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Map Of Cambridge Colleges for Instead, nonpain- related, adaptive behaviour is reinforced. The methods used include n reinforcement of adaptive behaviour such as appropriate levels of exercise; n withdrawal of attention or other rewards that were previous responses to pain behaviour; n providing analgesic medication at set times rather than in response to behaviour. In this way, new forms of behaviour are encouraged through appropriate reinforcement, and older maladaptive behaviour is extinguished through nonreinforcement. The approach may involve both health professionals and others with whom the patient interacts, including their partner or even friends. Depending on the nature of the presenting problem, these processes may be added to by other interventions. In the case of lower back pain, for example, where disuse may have resulted in a weakening of the back muscles, patients may take part in exercise programmes. In these, patients will typically engage in a number of exercise trials to identify their tolerance for various lifting activities and movements. Map Of Cambridge Colleges 2016.