Tuesday, June 29, 2010

Dr. Arnold and Friends at Youngstown State University Summer Institute


Dr. Bill Heward provided the Keynote address on the value and science of Applied Behavior Analysis for children with autism. Dr. Arnold presented at one breakout session to about 50 school psychologists and other educators on his protocol the Integrated Functional Behavior Assessment Protocol (IFBAP). It was really a pleasure to be with old friends like Dr. Tom Stephens and colleagues, including the several of my old students (Darcy Edelman) from my Ohio State University days and Dr. Richard VanVoorhis of Youngstown State University.

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Monday, June 28, 2010

Functional Behavior Assessment

The use of Functional Behavior Assessment is very important to developing programs that help teach more useful behaviors as well as skills for everyday life. Children with severe disabilities such as deafblindness benefit from programs that develop skills rather than stop behavior. The use of differential reinforcement to develop communication skills, better use of vision and hearing, and improved self-determination is a well documented strategy. Dr. Arnold will present an introduction to his model, the Integrated Functional Behavior Assessment Protocol at an institute at Youngstown State tomorrow. To see the slides, go to
http://www.slideshare.net/ccbtcolumbus/introduction-to-ifbap

Thursday, June 24, 2010

Obsessive-Compulsive Disorder

A very well researched treatment for OCD is Exposure and Response Prevention (ExRP) therapy. The treatment combines a behavioral strategy that reduces over time an anxiety response to the obsessive thoughts, while preventing rituals so that real-life situations reduce their potential to trigger the anxiety. Sometimes the exposure is done through repeated thinking of a set of obsessive thoughts, while other times it is done with a recording of those thoughts played repeatedly. There is research that suggests that the best outcomes occur when 90 minutes of exposure to the thoughts is done once per day over several days. Contact us if you have OCD and want to consider ExRP: www.ccbtcolumbus.com

Friday, June 18, 2010

Barlow's Theory of Emotional Problems

Dr. Barlow, the well known psychologist who developed many evidenced based therapies for anxiety, argues in his theory that experiences, often very early ones, create problems with the neuro-physiologic mechanisms that help us all to manage our emotions. The outcomes are problems with managing, or regulating, our feelings When the feelings become overwhelmingly beyond our control, the theory argues that it causes us to avoid or escape situations that are coincidental to the feelings. Usually, something in the situation is a vague reminder of our earlier experiences when we learned to react so intensely. The theory also argues that the impact of the learning experiences on our thinking is excessive estimations of the risk of harm that we assign to situations, people, future events, and ourselves. These mistaken ideas are often called cognitive distortions in CBT.

At CCBT, we believe that Dr. Barlow's theory is evidence-based and we use it to inform the approach we take to treatment. The theory may appear simple, but its application is far from simple; however, it is probably on-target to a great degree.

Thursday, June 17, 2010

Treatment of Irritable Bowel Syndrome

Today, I read an article on a newly developed CBT model for IBS. It was run as a pilot on around 50 subjects. The treatment had three phases: education about the psychological factors in IBS, use of mindfulness and self-awareness of the moment, and exposure and response prevention strategies. The treatment reduced all but the diarrhea symptoms to a clinically significant degree. The treatment appears to be much like earlier treatments developed for IBS using CBT.