Praxical.Psych

Behaviour therapies

Think functionally about behaviour, and understand what the dismantling studies showed.

Chapter 9Sessions 11/16–11/18

What you should be able to do afterwards

  • 1Conduct a functional analysis and state a testable prediction
  • 2Distinguish topography from function
  • 3Explain negative reinforcement and its clinical centrality
  • 4Describe the behavioural activation dismantling findings and what they imply

The reading

Jacobson found in 1996 that behavioural activation alone matched full cognitive therapy for depression. Dimidjian found in 2006 that it matched antidepressant medication and outperformed cognitive therapy in more severe cases. Richards found in 2016 that it could be delivered by junior workers at a fifth of the cost, non-inferior to CBT. That sequence of findings is the strongest argument in the field for taking the simplest effective intervention seriously.

What belongs to this unit

Questions to take away

For a seminar, a supervisor, or an argument with yourself.

  1. 1Two patients self-harm. What questions distinguish what to do?
  2. 2If behavioural activation works as well as cognitive therapy, why is cognitive therapy more widely taught?
  3. 3What ethical constraints should govern arranging another person’s contingencies?

Your notes

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Educational use only

Praxical.Psych is a teaching tool. It is not medical, clinical, psychological or legal advice, not a diagnosis, not treatment, not supervision, and not a credential. Nothing here creates a clinician–patient or solicitor–client relationship. Every patient, case, transcript and simulated session is fictional. Clinical and legal requirements vary by jurisdiction and change over time — verify anything that bears on a real decision against your own regulator, statute and current professional guidance, and consult a qualified professional.

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Before you begin

What Praxical.Psych is, and is not

Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

It is not medical, clinical, psychological or legal advice. It cannot diagnose or treat anyone, and it does not state the law where you practise — requirements differ by jurisdiction and change. Nothing here creates a clinician–patient or solicitor–client relationship.

  • Every patient, transcript and case in this app is fictional — a composite written for teaching. None depicts a real person.
  • Praxical.Psych is not therapy, not a substitute for supervision, and not a credential. Competence to practise comes from training, supervised hours and licensure.
  • Scores from the instruments here are for learning how they behave. They are not a diagnosis and not a risk assessment, and must not inform a decision about a real person.
  • Do not enter real patient information. Everything you type stays in this browser, but that is not the same as a compliant clinical record system.
If you are in crisis

In the US and Canada, call or text 988. In the UK and Ireland, call 116 123 (Samaritans). Elsewhere, find a local line at findahelpline.com. In immediate danger, use your local emergency number.

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