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Functional Analytic Psychotherapy (FAP) as an Adjunct Treatment to Substance Dependence Cases

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Behavior Analysis and Substance Dependence

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Abstract

Functional analytic psychotherapy (FAP) is an analytical-behavioral-based therapy that was developed with the purpose of solving interpersonal repertoire problems. Its application can be conducted under two methods, either only with FAP or combined with other psychotherapies. Proponents of FAP argue that the therapeutic relationship is an opportunity for the client’s problem behaviors to be observed and evaluated, enabling for (a) further development of the case formulation and/or (b) modification of behaviors of interest in-session. Substance dependence is a complex psychopathology that affects all areas of the client’s life, including the interpersonal repertoire. Interpersonal behavioral deficits and excesses decrease access to positive reinforcers and, at the same time, increase contact with aversive stimulation of social origin, increasing the probability of relapses. The purpose of this chapter is to describe FAP as an adjunct intervention in cases of substance dependence. The FAP psychotherapeutic model, the fundamentals of its application to treat cases of substance dependence, and the empirical evidence that support the effectiveness of the therapy are presented.

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References

  • American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA. https://doi.org/10.1176/appi.books.9780890425596

    Book  Google Scholar 

  • Aranha, A. S. (2017). Delineamento experimental de caso único: A psicoterapia analítica funcional aplicada ao transtorno por uso de substâncias. Master’s thesis. University of São Paulo. https://doi.org/10.11606/D.47.2017.tde-06092017-101420

  • Aranha, A. S., & Oshiro, C. K. B. (2019). Contribuições da psicoterapia analítica funcional (FAP) no tratamento do transtorno por uso de substâncias (TUS). Acta Comportamentalia, 27(2), 197–213.

    Google Scholar 

  • Aranha, A. S., Oshiro, C. K. B., & Wallace, E. (2020). A single-case quasi-experimental design of functional analytic psychotherapy for substance abuse. Psicologia: Teoria e Prática, 22(3), 263–286. https://doi.org/10.5935/1980-6906/psicologia.v22n3p263-286

    Article  Google Scholar 

  • Banaco, R. A., & Montan, R. N. M. (2018). Terapia analítico-comportamental. In N. A. Zanelatto & R. Laranjeira (Eds.), O tratamento da dependência química e as terapias cognitivo-comportamentais: Um guia para terapeutas (2nd ed., pp. 115–132). Artmed.

    Google Scholar 

  • Banaco, R. A., Zamignani, D. R., & Meyer, S. B. (2010). Função do comportamento e do DSM: Terapeutas analítico-comportamentais discutem a psicopatologia. In E. Z. Tourinho & S. V. Luna (Eds.), Análise do comportamento: Investigações históricas, conceituais e aplicadas (pp. 175–191). Roca.

    Google Scholar 

  • Banaco, R. A., Kovac, R., Martone, R. C., Vermes, J. S., & Zamignani, D. R. (2012). Psicopatologia. In M. M. C. Hübner & M. B. Moreira (Eds.), Temas clássicos de psicologia sob a ótica da Análise do Comportamento. Guanabara Koogan.

    Google Scholar 

  • Benvenuti, M. F. (2004). Condicionamento respondente: Algumas implicações para o desenvolvimento de tolerância, síndrome de abstinência e overdose. In C. N. Abreu & H. J. Guilhardi (Eds.), Terapia comportamental e cognitivo-comportamental: Práticas clínicas (pp. 186–193). Roca.

    Google Scholar 

  • Benvenuti, M. F. (2007). Uso de drogas, recaída e o papel do condicionamento respondente: Possibilidades do trabalho do psicólogo em ambiente natural. In D. R. Zamignani, R. Kovac, & J. S. Vermes (Eds.), A clínica de portas abertas: Experiências e fundamentação do acompanhamento terapêutico e da prática em ambiente extraconsultório (pp. 307–327). Esetec.

    Google Scholar 

  • Bernardes, A. M. T. (2008). Relação entre enriquecimento ambiental na auto-administração oral de álcool em ratos. Master’s thesis. University of São Paulo. https://doi.org/10.11606/D.47.2008.tde-05062008-172705

  • Borloti, E. B., Haydu, V. B., & Machado, A. R. (2015). Crack: Análise comportamental e exemplos das funções da dependência. Acta Comportamentalia, 23(3), 323–338.

