B - BARNES-HOLMES,D.(2006) - A Functional Approach to the Study of Human Emotion

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    A Functional Approach to the Study of Human Emotion:

    The Centrality of Relational/Propositional Processes

    Dermot Barnes-Holmes & Sean Hughes

    National University of Ireland Maynooth

    Word count (text body and references): 3006

    Corresponding Author: Sean Hughes

    Department of Psychology

    National University of Ireland Maynooth

    Co. Kildare

    Ireland

    Email:[email protected]: +353 1 708 6183

    IntroductionHow stimuli come to acquire, maintain and change their emotional properties or functionshas long captured the empirical and theoretical attention of learning psychologists. For cognitive

    researchers this question has often involved examining the role that associative learning processes play in

    the development, persistence and generalisation of fear, phobias, likes and dislikes, anxiety, avoidance and

    disgust (see other chapters in the current volume for a detailed overview). Some associative models also

    incorporate indirect learning processes (e.g. vicarious conditioning) or propositions and expectancies to

    account for human emotional learning. At its core this work is often guided by a mechanistic, mediational

    approach to psychological sciencethe goal of which is to understand the mental processes or

    representations that give rise to and guide behaviour (e.g. associations). At the same time a philosophically

    and conceptually distinct approach called functional contextualism (referred to hereafter as the functional

    approach) has also sought to understand many of these same phenomena. In contrast, this framework

    explains emotional behaviour exclusively in terms of the interactions that occur between people in and with

    their past and present environments without making reference to any mental constructs.

    The present chapter aims to introduce readers to the functional approach and explain how it is

    currently being applied to the study of human emotion. To provide a context and rationale for the

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
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    procedures and theory to follow, we begin by briefly outlining the core assumptions of this framework as

    well as highlighting its points of departure from modern cognitive psychology. We then draw on Relational

    Frame Theory (RFT; Hayes, Barnes-Holmes, & Roche, 2001) to illustrate how both the emergence of, and

    changes in, emotional responding can be understood from this perspective. Finally, we end by considering

    how this work has provided the foundation for a third-wave behavioural therapy termed Acceptance and

    Commitment Therapy (ACT; Hayes, Luoma, Bond, Masuda & Lillis, 2006; Gaudiano, 2011).

    The Functional Approach: An Overview The functional approach to psychology is guided by three

    primary goals: to understand, predict and influence behaviour by identifying and then directly manipulating

    features of the individuals environment. The aim here is not to build ever-increasing lists of behavioural

    effects but rather abstract out the environmental causes of behaviour into general behavioural principles

    that apply across a wide range of different situations (e.g. the principles of reinforcement, punishment, and

    stimulus generalization). Functional theories are established when researchers explain a range of different

    behavioural interactions by drawing on a set of inter-related behavioural principles. Such theories are not

    driven by mediating mental constructsinstead they describe and seek to explain observed regularities in

    the functional relations between environmental events and behaviour. The validity and utility of any

    functional account is therefore based on two pragmatic criteria its ability to predict and influence

    behaviour with scope (i.e. encompass a wide range of behaviours across a variety of situations) and

    precision (explain those findings accurately). Finally, and contrary to popular belief, the functional

    approach to psychology is interested in all types of behaviour that occur both inside and outside the skin.

    Publicly observable as well as private behaviours (e.g. thinking, feeling, imagining, and remembering) can

    equally be subjected to a detailed functional analysis and researchers have refined such an approach for

    several decades now.

    An example of a functional theory that seeks to explain a wide variety of public and private

    behaviours using only a handful of interrelated principles is RFT (Hayes et al., 2001). This account

    suggests that humans are capable of learning in ways that differ markedly from non-humans. Specifically,

    our ability and tendency to relate stimuli bi-directionality (see below) allows for the emergence of complex

    untrained relations that cannot be traced to a history of direct training or learning. According to RFT, this

    form of relational learning emerges early on in our development through interactions with the verbal

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    community and is an important defining element of both human language and cognition. In the following

    section we argue that a systematic analysis of these relational abilities may prove essential for explaining

    how a diverse range of emotional properties can be acquired and changed without any prior training or

    instruction.

