{"id":1274,"date":"2023-03-31T17:38:18","date_gmt":"2023-03-31T17:38:18","guid":{"rendered":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/chapter\/15-2-4-learn-it-behavior-therapy-in-action\/"},"modified":"2026-01-20T18:54:51","modified_gmt":"2026-01-20T18:54:51","slug":"15-2-4-learn-it-behavior-therapy-in-action","status":"publish","type":"chapter","link":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/chapter\/15-2-4-learn-it-behavior-therapy-in-action\/","title":{"raw":"Cognitive and Behavioral Therapies: Learn It 4\u2014Behavior Therapy in Action","rendered":"Cognitive and Behavioral Therapies: Learn It 4\u2014Behavior Therapy in Action"},"content":{"raw":"<h2>Behavior Therapy in Action: How Does it Work?<br \/>\r\n<a href=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2017\/04\/04032038\/7658214720_0936cc407c_z.jpg\"><img class=\"alignleft wp-image-4132\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2017\/04\/04032038\/7658214720_0936cc407c_z.jpg\" alt=\"Smiling picture of a college student with a pen in her mouth.\" width=\"374\" height=\"249\" \/><\/a><\/h2>\r\n<p>Meet Miriam. She is smart, ambitious, creative, and full of energy. She is studying at a university, majoring in business. During the next few years, after she graduates, she wants to live in interesting places and get solid training and experience with a good corporation. Her dream is to start her own company, to be her own boss, and to do things that she can take pride in. For her, financial success and doing something worthwhile must go hand-in-hand.<\/p>\r\n<p>But Miriam has a secret. She is terrified of speaking in front of people who are not her close friends. She has fought these fears for a long time, but she has never been able to conquer them. She is also aware of the fact that she will need to be able to speak to strangers comfortably and convincingly if she is going to meet her goals in business.<\/p>\r\n<p>Now that you and your client have agreed upon your goals, it is time to choose a particular technique for the therapy. As a behavioral therapist, you are looking for a method to allow Miriam to learn a new response to the thought of public speaking. Now the idea terrifies her. After therapy is over, she should no longer be terrified and she may even look forward to the opportunity to speak in front of other people.<\/p>\r\n<p>You know that everyone is not the same and different problems may call for different approaches to therapy. For these reasons, you have been trained in a variety of techniques that you can use to customize Miriam\u2019s therapy to meet her particular needs. It is time to decide how you are going to help Miriam.<\/p>\r\n<section class=\"textbox tryIt\">[ohm2_question height=\"1100\"]4501[\/ohm2_question]<\/section>\r\n<p><img class=\"alignright wp-image-4133\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2017\/04\/04032241\/7658298768_e4c2c2635e_z.jpg\" alt=\"Same picture of the college student, Miriam, looking confused or frustrated while looking at her notebook.\" width=\"260\" height=\"173\" \/>Systematic desensitization works by gradually\u2014step-by-step\u2014exposing the person to situations that are increasingly more anxiety-producing. This is called \u201cprogressive exposure.\u201d By learning to cope with anxiety with less-threatening situations first, the person is better prepared to handle the more-threatening situations. Even more important for treatment, the mind learns\u00a0that nothing horrible happens. This retraining of the subconscious mind means that the situation actually becomes less threatening.<\/p>\r\n<p>The first steps in systematic desensitization is the development of a \u201chierarchy of fears.\u201d This simply means that you must help Miriam create a list of situations related to her fear of public speaking. Then you create a hierarchy. This means that you have her organize the situations from the least frightening to the most frightening.<\/p>\r\n<p>For the next step in this exercise, you will need to take on Miriam\u2019s role as the client. Imagine that you have developed a list of frightening situations, from ones that make you only slightly uncomfortable to ones that nearly make you sick with anxiety.<\/p>\r\n<section class=\"textbox tryIt\">[ohm2_question height=\"600\"]4502[\/ohm2_question]<\/section>\r\n<p>Remember that systematic desensitization works by putting the person in a series of situations. The early ones are not threatening or are only mildly threatening. However, as soon as your client learns to cope with each situation, you start working on the next most frightening situation.