Dr. James Anderson, Chief of Psychiatry, discusses behaviorism and Motivational Interviewing. Topics include compassion, applying behavioral concepts to change, psychedelic-assisted therapy, and integrating MI with radical behaviorism for patient language structuring.
Practitioners should accept and understand clients' behaviors as logical responses to past experiences.
Behavioralist lens can foster compassion in practitioners, even in challenging situations like domestic assault.
Behaviorism principles can be integrated with motivational interviewing techniques to identify and reinforce change talk.
Incorporating behaviorism in healthcare involves discussing origins of behaviors, using open-ended questions to guide effective interventions.
Deep dives
Understanding Radical Behaviorism: Accepting Behavior as Communication
Accepting radical behaviorism involves practitioners understanding and accepting clients' behaviors as logical responses to their life experiences. Radical behaviorism emphasizes that behaviors are forms of communication, making sense based on past experiences. Practitioners are encouraged to refrain from judgment, fostering a healing relationship by acknowledging the reasons behind clients' behaviors.
Compassion in Behavioral Training
The episode explores how behavioral training, often associated with cold lab settings, can lead to compassion in practitioners. Understanding behavior through a behaviorist lens can cultivate empathy even in challenging situations like domestic assault. By viewing behaviors as responses to past environments, practitioners aim to generate compassion and hope for clients seeking change.
Behaviorism in Motivational Interviewing Practice
Behaviorism principles intertwine with motivational interviewing (MI) techniques to enhance the practitioner's approach. By using open-ended questions to encourage varied responses from clients, practitioners can identify and reinforce change talk. Understanding antecedents and reinforcements enables practitioners to select behaviors beneficial for clients, fostering a collaborative environment for change discussions.
Behavioral Lens in Healthcare Interventions
Incorporating behaviorism into healthcare involves engaging patients with varying behaviors such as smoking and overeating. Practitioners normalize behaviors by discussing the origins of certain actions and consider changing established rules based on new circumstances. Techniques like delayed discounting help explain behaviors, guiding practitioners to use open-ended questions to provoke discussions on effective interventions and reinforcing positive changes.
Exploring Psychedelic Assisted Therapy
James Anderson's interest in psychedelic assisted therapy, specifically MDMA therapy for trauma and PTSD, highlights potential breakthrough interventions in mental healthcare. The podcast delves into Anderson's involvement in studying and implementing MDMA-assisted therapy for co-occurring PTSD and opioid use disorder. Anderson's explorations in this area aim to enhance understanding and access to innovative therapeutic approaches.
Connecting Behaviorism and Motivational Interviewing
The discussion elaborates on the fusion of behaviorism with motivational interviewing, offering a structured language approach for practitioners. While radical behaviorism promotes understanding clients' behaviors, MI's blueprint guides the practitioner in shaping interactions with clients. The synthesis of both approaches empowers practitioners to create empathetic, client-centered environments conducive to behavior change discussions.
Future of Psychedelic Assisted Therapy Research
Looking ahead, James Anderson anticipates the evolving landscape of psychedelic assisted therapy research, particularly the integration of MDMA therapy in mental health treatments. The episode touches on Anderson's involvement in proposing a small-scale clinical trial at Bassett Healthcare, emphasizing the potential for transformative interventions in mental health care. Anderson remains intrigued by the promise of psychedelic therapies in enhancing the treatment options for individuals dealing with trauma and addiction.
Glenn and Sebastian welcomed Dr James Anderson to the podcast to discuss MI and behaviourism. James is a psychologist and Chief of Psychiatry at Bassett Healthcare Network in Cooperstown, NY. James is interested in the integration of behavioral health into primary care and improving the ability of our healthcare systems to provide whole-person care. He has special interest in helping people struggling with addiction, and has published work on integrating accessible and effective treatment for opioid use disorder into primary care settings. James takes a technically eclectic approach to offering psychotherapy intervention to patients in need, including use of cognitive-behavioral therapy, acceptance and commitment therapy, and of course, motivational interviewing. Theoretically, James views the human condition from a radical behaviorist viewpoint, and contrary to the common view of such an approach as encouraging a mechanistic and cold world view, sees behaviourism as underlying a philosophy of acceptance and tolerance of others.
Episode index:
0:00 – Opening and episode preview
6:09 – James intro and early MI story
11:24 – What is behaviorism?
19:36 – How behaviorism fits with MI
25:16 – Behaviorism and compassion
39:11 – Applying behavioral concepts to conversations about change