    Relational Frame Theory and the Emergence of Human Emotional Responding To illustrate a

    functional approach to the study of complex and novel human behaviour, consider the following

    experimental procedure called Matching-To-Sample (MTS). Participants are shown a computer screen that

    contains an abstract shape or non-sense word at the top of the screen and three other arbitrary shapes or

    non-sense words at the bottom of the screen1. Through trial and error learning they are taught to select one

    comparison stimulus (termed B here for convenience) when presented with a sample stimulus (A) at

    the top of the screen (i.e. match A to B). If verbally able humans are then presented with B as the sample

    stimulus and A as one of three different stimuli at the bottom of the screen, they will generally choose the

    latter despite having never received any reinforcement or feedback for doing so. In other words, if choosing

    A in the presence of B is explicitly taught participants will spontaneously derive the relation B-A. When

    the same participants are then taught a second stimulus relation - such as choosing B in the presence of C -

    the number of relations that they derive increases. For example, if a person is taught to match A to B and B

    to C they may subsequently match B to A and C to B (symmetry relations) as well as A to C and C to A

    (equivalence relations). This spontaneous emergence of a specific set of novel, untrained and bi-directional

    relations among stimuli is termed stimulus equivalence (Sidman, 1994).

    The importance of derived stimulus relating to emotion researchers in particular rests on one final

    behavioural process termed transfer of function. This refers to the finding that when a set of relations is

    established among stimuli the psychological or emotional functions of one stimulus may alter the emotional

    functions of the other related stimuli in the absence of any training or instruction. Imagine, for example,

    that an equivalence relation is established among stimuli (A, B, C, D) and then, using a Pavlovian

    conditioning procedure stimulus B is paired with an electrical shock. When participants subsequently

    encounter the C and D stimuli they typically report fear and produce signs of physiological arousal even

    though these stimuli were never directly associated with an emotional event (e.g. Auguston & Dougher,

    1997). This effect has now been replicated across a range of different emotions including anxiety (Smyth,

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    Barnes-Holmes & Forsyth, 2006), fear (Valverde, Luciano & Barnes-Holmes, 2009), mood states (Barnes-

    Holmes, Barnes-Holmes, Smeets & Luciano, 2004) and sexual arousal (Roche & Barnes, 1997). However,

    as we shall see in the next section, the transfer of psychological functions is not restricted to equivalence

    relations but also readily occurs through other more complex stimulus relations.

    Relational Frame Theory and Maladaptive Human Emotional Responding According to RFT,

    equivalence is the most common and fundamental way stimuli can be related - but only one of a large

    number of different types of stimulus relations. Just as people can respond to stimuli as being equivalent,

    they may also relate them as opposite, different, greater or less than one another. Critically, when

    increasingly complex relations between and among stimuli are involved the psychological or emotional

    functions are not simply transferred but rathertransformedaccording to the way in which stimuli are

    related. For example, if A is Opposite to B and A is then paired with shock the fear arousing functions of A

    will not necessarily transfer to B. Rather the emotional functions of B may come to be transformed in-line

    with the relationin this instance by acquiring reinforcing functions. As such, humans can find stimuli

    directly paired with unpleasant events as pleasurable or reinforcing when the relation established is one of

    opposition (Whelan & Barnes-Holmes, 2004) or More/Less than (Whelan, Barnes-Holmes & Dymond,

    2006)2.

    To date, the transformation of functions has been replicated for both fear and sexual responses. To

    demonstrate the former, Dougher and colleagues (2007) provided half of their participants with training to

    establish three nonsense symbols (A, B, C) as meaning smallest, middle, and largest (the other half

    did not receive such training). Thereafter, the B stimulus was then paired with an electric shock for all

    participants. Results showed that for those who received relational training, the fear established for the B

    stimulus was indirectly acquired by both A and C - but in a non-equivalent way. Specifically, the A

    stimulus elicited a smaller fear response than B whereas C (despite having never been associated with

    shock) elicited a larger fear response than either A or B. Participants who did not receive any relational

    training showed higher skin conductance changes to B relative to A and C. These findings suggest that

    when stimuli are related in increasingly complex ways humans can come to fear relatively harmless stimuli

    more than those that were directly associated with aversive events. As noted above, human sexual arousal

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    functions have also been shown to transform based on complex stimulus relations involving Same and

    Opposite (Roche & Barnes, 1997).

