Kanter Jonathan W, Manos Rachel C, Busch Andrew M, Rusch Laura C
University of Wisconsin-Milwaukee, Department of Psychology, PO Box 413, Milwaukee, WI 53201, USA.
Behav Modif. 2008 Nov;32(6):780-803. doi: 10.1177/0145445508317265. Epub 2008 Apr 16.
Behavioral Activation, an efficacious treatment for depression, presents a behavioral theory of depression--emphasizing the need for clients to contact positive reinforcement--and a set of therapeutic techniques--emphasizing provision of instructions rather than therapeutic provision of reinforcement. An integration of Behavioral Activation with another behavioral treatment, Functional Analytic Psychotherapy, addresses this mismatch. Functional Analytic Psychotherapy provides a process for the therapeutic provision of immediate and natural reinforcement. This article presents this integration and offers theoretical and practical therapist guidelines on its application. Although the integration is largely theoretical, empirical data are presented in its support when available. The article ends with a discussion of future research directions.
行为激活疗法是一种治疗抑郁症的有效方法,它提出了一种抑郁症的行为理论——强调来访者获得积极强化的必要性——以及一套治疗技术——强调提供指导而非治疗性强化。将行为激活疗法与另一种行为治疗方法——功能分析心理治疗相结合,解决了这种不匹配的问题。功能分析心理治疗提供了一种治疗性地提供即时和自然强化的过程。本文介绍了这种整合,并提供了关于其应用的理论和实践治疗师指南。尽管这种整合在很大程度上是理论性的,但在有可用数据时也会提供实证数据以支持它。文章最后讨论了未来的研究方向。