Skip to main content
Log in

Relationships between assessment and treatment within a behavioral perspective

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

Three alternative strategies to link assessment and treatment within a behavioral perspective are described. First is the functional analysis in which the maintaining variables of the target behavior are identified in assessment and modified in treatment. Although this strategy appears to be frequently successful based on positive treatment outcome, critical tests are seldom done: hypothesized functional analyses are not tested prior to intervention; nor is treatment outcome based on one functional analysis pitted against treatment outcome based on an alternative functional analysis. The second strategy is the keystone target behavior strategy. From among multiple possible target behaviors, one is selected for intervention that produces therapeutic response covariation. The third strategy is the diagnostic strategy. A treatment is selected for a particular client based on its overall success in treating a particular disorder. Empirical comparisons are needed to evaluate the effectiveness of these different strategies, linking assessment and treatment for different disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adams, H. E., & Haber, J. D. (1984). The classification of abnormal behavior: An overview. In H. E. Adams & P. B. Sutker (Eds.),Comprehensive handbook of psychopathology (pp. 3–25). New York: Plenum.

    Google Scholar 

  • American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Ayllon, T., & Azrin, N. (1968).The token economy. New York: Appleton-Century-Crofts.

    Google Scholar 

  • Azrin, R. D., & Hayes, S. C. (1984). The discrimination of interest within a heterosexual interaction: Training, generalization, and effects on social skills.Behavior Therapy, 5, 173–184.

    Google Scholar 

  • Baer, D. M. (1982). The imposition of structure on behavior and the demolition of behavioral structures. In D. J. Bernstein (Ed.),Response structure and organization, 1981 Nebraska Symposium on Motivation (pp. 217–254). Lincoln: University of Nebraska Press.

    Google Scholar 

  • Bannister, D., Salmon, P., & Leiberman, D. M. (1964). Diagnosis-treatment relationships in psychiatry: A statistical analysis.British Journal of Psychiatry, 110, 726–732.

    Google Scholar 

  • Barlow, D. H., & Wolfe, B. E. (1981). Behavioral approaches to anxiety disorders: A report of NIMH-SUNY, Albany, research conference.Journal of Consulting and Clinical Psychology, 49, 448–454.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Bornstein, P. H., Bornstein, M. T., & Dawson, D. (1984). Integrated assessment and treatment. In T. H. Ollendick & M. Hersen (Eds.),Child behavioral assessment: Principles and procedures (pp. 223–243). New York: Pergamon.

    Google Scholar 

  • Brannon, S., & Nelson, R. O. (1987). Contingency management treatment of outpatient unipolar depression: A comparison of reinforcement versus extinction, and the nature of response covariation.Journal of Consulting and Clinical Psychology 55, 117–119.

    Google Scholar 

  • Carey, M. P., Flasher, L. V., Maisto, S. A., & Turkat, I. D. (1984). The a priori approach to psychological assessment.Professional Psychology, 15, 515–527.

    Google Scholar 

  • Carr, E. G., & Durand, V. M. (1985). The social-communicative basis of severe behavior problems in children. In S. Reiss & R. Bootzin (Eds.),Theoretical issues in behavior therapy (pp. 219–254). New York: Academic.

    Google Scholar 

  • Coyne, J. C. (1976). Depression and the response of others.Journal of Abnormal Psychology, 85, 186–193.

    Google Scholar 

  • Curran, J. P. (1977). Skills training as an approach to the treatment of heterosexual-social anxiety: A reviewPsychological Bulletin, 84, 140–157.

    Google Scholar 

  • Davison, G. C. (1969). Appraisal of behavior modification techniques with adults in instutional settings. In C. M. Franks,Behavioral therapy: Appraisal and status (pp. 220–278). New York: McGraw-Hill.

    Google Scholar 

  • Evans, I. M. (1985). Building systems models as a strategy for target behavior selection in clinical assessment.Behavioral Assessment, 7, 21–32.

    Google Scholar 

  • Ferster, C. B. (1965). Classification of behavioral pathology. In L. Krasner & L. P. Ullman (Eds.),Research in behavior modification (pp. 6–26). New York: Holt, Rinehart & Winston.

    Google Scholar 

  • Fordyce, W. E. (1976). Behavioral concepts in chronic pain and pain and illness. In P. O. Davidson (Ed.),The behavioral management of anxiety, depression, and pain. New York: Brunner/Mazel.

