Tuesday 29 March 2011

BEHAVIOUR ANALYSIS



Behaviour Analysis

Seven part analysis
                The first model originates from the work of Kanfer and saslow (1969), and it considers assessment in a seven- part plan, and focuses on the behavioural components of cognitive behaviour assessment.

1.  Initial Analysis of the problem situation.
In this step the behaviour an excess, a deficit or an assets is considered and its frequency, intensity, duration and stimulus conditions.

a.        Behaviour excess:  A class of related behaviours occurs and is described as problematic by the client or an informant because of excess in - frequency, intensity, duration and occurrence under conditions when its socially sanctioned frequency approaches zero.

b.        Behaviour deficit:  A class of responses is described as problematic by someone because it fails to occur: with sufficient frequency; with adequate intensity; in appropriate form; under socially expected conditions.

c. Behaviour assets:  Behavioural asset are non- problematic behaviour.
·         What does the client do well?
·         What are his/her adequate social behaviour?
·         What are his/her special talents or assets?
·         His/her natural work and play activities provide a better starting point for behaviour change than can ever be provided in a synthetic activity or relationship.

2. Clarification of the problem situation
a. Assign the classes of problematic responses to Group A behavioural excess or Group B behavioural deficit.
b. Which persons or groups object to these behaviours? Which persons or group support them? Who persuaded the
 client to come to the clinician?
c. what consequences does the problem have for the client and for the significant others?  What are the consequences
 would removal of the problem have for the client or other?
d. Under what conditions do the problematic behaviour occurs.
e. What satisfaction would continue for the client if/ her problematic behaviour were sustained? What satisfaction
 would client gain after psychological interventions?
f. What new problems in living would successful therapy pose for the client? What reinforcers are there?
g. To w extent is the client as a sole informant capable of helping in the development of a therapy programme?

3. Motivational analysis
 How does the client rank various incentives in their importance to him/ her? Basing judgement on the client’s probable expenditure of time, energy or physical discomfort, which of the following reinforcing events are relatively most effective in initiating or maintaining his/her behaviour achievement of recognition sympathy.
a.         How frequent and regular have been his/her success with these reinforces?
b.       What specific conditions do each of these reinforcer arouse goal-directed behaviour.
c.        Do his /her actions in relation to these goals correspond with verbal statements?
d.       Which person or groups have the most effective and widespread control over his/her current behaviour.
e.        Can the client relate reinforcement contingencies to his/ her own behaviour?
f.         What are the major aversive stimuli for this client (1) in immediate day-to-day life;
g.        Would a treatment programme require that the client give up current satisfactions associated with his/her problem?
h.       Which events of know reinforcing value can be utilised for learning new interpersonal skills?
4. Developmental analysis
a. Biological changes
1.   What are the limitations in the client’s biological equipment that may affect current behaviour, e.g. defective vision and hearing; residuals of illness such as stroke, poliomyelitis, mononucleosis, glandular imbalances?
2. When and how did biological deviations or limitations develop?
3.  How do these biological conditions limit response to treatment or resolution of his/her problem?
     b. Sociological changes
1. What are the most characteristic features of the client’s present socio-logical milieu?
2. Have there been changed in this milieu which are pertinent to his/her current behaviour?
3. Does the client view these changes as brought about by him/her by significant persons?
4. Are the client’s roles in various social setting?
5. How can identified sociological factors in the problematic behaviour be brought into relation with a treatment programme?
c. Behavioural changes
           a.  Prior to the time of referral, did the client’s behaviour show deviations in behaviour patterns compared with
               developmental and social norms?
           b. Do identified biological, social or sociological events in the client’s life seem relevant to these behavioural 
               changes?
5.   Analysis of self- control
How can the client’s self-controlling behaviour be used in the treatment programme?
   In what situations can the client control those behaviours that are problematic?

6.   Analysis of relevant social relationships
      Who are the most significant people in the client’s current environment?
   To which or persons or groups is he most responsive? Who provokes antagonistic or problematic behaviours?

7. Assessment of the socio cultural and physical environment
            a. What are the norms in the client’s social milieu for the behaviours about which there is a complaint?
          b. Are these norms similar in the various environments in which the client   interacts, e.g. home and school, friends and
              parents, work and social milieu, etc.?

Wednesday 9 March 2011

Efficacy of Cognitive Behavior Therapy in Obsessive Compulsive Disorder


Efficacy of Cognitive Behavior Therapy in Obsessive Compulsive Disorder



* Rupesh  Ranjan et al



                   

Abstract
  Cognitive behavior therapy is probably the most well known and most practiced form of modern psychotherapy in treatment of Obsessive compulsive disorder. The present study was intended to see the efficacy of Cognitive Behavior Therapy in Obsessive compulsive Disorder. This is a three month follow up study based on pre and post test design. Based on purposive sampling a sample consisting of ten obsessive compulsive disorder patients selected and age range of 20-45 year  either sex, on the basis of ICD-10 DCR criteria. The patient was treated by cognitive behavior techniques. After 20 sessions of therapeutic intervention programme significant improvement was seen. He was under follow up of 3 month and reached to level of social functioning. Appropriate descriptive statistics Mean, SD, and t-ratio was calculated for analysis of data.
Key words: Cognitive Behavior Therapy (CBT), OCD

Thursday 3 March 2011

Spirituality and Religious Practices and Executive Function




Impact of Spirituality and Religious Practices on Executive Function in Paranoid and Undifferentiated Schizophrenia
*Rupesh Ranjan et al 

Objective: Spirituality and religiousness have been shown to be highly prevalent among patients with schizophrenia .However, clinicians are rarely aware of the importance of spirituality and religiousness. Executive function refers to host neuro cognitive activities that are associated the prefrontal cortex such as planning, problem solving, shifting, cognitive set and alteration between two or more tasks (Green 1998). This study examined the spirituality and religious practices and executive function in paranoid and undifferentiated schizophrenia.

 Method : The sample included 75 right handed male subjects .who were divided in three groups- normal control, paranoid and undifferentiated schizophrenia. After initial screening using GHQ-12 for normal control and BPRS for schizophrenia were selected. Self made semi structure interview about spirituality religious practices conducted on among schizophrenia group. After that WCST were administered to all of them, according to standard procedure.
Results: The findings were as follows: all groups were well matched except for marital status & occupation. Paranoid schizophrenia shows more spirituality and religious practice compare to undifferentiated schizophrenia. The performance of normal control on WCST better than schizophrenia and within schizophrenia paranoid had less deficits in executive function compare to undifferentiated schizophrenia.
Conclusion: Thus, it can be concluded that executive functioning  of schizophrenics, are impaired in comparison to normal subjects. Within the schizophrenics subgroups the greatest impairment exists in undifferentiated schizophrenics patients and spirituality and religious practice is an important issue for patient with schizophrenia and importance in executive function.    
Key words: Spirituality, Executive Function, Schizophrenia, WCST