Abstract
Therapy by Contingencies of Reinforcement (TCR) is a behavioral therapy committed to the vision of mankind proposed by Radical Behaviorism (RB), the Behavioral Science (BS) methodology for investigating and understanding interactions between the organism and the environment, and behavior change procedures technologically described and conceptually consistent with BS. TCR and BS interpret substance abuse and dependence as classifications under the control of a pattern of drug use that causes adverse consequences for the individual and others. The TCR advocates that in the care of clients who present substance abuse, the psychotherapist relies on the laws of BS that govern human behavior and knowledge of the effects of psychoactive substances (PAS) to understand and intervene in an individualized manner. The objectives of this chapter are to describe (a) the fundamental characteristics of TCR, (b) the process of TCR’s case conceptualization, (c) the contingencies of reinforcement therapist actions in cases involving PAS, and (d) to present an illustrative clinical case.
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Notes
- 1.
See also Martin and Pear (2009).
- 2.
The TCR adopts the term phenotype to illustrate that a response can have the same appearance (phenotype) but different functions. For example, the running response may have, for one person, the function of escape, while for another person the function of chasing. In this example, responses with the same phenotype are different behaviors. On the other hand, responses with different phenotypes may have the same function. For example, crying and swearing are responses with different phenotypes that can have the function of avoiding or esca** punishment. The word topography comes from the Latin topic, meaning place. The term “topography” has been used to refer to where the response was emitted and not the form of the response. There is a topography for bar pressure (a single place, the bar on the wall), but several pressure phenotypes (pressing with one or two legs).
- 3.
All the names used in this chapter are fictitious.
- 4.
Production of the text began after the client signed the Free and Informed Consent (TCLE).
- 5.
Information which compromises the confidentiality of the client and the persons involved has been omitted.
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Acknowledgments
To the psychologists Hélio José Guilhardi and Lylian Cristina Pilz Penteado in the construction of this chapter.
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Aranha, A.S., Naine, L.P., Oshiro, C.K.B. (2021). Therapy by Contingencies of Reinforcement (TCR) and Substance Dependence: A Clinical Case Presentation. In: Oliani, S.M., Reichert, R.A., Banaco, R.A. (eds) Behavior Analysis and Substance Dependence. Springer, Cham. https://doi.org/10.1007/978-3-030-75961-2_12
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