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Behavioral assessment

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Behavioral assessment

  1. 1. Behavioral Assessment
  2. 2. Rida Mariam 103
  3. 3. Behavioral Assessment An assessment approach that focuses on the interactions between situations and behaviors for the purpose of effecting behavioral change.
  4. 4. History Behaviorism beginning in 1930’s Pavlov: Pavlovian or classical conditioning B.F. Skinner (most noteworthy work 1953)  Skinner box for rat learning research  Operant or response-stimulus (RS) conditioning
  5. 5. Behavioral Assessment Context in Clinical Psych  Grows from Behavior Theory / Learning Theory  Aspects of it can be easily combined with other forms of assessment – very common to do so  Differs from traditional assessment (clinical interview and testing) in 3 ways
  6. 6. 1. Sample vs. Sign  In behavioral assessment, test / interview responses are interpreted as “samples” of behavior that are thought to generalize to other situations  In traditional assessment (even psychodynamic), we interpret test data as “signs” of internal processes
  7. 7. 2. Functional Behavioral Analysis (also called Functional Analysis)  Derived from Skinner’s work with SR (stimulus-response) learning  SORC model  ABC model (very similar)  Isolates a target behavior for analysis and understanding in a very concrete, prescripted manor
  8. 8. SORC model for conceptualizing a behavior S = stimulus or “antecedent” factors which occur before target behavior O = organismic variables relevant to target behavior R = the response = the target behavior C = consequences of target behavior
  9. 9. Elaboration of “O” Organismic Physical / medical / physiological, cognitive / psychological aspects of the client …that are relevant to treating the target behavior
  10. 10. Example of SORC model  S – Stimulus: a child is ignored by her peers in class  (O – Organismic: the child has previously been diagnosed with ADHD)  R – Response: She increases the volume of her voice (i.e., yells)  C – Consequences: her peers pay attention to her, some role their eyes
  11. 11. Similar to SORC: ABC A = Antecedent – similar to “situation” B = Behavior – similar to “response” C = Consequence – outcome
  12. 12. Iqra Shahzad 72
  13. 13. Behavioral Assessment Methods Behavioral Interviews Observational methods  Naturalistic Observation  Controlled Observation Controlled Performance Techniques Self-Monitoring Role-playing Inventories, Checklists Cognitive-Behavioral Assessments
  14. 14. Behavioral Interviews Interviews conducted for the purpose of identifying a problem behavior , the situational factors that maintain the behavior, and the consequences that result from that behavior.
  15. 15. Goal: help clinician gain general perspective of problem and Understand antecedent factors Behavioral Interviews are used to obtain a general picture of the presenting problem and of the variables that seem to be maintaining the problematic behavior.
  16. 16. Observation: a primary technique A primary technique of behavioral assessment. It is often used to gain a better understanding of the frequency, strength, and pervasiveness of the problem behavior as well as the factors that are maintaining it.
  17. 17.  Naturalistic Conditions: Behavior typically and spontaneously occurs. Home observation School observation Hospital observation  Controlled Conditions: Simulated or contrived conditions. The environment is designed to such that it is likely that the assessor will observe the targeted behavior or interactions.
  18. 18. Controlled Performance Techniques An assessment procedure in which the clinician places individuals in carefully controlled performance situations and collects data on their performance/behaviors, their emotional reactions, and/or various psycho physiological indices.
  19. 19. Self-monitoring techniques  An observational technique in which individuals observe and record their own behaviors, thoughts, or emotions (including information on timing, frequency, intensity and duration)  Clients are asked to maintain behavioral logs or diaries over some predetermined time period.  Dysfunctional Thought Record DTR is most common of self-monitoring in clinical setting
  20. 20. Role Playing  A technique in which patients are directed to respond the way they would typically respond if they were in a given situation.  Provide a scenario for client to act out, possibly with a clinical assistant or the therapist  Benefit: therapeutic since it’s practice in a safe setting plus provides ongoing assessment
  21. 21. Inventories, checklists  E.g., child behavior checklist CBCL  Parent, peer, self, teacher rate on a list of behaviors  Usually multiple raters  Questionnaire format Often have multiple “factors” in checklist  E.g., aggressive, depressed, anxious behaviors  Benefit: they offer a quantitative measure!
  22. 22. Cognitive-Behavioral Assessments An assessment approach recognizing that the person’s thought or cognitions play an important role in behavior. Example: Beck Depression Inventory Asks questions about behaviors such as sleep, appetite, decision making related to decision But also thoughts: negative thoughts about self, thoughts about death, etc.
  23. 23. Challenges to validity and reliability Reliability & validity influenced by  complexity of behavior observed  level of training, experience of observer(s)  Observer error  influence of observation on target (problematic) behavior  generalizability of observations to other settings/situations

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