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Therapists' Verbal Behavior Analysis: A Descriptive Approach to the Psychotherapeutic Phenomenon

Published online by Cambridge University Press:  10 January 2013

M. Xesús Froján*
Affiliation:
Universidad Autónoma de Madrid (Spain)
Montserrat Montaño
Affiliation:
Universidad Autónoma de Madrid (Spain)
Ana Calero
Affiliation:
Universidad Autónoma de Madrid (Spain)
*
Correspondence concerning this article should be addressed to María Xesús Froján. Departamento de Psicología Biológica y de la Salud. Facultad de Psicología. Universidad Autónoma de Madrid. C/ Ivan Pavlov, 6. Ciudad Universitaria de Cantoblanco. 28049 Madrid. (Spain). Phone: +34-914973956. Fax: +34-914975215. E-mail: mxesus.frojan@uam.es

Abstract

This paper presents some preliminary results from a different approach to research on psychotherapeutic processes. As activity in psychotherapy is predominantly verbal, we propose a scientific study of therapists' verbal behavior from a behaviorist perspective. Data were obtained through observational analysis of the recordings of 16 clinical sessions involving 4 cases, all of which based on individual cognitive-behavioral therapy with adults, in the framework of private clinical practice in Spain. The analysis used a previously validated system of categories and The Observer XT software to register and code data. A descriptive analysis enabled us to identify several patterns of psychologists' verbal behavior, irrespective of the therapist and/or the case analyzed. Notable differences were also observed in clinicians' performance, which raises important questions about potential variables associated with therapeutic change. Finally, we discuss the strengths and weaknesses of the present research agenda, the development of which should lead to a fuller understanding of the psychotherapeutic phenomenon.

El objetivo perseguido en este trabajo es presentar los primeros resultados de una nueva forma de abordar la investigación del proceso terapéutico. Partiendo del hecho de que la psicoterapia es eminentemente hablada, se propone el estudio científico de la conducta verbal de los psicólogos desde una perspectiva conductual. Los datos fueron obtenidos a partir del análisis observacional de las grabaciones de 16 sesiones clínicas procedentes de 4 casos distintos, todos ellos desarrollados en el marco de la terapia cognitivo-conductual individual con adultos en un centro privado español. Para la observación, codificación y registro de los datos se empleó un sistema de categorización previamente validado y el software The Observer XT. Un análisis descriptivo de los registros nos permitió identificar ciertos patrones de comportamiento verbal de los psicólogos, independientemente de las características particulares del caso y/o del terapeuta. Se apreciaron además notables diferencias en la forma de proceder de los clínicos, lo que sugiere importantes preguntas acerca de las posibles variables asociadas al cambio terapéutico. Por ultimo, se discuten las fortalezas y debilidades de esta nueva línea de investigación cuyo desarrollo permitirá una mejor y más completa comprensión del fenómeno clínico.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2010

