T.R.  KRATOCHWILL'S MODEL 
TREATMENT OF FEARS AND PHOBIAS 
(Community Psychology Colloquium, UH)
AFFECTIVE DOMAIN 

A-------------->

COGNITIVE DOMAIN 

B--------------->

SENSORIMOTOR DOMAIN 

C

(FUNCTION) (STRUCTURE) (EFFECT)
LEVEL 
III 
ASSESSMENT 
(PRESUPPOSITIONS 
& STANDARDS)
ASSESSMENT OF CLINICAL TREATMENT & RESEARCH 
----------------------------- 

----------------------------- 

----------------------------- 
 
 
 

9

ARE HYPOTHETICAL CONSTRUCTS NECESSARY? 
(major issue) 
----------------------------- 
NATIONAL RESEARCH EFFORTS 
----------------------------- 
TYPES OF RESEARCH STUDIES 
----------------------------- 

8

CURE (when?) 
----------------------------- 
MONITORING RESEARCH 
---------------------------- 
MISTAKES & FAILURE OF RESEARCH 
----------------------------- 
 
 
 

7

LEVEL 
II 
THEORY 
(IMPLICATIONS)
OPPOSITIONAL RESPONSES 
----------------------------- 
REFUSALS 
---------------------------- 
ANXIETY 
----------------------------- 
SETTING 
----------------------------- 

----------------------------- 
 
 
 
 
 

6

APPLIED BEHAVIOR ANALYSIS 
----------------------------- 
S-R THEORY 
----------------------------- 
COGNITIVE BEHAVIOR APPROACH 
----------------------------- 
HYPOTHETICAL CONSTRUCTS 
----------------------------- 
TRIPLE MODE RESPONSE ASSESSMENT 
----------------------------- 

5

TREATMENT LITERATURE 
----------------------------- 
EXAMINATION OF STUDIES 
----------------------------- 
KAZDEN 
----------------------------- 
BANDURA 
----------------------------- 
 
 
 
 
 
 

4

LEVEL 

PRACTICE
FEAR & PHOBIA 
----------------------------- 
DEVELOPMENTAL 
FORCE 
----------------------------- 
DESENSITIZATION 
PROCESS 
----------------------------- 
(TRIGGER STIMULI) 
----------------------------- 

----------------------------- 
 
 
 
 
 

3

INTERVENTION 
METHODS 
----------------------------- 
TREATMENT 
----------------------------- 
SYSTEMATIC DESENSITIZATION 
---------------------------- 

------------------------------ 

------------------------------- 
 
 
 
 
 

2

BEHAVIOR DISORDER 
----------------------------- 
PROBLEMATIC 
BEHAVIORS 
----------------------------- 
OBSERVED TREATMENT EFFECTS 
----------------------------- 
FEAR RESPONSE 
----------------------------- 
MEASURES 
---------------------------- 
APPROACH BEHAVIOR 
----------------------------- 

1

 


 
 
(CHILDHOOD AREA)  KRATOCHWILL 
(DESIGN) & (FUTURE)  4/11/83
A-----------> B-----------------> C
Research goals research strategies research results
III 

ASSESSMENT

CLIENT COMFORT DURING INVESTIGATION 


NORMATIVE DATA USED AS CRITERIA FOR JUDGMENT OF OUTCOME LEVEL 


CONCERN FOR EFFICIENCY & COST RELATED MATTERS 




 
CLINICALLY REFERENCED CRITERIA 


SOCIAL VALIDATION CRITERIA (WOLFF) 


NORMATIVE DATA USED AS CRITERIA FOR JUDGMENT OF OUTCOME LEVEL 


CLIENT RELATED CRITERIA 


COST ANALYSIS 
EVALUATIONS 


REVISIONS IN TREATMENT 
 
 
JUDGMENT OF HOW WELL CONTROLLED A STUDY WAS 


TREATMENT SUCCESS & EFFICIENCY 


SIGNIFICANCE LEVEL DECISIONS 


OUTCOME LEVEL SATISFACTION WITH ADEQUACY OF DEPENDENT MEASURES RELATED TO OUTCOME 


 
 
II 

THEORY

SUPPORT OF A STANDARDIZED TREATMENT APPROACH TO OBTAIN CLINICAL RESEARCH DATA 



GENERALIZED EFFECTS TREATED AS GOAL OF TREATMENT 

(single VS. group) 
CASE STUDY INVESTIGATIONS 


REPLICATION STUDIES 


TIME SERIES DESIGNS 


DEVIANT CASE ANALYSIS OR TRACER APPROACH
THERAPEUTIC PROGRAM 


INFERENCE DRAWN FROM CASE STUDY 


DESENSITIZATION HIERARCHY 


GENERALIZED EFFECTS OF TREATMENT ACROSS SETTINGS 
 

PRACTICE

NEED FOR FOLLOW UP DATA 


 
OBSERVATIONAL & STANDARDIZED METHODS OF DATA GATHERING 


OBJECTIVE MEASURES 


INFORMATION DATA FOR COST ANALYSIS ASSESSMENT (FAMILY) STRESS, TIME FOR IMPLEMENTATION, NEGATIVE SIDE EFFECTS, ETC.)
INCIDENCE OF SYMPTOMS & FOLLOW UP 
--------------------- 
CHRONIC PROBLEM 


MONITORED DEPENDENT VARIATION 


MONITORED INDEPENDENT (TREATMENT) VARIATION 
------------------- 
TARGET BEHAVIORS 
---------------------- 
FOLLOW UP MEASURES 
 
 


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