Beyond Compliance: Constructional Exposure Therapy, Psychosis, OCD, and Changing Healthcare

Behaviour Speak with Ben Reiman · Jul 7, 2026 · 1h 12m

What if severe behaviour isn't something to eliminate—but evidence that important skills or opportunities are missing?

Katie Gibson joins Behaviour Speak to explore the Constructional Approach, an increasingly influential framework developed from Israel Goldiamond's work and expanded through Nonlinear Contingency Analysis.

Rather than asking how to stop behaviour, Katie explains how clinicians can identify the repertoires that are absent and build those instead. The result is often that severe behaviour decreases naturally, without ever directly targeting it.

Throughout the conversation…