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References

Ablon, J. S., Levy, R. A., & Katzenstein, T. (2006). Beyond brand names of psychotherapy: identifying empirically supported change processes. Psychotherapy: Theory, Research, Practice, Training, 43(2), 216231.CrossRefGoogle ScholarPubMed
American Psychological Association (2002). Ethical Principles of Psychologists and Code of Conduct. American Psychologist, 57(12), 10601073.CrossRefGoogle Scholar
Bakeman, R. (2000). Behavioral observation and coding. In Reis, H. T., & Judd, C. M. (Eds.), Handbook of research methods in social and personality psychology (pp. 138159). Cambridge, NY: Cambridge University Press.Google Scholar
Bakeman, R., & Gottman, J. M. (1986). Observing interaction: An introduction to sequential analysis. Cambridge, NY: Cambridge University Press.Google Scholar
Bakeman, R., Quera, V., McArthur, D., & Robinson, B. F. (1997). Detecting sequential patterns and determining their reliability with fallible observers. Psychological Methods, 2(4), 357370.CrossRefGoogle Scholar
Bellack, A. S., & Hersen, M. (Eds.) (1988). Behavioral assessment. A practical handbook. Boston: Allyn and Bacon.Google Scholar
Callaghan, G. M., Naugle, A. E., & Follette, W. C. (1996). Useful constructions of the patient-therapist relationship. Psychotherapy: Theory, Research, Practice, Training, 33, 381390.CrossRefGoogle Scholar
Callaghan, G. M., Summers, C. J., & Weidman, M. (2003). The treatment of histrionic and narcissistic personality disorder behaviors: A single-subject demonstration of clinical effectiveness using Functional Analytic Psychotherapy. Journal of Contemporary Psychotherapy, 33, 321339.CrossRefGoogle Scholar
Caro, I. (2004). A process analysis of linguistic change. Counselling Psychology Quarterly, 17(4), 339359.CrossRefGoogle Scholar
Castonguay, L. G., & Beutler, L. E. (2006). Principles of therapeutic change: a Task Force on participants, relationships, and techniques factors. Journal of Clinical Psychology, 62(6), 631638.CrossRefGoogle Scholar
Catania, A. C. (1992). Learning. New Jersey: Prentice Hall.Google Scholar
Catania, A. C., & Shimoff, E. (1998). The experimental analysis of verbal behavior. Analysis of Verbal Behavior, 15, 97100.CrossRefGoogle ScholarPubMed
Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685716CrossRefGoogle ScholarPubMed
Cone, J. D. (1997). Issues in functional analysis in behavioral assessment. Behavior Research and Therapy, 35, 259275.CrossRefGoogle ScholarPubMed
Critchfield, K. L., Henry, W. P., Castonguay, L. G., & Borkovec, T. D. (2007). Interpersonal process and outcome in variants of cognitive–behavioral psychotherapy. Journal of Clinical Psychology, 63(1), 3151.CrossRefGoogle ScholarPubMed
DeRubeis, R. J., & Crits-Christoph, P. (1998). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting and Clinical Psychology, 66, 3752.CrossRefGoogle ScholarPubMed
Dougher, M. J. (1993). Interpretive and hermeneutic research methods in the contextualistic analysis of verbal behavior. In Hayes, S. C., Hayes, L. H., Reese, H. W., & Sarbin, T. R. (Eds.), In varieties of scientific contextualism (p. 211221). Reno, NV: Context Press.Google Scholar
Elliot, R., Shapiro, D. A., Firth-Cozens, J., Stiles, W. B., Hardy, G. E., Llewelyn, S. P. et al. , (2001). Comprehensive process analysis of insight events in cognitive-behavioral and psychodynamic-interpersonal psychotherapies. In Hill, C. E. (Ed.): Helping skills: the empirical foundation (pp. 309333). Washington, D.C.: American Psychological Association.CrossRefGoogle Scholar
Fleiss, J. L. (1981). Statistical methods for rates and proportions. New York: Wiley.Google Scholar
Follette, W. C., Naugle, A. E., & Callaghan, G. M. (1996). A radical behavioral understanding of the therapeutic relationship in effecting change. Behavior Therapy, 27, 623641.CrossRefGoogle Scholar
Friedlander, M. L., Lambert, J. E., Escudero, V., & Cragun, C. (2008). How do therapists enhance family alliances? Sequential analyses of therapist-client behavior in two contrasting cases. Psychotherapy: Theory, Research, Practice, Training, 45(1), 7587.CrossRefGoogle ScholarPubMed
Froján, M. X., Calero, A., & Montaño, M. (2006). Procesos de aprendizaje en las técnicas de reestructuración semántica [Learning processes in the cognitive restructuring techniques]. Análisis y Modificación de Conducta, 32, 287305.CrossRefGoogle Scholar
Froján-Parga, M. X., Calero-Elvira, A., & Montaño-Fidalgo, M. (2009). Analysis of the therapist's verbal behavior during cognitive restructuring debates. A case study. Psychotherapy Research, 19, 3041.CrossRefGoogle ScholarPubMed
Froján-Parga, M. X., Calero-Elvira, A., & Montaño-Fidalgo, M. (in press). Study of the Socratic Method during cognitive restructuring. Clinical Psychology & Psychotherapy.Google Scholar
Froján, M. X., Montaño, M., & Calero, A. (2007). Why do people change in therapy? A preliminary study. Psychology in Spain, 11, 5360.Google Scholar
Girbau, D. (2002). A sequential analysis of private and social speech in children's dyadic communication. The Spanish Journal of Psychology, 5(2), 110118.CrossRefGoogle ScholarPubMed
Grieco, F., Loijens, L., Zimmerman, P., & Spink, A. (2007). Reliability analysis. In Grieco, F., Loijens, L., Zimmerman, P., & Spink, A.: The Observer XT Reference Manual. Version 7.0 (pp. 461490). Wageningen: Noldus Information Technology b.v.Google Scholar
