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Why behavior change is difficult to sustain.

Mark E Bouton1

  • 1University of Vermont, USA.

Preventive Medicine
|June 18, 2014
PubMed
Summary
This summary is machine-generated.

Sustaining behavior change is challenging because learned inhibitions are context-specific. Relapse phenomena like renewal and resurgence highlight that behavior change is often unstable, requiring attention to context in therapies.

Keywords:
Behavior changeBehavioral inhibitionContextContingency managementRelapse

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Area of Science:

  • Behavioral Science
  • Preventive Medicine
  • Learning Psychology

Background:

  • Unhealthy behaviors contribute significantly to human disease.
  • Preventive medicine aims to promote behavior change for better health outcomes.
  • Sustaining behavior change long-term presents a significant challenge.

Purpose of the Study:

  • To review basic learning and behavior laboratory research.
  • To provide insights into the difficulties of sustaining behavior change.
  • To explore why behavior change can be unstable.

Main Methods:

  • Selective review of laboratory research on behavior change.
  • Analysis of methods like extinction, counterconditioning, and reinforcement.
  • Examination of lapse and relapse phenomena.

Main Results:

  • Behavior change methods inhibit, rather than erase, original behaviors.
  • Inhibition and behavior change are often context-specific.
  • Phenomena like renewal, spontaneous recovery, and resurgence demonstrate instability.

Conclusions:

  • Behavior change is an inherently unstable process.
  • Frequent lapses and relapses are expected outcomes.
  • Behavior-change therapies may improve by considering the learning context.