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Behavior Modification
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Process Analysis in Behavioral Family Therapy

Kurt Hahlweg

Technische Universitat Braunschweig

Minu Hemmati-Weber

Angelika Heusser

Helga Lober

Herta Winkler

Universitat Heidelberg

Ursula Muller

Elias Feinstein

Matthias Dose

Max-Planck-Institute of Psychiatry

Process research in behavioral family therapy (BFT) is a hitherto neglected area with the notable exception of the work of Alexander and Patterson with their colleagues. However, the development of instruments to assess therapist's behavior during the treatment session seems timely for the following reasons: (a) to investigate the relationship between therapist behavior and out-come, (b) to improve therapist training/supervision, (c) to establish treatment integrity in comparative outcome studies, and (d) to monitor treatment progress. For these purposes two sets of instruments were developed: (a) a category system to describe the content of a session, which is rated every 30 seconds and (b) several rating scales to evaluate therapist behavior, including relationship competency, ability to structure a session, didactic competence, ability to initiate behavioral probes, use of appropriate intervention strategies, use of reinforcement, and dealing with uncooperativeness. Scales are described, and data on their reliability and utility are presented.

Behavior Modification, Vol. 14, No. 4, 441-456 (1990)
DOI: 10.1177/01454455900144004
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