The EBP Approach Of Behavioral Activation Therapy
Practice-based evidence (PBE) is non-scientific, although evidence can be collected scientifically. For example, one has a ‘good idea’ which should logically fix the situation, implement the idea through a series of strategies. Survey the situation before and after the intervention, demonstrate possibilities to change, possibly ignore outliers for whom the intervention does not work (Simons, Kushner, Jones, & James, 2003). This practice-based evidence lacks a scientific grounding.
Science is evidence-based and has two focuses: one that is causal/problem orientated and the other outcome focused. The former investigates the problem, examines probable causes, hypothesise’s on the causes and possible treatments (what …show more content…
Then, the paper concludes that PBE of CBT has similar outcomes as the EBP of BA in the management of depression.
BA is a stand-alone therapy in the management of depression that is evidence-based (Turner & Leach, 2012). BA is structured behaviour therapy, which focuses on increasing prosocial behaviours so the individual comes into contact with other sources of positive reinforcement, important in depression (Jacobson, Martell, & Dimidjian, 2001). Research revealed BA was more efficacious in treating depression than pharmacotherapy or CBT (Dimidjian et al., 2006).
From its underpinnings in radical behaviour-analytic perspective (Ferster, 1973; ), BA has developed into being one of the leading treatments for mental health (Mazzucchelli, Kane, & Rees, 2009; Sturmey, 2009). Where identifying the behaviour in a context to which it occurs was as crucial as was analysing events that precede the behaviour (antecedent) along with the events that follow (consequence; Turner & Leach, 2012). The philosophy that is at the heart of BA is functional contextualism or analysis (i.e., where all behaviour is seen as a response to life events; Jacobson et al., 2001). This antecedent- behaviour-consequence (ABC), also known as the trigger, response avoidance-pattern (TRAP) …show more content…
Hofmann, Asmundson, and Beck (2013) echo views that techniques applied in CBT are consistent with the medical model of psychiatry, where the focus is on improving brain functioning, symptom reduction and disorder remission. This view is maintained in BA whereby developing new skills to identify avoidance-patterns are first tackled, then, short-term and long-term goals can be addressed by interventions that are focused toward assisting clients to change other components of their lives (Jacobson et al., 2001).
To compartmentalise and isolate the ‘active’ ingredient in CBT, Jacobson et al. (1996) compared outcomes of three versions of CBT. One treatment was CBT; this was compared to two ‘stripped down’ versions: one used the behavioural components of CBT (BA) and one used both the behavioural and cognitive components but only at the level of targeting automatic thoughts (CT). Jacobson and colleagues found all three produced non-significant results. However, they did find that BA outperformed both versions of CBT and