<\/p>\r\n<p>So we\u2019re ready to start, right? Wrong!<\/p>\r\n<p>Behavioral therapy teaches the client to cope with an anxiety-producing situation by replacing fear with an alternative response. A common alternative response is relaxation. This idea is that fear and anxiety cannot coexist with relaxation\u2014if you are relaxed, you can\u2019t be fully afraid.<\/p>\r\n<p>However, most people are not very good at relaxing on command. So the behavioral therapist will teach\u00a0the client how to relax effectively. The techniques are ones often used in meditation\u2014slow breathing and focus on positive thoughts. Psychologist Kevin Arnold explains a deep breathing technique in <a href=\"https:\/\/www.youtube.com\/watch?v=dXRBNagGxtc\" target=\"_blank\" rel=\"noopener\">this video<\/a>.<\/p>","rendered":"<h2>Behavior Therapy in Action: How Does it Work?<br \/>\n<a href=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2017\/04\/04032038\/7658214720_0936cc407c_z.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-4132\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2017\/04\/04032038\/7658214720_0936cc407c_z.jpg\" alt=\"Smiling picture of a college student with a pen in her mouth.\" width=\"374\" height=\"249\" \/><\/a><\/h2>\n<p>Meet Miriam. She is smart, ambitious, creative, and full of energy. She is studying at a university, majoring in business. During the next few years, after she graduates, she wants to live in interesting places and get solid training and experience with a good corporation. Her dream is to start her own company, to be her own boss, and to do things that she can take pride in. For her, financial success and doing something worthwhile must go hand-in-hand.<\/p>\n<p>But Miriam has a secret. She is terrified of speaking in front of people who are not her close friends. She has fought these fears for a long time, but she has never been able to conquer them. She is also aware of the fact that she will need to be able to speak to strangers comfortably and convincingly if she is going to meet her goals in business.<\/p>\n<p>Now that you and your client have agreed upon your goals, it is time to choose a particular technique for the therapy. As a behavioral therapist, you are looking for a method to allow Miriam to learn a new response to the thought of public speaking. Now the idea terrifies her. After therapy is over, she should no longer be terrified and she may even look forward to the opportunity to speak in front of other people.<\/p>\n<p>You know that everyone is not the same and different problems may call for different approaches to therapy. For these reasons, you have been trained in a variety of techniques that you can use to customize Miriam\u2019s therapy to meet her particular needs. It is time to decide how you are going to help Miriam.<\/p>\n<section class=\"textbox tryIt\"><iframe loading=\"lazy\" id=\"ohm4501\" class=\"resizable\" src=\"https:\/\/ohm.one.lumenlearning.com\/multiembedq.php?id=4501&theme=lumen&iframe_resize_id=ohm4501&source=tnh&show_question_numbers\" width=\"100%\" height=\"1100\"><\/iframe><\/section>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-4133\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/855\/2017\/04\/04032241\/7658298768_e4c2c2635e_z.jpg\" alt=\"Same picture of the college student, Miriam, looking confused or frustrated while looking at her notebook.\" width=\"260\" height=\"173\" \/>Systematic desensitization works by gradually\u2014step-by-step\u2014exposing the person to situations that are increasingly more anxiety-producing. This is called \u201cprogressive exposure.\u201d By learning to cope with anxiety with less-threatening situations first, the person is better prepared to handle the more-threatening situations. Even more important for treatment, the mind learns\u00a0that nothing horrible happens. This retraining of the subconscious mind means that the situation actually becomes less threatening.<\/p>\n<p>The first steps in systematic desensitization is the development of a \u201chierarchy of fears.\u201d This simply means that you must help Miriam create a list of situations related to her fear of public speaking. Then you create a hierarchy. This means that you have her organize the situations from the least frightening to the most frightening.