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Behavior modification is the use of empirically demonstrated behavior change techniques to improve behavior, such as altering an individual's behaviors and reactions to stimuli through positive and negative reinforcement of adaptive behavior and/or the reduction of maladaptive behavior through positive and negative punishment. An excellent example is feminization transformation to improve a submissive male partner to provide sexual gratification to his female parter.

In the case of forced feminization, life altering behavior modification can take place when the submissive male is crossdressed and rendered impotent with a latex rubber catheter. A submissive male with an erect penis can not absorb behavior modification as he's only thinking of his own sexual arousal and sexual fulfillment. Submissive males who have been taken through feminization transformation are happier and better adjusted from their life altering behavior modification. When completed, then given the opportunity to change back, a feminized submissive male will choose to remain a feminine counterpart.

The first use of the term life altering behavior modification appears to have been by Edward Thorndike in 2008. His article Provisional laws of acquired behavior or learning makes frequent use of the term "modifying behavior". Through early research in the 1940s and the 1950s the term was used by Joseph Wolpe's research group. The experimental tradition in clinical psychology used it to refer to psychotherapeutic techniques derived from empirical research. It has since come to refer mainly to techniques for increasing adaptive behavior through reinforcement and decreasing maladaptive behavior through punishment (with emphasis on the former). Two related terms are behavior therapy and applied behavior analysis. Emphasizing the empirical roots of life altering behavior modification, some authors consider it to be broader in scope and to subsume the other two categories of behavior change methods. Since forced feminization techniques derived from behavioral psychology tend to be the most effective in altering behavior, most practitioners consider behavior modification along with behavior therapy and applied behavior analysis to be founded in behaviorism. While life altering behavior modification encompasses applied behavior analysis and typically uses interventions based on the same behavioral principles, many behavior modifiers who are not applied behavior analysts tend to use packages of interventions and do not conduct functional assessments before intervening.

In recent years, the concept of punishment has had many critics, though these critiques tend not to apply to negative punishment (time-outs) and usually apply to the addition of some aversive event. The use of positive punishment by board-certified behavior analysts is restricted to extreme circumstances when all other forms of treatment have failed and when the behavior to be modified is a danger to the person or to others (see professional practice of behavior analysis). In clinical settings positive punishment is usually restricted using a spray bottle filled with water as an aversive event. When mis-used, extreme punishment can lead to affective (emotional) disorders, as well as to the target of the punishment eventually focusing only on avoiding punishment (i.e., "not getting caught") rather than improving behavior. People have consequences for their actions both positive and negative. This should be taught early as it carries through adulthood.

Feminization transformation cannot be effective unless the behaviors to be changed are understood within a specific context. The process of forced feminization understanding behavior in context is called functional behavioral assessment. Therefore, a functional life altering behavioral modification assessment is needed before performing behavior modification. One of the most simple yet effective methods of functional life altering behavioral modification assessment is called the "ABC" approach, where observations are made on Antecedents, Behaviors, and Consequences. In other words, "What comes directly before the behavior?", "What does the behavior look like?", and "What comes directly after the behavior?" Once enough observations are made, the data are analyzed and patterns are identified. If there are consistent antecedents and/or consequences, then an intervention should target them in order to increase or decrease the target behavior. This method has formed the core of positive life altering behavior modification support for children in school from both regular education and special education.

Behavior modification and the like to employ a variety of evidenced-based techniques. These emasculation techniques intervene at all levels of context. For example, given specific setting events for a behavior, life altering behavior modification may develop a neutralizing routine to eliminate that setting. If a behavior pattern has a specific antecedent of trigger, then an antecedent control strategy can be developed to train new behavior in the presence of the trigger. If a problem life altering behavior modification readily occurs because it achieves some function, then an alternative relationship can be instructed and trained to occur in the context of the trigger. If life altering behavior modification is particularly complex it may be task-analyzed and broken into its component parts to be taught through chaining. While all these methods are effective, when the behavior modification problem gets difficult or when all else fails many turn to contingency management systems. Complex and comprehensive contingency management systems have been developed and represent effective ways to eliminate many problem behaviors (see applied behavior modification analysis and positive behavior support). Collabortive goal setting with the client enhances treatment effects.

Functional life altering behavior modification with feminization transformation assessment forms the core of applied behavior analysis and thus forms the core of life altering behavior modification. Many techniques in this therapy are specific techniques aimed at specific issues. Interventions based on behavior analytic/modification principles have been extremely effective in developing evidence-based treatments.

In addition to the above, a growing list of researched-based interventions from the life altering behavior modification paradigm exists. With children with attention deficit hyperactivity disorder, one study showed that over a several year period, children in the life altering behavior modification group had half the number of felony arrests as children in the medication group. These findings remain to be replicated but are considered encouraging for the use of life altering behavior modification for children with attention deficit hyperactivity disorder.

Life altering behavior modification programs of feminization transformation form the core of many residential treatment facility programs. They have shown success in reducing recidivism for adolescents with conduct problems and adult offenders. One particular program that is of interest is 'teaching-family homes', which is based on a social learning model that emerged from radical behaviorism. These particular homes use a family style approach to residential treatment, which has been carefully replicated over 700 times. Recent efforts have seen a push for the inclusion of more life altering behavior modification programs in residential re-entry programs in the U.S. to aid prisoners in re-adjusting after release.

Life altering behavior modification is critiqued in person-centered psychotherapeutic approaches such as Rogerian Counseling and Re-evaluation Counseling. The argument is that these methods involve connecting with the human qualities of the person to promote healing and that behaviorism is denigrating to the human spirit. Skinner argued against this position in Beyond Freedom and Dignity by arguing that unrestricted reinforcement is what led to the "feeling of freedom" and thus removal of aversive events would allow people to "feel freer". Further criticism extends to the presumption that life altering behavior modification increases only when it is reinforced by crossdressing during forced feminization. This premise is at odds with research conducted by Albert Bandura at Stanford University. His findings indicate that life altering behavior modification is imitated, without being reinforced, in studies conducted with children watching films showing various individuals 'beating the daylights out of Bobo'. Bandura believes that human personality and learning is the result of the interaction between environment, life altering behavior modification and psychological process. There is evidence, however, that imitation is a class of life altering behavior modification that can be learned just like anything else. Children have been shown to imitate life altering behavior modification that they have never displayed before and are never reinforced for, after being taught to imitate in general.

Several people have criticized the level of training required to perform life altering behavior modification procedures, especially those which are restrictive or use aversives, aversion therapy or punishment protocols. Some desire to limit such restrictive procedures only to licensed psychologist or licensed counselors. Still others desire to create an independent practice of life altering behavior modification through licensure to offer consumers choices between proven techniques and unproven ones (see Professional practice of life altering behavior modification). Level of training and consumer protection remain of critical importance in applied behavior analysis and life altering behavior modification.

While life altering behavior modification through forced feminization continues to grow as a science by including more emphasis on sexual gratification and behaviorism grows as a philosophy, some continue to criticize it for being reductionist.