e.g., Cloud, 2006) and profes- evaluated. Rather than arguing these
sional publications (e.g., Arch & points in the abstract, we have tried to
Craske, in press; Hofmann & As- show that from the roots of clinical
mundson, 2008). ACBS has nearly behavior analysis has grown an alter-
2,000 dues-paying members. There native approach—contextual behav-
are over a dozen organized ACT and ioral science—that is an extension of
RFT interest groups and list serves behavior-analytic strategic thinking
outside the United States, totaling but is still entirely philosophically
several thousand members. consistent with it, and that is yielding
This attention is bringing nonbeha- concrete signs of success, growth, and
viorists into contact with behavioral penetration into the mainstream. We
thinking, which is an explicit part of argue that the basic steps in a CBS
its purpose. For example, there is approach are not limited to ACT.
extensive discussion of basic behavior Applied technologies are beginning to
analysis by nonbehaviorists on CBS emerge from RFT that have nothing
list serves (e.g., see Chantry, 2007); as to do with ACT (Rehfeldt & Barnes-
a result of practitioner demand, pub- Holmes, in press). These applications
lishers who commonly publish ACT could be linked to models with
materials are now publishing books clinically accessible middle-level func-
on behavioral principles for clinicians tional terms, and to diverse method-
(e.g., Ramnerö & Törneke, 2008) or ological tests. The same should be
on how to apply the literature on possible with any behavior-analytic
derived relational responding (Reh- method, given the commitment to do
feldt & Barnes-Holmes, in press); so.
nonbehavioral clinicians at ACBS Behavior analysis was at one time
conventions demand sessions on basic one of the boldest areas in all of
behavioral principles. behavioral science. It is odd that it is
more marked in the present day by its
RECAPTURING THE CENTER methodological conservatism. The
CBS approach maintains a firm
OF PSYCHOLOGY
commitment to the key methods of
With an evolution of traditional observation and analysis that have
behavior-analytic thinking, based firm- proven useful in behavior analysis,
ly in contextualistic thinking, there is but opens the door to greater con-
not a topic in psychology that behav- ceptual and methodological diversity
ior analysis cannot begin to address based firmly on those foundations.
CONTEXTUAL BEHAVIORAL SCIENCE 127

The core of this approach is Barnes, D., & Keenan, M. (1993). A transfer
philosophical clarity and a unified of functions through derived arbitrary and
nonarbitrary stimulus relations: Erratum.
strategic vision linked to these as- Journal of the Experimental Analysis of
sumptions. Contrary to others (e.g., Behavior, 60, 16.
Epstein, 1991; Marr, 1997), we argue Barnes-Holmes, D., Barnes-Holmes, Y., Pow-
that isms in behavioral science are er, P., Hayden, E., Milne, R., & Stewart, I.
(2006). Do you really know what you
not the enemy. For decades, one ism believe? Developing the implicit relational
that worked very well indeed was the assessment procedure (IRAP) as a direct
one attached to the word behavior. In measure of implicit beliefs. The Irish Psy-
our view, behaviorism can be made chologist, 7, 169–177.
more relevant to the modern era Barnes-Holmes, D., Cochrane, A., Barnes-
Holmes, Y., Stewart, I., & McHugh, L.
when approached from the point of (2004). Aceptación psicológica: Análisis
view of contextualism and when experimental e interpretaciones teóricas.
linked to a refinement of traditional International Journal of Psychology & Psy-
behavior-analytic goals: the predic- chological Therapy, 4, 517–530.
tion and influence, with precision, Barnes-Holmes, D., Hayes, S. C., & Dymond,
S. (2001). Self and self-directed rules. In S.
scope, and depth, of the actions of C. Hayes, D. Barnes-Holmes, & B. Roche
whole organisms interacting in and (Eds.), Relational frame theory: A post-
with an environment considered his- Skinnerian account of human language and
torically and situationally. cognition (pp. 119–139). Kluwer Academic/
Plenum.
Behavior analysis, from its roots in Barnes-Holmes, Y., Barnes-Holmes, D.,
animal learning to the stars of Smeets, P. M., Strand, P., & Friman, P.
Walden Two, reached toward a (2004). Establecimiento en niños pequeños
comprehensive conceptual and ex- de comportamiento relacional de acuerdo a
perimental analysis that would be más-que y menos-que como conducta oper-
ante generalizada. International Journal of
adequate to the challenges of the Psychology & Psychological Therapy, 4,
human condition. Somehow that 531–558.
vision faded to a degree as the field Baumeister, R. F., Zell, A. L., & Tice, D. M.
retreated to a smaller subset of areas (2007). How emotions facilitate and impair
self-regulation. In J. J. Gross (Ed.), Hand-
in which it was succeeding spectacu- book of emotion regulation (pp. 408–426).
larly well. These self-inflicted limits New York: Guilford.
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lysis belongs at the center of modern Arbitrarily applicable comparative rela-
psychology, pursuing its original vi- tions: Experimental evidence for a relational
operant. Journal of Applied Behavior Anal-
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