<\/p>\n<p>For the next step in this exercise, you will need to take on Miriam\u2019s role as the client. Imagine that you have developed a list of frightening situations, from ones that make you only slightly uncomfortable to ones that nearly make you sick with anxiety.<\/p>\n<section class=\"textbox tryIt\"><iframe loading=\"lazy\" id=\"ohm4502\" class=\"resizable\" src=\"https:\/\/ohm.one.lumenlearning.com\/multiembedq.php?id=4502&theme=lumen&iframe_resize_id=ohm4502&source=tnh&show_question_numbers\" width=\"100%\" height=\"600\"><\/iframe><\/section>\n<p>Remember that systematic desensitization works by putting the person in a series of situations. The early ones are not threatening or are only mildly threatening. However, as soon as your client learns to cope with each situation, you start working on the next most frightening situation.<\/p>\n<p>So we\u2019re ready to start, right? Wrong!<\/p>\n<p>Behavioral therapy teaches the client to cope with an anxiety-producing situation by replacing fear with an alternative response. A common alternative response is relaxation. This idea is that fear and anxiety cannot coexist with relaxation\u2014if you are relaxed, you can\u2019t be fully afraid.<\/p>\n<p>However, most people are not very good at relaxing on command. So the behavioral therapist will teach\u00a0the client how to relax effectively. The techniques are ones often used in meditation\u2014slow breathing and focus on positive thoughts. Psychologist Kevin Arnold explains a deep breathing technique in <a href=\"https:\/\/www.youtube.com\/watch?v=dXRBNagGxtc\" target=\"_blank\" rel=\"noopener\">this video<\/a>.<\/p>\n","protected":false},"author":20,"menu_order":11,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Introduction to Psychology\",\"author\":\"\",\"organization\":\"Open Learning Initiative\",\"url\":\"https:\/\/oli.cmu.edu\/jcourse\/workbook\/activity\/page?context=df3e76840a0001dc5e332d14dc6dd7c3\",\"project\":\"\",\"license\":\"cc-by-nc-sa\",\"license_terms\":\"\"},{\"type\":\"cc\",\"description\":\"Behavior Therapy Example\",\"author\":\"Patrick Carroll for Lumen Learning\",\"organization\":\"Lumen Learning\",\"url\":\"\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"},{\"type\":\"cc\",\"description\":\"College student with a plan\",\"author\":\"CollegeDegrees360\",\"organization\":\"Flickr\",\"url\":\"https:\/\/www.flickr.com\/photos\/83633410@N07\/7658214720\/in\/photostream\/\",\"project\":\"\",\"license\":\"cc-by-sa\",\"license_terms\":\"\"}]","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"part":1260,"module-header":"learn_it","content_attributions":[{"type":"cc","description":"Introduction to Psychology","author":"","organization":"Open Learning Initiative","url":"https:\/\/oli.cmu.edu\/jcourse\/workbook\/activity\/page?context=df3e76840a0001dc5e332d14dc6dd7c3","project":"","license":"cc-by-nc-sa","license_terms":""},{"type":"cc","description":"Behavior Therapy Example","author":"Patrick Carroll for Lumen Learning","organization":"Lumen Learning","url":"","project":"","license":"cc-by","license_terms":""},{"type":"cc","description":"College student with a plan","author":"CollegeDegrees360","organization":"Flickr","url":"https:\/\/www.flickr.com\/photos\/83633410@N07\/7658214720\/in\/photostream\/","project":"","license":"cc-by-sa","license_terms":""}],"internal_book_links":[],"video_content":null,"cc_video_embed_content":{"cc_scripts":"","media_targets":[]},"try_it_collection":null,"_links":{"self":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1274"}],"collection":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/users\/20"}],"version-history":[{"count":10,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1274\/revisions"}],"predecessor-version":[{"id":7607,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1274\/revisions\/7607"}],"part":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/parts\/1260"}],"metadata":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapters\/1274\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/media?parent=1274"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/pressbooks\/v2\/chapter-type?post=1274"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/contributor?post=1274"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/content.one.lumenlearning.com\/introductiontopsychology\/wp-json\/wp\/v2\/license?post=1274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}