    The derived transformation of functions also has a number of theoretical and clinical implications

    relevant to the study of maladaptive emotions. On the one hand, many contemporary associative learning

    accounts frame emotional disorders as a product of direct aversive conditioning with treatments based on

    the assumption that extinction (i.e. repeatedly non-reinforced exposure to the feared object or event) will

    successfully alleviate these problematic behaviours (see Mineka & Zinbarg, 2006 for discussion). Yet many

    people suffering from emotional problems do not necessarily have a history of direct conditioning with

    respect to the stimuli that they are anxious about. Derived stimulus relating may offer one explanation for

    how maladaptive emotional responses may emerge for stimuli that have never been directly associated with

    emotional events in the past. On the other hand, the clinical significance of a stimulus is not always its

    particular emotional function (e.g. fear) but rather the extent to which it engenders avoidance behaviour

    (Auguston & Dougher, 1997, p.183). For instance, treatment is often sought for phobias not due to fear for

    a particular object/event, but rather due to the deleterious effects that avoiding such stimuli/situations has

    on the persons everyday life (see Hayes, Strosahl, & Wilson, 1999). According to RFT, if emotional

    functions can be indirectly acquired by stimuli then people may also attempt to avoid those stimuli even

    though they have never previously been associated with aversive events. Consistent with this assumption,

    avoidance respondinglike emotional functionshas been found to transfer through stimulus relations.

    Recall that in the Auguston and Dougher (1997) study, two equivalence relations were established (A1-B1-

    C1-D1 and A2-B2-C2-D2) and B1 was paired with an electrical shock and B2 with no shock. In a second

    study, the same procedure was employed but participants were also taught they could avoid being shocked

    by repeatedly pressing a button in the presence of B. Following training, participants pressed the key in the

    presence of not only B but also the A and C stimuli from the first relation but did not press the button for

    any of stimuli from the second relation. Dymond and colleagues (2008) demonstrated similar results for the

    derived transformation of avoidance through Same-Opposite relations using picture stimuli.

    Finally, derived stimulus relating not only allows for the transformation of novel, untrained

    emotional functions from stimulus to stimulus but also for their extinction. A number of studies have now

    shown that when the emotional functions of one stimulus are extinguished the emotional properties of

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    related stimuli are typically extinguished as well (e.g., Dougher et al., 1994; Roche & Barnes, 1997).

    Interestingly however, in a recent study Luciano et al. (2011) failed to report evidence for the direct or

    derived extinction of fear (measured using skin conductance) or avoidance functions in two separate

    experiments. In a third experiment however, while no extinction or reduction of fear was obtained,

    avoidance of the feared stimuli was eliminated following an analogue protocol based on Acceptance and

    Commitment Therapy. Given that fear, avoidance and behavioural extinction play an important role in the

    aetiology and maintenance of psychopathology, it is to this functionally based psychotherapy that we now

    turn.

    Acceptance and Commitment Therapy. ACT is founded on the core theoretical premise ofRFT (that

    language and cognition are inherently relational in nature) and strongly connects to the basic research

    program outlined above on derived stimulus relating (see Gaudiano, 2011 for a review). Whereas

    traditional cognitive based therapies attribute psychopathology to maladaptive or biased patterns of

    information processing which require modification for healthy psychological functioning, ACT proponents

    argue thatpsychological problems often result from psychological inflexibility. This concept broadly

    refers to the excessive regulation of behaviour by derived relations, rather than direct reinforcement

    contingencies accessible to the person in their wider environment (termed cognitive fusion) and the

    attempted avoidance of private behaviours such as thoughts, feelings and memories, even when doing so

    results in psychological duress (termed experiential avoidance). Cognitive fusion and experiential

    avoidance are suggested to give rise to and maintain a restricted behavioral repertoire, which in turn

    generates in a wide range of psychopathological behaviors. Instead of altering information processing

    biases using techniques such as rational deliberation and behavioral experiments, ACT aims to change the

    psychological functions of private events and the individuals relationship to them through strategies such

    as mindfulness, acceptance, or cognitive defusion (Hayes et al., 2006, p.6) so that self-defined values can

    be achieved, even when symptomatic behavior remains. In other words, and contrary to most traditional

    psychotherapeutic approaches, symptom reduction - while certainly welcomed - is not the primary goal of

    ACT. Rather it is enabling the person to behave in a value or goal consistent manner. To illustrate this,

    consider the Luciano et al. study mentioned previously. Although participants still responded fearfully

    towards the directly trained as well as derived stimuli, they did not attempt to avoid those stimuli after

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    receiving an ACT intervention that targeted avoidance but not fear. Critically, a rapidly growing literature

    of correlational, mediation and experimental psychopathology studies, as well as randomized control trials,

    support ACTs utility across a range of domains. Moreover, a number of studies have directly implicated

    the psychological processes hypothesized by ACT as central to positive treatment outcomes (see Gaudiano,

    2011).

