Escolar Documentos
Profissional Documentos
Cultura Documentos
1981
Recommended Citation
ISBN 9789991767680 Published by Harper & Row, New York, NY. Pages 113-133.
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PART III
Clhallllgnllllg IHiumallll Belhavnor
50 Principles of
Behavior Therapy and
Behavior Modification
* While our discussion here must necessarily oversimplify and generalize, some of
the central themes and focal perspectives of traditional approaches will be sum-
marized so that we can compare traditional with behavioral approaches. One
other note of caution is required. Over the past twenty years, there has been a
considerable degree of mutual influence. Thus the distinction between behavioral
and traditional approaches have become somewhat blurred.
·.
Principles of Behavior Therapy and Behavior Modification 777
BffiLICAL VIEW
fects of sin. The Bible has much to say about committing sin, but is
not completely silent on its effects. Sin may have effects not only on
the individual committing it, but also on others, especially those
who are the victims of the sinful action.
The story of David and Bathsheba clearly indicates that uncon-
fessed sin had adverse personal effects, including guilt, anxiety,
physical ailments, and reduced ability to resist further sin on sub-
sequent occasions. Social isolation, estrangement, and further
transgression may follow in a continuing downward spiral. 21 In
addition to the effects of sin on the perpetrator, it also affects others
adversely. Fears, anxieties, hurt, anger, distrust, feelings of person-
al inadequacy, and low self-esteem are often among the effects
found in those who have been victimized by the sinfulness of oth-
ers. Taken together, these effects of sin in the agent and the victim
include many of the diverse elements included within mental disor-
ders. Thus much of mental illness may prove to be a secondary
effect of sin.
Further thought needs to be given to the question of how the
concept of mental illness relates to biblical teachings. Reducing
mental illness to sin, or concluding that the Bible has nothing rel-
evant to say, are both untenable views. More effort needs to be
given to serious exploration of the middle ground between these
extremes. Perhaps the suggestion that mental illness is an effect of
sin is a step in this direction.
Token Systems
The techniques of the token system or token economy were de-
veloped especially for application to large-scale, long-term institu-
tional settings, but have also been applied in more limited settings
such as the public school classroom. The token economy approach
involves the application of reinforcement procedures at the level of
the social system.
There are three basic elements to any token system. First, there
is the identification of certain behaviors as desirable, and the deci-
sion to reinforce those behaviors with the awarding of tokens. Sec-
ond, there is a medium of exchange; initially, plastic chips like
poker chips were used, but many systems have adopted use of a
126 Changing Human Behavior
BmucAL PARALLELS
punishment. There is thus some basis for the claim that "God was
the first behaviorist with his 'thou shalts' and 'thou shalt nots.' " 37
A second area of parallel between biblical teachings and behav-
ior therapy is in the emphasis given to the important role of var-
ious social influence processes, such as modeling and imitation.
The Bible suggests that children learn to act and think like their
parents, 38 and that association with evil persons will result in
learning their ways. 39 We are even told to imitate Paul as he imi-
tates Christ. 40
Third, a clear biblical emphasis is that it is not enough to try to
eliminate a problem behavior. Problem behaviors (sins) must be
replaced with constructive alternatives. 41
Fourth, although there is considerable theoretical controversy
over whether control actually lies within the person or in the envi-
ronment, self-control procedures are widely used by behavior
therapists. Biblically, self-control is presented as a desirable goal.
As a manifestation of the Holy Spirit, self-control is an important
goal, but appears to be unattainable on strictly human abilities,
according to Scripture. 42
Finally, although this is an area of great controversy among be-
havioral psychologists, many nonetheless emphasize the use of
punishment as a behavior therapy technique. As established in
Chapter 4, the Bible clearly emphasizes the need for punishment
under certain circumstances .
.AREAS oF CoNTROVERSY
NOTES
1. B. F. Skinner, "Foreword," in Trends in Behavior Therapy, P. Sjiiden, S.
Bates, and W Dock ens III (New York: Academic Press, 1979), p. xiv.
2. Nathan H . Azrin, "The Present State and Future Trends of Behavior Ther-
apy," in Sjiiden, Bates, and Dockens, Trends in Behavior Therapy.
3. Ibid
4. Bruce McKeown, "Myth and Its Denial in a Secular Age: The Case of Be-
haviorist Psychology, journal of Psychology and Theology 9 (1981): 12-20.
5. Arnold A. Lazarus, Behavior Therapy and Beyond (New York: McGraw-
Hill, 1971).
6. Leonard P. Ullmann and Leonard Krasner, A Psychological Approach to Ab-
normal Behavior, 2d ed. (Englewood Cliffs, N .J .: Prentice-Hall, 1975).
7. For a general discussion of some of these issues, see David C. Rimm and John
C. Masters, Behavior Therapy: Techniques and Empirical Findings (New
York: Academic Press, 1974), pp. 1-42; also see Ullmann and Krasner, A
Psychological Approach, pp. 224 ff.
8. Otto Fenichel, The Psychoanalytic Theory of Neurosis (New York: Norton,
1945).
9. Ibid., p. 20.
10. American Psychiatric Association, Diagnostic and Statistical Manual of Men-
tal Disorders, 3d ed. (Washington, D.C.: American Psychiatric Association,
1980).
11. M. Levine, "Principles of Psychiatric Treatment," in Dynamic Psychiatry, ed.
Franz Alexander and H. Ross (Chicago: The University of Chicago Press,
1952).
12. Robert W White, The Abnormal Personality, 3d ed. (New York: Ronald
Press, 1964).
13. For a general discussion of the implications of traditional and behavioral ap-
proaches, see Leonard P. Ullmann and Leonard Krasner, Case Studies in Be-
havior Modification (New York: Holt, Rinehart, and Winston, 1965), pp. 1-
29; or see Ullmann and Krasner, A Psychological Approach, pp. 106-120.
