Page 2 - LN 3_Therapuetic Approaches
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▪  Behavioural Techniques-
                   ➢  The principles of these techniques are to reduce the arousal level of the client,
                       alter behaviour through different principles of learning.
                   ➢  Negative  reinforcement  and  aversive  conditioning  are  the  two  major
                       techniques of behaviour modification.
                          1.  Negative Reinforcement are the responses that lead organisms to get
                              rid of painful stimuli or avoid and escape from them.
                              Example-  one  learns  to  put  to  use  the  electric  heaters  to  avoid  the
                              unpleasant cold weather.
                          2.  Aversive  conditioning  refers  to  repeated  association  of  undesired
                              response with an aversive consequence.
                              Example- an alcoholic is given a mild electric shock and asked to smell
                              the alcohol. With repeated pairings the smell of alcohol is aversive as the
                              pain  of  the  shock  is  associated  with  it  and  the  person  will  give  up
                              alcohol.
                          3.  Positive Reinforcement is given to increase the deficit in an adaptive
                              behaviour that occurs rarely.
                              For  example,  if  a  child  does  not  do  homework  regularly,  positive
                              reinforcement  may  be  used  by  the  child’s  mother  by  preparing  the
                              child’s favourite dish whenever s/he does homework at the appointed
                              time.
                          4.  Token Economy involves persons with behavioural problems who are
                              given a token as a reward every time a wanted behaviour occurs.
                              The tokens are collected and exchanged for a reward such as an outing
                              for the patient or a treat for the child.
                          5.  Differential  Reinforcement  can  be  achieved  through  reducing
                              unwanted  behaviour  and  increasing  the  wanted  behaviour
                              simultaneously.
                              For example, A girl who sulks and cries when she is not taken to the
                              cinema when she asks. The parent is instructed to take her to the cinema
                              if she does not cry and sulk but not to take her if she does. Further, the
                              parent  is  instructed  to  ignore  the  girl  when  she  cries  and  sulks.  The
                              wanted behaviour of politely asking to be taken to the cinema increases

                              and the unwanted behaviour of crying and sulking decreases.
                          6.  Systematic  desensitisation  is  a  technique  introduced  by  Wolpe  for
                              treating phobias or irrational fears.
                              Thus,  the  relaxation  response  is  first  built  up  and  mildly  anxiety-
                              provoking  scene  is  imagined,  and  the  anxiety  is  overcome  by  the
                              relaxation. The client is able to tolerate progressively greater levels of
                              anxiety because of her/his relaxed state.
                              It operates on the principle of reciprocal inhibition. This principle states
                              that  the  presence  of  two  mutually  opposing  forces  at  the  same  time,
                              inhibits the weaker force.
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