Covert conditioning
Encyclopedia
Covert conditioning is an approach to mental health treatment that uses the principles of behavior modification
Behavior modification
Behavior modification is the use of empirically demonstrated behavior change techniques to increase or decrease the frequency of behaviors, such as altering an individual's behaviors and reactions to stimuli through positive and negative reinforcement of adaptive behavior and/or the reduction of...

, which emerged from the applied behavior analysis
Applied Behavior Analysis
Applied behavior analysis is a science that involves using modern behavioral learning theory to modify behaviors. Behavior analysts reject the use of hypothetical constructs and focus on the observable relationship of behavior to the environment...

 literature to assist people in making improvements in their behavior or inner experience. The method relies on the person's capacity to use image
Image
An image is an artifact, for example a two-dimensional picture, that has a similar appearance to some subject—usually a physical object or a person.-Characteristics:...

ry for purposes such as mental rehearsal. In some populations it has been found that an imaginary reward can be as effective as a real one (Cautela, 1986). Effective covert conditioning is said to rely upon careful application of behavioral treatment principles such as a thorough behavioral analysis.

Some clinicians include the mind's ability to spontaneously generate imagery that can provide intuitive solutions or even reprocessing that improves people's typical reactions to situations or inner material. However, this goes beyond the behavioristic principles on which covert conditioning is based (Cautela, 1986).

Therapies and self help methods have aspects of covert conditioning. This can be seen in focusing, some neuro-linguistic programming
Neuro-linguistic programming
Neuro-linguistic programming is an approach to psychotherapy, self-help and organizational change. Founders Richard Bandler and John Grinder say that NLP is a model of interpersonal communication and a system of alternative therapy which seeks to educate people in self-awareness and effective...

 methods such as future pacing, and various visualization or imaginal processes used in behavior therapy and cognitive behavioral therapy.

Covert conditioning might be considered a fledgling approach because it has not yet developed a base of research or even popularity typical of major treatment methods (Cautela, 1993).

Therapeutic interventions

"Covert sensitization
Sensitization
Sensitization is an example of non-associative learning in which the progressive amplification of a response follows repeated administrations of a stimulus. An everyday example of this mechanism is the repeated tonic stimulation of peripheral nerves that will occur if a person rubs his arm...

" associates an aversive stimulus
Stimulus (psychology)
In psychology, stimuli are energy patterns which are registered by the senses. In behaviorism and related stimulus–response theories, stimuli constitute the basis for behavior, whereas in perceptual psychology they constitute the basis for perception.In the second half of the 19th century, the...

 with a behavior the client wishes to reduce or eliminate. This is done by imagining the target behavior followed by imagining an aversive consequence. "Covert extinction" attempts to reduce a behavior by imagining the target behavior while imagining that the reinforcer does not occur. "Covert response cost" attempts to reduce a behavior by associating the loss of a reinforcer with the target behavior that is to be decreased.

"Covert positive reinforcement" is intended to increase a behavior by imagining a reinforcing experience in connection with the behavior. "Covert negative reinforcement" attempts to increase a behavior by connecting the termination of an aversive stimulus with increased production of a target behavior.

"Covert modeling
Mental model
A mental model is an explanation of someone's thought process about how something works in the real world. It is a representation of the surrounding world, the relationships between its various parts and a person's intuitive perception about his or her own acts and their consequences...

" involves imagining someone engaging in the behavior and, optionally, reinforcers taking place.

Effectiveness

As part of a behavior modification
Behavior modification
Behavior modification is the use of empirically demonstrated behavior change techniques to increase or decrease the frequency of behaviors, such as altering an individual's behaviors and reactions to stimuli through positive and negative reinforcement of adaptive behavior and/or the reduction of...

package, covert conditioning has been shown to be effective with sex offenders. Clinical studies continue to find it effective with some generalization from office to natural environment with this population.
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