“HOW” IS IMPORTANT:
The matrix as Functional Analytic
Psychotherapy Rule 5 tool.
1Michel
André Reyes Ortega PsyD
2Angélica Nathalia Vargas Salinas PsyD
3Edgar Miranda Terres MA
1, 2 Association
for Contextual Behavioral Science Mexico Chapter
1, 2, 3 Mexico’s Contextual Science and Therapy Institute
1, 2, 3 Mexico’s National Institute of Psychiatry Ramón de la Fuente
INTIMACY DEVELOPMENT
Vulnerable
self-disclosure
Responsiveness
(understanding,
validation, caring)
This slide credit goes to Jonathan W. Kanter
INTIMACY DEVELOPMENT
Social connection
depends on how you
respond to the other
person when they
express vulnerability.
Vulnerable
self-disclosure
Responsiveness
(understanding,
validation, caring)
This slide credit goes to Jonathan W. Kanter
INTIMACY DEVELOPMENT
Social connection
depends on how you
respond to the other
person when they
express vulnerability.
Responsiveness
(understanding,
validation, caring)
Vulnerable
self-disclosure
Appropriate responding
increases connection and
changes the behavior of
disclosure over time
This slide credit goes to Jonathan W. Kanter
INTIMACY DEVELOPMENT
Social connection
depends on how you
respond to the other
person when they
express vulnerability.
LOVE
COURAGE
Appropriate responding
increases connection and
changes the behavior of
disclosure over time
This slide credit goes to Jonathan W. Kanter
Functional Analytic Psychotherapy (FAP)
• Contextual behavioral approach aimed to shape the client’s in-session
behaviors by the therapist contingently responding to the client’s
behavior within moment-to-moment client-therapist interactions
(Kohlenberg & Tsai 1991, Tsai et al. 2009).
• To achieve this, FAP therapist follow 5 rules…
FAP 5 RULES
• RULE 1 (Be aware)
• Watch for CRBs (Be aware)
• RULE 2 (Be courageous)
• Evoke CRBs
• RULE 3 (be loving)
• Reinforce desirable behaviors (CRB2s) naturally
• RULE 4 (Be aware of one’s impact)
• Observe the potentially reinforcing effects
• RULE 5 (Interpret and generalize)
• Evoke functional analytic interpretations of behavior (CRB3-2)
• Generalize desirable behavior outside therapy session (evoke O2s)
(Reyes, Kanter & Guirado, 2015)
FAP: AWARENESS, COURAGE AND LOVE (ACL)
SKILLS TRAINING FOR BPD.
WHAT IS IT?
AIMS
• Group therapy directed to non critical
BPD clients who had finished a TAU
trial (ACT MATRIX bassed, 9 sessions).
• 9 weekly sessions, applied weekly of
two hours lenght.
• 16 – 20 participants per group.
• 2-3 group leaders 1 (1 certified FAP
therapist, 1-2 cotherapist).
• Enhancement of Awareness, Courage and
Love Skills (CRB2s) evoked within the
therapy
session
through
natural
interpersonal responding.
• Development
of
a
functional
understanding of his own behavior
antecedents and consequences (CRB3-2).
• Use this understanding (CRB3-2) to
generalize desirable behaviors (CRB2) in
the natural environment (O2).
THE FAP SEQUENCE INSIDE
“ACL SKILLS TRAINING FOR
BPD”.
EVOCATIVE
EXCERCISE
•Evoke CRB2s (R2)
•Be aware of CRB2s (R1)
FEEDBACK
•Shift turns
• Reinforce CRB2s (R3)
• Watch for the effect (R4)
REVIEW
• ACL
MATRIX
(R5)
PRESENTING
THE ACL MATRIX
(1st SESSION)
5 SENSES EXPERIENCE
Telling the truth
Sharing my feelings
Hugging my kids
Arriving home at
22:00
Having dinner with
my wfe, etc.
AWAY
AWAY MOVES ON GIVING LOVE /
OR RECEIVING LOVE
HOW IS IMPORTANT TO CONNECT?
WHAT I DON’T WANT TO THINK OR FEEL WHO IS IMPORTANT?
WHEN GIVING LOVE / OR RECEIVING
LOVE My mother, My
colleagues, My
boyfriend, My family
My Friends, My
mother, Mónica (my
daughter), etc.
INNER EXPERIENCE
AWARENESS
COURAGE
LOVE
TOWARDS
THE ACL MATRIX AS
FAP RULE 5 TOOL
O2s-EVOKING
CRB3(2)-EVOKING
5 SENSES EXPERIENCE
Looking at the floor
Rubing my hands
Using a matter of fact
tone
Denying my qualities
AWAY
AWAY MOVES ON GIVING LOVE /
ON RECEIVING LOVE
AWARENESS
COURAGE
LOVE
INTIMACY
HOW IS IMPORTANT TO CONNECT?
WHAT I DON’T WANT TO THINK OR FEEL WHO IS IMPORTANT?
ON GIVING LOVE / ON RECEIVING LOVE
Shame
I look weird
This is not me
I’m going to fail
She’ll feel akward
David (my boyfriend)
Mom and Dad
Claudia (my boss)
INNER EXPERIENCE
TOWARDS
INTIMACY
(FAP-IS)
ACT
ACT+FAP
52
70 MAX
46
41
36
44
41
39
36
40
47
42
43
37
38
41
29
27
Baseline
(N=21)
After ACT
(t=1.2,p=.23)
After FAP
(t=3.9,p=.00)
Baseline
(N=21)
BPD SYMPTOM SEVERITY
(BEST)
ACT+FAP
ACT
ACT+FAP
44
41
35
36
31
28
23
Baseline
(N=21)
After ACT
(t=2.3,p=.04)
After FAP
(t=2.0,p=.07)
69
67
67
48
After ACT
(t=2.3,p=.04)
After FAP
(t=2.5,p=.00)
SELF UNDER PUBLIC
CONTROL (EOSS)
ACT+FAP
ACT
149
143
122
121
118
113
103
82
Baseline
(N=21)
130
123
108
25
After FAP
(t=3.9,p=.00)
ACT
89
ACT
128
38
33
After ACT
(t=2.7,p=.02)
90
85
80
75
70
65
60
55
50
45
MINDFULNESS SKILLS
(FFMQ)
195 MAX
60 MAX
54
51
32
31
43
ACT+FAP
133
123
114
110
113
107
105
Baseline
(N=21)
259 MAX
98 MAX
56
51
ACT
57
62
61
EMOTION DYSREGULATION
(DERS-E)
175 MAX
ACT+FAP
EXPERIENTIAL AVOIDANCE
(AAQ-II)
105
103
After ACT
(t=3.2,p=.00)
After FAP
(t=1.7,p=.23)
112
Baseline
(N=21)
After ACT
(t=4.0,p=.00)
After FAP
(t=.34,p=.73)
THANKS!!!