About the Dependency, Contingency Distinction

Q: Should behavior analysts make a distinction between dependency and contingency or should they be treated as synonyms?

A: We have found the dependency, contingency distinction critical. Most of us find that if the light switch, flip it, light on dependency switches to a contingency, we call an electrician. 

Clinically we have often found it necessary to make the distinction. As a result of a particular unsatisfactory interaction a beneficial outcome occurs. That interaction may repeatedly occur without the outcome. The clients may maintain that the outcome can’t be a source of the issue since the behavior often occurs without it occurring. We point out that they are considering the relation a dependency. We ask, “but does the outcome occur without the interaction?” When contingencies are overlooked people tend to turn to an internal story where their feelings and thoughts are offered as causal explanations for the pattern often involving certain hypothetical dependencies. We find that the supposedly causal feelings and thoughts change when the contingencies are addressed (including the action of alternative sets of contingencies). Accordingly, the distinction is critical for both the client and the therapist. 

About Eating Disorders

Q: Can anorexia be treated with applied behavior analysis?

A: Over the years, I successfully worked with several anorexia cases. There is no single behavioral intervention. One must analyze the contingencies specific to each case. Recent work on other reactive patterns suggests it may be possible to use a key reinforcer, distancing, to shape other behaviors in what we call a nonlinear topical intervention. But, I have found that long-term success often requires a systemic intervention (see this link). The goals of such an approach often do not even specify the anorexic pattern. At times, the problem will resolve itself without direct intervention if the systemic variables are addressed.