Hi Jonathan,

One thing I'd like to see in therapist qualities is the ability to notice
and respond to approximations in the desired direction. That's probably
what you mean by CRB2s, but specifying that this may be a small and even
topographically unrelated shift in behavior might be important for the
uninitiated.

It's also useful for therapists to practice this sort of positive shaping
with others in their lives (co-workers, family, friends, self). In fact, I
find myself being suspicious of FAP therapists who do not practice good
positive behavioral hygeine :) in their own daily-life interactions...
will they actually be able to produce this behavior in the therapy room?

Working with 'self' is the hardest, of course, so training others by our
own example in responding to their behavior is the most likely way to
receive similar treatment in return. I find it a lot easier to respond to
others to create desired behavior in myself than to shape my own.

And for me at least, mindfulness is just being able to stay present --
essential if I am to be alert to shifts in behavior. Also mindfulness
helps me distinguish between what is happening behaviorally and stories I
may have about it. The main 'story' I need to access is the case
conceptualization hypothesis. Other stories about (reactions to) the
behavior are less relevant and potentially harmful.

Just random thoughts! Thanks for "getting something on paper."

Madelon
________________________________________________________________________
Madelon Y. Bolling, PhD
Clinical Instructor
Department of Psychology 351525
University of Washington
Seattle, WA 98195-1525


On Fri, 4 Aug 2006, Jonathan Kanter wrote:

> Hi Christeine,
>
> Here is an excerpt from the FAP manual that we have been working on. I'm
> of course interested in feedback anyone on this list has to offer as
> well. It is something I came up with fairly quickly and am not really
> committed to it - just wanted to get something on paper. As you will
> see, I tried to incorporate varioius views and positions of the FAP
> community in it.
>
> Jonathan
>
> FAP Therapist Qualities
> FAP therapists are expected to have established in their repertoires the
> repertoires they are trying to shape in their clients  without them the
> FAP therapist may not be able to identify and respond to client CRBs
> naturally and at the right time. Just as we expect client behavior to
> generalize from outside the session to the therapy relationship,
> therapist behaviors will generalize as well. Thus, perhaps the most
> important therapeutic skill in FAP  noticing and appropriately
> responding to CRB2s  requires that FAP therapists have solid
> repertoires related to noticing positive qualities in other individuals
> and sharing with those individuals how one is reacting to those
> qualities. Certain repertoires, difficult to operationalize
> behaviorally, related to charity, giving, and being kind and loving, are
> important to FAP therapists. Our behavioral model holds that these
> repertoires will not show up reliably in therapy unless they reliably
> occur outside of therapy. In short, FAP therapists should be good,
> caring, loving people.
>
> A considerable degree of interpersonal sensitivity and empathy appears
> to be required of FAP therapists in detecting and responding to CRBs.
> The process of discussing interpersonal repertoires as they happen live,
> providing explicit feedback to clients about the impact these
> repertoires have on the therapist as it is happening, requires
> considerable sensitivity and skill in identifying, contacting and
> responding to interpersonal contingencies as they are occurring.
> Providing negative feedback well, without being overly punishing,
> requires therapists to truly care deeply about their clients and to
> demonstrate strong resolve in the face of avoidance tendencies that may
> be evoked by difficult, intimate conversations and connection.
> Therapists must have well-developed repertoires for discussing conflict
> and intimacy. Thus, therapists who lack interpersonal sensitivity, have
> difficulty with self-disclosure, or tend to become avoidant in
> emotionally-demanding situations may have difficulty fully implementing
> FAP.
>
> How to achieve these qualities, and how to define them behaviorally,
> remain open questions in the FAP community. Callaghan (2001) has
> developed the Functional Assessment of Skills for Therapists (FAST) that
> therapists and supervisors can use to develop a conceptualization of
> therapist Os and CRBs that can be applied to training FAP therapists,
> but most FAP trainers have yet to incorporate or try this system. Some
> senior FAP therapists have become interested in mindfulness practices as
> a way to facilitate the acquisition of some of these qualities; however
> other senior FAP therapists disagree about the usefulness of such
> practices. It is clear that mindfulness practices have yet to be fully
> understood functionally. Thus, currently only loose agreement among
> senior FAP therapists and trainers exists about the exact nature of
> important FAP therapist qualities such as those described above and how
> to achieve them. The discussion has not achieved technical precision or
> complete consensus.
>
>
> C. Terry wrote:
>
>> Hello,
>>
>> I'm currently in the process of developing my Generals paper and one of
>> the topics that I'm interested in is whether there are therapist
>> characteristics/behaviors that make a person more amenable or capable of
>> doing FAP. Can anyone do FAP? Or, are there individual
>> characteristics/behavioral repetoires that are required in order to do
>> FAP? What behaviors/characteristics make a person more likely to do FAP
>> and moreover, to do FAP well?
>>
>> Thanks for your help,
>> -Christeine
>>
>> The above email may contain Patient Identifiable Information.
>> Because email is not secure, please be aware of associated risks
>> of email transmission. For more information on risks, please go
>> to the medical center's website at www.washington.edu/medical
>>
>> Christeine M. Terry
>> Functional Analytic Psychotherapy Research Group
>> University of Washington
>> Department of Psychology
>> Guthrie Annex 1 Room 134
>> Box 351525
>> Seattle, WA. 98195
>> 206-685-7462
>>
>>
>>
>>
>>
>>
>>
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>>
>>
>>
>
> --
> Jonathan W. Kanter, Ph.D.
> Assistant Professor and Clinic Coordinator
> Department of Psychology
> University of Wisconsin-Milwaukee
> P.O. Box 413
> Milwaukee, WI 53201
> Office: Garland Hall 238C
> (414) 229-3834
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