1 / 10

Chapter 10: Prolonged/Intense Exposure Therapy

Chapter 10: Prolonged/Intense Exposure Therapy. Development and Maintenance of Fear. Two Factor Theory Fears develop by classical conditioning: A neutral event is associated with a fearful event Fear elicited by neutral event. Development and Maintenance of Fear. Two Factor Theory

meg
Download Presentation

Chapter 10: Prolonged/Intense Exposure Therapy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 10:Prolonged/Intense Exposure Therapy CBT Chapter 10

  2. Development and Maintenance of Fear Two Factor Theory • Fears develop by classical conditioning: • A neutral event is associated with a fearful event • Fear elicited by neutral event CBT Chapter 10

  3. Development and Maintenance of Fear Two Factor Theory 2. Fear is maintained by operant conditioning • Avoidance of fear inducing situation (negative reinforcement) Flooding attempts to uncouple the neutral situation from the fear by changing the operant contingency CBT Chapter 10

  4. Flooding • Exposure to stimuli that produce high anxiety • No gradation • Exposure is long enough so that discomfort peaks and starts to decline • Extremely uncomfortable but often very brief therapy CBT Chapter 10

  5. Flooding • Can be in vivo or imaginal • No competing response • Usually includes response prevention of maladaptive coping strategies • Avoiding fight or flight response • Triggers the maintaining behaviour • More effective than drugs in some cases CBT Chapter 10

  6. Implosive Therapy • Extension of imaginal flooding • Use of hypothesized anxiety producing cues (the “why” factor) • Exaggerated scenes • Elaboration of scenes (visualizations may change) CBT Chapter 10

  7. Eye Movement Desensitization and Reprocessing (EMDR) • Assessment and preparation • Identifying the traumatic memory • Identifying body sensations • Assessing level of anxiety (SUD) • Thinking of an adaptive belief CBT Chapter 10

  8. Eye Movement Desensitization and Reprocessing (EMDR) • Imaginal Flooding • Visualization of traumatic image • Verbalization of maladaptive belief • Rapid visual tracking to simulate REMs associated with dreaming • Assessment of anxiety • Move onto final step once anxiety has been sufficiently reduced CBT Chapter 10

  9. Eye Movement Desensitization and Reprocessing (EMDR) • Cognitive Restructuring • Imagine (formerly) traumatic image while verbalizing adaptive belief • Assessment of anxiety level CBT Chapter 10

  10. Downside of Flooding • Higher dropout rates than more gradual therapies • Potential danger of becoming even more anxious • Given equal effectiveness, clients likely to choose systematic desensitization over flooding • SD good for anxiety/avoidance behaviour • Flooding is good for ritualistic acts/thoughts CBT Chapter 10

More Related