Handbook of behavior modification and behavior therapy

Handbook of behavior modification and behavior therapy

1. Behov. Ther. & Exp. Psychral. Vol. 9. pp. 91-92. Pergamon Press, 1978. Printed in Great Britain BOOK REVIEWS Handbook of Behavior Modification a...

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1. Behov.

Ther. & Exp. Psychral.

Vol. 9. pp. 91-92. Pergamon Press, 1978. Printed in Great Britain

BOOK REVIEWS Handbook of Behavior Modification and Behavior Therapy

By HAROLD LEITENBERG Prentice-Hall,

(Ed.)

Englewood Cliffs, N.J., 611 pp. desensitization or aversion therapy, meaningful comparisons are impossible. Some, undoubtedly, would be receiving therapy inappropriate to them as determined by a behavior (functional) analysis. This same issue is evident in other areas and is nicely explicated by Shapiro and Surwit in their chapter titled “Learned Control of Physiological Function and Diseases”. Regarding biofeedback treatment for essential hypertension, they state: “Mean arterial pressure is determined by cardiac output and total peripheral resistance. Though cardiac output and peripheral resistance are somewhat interrelated functions, they can also be seen to be independent in the etiology of hypertension. For instance, patients suffering from sustained hypertension are known to have increased peripheral resistance but normal cardiac output, while patients displaying labile hypertension show increased cardiac output and normal peripheral resistance. In deciding to use biofeedback for treating hypertension, different procedures might be indicated depending upon the stage of hypertension.” The handbook is an important contribution to the field of behavior therapy. Its reviews are excellent but a careful reading points out some of the difficulties in generalizing from past research. The field still has far to go to determine what kinds of treatment are effective for what kinds of patients under what conditions. STEVEN C. FISCHER Department of Psychiatry, Temple University Medical School c/o &stern Pennsylvania Psychiatric Institute Philadelphia, Pa. 19 129

This handbook contains 18 original chapters encompassing a wide range of subjects. There are three main headings: adults, children and youth, and general. Within each heading are reviews of major areas of interqst to both clinicians and researchers. The idea for this handbook, as stated by Leitenberg in the preface, was to “put together a text on behavioral research and mental health . . as applied to treatment and prevention of behavior disorders in adults and children”. To this end the authors have succeeded. Most chapters give a general historical overview of their areas plus a comprehensive behavioral review of the literature. The handbook itself if excellent. This single volume has the most complete reviews of any book to date. The shortcomings are not of the handbook itself, but of the behavior therapy field. For example, Marks’ review of firm sexual disorders is superb. Unfortunately, generalizations from research literature in this area and others in the handbook are inconclusive on two counts: (1) researchers tend to be primarily interested in topography, and (2) this may lead to inappropriate comparisons. Bancroft is cited by Marks as comparing aversion therapy and desensitization for homosexuals. If one is interested only in topography, this is a legitimate comparison; but it is likely that there are subgroups of homosexuals with differing problems functionally related to their homosexuality that call for different treatments. Some male homosexuals seeking treatment may lack heterosexual social skills and/or have anxiety upon making sexual responses to women. Others may have these skills, but simply find themselves aroused by men. If all these are pooled and randomly assigned to subjects

The Token Economy

by ALAN E. KAZDIN Plenum Publishing Corporation, The main purpose of this book is to provide an extensive, scholarly review and evaluation of research on token economies. While the book is written primarily for the researcher, it is relevant also for the practitioner, since

New York, $16.95

favorable therapeutic outcome is enhanced by attention to the empirical data bearing on treatment options. The book is quite broad in scope. The author begins with an overview of operant conditioning principles and the 91