Practitioner Development

Behavior therapy empowers persons with severe mental illness.

Corrigan (1997) · Behavior modification 1997
★ The Verdict

Offer real choices and teach skills step-by-step so adults with severe mental illness steer their own lives.

✓ Read this if BCBAs serving adults with schizophrenia, bipolar disorder, or similar diagnoses in day programs, group homes, or outpatient clinics.
✗ Skip if Clinicians who only treat children with ASD or focus on pure compliance programs.

01Research in Context

01

What this study did

The author wrote a position paper, not an experiment.

He argued that behavior therapy gives power back to adults with severe mental illness.

The paper listed ways to do this: offer simple choices, teach daily skills, and train families.

02

What they found

No new data were collected.

The message: when you use behavioral tools the right way, clients keep or gain control over their own lives.

Therapists should act as coaches, not bosses.

03

How this fits with other research

Cooper et al. (1990) extends this idea. They ran a prison program that taught social and living skills to mentally ill inmates. The skills classes put the empowerment claim into real practice.

Prasher et al. (1995) show the therapist side. In panic treatment they found that early warmth and listening build trust. Their session data back up the paper’s call for a coaching stance.

Hattier et al. (2011) surveyed second- and third-wave CBT therapists. Both groups already use wide toolkits, so adding empowerment tactics fits what many are doing.

04

Why it matters

You can start next session by giving your client two clear choices: "Do you want to work on cooking or budgeting first?" Then teach the skill in small steps and let them practice. Train family members to do the same at home. These tiny choice points add up to real autonomy for adults who are often told what to do.

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Open your next session by asking the client to pick between two skill goals, then let them lead the pace.

02At a glance

Intervention
not applicable
Design
theoretical
Population
not specified
Finding
not reported

03Original abstract

Behavior therapy has been viewed by some as disempowering persons with severe mental illness (i.e., undermining their ability to make independent decisions). This is ironic because various behavioral strategies actually promote independent decision making. Behavioral interventions (a) provide a safe place for persons to consider their life decisions; (b) simplify the range of choices that comprise many of these decisions; (c) help persons with severe mental illness learn behaviors so that they can better meet the demands of independent decision making: (d) teach family members skills so that they can provide more resources to support independent decision making; and (e) facilitate self-control over behaviors and the settings in which they occur. Behavior therapists need to assert the important role that behavioral principles assume in empowering persons with mental illness so that these principles are not discarded by professionals who misunderstand, or otherwise stereotype, behavioral interventions.

Behavior modification, 1997 · doi:10.1177/01454455970211002