    Google Scholar 

  • Callaghan, G. M., & Follette, W. C. (2008). FAPRS manual: Manual for the functional analytic psychotherapy rating scale. The Behavior Analyst Today, 9(1), 57–97. https://doi.org/10.1037/h0100649

    Article  Google Scholar 

  • Callaghan, G. M., Summers, C. J., & Weidman, M. (2003). The treatment of histrionic and narcissistic personality disorder behaviors: A single-subject demonstration of clinical effectiveness using functional analytic psychotherapy. Journal of Contemporary Psychotherapy, 33, 321–339. https://doi.org/10.1023/B:JOCP.0000004502.55597.81

    Article  Google Scholar 

  • Catania, A. C. (1999). Aprendizagem: Comportamento, linguagem e cognição (4th ed.) (D. G. de Souza, Trad.). Artmed. (Original work published in 1998).

    Google Scholar 

  • Costa, J. B. P., & Valerio, N. I. (2008). Transtorno de personalidade anti-social e transtornos por uso de substâncias: Caracterização, comorbidades e desafios ao tratamento. Temas em Psicologia, 16(1), 119–132.

    Google Scholar 

  • Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857–870. https://doi.org/10.1037/h0035605

    Article  Google Scholar 

  • Garcia-Mijares, M., & Silva, M. T. A. (2006). Dependência de drogas. Psicologia USP, 17(4), 213–240.

    Article  Google Scholar 

  • Gifford, E. V., Ritsher, J. B., McKellar, J. D., & Moos, R. H. (2006). Acceptance and relationship context: A model of substance use disorder treatment outcome. Addiction, 101(8), 1167–1177. https://doi.org/10.1111/j.1360-0443.2006.01506.x

    Article  PubMed  Google Scholar 

  • Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Pierson, H. M., Piasecki, M. P., Antonnucio, D. O., & Palm, K. M. (2011). Does acceptance and relationship focused behavior therapy contribute to bupropion outcomes? A randomized controlled trial of functional analytic psychotherapy and acceptance and commitment therapy for smoking cessation. Behavior Therapy, 42, 700–715. https://doi.org/10.1016/j.beth.2011.03.002

    Article  PubMed  Google Scholar 

  • Guilhardi, H. J. (2013). Alcoolismo: Conceitos da análise do comportamento para superação. Instituto de Terapia por Contingências de Reforçamento. (Original work published in 2010). Retrieved from http://itcrcampinas.com.br/txt/alcoolismo.pdf

  • Guilhardi, H. J. (2018). Mais do bom não faz bem: Problemas do reforço livre. Revista Brasileira de Análise do Comportamento, 14(2), 171–190. https://doi.org/10.18542/rebac.v14i2.7537

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.

    Google Scholar 

  • Heyman, G. (1996). Resolving the contradictions of addiction. Behavioral and Brain Sciences, 19(4), 561–574. https://doi.org/10.1017/S0140525X00042990

    Article  Google Scholar 

  • Higgins, S. T., Heil, S. H., & Sigmon, S. C. (2007). A behavioral approach to the treatment of substance use disorders. In E. P. Sturmey (Ed.), Functional analysis in clinical treatment (pp. 261–282). Elsevier. https://doi.org/10.1016/B978-012372544-8/50015-X

    Chapter  Google Scholar 

  • Holman, G., Kohlenberg, R. J., Tsai, M., Haworth, K., Jacobson, E., & Liu, S. (2012). Functional analytic psychotherapy is a framework for implementing evidence-based practices: The example of integrated smoking cessation and depression treatment. International Journal of Behavioral Consultation and Therapy, 7, 58–62. https://doi.org/10.1037/h0100938

    Article  Google Scholar 

  • Kanter, J. W., Landes, S. J., Busch, A. M., Rusch, L. C., Brown, K. R., Baruch, D. E., & Holman, G. I. (2006). The effect of contingent reinforcement on target variables in outpatient psychotherapy for depression: An investigation of functional analytic psychotherapy. Journal of Applied Behavior Analysis, 29, 463–467. https://doi.org/10.1901/jaba.2006.21-06

    Article  Google Scholar 

  • Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63(3), 146–159. https://doi.org/10.1037/0003-066X.63.3.146

    Article  Google Scholar 

  • Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: A guide for creating intense and curative therapeutic relationships. Plenum.

    Book  Google Scholar 

  • Laranjeira, R. et al. (Orgs.) (2014). II Levantamento nacional de álcool e drogas (LENAD) –2012. São Paulo: INPAD.

    Google Scholar 

  • Lima, G. O. (2017). Psicoterapia analítica funcional como tratamento do transtorno de estresse pós-traumático: Delineamento experimental de caso único. Master’s thesis. University of São Paulo. https://doi.org/10.11606/D.47.2018.tde-06022018-162328

  • Lovo, A. R. B. R. (2019). Psicoterapia analítica funcional como tratamento do transtorno de ansiedade social. Master’s thesis. University of São Paulo. https://doi.org/10.11606/D.47.2019.tde-12112019-110625

  • Madden, G. J., & Bickel, W. K. (2010). Impulsivity: The behavioral and neurological science of discounting. APA. https://doi.org/10.1037/12069-000

    Book  Google Scholar 

  • Marlatt, G. A., & Donovan, D. M. (Orgs.). (2009). Prevenção de recaída: Estratégia de manutenção no tratamento de comportamentos adictivos (2nd ed.). Artmed.