14. Sidney W Bijou and Robert F. Peterson, The Psychological Assessment of
Children, in Advances in Psychological Assessment, vol. 2, ed. Paul McReyn-
olds (Palo Alto, Calif.: Science and Behavior Books, 1971), pp. 63-78: and F.
732 Changing Human Behavior
Kanfer and G. Saslow, "Behavioral Diagnosis," in Behavior Therapy: Ap-
praisal and Status, ed. C. M . Franks (New York: McGraw-Hill, 1969).
15. Ullmann and Krasner, Case Studies, p. 1; D . M. Gelfand and D. P. Hart-
mann, "Behavior therapy with Children: A Review and Evaluation of Re-
search Methodology," Psychological Bulletin 69 (1968): 204-215.
16. Murray Sidman, "Normal Sources of Abnormal Behavior," in Control of Hu-
man Behavior, ed. R. Ulrich, T. Stachnik, and J. Mabry (Glenview, Ill.:
Scott, Foresman and Company, 1966); and E . Haughton and T. Ayllon, "Pro-
duction and Elimination of Symptomatic Behavior," in Ullmann and Krasner,
Case Studies.
17. William Hasker, "The Critique of 'mental illness': Conceptual and/or Ethical
Crisis?," in Research in Mental Health and Religious Behavior, ed. William
J. Donaldson, Jr. (Atlanta: Psychological Studies Institute, 1976).
18. Jay E. Adams, Competent to Counsel (Grand Rapids, Mich.: Baker Book
House, 1970); Jay E. Adams, The Christian Counselor's Manual (Grand
Rapids, Mich.: Baker Book House, 1973).
19. Gen. chapters 1-3.
20. This is explicitly stated for physical illnesses in John 9:1-5.
21. See 2 Sam., chapters 11-12:25; Ps. 32, 51.
22. Leonard P. Ullmann and Leonard Krasner, A Psychological Approach, p. 233.
23. Additional discussion of behavioral techniques may be found in Ullmann and
Krasner, A Psychological Approach, and in Rimm and Masters, Behavior
Therapy.
24. Hans J. Eysenck and Stanley Rachman, The Causes and Cures of Neuroses
(San Diego, Cal.: Knapp, 1965).
25. Ullmann and Krasner, A Psychological Approach, p. 268.
26. Gordon L. Paul, "Outcome of Systematic Disensitization. II. Controlled In-
vestigations of Individual Treatment, Technique Variations and Current Sta-
tus," in Assessment and Status of the Behavior Therapies, ed. Cyril M . Franks
(New York: McGraw-Hill Publishing Co., 1968).
27. For a more extensive discussion of systematic desensitization, see Gordon L.
Paul, Insight versus Desensitization in Psychotherapy (Stanford, Cal.: Stan-
ford University Press, 1966).
28. Teodoro Ayllon and Nathan H. Azrin, The Token Economy: A Motivational
System for Therapy and Rehabilitation (New York: Appleton-Century-Crofts,
1968); K. Daniel O'Leary and Susan G. O'Leary, eds., Classroom Manage-
ment: The Successful Use of Behavior Modification (Elmsford, N.Y.: Perga-
mon Press, 1972).
29. John M. Atthowe, Jr., and Leonard Krasner, "A Preliminary Report on the
Application of Contingent Reinforcement Procedures, journal of Abnormal
Psychology 73 (1968): 37-43; R . C. Winkler, "Ward Management of Chronic
Psychiatric Patients by a Token Reinforcement System," journal of Applied
Behavior Analysis 3 (1970): 47-55.
30. Michael J. Mahoney, Cognition and Behavior Modification (Cambridge,
Mass.: Ballinger, 1974); Donald Meichenbaum, Cognitive-Behavior Modifica-
tion: An Integrative Approach (New York: Plenum, 1977); Aaron Beck, Cog-
- _ nitive Therapy: Nature and Relation to Behavior Therapy," Behavior Ther-
apy 1 (1970): 184-200.
31. B. F. Skinner, Verbal Behavior (New York: Appleton-Century-Crofts, 1957).
32. Donald Meichenbaum, "Cognitive-Behavioral Modification: Future Direc-
tions," in Sjoden, Bates, and Dockens, Trends, p. 56.
Principles of Behavior Therapy and Behavior Modification 733
33. Ibid.; Michael J. Mahoney, "Cognitive and Noncognitive Views in Behavior
Modification," in Sjoden, Bates, and Dockens, Trends.
34. Albert Bandura, Principles of Behavior Modification (New York: Holt, Rine-
hart, and Winston, 1969).
35. He b. 11 :6, NIV.
36. Rom. 2:1-11; see especially 2:5.
37. Rodger K. Bufford, "God and Behavior Mod: Some Thoughts Concerning the
Relationships Between Biblical Principles and Behavior Modification," jour-
nal of Psychology and Theology 5 (1975): 13-22.
38. Deut. 5:1-10; 6:4-25.
39. Ps. 1; Prov. 22:24-25.
40. 1 Cor. 11:1; see also 2 Thess. 3:7-10; Phil. 3:17; 1 Cor. 4:14-17; Heb. 13:7.
41. For example, see Eph. 4:20-24 ff.; Adams, The Christian Counselor's Man-
ual, discusses this issue extensively.
42. Gal. 5:22-23; 2 Pet. 1:3-9.
43. Matt. 22:34-40.
44. Eph. 5:21.
45. See Rodger K. Bufford, "Ethics for the Mass Application of Behavioral Con-
trol," in Modifying Man : Implication s and Ethics, ed. Craig W. Ellison
(Washington, D .C.: University Press of American, 1977).