The purpose of this article is to present a model of adjunctive behavior that describes how multiple levels of change are produced in therapy when only single target behavior is altered. Adjunctive behavior in clinical research and therapy outcome studies is examined, and a self-regulatory model using closed-loop feedback principles is described and illustrated. Application of the model in guiding clinical practice is presented with reference to assessment and selection of target behaviors and development of therapeutic interventions. Clinical strategies derived from the model include self-regulatory techniques for initiating, maintaining, and generalizing therapeutic gains.
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