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Behavioural Activation Therapy: Philosophy, Concepts, and Techniques

  • Jarrod S. Turner (a1) and David J. Leach (a1)
Abstract

Behavioural Activation (BA) therapy is a stand-alone evidence-based treatment for depression and also is being applied to anxiety with promising outcomes. Essentially, BA involves structured therapy aimed at increasing the amount of activity in a person's daily life, so that he or she comes into contact with sources of positive reinforcement for clinically healthy behaviours. Originally, contemporary BA was developed as a behaviour therapy treatment condition in a study that compared BA to Cognitive Behavioural Therapy (CBT). Over time, many variants of BA have appeared in the published literature, which included techniques that might be viewed as being incompatible with the original intended treatment model and more similar to generic forms of CBT. The purpose of this article is to provide researchers and practitioners with a description of what we consider to be the distinctive and essential elements of BA therapy.

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Copyright
Corresponding author
Address for correspondence: Jarrod S. Turner, School of Psychology, Murdoch University, South Street, Murdoch WA 6150, Australia. Email: jarrod.s.turner@gmail.com
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J.S. Abramowitz , M.E. Franklin , L.A. Zoellner , & C.L. Dibernado (2002). Treatment compliance and outcome in obsessive-compulsive disorder. Behavior Modification, 26 (4), 447463.

M.E.R. Armento , & D.R. Hopko (2009). Behavioral activation of a breast cancer patient with coexistent major depression and generalized anxiety disorder. Clinical Case Studies, 8 (1), 2537.

A. Biglan , & S.C. Hayes (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology, 5, 4757.

J.C. Borrero , S.S. Crisolo , Q. Tu , W.A. Rieland , N.A. Ross , M.T. Francisco , & K.Y. Yamamoto (2007). An application of the matching law to social dynamics. Journal of Applied Behavior Analysis, 40, 589601.

S. Bosch , & R.W. Fuqua (2001). Behavioural cusps: A model for selecting target behaviors. Journal of Applied Behaviour Analysis, 34, 123125.

A. Bosch , R.G. Miltenberger , A. Gross , P. Knudson , & C.B. Breitweiser (2008). Evaluation of extinction as a functional treatment for binge eating. Behavior Modification, 32 (4), 556576.

K.A. Bottonari , J.E. Roberts , S.N. Thomas , & J.P. Read (2008). Stop thinking and start doing: Switching from cognitive therapy to behavioral activation in a case of chronic treatment-resistant depression. Cognitive and Behavioral Practice, 15, 376386.

A.M. Busch , J.W. Kanter , G.M. Callaghan , D.E. Baruch , C.E. Weeks , & K.S. Berlin (2009). A micro-process analysis of functional analytic psychotherapy's mechanism of change. Behavior Therapy, 40, 280290.

D.M. Clark (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, 527.

R. Conger , & P. Killeen (1974). Use of concurrent operants in small group research: A demonstration. Pacific Sociological Review, 17, 399416.

S. Dimidjian , S.D. Hollon , K.S. Dobson , K.B. Schmaling , R.J. Kohlenberg , M.E. Addis , . . . N.S. Jacobson (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74 (4), 658670.

V.M. Durand , & E. Merges (2001). Functional communication training: A contemporary behavior analytic intervention for problem behaviors. Focus on Autism and Other Developmental Disabilities, 16, 110119.

C.B. Ferster (1973). A functional analysis of depression. American Psychologist, 28, 857870.

W.W. Fisher , & J.E. Mazur (1997). Basic and applied research on choice responding. Journal of Applied Behavior Analysis, 30, 387410.

A.K. Fournier , I.J. Ehrhart , K.E. Glindermann , & E.S. Geller (2004). Intervening to decrease alcohol abuse at university parties: Differential reinforcement of intoxication level. Behavior Modification, 28 (2), 167181.

L.W. Frederickson (1975). Treatment of ruminative thinking by self-monitoring. Journal of Behavior Therapy and Experimental Psychiatry, 6, 258259.

S.T. Gaynor , & A. Harris (2008). Single participant assessment of treatment mediators: Strategy description and examples from a behavioral activation intervention for depressed adolescents. Behavior Modification, 32, 372402.

E.V. Gifford , B.S. Kohlenberg , S.C. Hayes , D.O. Antonuccio , M.M. Piasecki , M.L. Rasmussen-Hall , & K.M. Palm (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35, 689705.

P.M. Gollwitzer (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54 (7), 493503.

C.L. Hammen , & D.R. Glass (1975). Expression, activity, and evaluation of reinforcement. Journal of Abnormal Psychology, 84, 718721.

G. Hanley , B. Iwata , & B. McCord (2003). Functional analysis of problem behavior: A review. Journal of Applied Behavior Analysis, 36, 147185.

S.C. Hayes , & L.J. Hayes (1992). Some clinical implications of contextualistic behaviourism: The example of cognition. Behavior Therapy, 23, 225249.

R.J. Hernstein (1961). Relative and absolute strength of response as a function of frequency of reinforcement. Journal of the Experimental Analysis of Behavior, 4, 267272.