Hayes, S. C., & Wilson, K. G. (1994). Acceptance and commitment therapy: altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289303.CrossRefGoogle ScholarPubMed
Hill, C. E., & Lambert, M. J. (2004). Methodological issues in studying psychotherapy process and outcome. In Lambert, M. J. (ed.), Bergin and Garfield's Handbook of Psychotherapy and Behavior Change (5th ed.). New York: John Wiley.Google Scholar
Kantor, J. R. (1967). Interbehavioral psychology (2nd ed.). Granville, O: The Principia Press.Google Scholar
Kelley, M. E., Shillingsburg, M. A., Castro, M. J., Addison, L. R., & LaRue, R. H. (2007) Further evaluation of emerging speech in children with developmental disabilities: Training verbal behavior. Journal of Applied Behavior Analysis, 40(3), 431445.CrossRefGoogle ScholarPubMed
Kohlenberg, R. J., Tsai, M., Ferro, R., Valero, L., Fernández, A., & Virués-Ortega, J. (2005). Functional-psychoanalitic psychotherapy and acceptance and commitment therapy: theory, applications and its relationships with traditional behavior analysis. International Journal of Clinical and Health Psychology, 5(2), 349371.Google Scholar
Kolden, G. G., Chisholm-Stockard, S. M., Strauman, T. J., Tierney, S. C, Mullen, E. A., & Schneider, K. L. (2006). Universal session-level change processes in an early session of psychotherapy: path models. Journal of Consulting and Clinical Psychology, 74(2), 327336.CrossRefGoogle Scholar
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159174.CrossRefGoogle ScholarPubMed
Llewelyn, S., & Hardy, G. (2001). Process research in understanding and applying psychological therapies. British Journal of Clinical Psychology, 40, 121.CrossRefGoogle ScholarPubMed
López, S., & Gallo, P. (2004). Acquisition, learning, or development of language? Skinner's “Verbal behavior” revisited. The Spanish Journal of Psychology, 7(2), 161170.Google Scholar
Martin, P., & Bateson, P. (1986). Measuring behavior: An introductory guide. Cambridge, NY: Cambridge University Press.Google Scholar
Martin, G., & Pear, J. (2007). Behavior modification: What it is and how to do it (8th ed.). Englewood Cliffs, CA: Prentice-Hall.Google Scholar
McGill, P. (1999). Establishing operations: implication for the assessment, treatment, and prevention of problem behavior. Journal of Applied Behavior Analysis, 32, 399418.CrossRefGoogle Scholar
Nathan, P. E., & Gorman, J. M. (Eds.) (2002). A guide to treatments that work (2nd ed.). New York: Oxford University Press.Google Scholar
Ninness, H. A. C., Glenn, S. S., & Ellis, J. (1993). Assessment and treatment of emotional or behavioral disorders. Westport, CN: Praeger.Google Scholar
Orlinsky, D. E., Ronnestad, M. H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: continuity and change. In Lambert, M. J. (ed.), Bergin and Garfield's Handbook of Psychotherapy and Behavior Change (5th ed). New York: John Wiley.Google Scholar
Pachankis, J. E., & Goldfried, M. R. (2007). On the next generation of process research. Clinical Psychology Review, 27, 760768.CrossRefGoogle ScholarPubMed
Potter, B. A. (1980). Turning around: The behavioral approach to managing people. New York: AMACOM.Google Scholar
Quera, V. (1991). Muestreo y registro observacional. In Anguera, M. T. (Ed.), Metodología observacional en la investigación psicológica, Vol. 1 (pp. 241327). Barcelona: Promociones y Publicaciones Universitarias.Google Scholar
Schlinger, H. D. (1990). A reply to behavior analysts writing about rules and rule-governed behavior. The Analysis of Verbal Behavior, 8, 7782.CrossRefGoogle ScholarPubMed
Skinner, B. F. (1938). The behavior of organisms. New York: Appleton-Century-Crofts.Google Scholar
Skinner., B. F. (1967). Verbal behavior. New York: Academic Press.Google Scholar
Smith, E. C., & Grawe, K. (2006). Which therapeutic mechanisms work when? A step towards the formulation of empirically validated guidelines for therapists' session-to-session decisions. Clinical Psychology and Psychotherapy, 12, 112123.CrossRefGoogle Scholar
Snyder, W. U. (1987). Snyder's classification system for therapeutic interviews. In Russel, R. L. (Ed.), Language in psychotherapy: strategies of discovery. Emotions, personality and psychotherapy (pp. 109129). New York: Plenum Press.CrossRefGoogle Scholar
Stiles, W. B., & Shapiro, D. A. (1995). Verbal exchange structure of brief psychodynamic-interpersonal and cognitive-behavioral psychotherapy. Journal of Consulting and Clinical Psychology, 63(1), 1527.CrossRefGoogle ScholarPubMed
Terraz, O., de Roten, Y., de Roten, F. C., Drapeau, M., & Despland, J. N. (2004). Sequential therapist interventions and therapeutic alliance: a pilot study. Schweizer Archiv für Neurologie und Psychiatre, 155(3), 111117.Google Scholar
Truax, C. B. (1966). Reinforcement and nonreinforcement in Rogerian Psychotherapy. Juornal of Abnormal Psychology, 71, 19.CrossRefGoogle ScholarPubMed
Turkat, I. D. (Ed.) (1985). Behavioral case formulation. New York: Plenum PressCrossRefGoogle Scholar
Van Houten, R., & Axelrod, S. (Ed.) (1993). Behavior analysis and treatment. New York: Plenum Press.CrossRefGoogle Scholar
Wilson, K. G., & Blackledge, J. T. (2000). Recent developments in the behavioral analysis of language: making sense of clinical phenomena. In Dougher, M. J. (Ed.): Clinical behavior analysis (pp. 2746). Reno, NV: Context Press.Google Scholar