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Behaviour therapy for the neuroses: some conceptual and practical problems

R J Hafner

    The Australian and New Zealand Journal of Psychiatry
    |December 1, 1981
    PubMed
    Summary

    Behaviorism faces challenges in addressing intrapsychic factors like motivation and choice in complex disorders. Examining the patient-therapist relationship is crucial for effective behavior therapy, especially in severe neurotic conditions.

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    Area of Science:

    • Psychology
    • Clinical Psychology
    • Behavioral Science

    Background:

    • Scientific behaviorism struggles to incorporate intrapsychic concepts like motivation, will, and choice.
    • Cognitive behavior therapy (CBT) emerged to address these limitations but retains ties to behaviorism.
    • A debate exists regarding the integration of cognitive theory within behaviorism.

    Purpose of the Study:

    • To examine the challenges in reconciling pure behaviorism with clinical behavior therapy for complex neurotic and personality disorders.
    • To explore the limitations of scientific behaviorism in accounting for intrapsychic phenomena.
    • To investigate the role and therapeutic relevance of the patient-therapist relationship in behavior therapy.

    Main Methods:

    • Conceptual analysis of behaviorist principles and clinical applications.
    • Review of the theoretical underpinnings of cognitive behavior therapy.
    • Examination of the patient-therapist relationship in the context of behavior therapy for severe disorders.

    Main Results:

    • Scientific behaviorism's inability to address intrapsychic perspectives poses a significant problem for clinical application.
    • Cognitive behavior therapy, while behaviorist-rooted, shares similarities with psychodynamic psychotherapy.
    • Ignoring the patient-therapist relationship may be detrimental in treating severe neurotic disorders.

    Conclusions:

    • Behaviorists must acknowledge the intrapsychic dimension and the importance of the patient-therapist relationship for effective therapy.
    • Reconciliation between behaviorism and psychodynamic approaches requires addressing the therapeutic alliance.
    • Further research is needed on the role of the therapeutic relationship in behavior therapy for complex psychological issues.

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