ABSTRACT
When patients learn how their behavior affects others and, more importantly, recognize that their behavior directly influences interpersonal successes or failures, motivation for change is potentiated. Motivating patients by demonstrating the consequences of behavior is the sine qua non of Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Situational Analysis (SA) is a five-step procedure designed to demonstrate that the patient's cognitive and behavioral maneuvers produce identifiable consequences, or actual outcomes (AO). The Interpersonal Discrimination Exercise (IDE) is a discrimination exercise where dyadic safety is actualized and fear-avoidance is neutralized. This goal is accomplished by teaching patients that hurtful interpersonal events previously occurring with maltreating significant others (SOs) will not happen in the dyad. An explicit discrimination between the toxic reactions of the SOs and the salubrious responses of the clinician is learned through administering the IDE.
