Moore J
Behav Anal. 2000 Spring;23(1):45-56. doi: 10.1007/BF03391998.
Traditional clinical psychology generally posits "mental" events that differ from "behavioral" events. Mental events are not publicly observable, take place in a different dimension from overt behavior, and are the topic of primary concern. For example, mental events are often taken to be causes of troublesome overt behavior. In addition, the mental events themselves may be regarded as troublesome, independent of their relation to any specific overt behavior. Therapy is usually aimed at fixing these troublesome mental events, under an assumption that improvement in the client's status will follow in due course. Behavior analysis has its own position on the relations among clinical matters, overt behavior, and such private events as thinking and feeling. In a behavior-analytic view, private events are behavioral phenomena rather than mental phenomena. They are not initiating causes of behavior; rather, they are themselves caused by antecedent conditions, but they may contribute to discriminative control over subsequent behavior, both verbal and nonverbal. Verbal processes are viewed as vitally important in understanding troublesome behavior. However, the circumstances that cause both the troublesome private events and the troublesome behavior in the first place still need to be addressed. Finally, clinical behavior analysis will need to market its insights into diagnosis and treatment very adroitly, because it rejects the mentalism upon which most traditional forms of therapy are predicated and the mentalism that most consumers expect to encounter.
传统临床心理学一般假定存在与“行为”事件不同的“心理”事件。心理事件无法公开观察到,发生在与公开行为不同的维度,并且是主要关注的主题。例如,心理事件常被视为麻烦的公开行为的原因。此外,心理事件本身可能被视为麻烦的,而与它们和任何特定公开行为的关系无关。治疗通常旨在修复这些麻烦的心理事件,假定客户的状况随后会得到改善。行为分析在临床事务、公开行为以及诸如思维和感觉等私密事件之间的关系上有自己的立场。从行为分析的观点来看,私密事件是行为现象而非心理现象。它们不是行为的引发原因;相反,它们本身是由先前条件引起的,但它们可能有助于对随后的言语和非言语行为进行辨别性控制。言语过程在理解麻烦行为方面被视为至关重要。然而,首先导致麻烦的私密事件和麻烦行为的环境仍然需要解决。最后,临床行为分析需要非常巧妙地推销其对诊断和治疗的见解,因为它摒弃了大多数传统治疗形式所基于的心理主义以及大多数消费者期望遇到的心理主义。