title: Reducing inadvertent clinical errors: Guidelines from functional analytic psychotherapy.
abstract: Two common types of clinical errors, inadvertently reinforcing client problem behaviors or inadvertently punishing client improvements, are conceptualized from the viewpoint of Functional Analytic Psychotherapy (FAP), a treatment that harnesses the power of the therapeutic relationship. Understanding the functions of client behaviors such as incessant talking and over compliance can lead to more compassionate and effective intervention, and a functional analysis of seemingly problematic behaviors such as silence and lack of cooperation indicate how they may be client improvements. Suggestions are provided for how to more accurately conceptualize whether client behaviors are problems or improvements, and to increase awareness of therapist vulnerabilities that can lead to errors. While FAP is rooted in a functional contextual philosophy, the goal of this article is to offer a framework that crosses theoretical boundaries to decrease the likelihood of clinical errors and to facilitate client growth. (PsycINFO Database Record
authors.affiliation: Department of Psychology, University of Washington.
authors.forename: Mavis
authors.identifier: 0000-0002-6202-859X
authors.initials: M
authors.lastname: Tsai
authors.affiliation: College of Life Sciences, University of Glasgow.
authors.forename: Tien
authors.initials: T
authors.lastname: Mandell
authors.affiliation: Department of Psychology, University of Washington.
authors.forename: Daniel
authors.initials: D
authors.lastname: Maitland
authors.affiliation: Department of Psychology, University of Washington.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Kanter
authors.affiliation: Department of Psychology, University of Washington.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Kohlenberg
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D003142:Communication; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control* / Q000523:psychology*; D011340:Problem Solving; D011369:Professional-Patient Relations; D011575:Psychoanalytic Therapy