D.R. Hopko , J.L. Bell , M.E.A. Armento , M.K. Hunt , & C.W. Lejuez (2005). Behavior therapy for depressed cancer patients in primary care. Psychotherapy: Theory, Research, Practice, Training, 42, 236243.

N.S. Jacobson , K. Dobson , P.A. Traux , M.E. Addis , K. Koerner , J.K. Gollan , . . . S. E. Prince (1996). A component analysis of cognitive-behavioural treatment for depression. Journal of Consulting and Clinical Psychology, 64 (2), 295304.

N.S. Jacobson , & E.T. Gortner (2000). Can depression be de-medicalized in the 21st century: Scientific revolutions, counter revolutions and the magnetic field of normal science. Behaviour Research and Therapy, 38, 113117.

M. Jakupcak , L.J. Roberts , C. Martell , P. Mulick , S. Michael , R. Reed , . . . M. McFall (2006). A pilot study of behavioral activation for veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 19 (3), 387391.

R.J. Kohlenberg , & M. Tsai (1991). Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York: Plenum.

P.A. Lamal (1998). Advancing backwards. Journal of Applied Behavior Analysis, 31, 705706.

C.W. Lejuez , D.R. Hopko , & S.D. Hopko (2001). A brief behavioral activation treatment for depression: Treatment manual. Behavior Modification, 25, 255286.

P.M. Lewinsohn , & M. Graf (1973). Pleasant activities and depression. Journal of Consulting and Clinical Psychology, 41, 261268.

P.M. Lewinsohn , & J. Libet (1972). Pleasant events, activity schedules, and depressions. Journal of Abnormal Psychology, 79, 291295.

P.M. Lewinsohn , J.M. Sullivan , & S.J. Grosscup (1980). Changing reinforcing events: An approach to the treatment of depression. Psychotherapy: Theory, Research and Practice, 17 (3), 322334.

E.A. Locke , & G.P. Latham (2002). Building a practical useful theory of goal setting and task motivation. American Psychologist, 57 (9), 705717.

R.W. Malott (1989). The achievement of evasive goals: Control by rules describing contingencies that are not direct acting. In S.C. Hayes (Ed.), Rule-governed behavior: Cognition, contingencies, and instructional control (pp. 269322). New York: Plenum.

R.W. Malott , & M.E. Garcia (1987). A goal-directed model approach for the design of human performance systems. Journal of Organizational Behavior Management, 9, 125159.

T. Mazzucchelli , R. Kane , & C. Rees (2009). Behavioral activation treatments for depression in adults: A meta-analysis and review. Clinical Psychology, Science and Practice, 16, 383411.

J.J. McDowell (2005). On the classic and modern theories of matching. Journal of the Experimental Analysis of Behavior, 84, 111127.

R.M. McFall (1970). Effects of self-monitoring on normal smoking behavior. Journal of Consulting and Clinical Psychology, 35, 135142.

P.S. Mulick , & A.E. Naugle (2004). Behavioral activation for comorbid ptsd and major depression: A case study. Cognitive and Behavioral Practice, 11, 378387.

D.T. Plante , & J.N. Winkelman (2008). Sleep disturbance in bipolar disorder: Therapeutic implications. American Journal of Psychiatry, 165, 830843.

P. Ramanowich , J. Bourret , & T.R. Vollmer (2007). Further analysis of the matching law to describe two- and three-point shot allocation by professional basketball players. Journal of Applied Behavior Analysis, 40, 311315.

J. Rosales-Ruiz , & D.M. Baer (1997). Behavioral cusps: A developmental and pragmatic concept for behavior analysis. Journal of Applied Behavior Analysis, 30, 533544.

A. Santiago-Rivera , J. Kanter , G. Benson , T. Derose , R. Illes , & W. Reyes (2008). Behavioral activation as an alternative treatment approach for Latinos with depression. Psychotherapy, Research, Practice, Training, 45, 173185.

B.F. Skinner (1966). What is the experimental analysis of behavior? Journal of the Experimental Analysis of Behavior, 9, 213218.

T.F. Stokes , & D.M. Baer (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10, 349367.

P. Sturmey (2009). Behavioral activation is an evidence-based treatment for depression. Behavior Modification, 33, 818829.

J.S. Turner , & D.J. Leach (2010). Experimental evaluation of behavioral activation treatment of anxiety (BATA) in three older adults. International Journal of Behavioral Consultation and Therapy, 6 (4), 373394.

M.P. Twohig , D. Shoenberger , & S.C. Hayes (2007). A preliminary investigation of acceptance and commitment therapy as a treatment for marijuana dependence in adults. Journal of Applied Behavior Analysis, 40, 619632.

C.W.J. Verdellen , C.A.L. Hoogduin , B.S. Kato , G.P.J. Keijsers , D.C. Cath , & H.B. Hoijtink (2008). Habituation of premonitory sensations during exposure and response prevention treatment in Tourette's syndrome. Behavior Modification, 32 (2), 215227.

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Behaviour Change
  • ISSN: 0813-4839
  • EISSN: 2049-7768
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