Therapeutic success and instructions: Comparison of therapist's performance through the analysis of verbal behavior

Authors

DOI:

https://doi.org/10.55414/pgjbx228

Keywords:

Instructions , Therapeutic verbal interaction , Therapeutic success, Verbal behavior , Say-Do-Say correspondence

Abstract

Instructions are used in clinical practice to facilitate the acquisition of new behaviors and eliminate other problematic ones. Despite various studies on instructions in the experimental field, there is not as much research framed within the clinical realm. Therefore, the objective of this article is to explore therapeutic interaction in relation to instructions. Eleven cases of individual psychotherapy were recorded using an observational methodology and the Acoveo category system. The sample was divided into three groups (success, partial success, and failure) based on their percentage of protherapeutic verbalizations, and the significance and Yule’s Q statistic of three sequential analyses were compared. The relationships studied were: Instruction Follow-up and Positive Reinforcement; Non-Instruction Follow-up and Negative Reinforcement; Instruction Follow-up and Discriminative Stimulus; client and therapist categories, respectively. The results showed that in the second and last relationship in the success group, they were significant unlike the others. In conclusion, in all three groups, therapists reinforced follow-up expressions, but only in the success group were non-follow-up expressions punished, and follow-up affirmed by the client was evaluated significantly.

Downloads

Download data is not yet available.

References

Alonso-Vega, J., Pereira, G.L. y Froxán-Parga, M.X. (2022). Functional coding system for verbal interaction in clinical contexts. https://psyarxiv.com/ytpq5/download?format=pdf

Arismendi, M. y Yorio, A. (2015). Clases de equivalencia e insensibilidad a las contingencias: secuencia de aprendizaje por instrucciones y por contingencias. Acta Comportamentalia: Revista Latina de Análisis de Comportamiento, 23(4), 375-390.

Ayllon, T. y Azrin, N.H. (1964). Reinforcement and instructions with mental patients. Journal of the Experimental Analysis of Behavior, 7(4), 327-331. https://doi.org/10.1901/JEAB.1964.7-327

Baier, A.L., Kline, A.C. y Feeny, N.C. (2020). Therapeutic alliance as a mediator of change: A systematic review and evaluation of research. Clinical Psychology Review, 82, 101921. https://doi.org/10.1016/j.cpr.2020.101921

Cronin, T.J., Lawrence, K.A., Taylor, K., Norton, P.J. y Kazantzis, N. (2015). Integrating between‐session interventions (homework) in therapy: The importance of the therapeutic relationship and cognitive case conceptualization. Journal of Clinical Psychology, 71(5), 439-450. https://doi.org/10.1002/jclp.22180

De Pascual-Verdú, R., Trujillo-Sánchez, C., Gálvez-Delgado, E., Andrés-López, N., Castaño-Hurtado, R. y Froxán-Parga, M.X. (2019). Sistema ACOVEO: una propuesta funcional para el análisis de la interacción verbal en terapia. Conductual, 7(2), 69-82.

Follette, W.C., Naugle, A.E. y Callaghan, G.M. (1996). A radical behavioral understanding of the therapeutic relationship in effecting change. Behavior Therapy, 27(4), 623-641. https://doi.org/10.1016/S0005-7894(96)80047-5

Froxán-Parga, M.X., Ávila-Herrero, I., Trujillo-Sánchez, C., Serrador-Diez, C. y Núñez de Prado-Gordillo, M. (2019). Análisis de la correspondencia Decir-Hacer-Reportar en terapia: un estudio piloto. Journal of Behavior, Health & Social Issues, 11(2), 55-68. https://doi.org/10.22201/fesi.20070780.2019.11.2.75671

Galván-Domínguez, N., Alonso-Vega, J. y Froxán-Parga, M.X. (2020). Verbal aversive control in clinical interaction. Psicothema, 32(2), 182-188. https://doi.org/10.7334/psicothema2019.171

Greenberg, L.S. (1986). Change process research. Journal of Consulting and Clinical Psychology, 54(1), 4-9. https://doi.org/10.1037/0022-006X.54.1.4

Haynes, S.N. y O’Brien, W.H. (2000). Principles and practice of behavioral assessment. Springer Science & Business Media. https://doi.org/10.1007/978-0-306-47469-9

Luciano, M.C., Vilchez, F. y Herruzo, J. (1992). Say-Do and thumbsucking behavior. Child & Family Behavior Therapy, 14(1), 63–69. https://doi.org/10.1300/J019v14n01_05

Montaño-Fidalgo, M. (2008). Estudio observacional de la conducta verbal del psicólogo para el análisis del proceso terapéutico (tesis doctoral). Universidad Autónoma de Madrid.

Ortiz-Rueda, G., Pacheco-Ortega, V., Bañuelos-Pineda, I. y Jáuregui, L.P. (2007). Efecto del contacto con instrucciones, la especificidad e historia instruccional en la insensibilidad al cambio contingencial en tareas de igualación de la muestra de primer orden en humanos. Acta Colombiana de Psicología, 10(2), 107-115.

Pardo-Merino, A. y San Martin-Castellanos, R. (2015). Análisis de datos en ciencias sociales y de la salud: Vol. II (2ª Ed.) (Cap.3. Inferencia con dos variables categóricas). Síntesis.

Pérez-Álvarez, M. (1996). La psicoterapia desde el punto de vista conductista. Biblioteca Nueva.

Ribes-Iñesta, E. (2000). Instructions, rules, and abstraction: A misconstrued relation. Behavior and Philosophy, 28(1/2), 41-55.

Skinner, B.F. (1957). Verbal behavior. Prentice Hall.

Vargas-de la Cruz, I., Pardo-Cebrián, R. y Froxán-Parga, M.X. (2022). Insight in terms of behavior in the clinical context: Transfer and rule-governed behavior. Clínica y Salud, 33(3), 109-115. https://doi.org/10.5093/clysa2022a12

Vargas-de la Cruz, I., Martínez, H. y Froján-Parga, M.X. (2018). Una extensión del concepto de regla y su aplicación a la terapia psicológica. Clínica y Salud, 29, 63-70. https://doi.org/10.5093/clysa2018a10

Verna, G.B. (1977). The effects of four-hour delay of punishment under two conditions of verbal instruction. Child Development, 621-624. https://doi.org/10.2307/1128662

Downloads

Published

03/07/2024

Issue

Section

Research articles

How to Cite

Martínez-Díaz, C., Pereira, G.-L., García-Morales, R., & Froxan-Parga, M.-X. (2024). Therapeutic success and instructions: Comparison of therapist’s performance through the analysis of verbal behavior. Apuntes De Psicología, 42(2), 121-127. https://doi.org/10.55414/pgjbx228

Similar Articles

1-10 of 275

You may also start an advanced similarity search for this article.