Cognitive-Behavior Modification An Integrative Approach

This book is an account of a personal journey through a research program. A number of people have helped guide my way. To them I am deeply grateful. Special thanks are offered to my students, whose constant stimulation and provocation were incentives to w

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THE PLENUM BEHAVIOR THERAPY SERIES Series Editor: Nathan H. Azrin

THE TOKEN ECONOMY: A Review and Evaluation By Alan E. Kazdin COGNITIVE-BEHAVIOR MODIFICATION: An Integrative Approach By Donald H. Meichenbaum BEHAVIORAL TREATMENT OF ALCOHOL PROBLEMS Individualized Therapy and Controlled Drinking By Mark B. Sob ell and Linda C. Sobell

Cognitive-Behavior Modification An Integrative Approach

By Donald Meichenbaum University of Waterloo, Waterloo, Ontan'o, Canada

Springer Science+Business Media, LLC

Library of Congress Cataloging in Publication Data Meichenbaum, Donald. Cognitive-behavior modification. (Plenum behavior therapy series) Bibliography: p. Includes index. 1. Behavior modification. 2. Cognition. I . Title. BF637.B4M43 616.8'914

77-5847

First Printing-June 1977 Second Printing—May 1979

ISBN 978-1-4757-9741-1 DOI 10.1007/978-1-4757-9739-8

ISBN 978-1-4757-9739-8 (eBook)

© Springer Science+Business Media New York 1977 Originally published by Plenum Press, New York in 1977 Softcover reprint of the hardcover 1st edition 1977

All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher

Preface

This book is an account of a personal journey through a research program. A number of people have helped guide my way. To them I am deeply grateful. Special thanks are offered to my students, whose constant stimulation and provocation were incentives to write this book. Moreover, in the belief that they would never show the initiative to put together a festschrift for me (Le., a book dedicated to someone for his contributions), I decided to do it myself. Several people cared enough to offer editorial criticisms, namely, Myles Genest, Barney Gilmore, Roy Cameron, Sherryl Goodman, and Dennis Turk. The reader benefits from their perspicacity. Finally, to my parents, who taught me to talk to myself, and to my family, without whose constant input this book would have been completed much sooner, but would have been much less fun, I dedicate this book. D.M.

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Contents Prologue

11

Chapter 1

17

Self-Instructional Training Hyperactive, Impulsive Children: An Illustration of a Search for a Deficit 23

Luria's Model (24), Private Speech and Mediational Skills (27)

Self-Instructional Treatment of Hyperactive, Impulsive Children: A Beginning 31 Empirical Studies of Self-Instructional Training 34

Combining Self-Instructions and Operant Procedures (44), Reasoning Rediscovered (47), Importance of Attributional Style (48), Taking Stock (54)

Chapter 2 The Clinical Application of Self-Instructional Training to Other Clinical Populations: Three Illustrations Social Isolates 56 Creative Problem-Solving 58 Adult Schizophrenics 68 What Shall We Say to Ourselves When We Obtain Negative Results? 77 7

55

Contents

8

Chapter 3 Clinical Observations on Conducting Self-Instructional Training Use of Play 84 Importance of Affect 88 F