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Biomedical subjects

D J Delprato

Publications and source records attributed to D J Delprato.

At least 19 recordsLinked to original sources

Interactions of response patterns and their implications for behavior therapy.

Basic and clinical behavioral research reveals that actions of the organism frequently are organized to form concurrent and sequential response patterns. The former are nonrandom interrelationships among two or more responses that are measured over the same time period. Sequential response patterns are nonrandom relationships between responses when measured over time. This paper addresses some implications of response patterns for assessment and intervention in behavior therapy.

Adaptation, Psychological

Innovations in behavioral medicine.

The chapter begins with a brief history of the behavioral medicine movement along with an overview of contemporary activities in the field. Three subsequent sections review technical innovations in major areas of clinical behavioral medicine: treatment, health care delivery, and preventive health care. The final section describes the methodological characteristics of research in behavioral medicine, discusses the field in light of the psychosomatic medicine and behavior modification movements, and calls for a conceptual integration that is authentically behavioristic. Already the quality of research in behavioral medicine appears comparable to that of research in behavior therapy. Even so, when viewed in terms of contemporary methodological desiderata, most of the work is fairly unimpressive. Possibly needed are "hybrid" experimental approaches in which the inferential power of intrasubject phase manipulations and between-subject outcome comparisons are combined. There is good reason to believe that behavioral medicine will follow the historical course of behavior therapy/modification, not the course of psychosomatic medicine. Behaviorally knowledgeable psychologists can become major service providers in liaison with well-informed medical practitioners. Some potentially deleterious influences on the behavioral medicine movement are (inevitable) mentalistic and dualistic thinking and a retreat toward psychosomatic medicine. Field behaviorism as an organizing schema can, in principle, serve as a safeguard against such untoward influences.

Adolescent

The role of response-reinforcer relationship in discrimination learning of mentally retarded persons.

The role of the spatial relationship between target responses and reinforcers in the discrimination learning of mentally retarded subjects was evaluated. On each training trial, subjects were instructed to move a hand-operated manipulandum to a positive stimulus located at the left or right end of a track. Correct responses were immediately followed by onset of a light and presentation of an edible reinforcer. In the control condition the light and edible reinforcers were presented in a single location equidistant from the ends of the manipulandum track; in the experimental condition, they were presented directly adjacent to the terminus of the response at the end of the manipulandum track corresponding to the location of the correct stimulus. Results showed that discrimination performance was more efficient in the experimental condition than in the control condition.

Adult

Multiple component self-control program for menopausal hot flashes.

Four menopausal women served as their own controls in a study of the application of behavioral methods to the treatment of hot flashes. After a 3-or 4-week baseline period, they received 10 sessions of training in a variety of stress and temperature control techniques, including relaxation, self-suggestions of cool thoughts and images, marital contingency contracting and temperature feedback. The percentage reductions in number of flashes between the last 2 weeks of baseline and the last 2 weeks of training were 41, 75, 76 and 90 for the 4 participants. Treatment gains were maintained at 6-months follow-up. These substantial reductions in frequency of hot flashes offer strong support for the further investigation of the use of behavioral methods as alternatives or additions to medicative therapies.

Adult

The constructional approach to behavioral modification.

The constructional approach to behavioral modification, first formally recognized by Goldiamond (1974), is discussed against the background of the approach to which it is an alternative, the eliminative model. While the latter directs practitioners to focus on eliminating problem behavior, the constructional approach attempts to solve problems by building behavioral repertoires. It is pointed out that the constructional approach is not necessarily incompatible with the eliminative approach. Implications of the eliminative-constructional distinction are discussed for the major aspects of behavioral interventions--behavioral analysis, determination of goals, and change procedures. Some research implications of the distinction are considered. Such issues as clients' right to treatment and to refuse punitive procedures make further development of the constructional approach imperative.

Behavior Therapy

Face validity of test and acceptance of generalized personality interpretations.

After students in different groups took one of four "personality tests" that varied in face validity, they received a generalized personality interpretation. Even though the test lowest in face validity merely required the subject to circle digits, judged accuracy of the interpretation (a) was high for all tests (76-87% of the ratings in the various test groups were good or excellent) and (b) was independent of type of test upon which the interpretation was purportedly derived. From 46-60% of the subjects in the various groups "definitely liked" or "liked" the interpretation; likability was independent of face validity of the test. Judged accuracy and likability of the interpretation correlated positively and significantly. The willingness of individuals to accept generalized statements about themselves is a researchable problem area suggested by the present research.

Adolescent