Behavioral Activation - Theoretical Underpinnings

Theoretical Underpinnings

Behavioral activation emerged from a component analysis of cognitive behavioral therapy. This analysis found that any cognitive component added little to the overall treatment of depression. The behavioral component had existed as a stand-alone treatment in the early work of Peter Lewinsohn and thus a group of behaviorists decided that it might be more efficient to pursue a purer behavioral treatment for the disorder. The theory holds that not enough environmental reinforcement or too much environmental punishment can contribute to depression. The goal of the intervention is to increase environmental reinforcement and reduce punishment.

The theoretical underpinnings of behavioral activation for depression is Charles Ferster's functional analysis of depression. Ferster's basic model has been strengthened by further development in the study of reinforcement principles which led to the matching law and continuing theoretical advances in the possible functions of depression, as well as a look at behavior analysis of child development in order to determine long-term patterns which may lead to dysthymia.