    Conclusion A wealth of research indicates that stimuli can come to acquire, maintain and change their

    emotional properties through respondent learning. In this instance the psychological functions of stimuli are

    established or modified through direct contingencies and/or on the basis of physical similarity between

    stimuli (generalisation). At the same time, a rich and active empirical program has recently emerged from

    the functional tradition that indicates emotional properties can also emerge, be transferred, transformed and

    extinguished through the largely human ability to spontaneously derive untrained, novel relations between

    and among stimuli in a bi-directional fashion. This progress at the theoretical and basic research levels has

    provided the foundation for an empirically-supported treatment protocol in the form of ACT. According to

    this approach, derived stimulus relating and the transformation of function through those relations can often

    undermine the persons ability to respond appropriately to changing environmental contingencies and result

    in a wide range of psychological problems. Consequentially, ACT proponents attempt to promote

    psychological flexibility through the use of mindfulness, acceptance, commitment and behaviour change

    processes.

    References

    Auguston, E.M. & Dougher, M.J. (1997). The transfer of avoidance evoking functions through stimulus

    equivalence classes.Journal of Behaviour Therapy and Experimental Psychiatry, 28, 181 -191.

    Barnes-Holmes, Y., Barnes-Holmes, D., Smeets, P., & Luiano, C. (2004). A derived transfer of mood

    functions through equivalence relations. The Psychological Record, 54(1), 95-113.

    De Houwer, J. (2011). Why the cognitive approach to psychology would profit from a functional approach

    and vice versa.Perspectives on Psychological Science, 6, 202-209.

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    Dougher, M., Hamilton, D., Fink, B., & Harrington, J. (2007). Transformation of the discriminative and

    eliciting functions of generalized relational stimuli.Journal of the Experimental Analysis of Behavior,

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    Dugdale, N & Lowe, F. (2000). Testing for symmetry in the conditional discriminations of language -

    trained chimpanzees.Journal of the Experimental Analysis of Behavior, 73, 5-22.

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    Transformation of avoidance response functions in accordance with the relational frames of same and

    opposite. The Psychological Record, 58, 271-288.

    Gaudiano, B. A. (2011). A review of acceptance and commitment therapy (ACT) and recommendations for

    continued scientific advancement. The Scientific Review of Mental Health Practice, 8 , 5-22.

    Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational Frame Theory: A Post -

    Skinnerian account of human language and cognition . New York: Plenum Press.

    Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment

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    Luciano, C., Valdivia-Salas, S., Ruiz, F., Valverde, M., Barnes-Holmes, D., et al., (2011). Altering direct

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    Mineka, S., & Zinbarg, R. (2006). A contemporary learning theory perspective on the etiology of anxiety

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    1Although visual stimuli are often used, derived relational responding has also been demonstrated with

    auditory, olfactory, haptic and gustatory modalities.

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    2Functional researchers typically generate complex relations between stimuli using contextual cues that are themselvesestablished using the Matching-To-Sample procedure mentioned previously. Specifically, a nonsense word or symbol(i.e. contextual cue), a sample stimulus and three or more comparison stimuli are presented on a computer screen.If theto-be-trained OPPOSITE cue is presented, choosing the comparison stimulus (e.g. large square) that is furthestremoved from the sample (e.g. small square) along some physical dimension is reinforced. On alternate trials the to-be-trained SAME cue is presented and choosing the comparison which is physically identical to the sample isreinforced. Participants are trained in this way across a variety of situations (e.g., big and small circles, thick and thin

    lines, few and many dots) until they respond appropriately to novel samples and comparisons in the presence of theSAME and OPPOSITE cues in the absence of reinforcement.