The Private Practice of Behavior Therapy: A Guide for Behavioral Practitioners

1 Behavior Therapy: Foundations for Clinical Practice.- 1.1. Definition of Behavior Therapy.- 1.2 Comparison of Behavior Therapy with Traditional Clinical Practice.- 1.3. The Growing Influence of Behavior Therapy.- 1.4. The Advantages and Disadvantages of a Private Practice in Behavior Therapy.- 2 Getting Started in a Behavior Therapy Private Practice.- 2.1 Getting Referrals.- 2.1.1. Indirect Methods.- 2.1.2. Direct Methods.- 2.2. "Nurturing" Referrals: Keeping a Steady Flow.- 2.3. Professional Services Offered by the Behavior Therapist.- 2.3.1. Individual Therapy.- 2.3.2. Behavior Group Therapy.- 2.3.3. Behavioral Evaluations.- 2.3.4. Parent Training.- 2.3.5. Marital Therapy.- 2.3.6. Sex Therapy.- 2.3.7. Job-Finding Training.- 2.3.8. Agency and Hospital Consultation.- 2.3.9. Business Consultations.- 2.3.10. Biofeedback Therapy.- 3 Conducting a Private Practice in Behavior Therapy.- 3.1. General Comments.- 3.2. Procedural Concerns for the Provision of Behavior Therapy Services.- 3.3. Relationship Enhancement and Rapport Building.- 3.4. Initial Session.- 3.5. Assessment, Forms, and Procedures.- 3.6. Evaluation.- 3.7. Composition of the Therapy Hour.- 3.8. Homework Assignments, Client Compliance and Noncompliance, and Troubleshooting Problems in Therapy.- 3.9. Termination and Follow-Up.- 4 A Review of Common Treatment Procedures in Behavior Therapy.- 4.1. Treatment Procedures.- 4.2. Traditional Operant Conditioning/Behavior Modification Procedures.- 4.2.1. Positive and Negative Reinforcement and the Scheduling of Reinforcers.- 4.2.2. Shaping.- 4.2.3. Forward and Backward Chaining.- 4.2.4. Instructional Control.- 4.2.5. Graduated Guidance.- 4.2.6. Prompting and Fading.- 4.2.7. Reinforced Practice.- 4.2.8. Extinction.- 4.2.9. Punishment: Withdrawal of Positive Reinforcers.- 4.2.10. Punishment: Imposing Aversive Stimuli.- 4.2.11. Overcorrection.- 4.2.12. Minimeal Training.- 4.2.13. Token Economy.- 4.2.14. Behavioral Contracting.- 4.3. Classical Conditioning Procedures.- 4.3.1. Progressive Deep Muscle Relaxation Training.- 4.3.2. Systematic Desensitization.- 4.3.3. Assertiveness Training.- 4.3.4. Covert Sensitization.- 4.3.5. Covert Conditioning Procedures: Covert Reinforcement.- 4.3.6. Flooding, Response Prevention, and Implosion.- 4.3.7. Aversion Relief.- 4.4. Social Learning and Self-Control Procedures.- 4.4.1. Imitation and Modeling.- 4.4.2. Self-Control Methods.- 4.5. Cognitive Restructuring Procedures.- 4.5.1. Rational Emotive Therapy (RET).- 4.5.2. Cognitive Therapy.- 4.5.3. Thought Stopping.- 4.5.4. Stress Inoculation Training.- 4.5.5. Problem Solving and Impulse Control Training.- 4.6. Biofeedback and Physiological Reconditioning Methods.- 4.6.1. Electromyographic Training, Alpha Wave Training, Thermal Training, Electrodermal Training, and Blood Pressure and Heart Rate Training.- 4.6.2. Sensory Awareness and Autogenic Training.- 4.7. Concluding Comments.- 5 Professional Standards and Ethical Issues for Private Practice.- 5.1. Ethical Principles of Psychologists (APA, 1981).- 5.2. Standards for Providers of Psychological Services (APA, 1977).- 5.3. Specialty Guidelines for the Delivery of Services (APA, 1980).- 5.4. Ethical Issues for Human Services (AABT, 1977).- 5.5. Formulating a Written Service Delivery Plan: Pertinent Professional Questions.- 5.5.1. Flow Chart of Services.- 5.5.2. Professional Liability.- 6 Recording and Treatment Forms.- 6.1. Recording Forms.- 6.1.1. Treatment Plan Form.- 6.1.2. Session-by-Session Treatment Tracking Form.- 6.1.3. Session Summary Form.- 6.1.4. Data Collection and Homework Assignment Sheets.- 6.1.5. Motivation for Behavior Change Form.- 6.1.6. Termination and Follow-Up Forms.- 6.2. Treatment Forms.- 6.2.1. Traditional Behavior Modification Procedures.- 6.2.2. Pavlovian/Wolpean Procedures.- 6.2.3. Bandura's Social Learning and Self-Control Methods.- 6.2.4. Cognitive Restructuring Procedures.- 6.2.5. Biofeedback and Physiological Reconditioning Forms.- 7 Supplementary Tools for Behavio