Trauma and Psychotherapy: Implications from a Behavior Analysis Perspective

Attachment theory provides a useful conceptual framework for understanding trauma and the treatment of abuse in children. This article examines attachment theory and traditional models of family therapy from the perspective of behavior analysis, and provides a rationale for a behavioral treatment approach for abused children and their foster or adoptive parents. A research model has been developed based on the integration of Attachment Theory and the Attachment Based Family Therapy model with basic concepts and principles of behavior analysis. The purpose of this model is to provide a context to examine how abuse and neglect, separation or loss, family therapy, parent-child relationships, and secure attachments may be integrated to predict positive outcomes in families with adoptive and foster children, and the relevant but implicit behavioral principles operating in the attachment rebuilding process. Questions are raised which suggest that family therapy based models compete with the acquisition of new functional behaviors, and provide the environment for learned dysfunctional habits that are then reinforced in therapy. Conclusions are reached that “familial environments” in which perception and previous learning guide parent and child interaction is more important than therapy, and implications for behavioral and cognitive interventions are