    Google Scholar 

  • Fordyce, W. E., Fowler, R. S., Lehmann, J. F., Delateur, B. J., Sand, P. L., & Treischmann, R. B. (1973). Operant conditioning in the treatment of chronic pain.Archives of Physical Medicine and Rehabilitation, 54, 399–408.

    Google Scholar 

  • Geer, J. H. (1965). The development of a scale to measure fear.Behaviour Research and Therapy, 3, 45–53.

    Google Scholar 

  • Goldfried, M. R., & Pomeranz, D. M. (1968). Role of assessment in behavior modification.Psychological Reports, 23, 75–87.

    Google Scholar 

  • Harris, F. R., Wolf, M. M., & Baer, D. M. (1964). Effects of adult social reinforcement on child behavior.Young Children, 20, 8–17.

    Google Scholar 

  • Hartmann, D. P., Roper, B. L., & Bradford, D. C. (1979). Some relationships between behavioral and traditional assessment.Journal of Behavioral Assessment, 1, 3–21.

    Google Scholar 

  • Hay, W. M., Hay, L. R., & Nelson, R. O. (1977). Direct and collateral changes in on-task and academic behavior resulting from on-task versus academic contingencies.Behavioral Therapy, 8, 431–441.

    Google Scholar 

  • Hayes, S. C., Nelson, R. O., & Jarrett, R. B. (1987). Treatment utility: A functional approach to evaluating the quality of assessment.American Psychologist, 42, 963–974.

    Google Scholar 

  • Haynes, S. N. (1979). Behavioral variance, individual differences, and trait theory in a behavioral construct system: A reappraisal.Behavioral Assessment, 1, 41–49.

    Google Scholar 

  • Haynes, S. N. (1986). The design of intervention programs. In R. O. Nelson & S. C. Haynes (Eds.),Conceptual foundations of behavioral assessment. New York: Guilford.

    Google Scholar 

  • Kanfer, F. H. (1985). Target selection for clinical change programs.Behavioral Assessment, 7, 7–20.

    Google Scholar 

  • Kazdin, A. E. (1982). Symptom substitution, generalization, and response covariation: Implications for psychotherapy outcome.Psychological Bulletin, 91, 349–365.

    Google Scholar 

  • Kazdin, A. E. (1983). Psychiatric diagnosis, dimensions of dysfunction, and child behavior therapy.Behavior Therapy, 14, 73–99.

    Google Scholar 

  • Kazdin, A. E. (1985). Selection of target behaviors: The relationship of the treatment focus to clinical dysfunction.Behavioral Assessment, 7, 33–47.

    Google Scholar 

  • Lazarus, A. A. (1968). Learning theory and the treatment of depression.Behaviour Research and Therapy, 6, 83–89.

    Google Scholar 

  • Lewinsohn, P. M. (1974). A behavioral approach to depression. In K. S. Calhoun, H. E. Adams, & K. M. Mitchell (Eds.),Innovative treatment methods of psychopathology (pp. 63–120). New York: Wiley.

    Google Scholar 

  • Lewinsohn, P. M., & Arconad, M. (1981). Behavioral treatment of depression: A social learning approach. In J. F. Clarkin & H. I. Glazer (Eds.),Depression: Behavioral and directive intervention strategies (pp. 33–67). New York: Garland.

    Google Scholar 

  • Liberman, R. P., & Raskin, D. E. (1971). Depression: A behavioral formulation.Archives of General Psychiatry, 24, 515–523.

    Google Scholar 

  • Mash, E. J. (1985). Some comments on target selection in behavior therapy.Behavioral Assessment, 7, 63–78.

    Google Scholar 

  • Mash, E. J., & Terdal, L. G. (1981). Behavioral assessment of childhood disturbance. In E. J. Mash & L. G. Terdal (Eds.),Behavioral assessment of childhood disorders (pp. 3–76). New York: Guilford.

    Google Scholar 

  • McKnight, D. L., Nelson, R. O., Hayes, S. C., & Jarrett, R. B. (1984). Importance of treating individual-assessed response classes in the amelioration of depression.Behavior Therapy, 15, 315–335.

    Google Scholar 

  • Meehl, P. E. (1960). The cognitive activity of the clinician.American Psychology, 15, 19–27.

    Google Scholar 

  • Mischel, W. (1968).Personality and assessment. New York: Wiley.

    Google Scholar 

  • Nathan, P. E. (1981). Symptomatic diagnosis and behavioral assessment. In D. H. Barlow (Ed.),Behavioral assessment of adult disorders (pp. 1–11). New York: Guilford.