    Google Scholar 

  • Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. WW Norton & Co..

    Google Scholar 

  • Meyer, S. B., Del Prette, G., Zamignani, D. R., Banaco, R. A., Neno, S., & Tourinho, E. Z. (2010). Análise do Comportamento e Terapia Analítico-Comportamental. In E. Z. Tourinho & S. V. Luna (Eds.), Análise do comportamento: Investigações históricas, conceituais e aplicadas (pp. 153–174). Roca.

    Google Scholar 

  • Miguel, A. D. Q. C., Yamauchi, R., Simões, V., da Silva, C. J., & Laranjeira, R. R. (2015). From theory to treatment: Understanding addiction from an operant behavioral perspective. Journal of Modern Education Review, 5(8), 778–787. https://doi.org/10.15341/jmer(2155-7993)/08.05.2015/006

    Article  Google Scholar 

  • Moos, R. H. (2007). Theory-based active ingredients of effective treatments for substance use disorders. Drug and Alcohol Dependence, 88(2–3), 109–121. https://doi.org/10.1016/j.drugalcdep.2006.10.010

    Article  PubMed  Google Scholar 

  • Nelson, K. M., Yang, J. P., Maliken, A. C., Tsai, M., & Kohlenberg, R. J. (2016). Introduction to using structured evocative activities in functional analytic psychotherapy. Cognitive and Behavioral Practice, 23(4), 459–463. https://doi.org/10.1016/j.cbpra.2013.12.009

    Article  PubMed  PubMed Central  Google Scholar 

  • Oshiro, C. K. B. (2014). Psicoterapia analítica funcional. Functional Analytic Psychotherapy (FAP). In Especialização em Terapia Cognitiva. São Paulo: Instituto de Terapia Cognitiva.

    Google Scholar 

  • Oshiro, C. K. B., Kanter, J. W., & Meyer, S. B. (2012). A single-case experimental demonstration of functional analytic psychotherapy with two clients with severe interpersonal problems. International Journal of Behavioral Consultation and Therapy, 7, 111–116. https://doi.org/10.1037/h0100945

    Article  Google Scholar 

  • Paul, R. H., Marx, B. P., & Orsillo, S. M. (1999). Acceptance-based psychotherapy in the treatment of an adjudicated exhibitionist: A case example. Behavior Therapy, 30, 149–162. https://doi.org/10.1016/S0005-7894(99)80051-3

    Article  Google Scholar 

  • Pedersen, E. R., Callaghan, G. M., Prins, A., Nguyen, H., & Tsai, M. (2012). Functional analytic psychotherapy as an adjunct to cognitive-behavioral treatments for posttraumatic stress disorder: Theory and application in a single case design. International Journal of Behavioral Consultation and Therapy, 7(2–3), 125–134. https://doi.org/10.1037/h0100947

    Article  Google Scholar 

  • Perkins, K. A., Conklin, C. A., & Levine, M. D. (2008). Practical clinical guidebooks series. Cognitive-behavioral therapy for smoking cessation: A practical guidebook to the most effective treatments. Routledge/Taylor & Francis Group.

    Google Scholar 

  • Pezzato, F. A., Brandão, A. S., & Oshiro, C. K. B. (2012). Intervenção baseada na psicoterapia analítica funcional em um caso de transtorno de pânico com agorafobia. Revista Brasileira de Terapia Comportamental e Cognitiva, 14(1), 74–84. https://doi.org/10.31505/rbtcc.v14i1.495

    Google Scholar 

  • Rachlin, H. (1997). Four teleological theories of addiction. Psychonomic Bulletin & Review, 4(4), 462–473. https://doi.org/10.3758/BF03214335

    Article  Google Scholar 

  • Ribeiro, M., & Laranjeira, R.. (Orgs.) (2012). O tratamento do usuário de crack (2nd ed.). Artmed.

