Practitioner Development

Narrative: Its Importance in Modern Behavior Analysis and Therapy

Barnes-Holmes et al. (2018) · Perspectives on Behavior Science 2018
★ The Verdict

Use MDML to break a client’s life story into bite-size verbal frames, then treat the frames that hurt.

✓ Read this if BCBAs who use ACT or talk-based therapy.
✗ Skip if RBTs running discrete-trial programs with no verbal component.

01Research in Context

01

What this study did

Barnes-Holmes et al. (2018) wrote a how-to guide, not an experiment.

They linked RFT’s MDML idea to the stories clients tell.

The paper shows you how to break a client’s big story into tiny verbal parts.

02

What they found

No new data—just a map.

The map says: follow the client’s narrative network down to the smallest frame.

Fix those small frames and the big story can change.

03

How this fits with other research

Salzinger (2003) first said “verbal behavior is relational framing.” The 2018 paper keeps that spirit but moves past pure definition.

Belisle et al. (2022) took the same MDML lens and plugged it into ACT sessions. They show you what to do after you finish the drill-down.

Barnes-Holmes et al. (2026) will later ask “Is a frame really a frame?” They keep the 2018 ideas alive while testing new language.

Glenn (1983) saw client talk as broken tacts, mands, and intraverbals. The 2018 view keeps the verbal focus but swaps Skinner’s boxes for RFT relations.

04

Why it matters

You already collect ABC data on actions. Now you can do the same on words.

Map the client’s story, find the tiny relational knots, and target those knots first.

It gives you a clear path from “I’m a failure” to the exact frames that keep that story strong.

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→ Action — try this Monday

Write one client’s main problem story on paper, circle each verb or comparison, and test one circle with a brief frame drill.

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

The current article considers how the analysis of language and cognition in RFT may be conceptualized as a multi-dimensional multi-level framework (MDML) for understanding how simple units of analysis specified in RFT connect to more complex units, such as the relating of relational networks, which is seen as critical to narrative and story-telling. A brief outline of the framework is used to illustrate the importance of narrative in the treatment of human psychological suffering. In addition, the development of the concepts of verbal functional analysis and the drill-down are presented as examples of how the therapeutic relationship itself can be understood through the lens of the MDML and RFT more generally.

Perspectives on Behavior Science, 2018 · doi:10.1007/s40614-018-0152-y