    Google Scholar 

  • Nelson, R. O. (1987). DSM-III and behavioral assessment. In M. Hersen & C. G. Last (Eds.),Issues in diagnostic research (pp. 303–327). New York: Plenum.

    Google Scholar 

  • O'Leary, K. D. (1972). The assessment of psychopathology in children. In H. C. Quay and J. S. Werry (Eds.)Psychopathological disorders of childhood (pp. 234–272). New York: Wiley.

    Google Scholar 

  • O'Leary, K. D., & Wilson, G. T. (1975).Behavior therapy: Application and outcome. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Paykel, E. S. (1982).Handbook of affective disorders. New York: Guilford.

    Google Scholar 

  • Robinson, J. C., & Lewinsohn, P. M. (1973). Behavior modification of speech characteristics in a chronically depressed man.Behavior Therapy, 4, 150–152.

    Google Scholar 

  • Rounsaville, B. J., Klerman, G. L., Weissman, M. M., & Chevron, E. S. (1985). Short-term interpersonal therapy (IPT) for depression. In E. E. Beckham & W. R. Leber (Eds.),Handbook of depression: Treatment, assessment, and research (pp. 124–150). Homewood, IL: Dorsey.

    Google Scholar 

  • Shapiro, M. B. (1966). The single case in clinical-psychological research.The Journal of General Psychology, 74, 3–23.

    Google Scholar 

  • Shapiro, M. B. (1970). Intensive assessment of the single case: An inductive-deductive approach. In P. Mittler (Ed.),The psychological assessment of mental and physical handicaps (pp. 645–666). London: Methuen.

    Google Scholar 

  • Simons, A. D., Garfield, S. L., & Murphy, G. E. (1984). The process of change in cognitive therapy and pharmacotherapy for depression.Archives of General Psychiatry, 41, 45–51.

    Google Scholar 

  • Singerman, B. (1981). DSM-III: Historical antecedents and present significance.Journal of Clinical Psychiatry, 42, 409–410.

    Google Scholar 

  • Szasz, T. (1960). The myth of mental illness.American Psychologist, 15, 113–118.

    Google Scholar 

  • Trower, P., Yardley, K., Bryant, B. M., & Shaw, P. (1978). The treatment of social failure: A comparison of anxiety reduction and skills-acquisition procedures on two social problems.Behavior Modification, 2, 41–60.

    Google Scholar 

  • Turkat, I. D., & Maisto, S. A. (1985). Application of the experimental method to the formulation and modification of personality disorders. In D. H. Barlow (Ed.),Clinical handbook of psychological disorders (pp. 502–570). New York: Guilford.

    Google Scholar 

  • Voeltz, L. M., & Evans, I. M. (1982). The assessment of behavioral interrelationships in child behavior therapy.Behavioral Assessment, 4, 131–165.

    Google Scholar 

  • Wahler, R. G., & Fox, J. J. (1980). Solitary toy play and time out: A family treatment package for children with aggressive and oppositional behavior.Journal of Applied Behavior Analysis, 13, 23–39.

    Google Scholar 

  • Wahler, R. G., & Fox, J. J. (1982). Response structure in deviant child-parent relationships: Implications for family therapy. In D. J. Bernstein (Ed.),Response structure and organization, 1981 Nebraska Symposium on Motivation (pp. 1–46). Lincoln: University of Nebraska Press.

    Google Scholar 

  • Weiss, R. L. (1968). Operant conditioning techniques in psychological assessment. In P. McReynolds (Ed.),Advances in psychological assessment (Vol. 1, pp. 169–190). San Francisco: Jossey-Bass.

    Google Scholar 

  • Wittlieb, E., Eifert, G., Wilson, F. E., & Evans, I. M. (1978). Target behavior selection in recent child case reports in behavior therapy.The Behavior Therapist, 1, 15–16.

    Google Scholar 

  • Zeiss, A. M., Lewinsohn, P. M., & Munoz, R. F. (1979). Nonspecific improvement effects in depression using interpersonal skills training, pleasant activity schedules, or cognitive training.Journal of Consulting and Clinical Psychology, 47, 427–439.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nelson, R.O. Relationships between assessment and treatment within a behavioral perspective. J Psychopathol Behav Assess 10, 155–170 (1988). https://doi.org/10.1007/BF00962641

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00962641

Key words

Navigation