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Benjamin Eliseev
Benjamin Eliseev

Behavior Modification What It Is And How To Do It Free 11


Objectives:Identify the indications for behavioral modification therapy.Describe the contraindications to behavior modification therapy.Outline the clinical utility of behavioral modification therapy.Explain interprofessional team strategies for improving care coordination and communication to advance the use of behavioral modification therapy and improve patient outcomes.Access free multiple choice questions on this topic.




Behavior Modification What It Is And How To Do It Free 11



Behavior modification is a type of behavior therapy. B. F. Skinner demonstrated that behavior could be shaped through reinforcement and/or punishment. Skinner noted that a reinforcer is a consequence that increases the likelihood of behavior to recur, while punishment is a consequence that decreases the chance. Positive and negative are used in mathematical terms. Positive indicates that something is added, and negative indicates something is subtracted or taken away. Thus, positive reinforcement occurs when a behavior is encouraged by rewards. If a child enjoys candy and cleaning the room is the desired behavior, the candy is a positive reinforcer (reward) because it is something that is given or added when the behavior occurs. This makes the behavior more likely to recur. Negative reinforcement is removing a stimulus as the consequence of behavior but results in a positive outcome for the individual. For example, a fine is dropped, and a person no longer has to go to jail. The removal of the negative stimulus (the fine) results in a positive outcome for the individual, no jail time.


The indications for developing a behavior modification plan can be for any unwanted, maladaptive, or aberrant behavior. It can also be used to teach and reinforce new, desired behaviors. In clinical settings, the treatment team utilizes the concept of operant conditioning to reinforce prosocial behaviors through positive consequences as seen in token economy, shaping, differential reinforcement of desired behaviors, and extinguish the undesired behaviors through negative consequences like an overcorrection, response costs, time outs.


In child psychiatry, behavior modification is often part of treatment planning when a child is diagnosed with attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, intermittent explosive disorder, or other externalizing disorders (as opposed to internalizing disorders like major depression). While behavior therapy is not limited to externalizing behavior disorders, it is often a key part of the treatment plan because the presenting problem is behavior-related.[4][5][6][7].


Applied Behavioral Analysis (ABA) is one of the common therapeutic techniques used in behavior modification. It has been proven very effective in those diagnosed with autism spectrum disorders and other similar developmental disorders.


A behavior modification chart is frequently used when implementing a behavior modification plan. Behavior charts require specific, objective, quantifiable tasks that are rewarded in a previously agreed upon way, be it points, stickers, or tally marks.


Reinforcers and punishments must happen at the time of the behavior to increase the likelihood of success of a behavior modification plan. The more immediate to the behavior the better. For example, praising a child for using the toilet while he is using it versus later that day. The reinforcer must be appropriate, e.g., giving a child a sticker every time he says please, or giving a teenager extra screen time for a good attitude. And lastly, the reinforcer must be consistent where the behavior is rewarded by all caretakers as previously agreed upon and not to avoid punishment due to caretaker guilt or inconvenience.


A behavior modification plan can be started and implemented with an individual or by a team of people. A parent, teacher, or childcare provider can start a plan. Often, the behavior plan can be implemented in multiple settings, like at school and home (rewards for turning in homework assignments to the teacher, and rewards for cleaning your room by the parent). The broader the settings for the behavior plan, the better.


A behavior modification plan can be started and implemented with an individual or by a team of individuals that includes the mental health nurse, psychologist, social workers, primary care provider, parent, teacher, or childcare provider. Often, the behavior plan can be implemented in multiple settings, like at school and home (rewards for turning in homework assignments to the teacher, and rewards for cleaning your room by the parent). The broader the settings for the behavior plan, the better. Interprofessional involvement has been shown to improve health care quality and outcomes for patients, clients, families, and caregivers.


Now everyone who is on social media is getting individualized, continuously adjusted stimuli, without a break, so long as they use their smartphones. What might once have been called advertising must now be understood as continuous behavior modification on a titanic scale.


The core process that allows social media to make money and that also does the damage to society is behavior modification. Behavior modification entails methodical techniques that change behavioral patterns in animals and people. It can be used to treat addictions, but it can also be used to create them. The damage to society comes because addiction makes people crazy. The addict gradually loses touch with the real world and real people. When many people are addicted to manipulative schemes, the world gets dark and crazy.


Using symbols instead of real rewards has become an essential trick in the behavior modification toolbox. For instance, a smartphone game like Candy Crush uses shiny images of candy instead of real candy to become addictive. Other addictive video games might use shiny images of coins or other treasure.


Most users of social media have experienced catfishing (which cats hate), senseless rejection, being belittled or ignored, outright sadism, or all of the above, and worse. Just as the carrot and stick work together, unpleasant feedback can play as much of a role in addiction and sneaky behavior modification as the pleasant kind.


The power of what other people think has proven to be intense enough to modify the behavior of subjects participating in famous studies like the Milgram Experiment and the Stanford Prison Experiment. Normal, noncriminal people were coerced into doing horrible things, such as torturing others, through no mechanism other than social pressure.


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