A Guide to Functional Analytic Psychotherapy

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Jack Apsche, Editor in …

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Problems with intimacy and interpersonal issues are exhibited across most psychiatric disorders. However, most of the targets in Cognitive Behavioral Therapy are primarily intrapersonal in nature, with few directly involved in interpersonal functioning and effective intimacy. Functional Analytic Psychotherapy (FAP) provides a behavioral basis for working on intimacy and interpersonal functioning. The current paper describes how intimacy concerns are addressed by FAP and provides evidence for the need to assess and understand the role of intimacy across a number of disorders. There are several justifications for support for including attempts to measure intimacy and design treatments to increase clients’ effectiveness in intimacy. In conclusion, there appears to be a need to empirically determine the extent to which intimacy should be a therapeutic target of interest across many psychiatric disorders and FAP may be an important part of therapeutic change in these areas.

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Functional Analytic Psychotherapy (FAP), a therapy based on radical behaviorism, establishes the priority of the therapeutic interaction as a mechanism of change in psychotherapy. Since the first book on FAP appeared in 1991, it has been the focus of many papers and has been incorporated by the community of behavior therapists. This paper is a review of 80 international publications on FAP from 1990 to 2010, including publications from Brazil, the United States, Spain, Switzerland and Colombia. The goal was to analyze how FAP has been treated and developed across these 20 years, and also to propose some directions for further studies. The analysis suggests a diverse range of FAP publications, points to the necessity of more empirical studies with tighter control of variables and objective measurement of data to better understand FAP’s process and effectiveness, and highlights the importance of increased communication between international research groups to increase the potential be.

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