This paper describes the use of observation of the patient's interaction with his spouse and children in his own home as a part of the assessment and treatment of depression. Home observations are conducted during the beginning, middle, and ending phases of treatment. Interactions are coded in terms of the behaviors emitted by the patient and the social consequences of his behavior. The home observations are used to define treatment goals and to measure behavior change. In addition, home observations have beneficial consequences in that they (a) immediately focus the therapist-patient interaction on behavioral and interpersonal problems, and (6) provide a way of involving a significant part of the patient's environment in the treatment process. Some preliminary data are presented which are consistent with the hypothesis that a low rate of positive reinforcement is a critical antecedent condition for the occurrence of depressed behaviors. This is one of a series of reports describing the treatment of depression2 from a behavioral point of view (Lewinsohn & Atwood, 1969; Lewinsohn & Shaw, 1969; Lewinsohn, Weinstein, & Alper, 1970). The major assumptions underlying the approach are (a) a low rate of positive reinforcement acts as an eliciting stimulus for some depressive behaviors such as verbal statements of dysphoria, fatigue, and other somatic symptoms; (b) a low rate of positive reinforcement constitutes a sufficient explanation for other parts of the depressive syndrome such as the low rate of activity and verbal behavior. For the latter, the depressed person is considered to be on a prolonged extinction schedule; (c) the social environment provides reinforcement in the form of sympathy, interest, and concern which strengthens and maintains depressive behaviors; (d) a number of different environmental events (e.g.,
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