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Demonstrating Functional Analytic Psychotherapy As An Independent Variable In Efficacy Research: A New Measure Of Treatment Fidelity, Lindsey E. Knott
Functional Analytic Psychotherapy (FAP) is a contextual behavior therapy that takes an in session, in vivo focus to improve client outcomes. This in vivo (IV) focus is distinctive of FAP and involves the therapist utilization of contingencies in session to decrease problematic response classes and increase more adaptive response classes (i.e., a differential reinforcement procedure). This contingent responding is proposed to be FAP’s mechanism of action leading to client change. FAP efficacy research mainly consists of small n single-case studies or group designs combing FAP with another CBT intervention. Maitland & Gaynor (2012) offered recommendations for increasing FAP efficacy research, including the development of a reliable measure to determine whether a therapist implemented the distinguishing features of FAP. Maitland and Gaynor (2016) developed a 10-item fidelity measure, called the FAP Adherence Form (FAP-AF), to assess for aspects of FAP across 5 items and distinguish it from supportive listening (SL) assessed over 4 items. The measure was used in two FAP outcome studies (Maitland & Gaynor, 2016; Maitland et al., 2016) and it distinguished FAP ...