    Google Scholar 

  • Rush, B., Tremblay, J., & Brown, D. (2019). Development of a needs-based planning model to estimate required capacity of a substance use treatment system. Journal of Studies on Alcohol and Drugs, s18, 51–63. https://doi.org/10.15288/jsads.2019.s18.51

    Article  Google Scholar 

  • Siegel, S. (2005). Drug tolerance, drug addiction, and drug anticipation. Current Directions in Psychological Science, 14(6), 296–300. https://doi.org/10.1111/j.0963-7214.2005.00384.x

    Article  Google Scholar 

  • Silva, C. J., & Serra, A. M. (2004). Terapias cognitiva e cognitivo-comportamental em dependência química. Revista Brasileira de Psiquiatria, 26(1), 33–39. https://doi.org/10.1590/S1516-44462004000500009

    Article  Google Scholar 

  • Skinner, B. F. (1945). The operational analysis of psychological terms. Psychological Review, 52(5), 270–277. https://doi.org/10.1037/h0062535

    Article  Google Scholar 

  • Skinner, B. F. (1953). Science and human behavior. Macmillan.

    Google Scholar 

  • Skinner, B. F. (1957). Century psychology series. Verbal behavior. Appleton-Century-Crofts. https://doi.org/10.1037/11256-000

    Book  Google Scholar 

  • Skinner, B. F. (1974). About behaviorism. Alfred A. Knopf.

    Google Scholar 

  • Tonigan, J. S., & Miller, W. R. (2002). The inventory of drug use consequences (InDUC): Test-retest stability and sensitivity to detect change. Psychology of Addictive ehaviors, 16(2), 165–168. https://doi.org/10.1037/0893-164X.16.2.165

    Article  Google Scholar 

  • Tsai, M., Kohlenberg, R. J., Kanter, J. W., Kohlenberg, B., Follette, W. C., & Callaghan, G. M. (2009). A guide to functional analytic psychotherapy: Awareness, courage, love and behaviorism. Springer. https://doi.org/10.1007/978-0-387-09787-9

    Book  Google Scholar 

  • Tsai, M., Kohlenberg, R. J., Kanter, J. W., Holman, G. I., & Loudon, M. P. (2012). The CBT distinctive features series. Functional analytic psychotherapy: Distinctive features. Routledge/Taylor & Francis Group.

    Book  Google Scholar 

  • Vandenberghe, L. (2007). Functional analytic psychotherapy and the treatment of obsessive compulsive disorder. Counseling Psychology Quarterly, 20, 105–114. https://doi.org/10.1080/09515070701197479

    Article  Google Scholar 

  • Vartanian, J. F. (2017). Efeitos da evocação sobre os comportamentos clinicamente relevantes na psicoterapia analítica funcional. Master’s thesis. University of São Paulo. https://doi.org/10.11606/D.47.2017.tde-26092017-110243

  • Vilas Boas, D. L. O., Banaco, R. A., & Borges, N. B. (2012). Discussões da análise do comportamento acerca dos transtornos psiquiátricos. In N. B. Borges & F. A. Cassas (Eds.), Clínica analítico-comportamental: Aspectos teóricos e práticos (pp. 95–101). Artmed.

    Google Scholar 

  • Wilson, K. G., & Byrd, M. R. (2004). ACT for substance abuse and dependence. In S. Hayes & K. D. Strosahl (Eds.), A practical guide to acceptance and commitment therapy (pp. 153–184). Springer. https://doi.org/10.1007/978-0-387-23369-7_7

    Chapter  Google Scholar 

  • World Health Organization. (2018). International classification of diseases and related health problems (11th ed.). Recuperado de. https://icd.who.int/browse11/l-m/en

    Google Scholar 

  • Xavier, R. N. (2018). Eficácia da psicoterapia analítica funcional para o transtorno de oposição desafiante: Experimento de caso único. Doctoral thesis. University of São Paulo. https://doi.org/10.11606/T.47.2018.tde-04072018-154838

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Authors and Affiliations

  1. University of São Paulo, São Paulo, SP, Brazil

    Alan Souza Aranha & Claudia Kami Bastos Oshiro

  2. University of Washington, Seattle, WA, USA

    Elliot Cozzens Wallace

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  1. Alan Souza Aranha
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  2. Claudia Kami Bastos Oshiro
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  3. Elliot Cozzens Wallace
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Editors and Affiliations

  1. Centro Integrado de Neuropsiquiatria e Psicologia Comportamental (CINP), Londrina, Paraná, Brazil

    Simone Martin Oliani

  2. Department of Psychobiology, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil

    Richard Alecsander Reichert

  3. Paradigma - Centro de Ciências e Tecnologia do Comportamento, São Paulo, São Paulo, Brazil

    Roberto Alves Banaco

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Aranha, A.S., Oshiro, C.K.B., Wallace, E.C. (2021). Functional Analytic Psychotherapy (FAP) as an Adjunct Treatment to Substance Dependence Cases. In: Oliani, S.M., Reichert, R.A., Banaco, R.A. (eds) Behavior Analysis and Substance Dependence. Springer, Cham. https://doi.org/10.1007/978-3-030-75961-2_9

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