Sadness, depression, and avoidance behavior.
Replace client avoidance behaviors with approach behaviors to help restore contact with reinforcers lost after major life losses.
01Research in Context
What this study did
The author wrote a theory paper. He asked: why does normal sadness turn into clinical depression?
He said the key is avoidance. When people lose a job, a friend, or a spouse, they stop doing things that once gave them joy.
The paper explains how this avoidance cuts them off from good things. Without those good things, mood sinks lower.
What they found
The main idea: avoidance is the switch that flips sadness into depression.
If you can get the person to approach life again, they can feel the rewards they lost.
The paper does not give data. It maps out how to test this idea in therapy.
How this fits with other research
Old rat work backs this up. Horton (1975) showed that even a tiny delay of shock can keep a rat pressing a lever to avoid. This tells us avoidance is a strong habit.
Kelly (1973) found hungry rats avoided less. When food was scarce, the rats stopped working to dodge shock. This hints that loss of reinforcers weakens all behavior, not just avoidance.
Eisenhower et al. (2006) studied people who pick their skin. They found that the more someone tries to avoid bad feelings, the worse their depression gets. This matches the theory.
Laugeson et al. (2014) looked at kids with Fragile X. These kids avoid social contact. The study says the avoidance comes from anxiety, not from poor skill. This shows avoidance can block social rewards even when skills are intact.
Why it matters
For you, the message is simple. When a client pulls away after a loss, do not just talk about feelings. Set up small approach tasks. A walk to the mailbox. One phone call to a friend. Each step puts them back in touch with real reinforcers. Over time, this can lift mood more than talk alone.
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02At a glance
03Original abstract
Research into genetic, psychosocial, and cognitive explanations for depression (biopsychosocial models) provides support for the role of these variables in the etiology of depression. Regularly identified as basic to depression is loss, and the experience of loss has been found to be more influential than genetic factors in the causation of depression. A distinction is drawn between sadness and depression. Sadness is conceptualized as a normal, time-limited response to loss, whereas depression is a disorder because it is recurring and disruptive. Missing from current biopsychosocial explanations for depression is the importance of avoidance behavior in relation to loss. The thesis of this article is that sadness is transformed into depression as a result of avoidance behavior, which blocks access to lost positive reinforcers. Successful treatment requires replacing avoidance behavior with approach behaviors to overcome the consequences of the loss. An equation is presented specifying the factors involved in depression and how they are related. Implications following from the equation fit well with research results. Treatment issues associated with the theory are discussed.
Behavior modification, 2008 · doi:10.1177/0145445508317167