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Methods for Changing Behaviors - Psychological Self-Help

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personal pride in the skills, self-discipline and values involved in<br />

the activity.<br />

2. Covert negative rein<strong>for</strong>cement--first imagine a very unpleasant<br />

scene and then start imagining the desired target behavior and<br />

feelings which are associated with the termination of the<br />

unpleasant scene. Example: a shy person could imagine being<br />

very nervous at a party and dreading being approached. He/she<br />

further imagines being approached and asked some questions<br />

which he/she handles nicely and even with some wit. The<br />

nervousness goes away as he/she responds to the questions<br />

(thus, rein<strong>for</strong>cing the social interaction). A similar example<br />

would be a person suffering speech phobia; he/she could<br />

imagine being terrified be<strong>for</strong>e a TV interview but as he/she<br />

handles the situation adroitly in fantasy, the terror immediately<br />

subsides. See discussion in method #17. In some cases, it may<br />

be better to terminate a fear, threat, or unpleasant fantasy that<br />

is completely different from your actual concern (it is another<br />

trial at learning the unwanted fear).<br />

3. Covert sensitization or punishment--imagine the unwanted<br />

behavior vividly and in detail, followed immediately with<br />

fantasies of some very unpleasant event, such as vomiting<br />

(Cautela's favorite punishment or UCS). Examples: a smoker<br />

might imagine having the urge to smoke and getting ready to<br />

light up. He/she immediately imagines getting nauseous and<br />

finally, just as he/she thinks of lighting the cigarette, he/she<br />

imagines vomiting all over the cigarette, his/her clothes, people<br />

near by and so on. The same could be done with food, alcohol,<br />

unwanted sexual urges, worries, jealous thoughts, angry<br />

thoughts and acts, etc., i.e. pair them with vomit or any other<br />

unpleasant thought.<br />

4. Covert extinction--imagine doing the unwanted target behavior<br />

and receiving no rein<strong>for</strong>cement or reaction of any kind.<br />

Example: a person with lots of aches and pains could imagine<br />

telling his/her complaints to many people who have no reaction<br />

at all. A clown or flirt or braggart or gossip or spiteful person<br />

could do the same thing.<br />

5. Combinations: Homme suggested a sequence of four thoughts-<br />

-(a) the unwanted urge, (b) an unpleasant thought, (c) a<br />

desired behavior, and (d) a pleasant thought. You can see how<br />

(b) and (d) punish and rein<strong>for</strong>ce (a) and (c). Suppose one is<br />

sexually turned on by an inappropriate person (wrong sex, too<br />

young, too old, married, otherwise unavailable or<br />

uninteresting). One might imagine the urge (only briefly, not<br />

too much!) followed by unpleasant thoughts ("I'd get hurt" or<br />

"That would get me in terrible trouble" or imagining vomiting).<br />

Then think of a more realistic, loving and available relationship,<br />

followed by a pleasant scene or a small reward.<br />

The method of "thought stopping" is another useful covert<br />

procedure (method # 10). In a therapy case, Cautela commonly uses<br />

several covert techniques at the same time to change several<br />

behaviors or emotions.<br />

1148

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