Universität zu Köln

Pittig, Andre ORCID: 0000-0003-3787-9576, Stevens, Stephan, Vervliet, Bram, Treanor, Michael, Conway, Christopher C., Zbozinek, Tomislav and Craske, Michelle G. (2015). Maximizing exposure therapy An inhibitory learning approach. Psychotherapeut, 60 (5). S. 401 - 419. NEW YORK: SPRINGER. ISSN 1432-2080

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Abstract

Exposure is an effective approach for treating anxiety disorders, although a substantial number of individuals fail to benefit or experience a return of fear. Research results suggest that anxious individuals show deficits in the mechanisms underlying exposure therapy, such as inhibitory learning. Targeting these processes may help improve the efficacy of exposure; however, there has been little discussion of how to implement this model in clinical practice. The primary aim of this paper is to provide examples to clinicians for how to apply this model to optimize exposure therapy, in ways that distinguish it from a fear habituation approach and a belief disconfirmation approach. Optimization strategies include (1) expectancy violation, (2) deepened extinction, (3) occasional reinforced extinction, (4) removal of safety signals, (5) variability, (6) retrieval cues, (7) multiple contexts and (8) affect labeling. Case studies illustrate methods of applying these techniques with a variety of anxiety disorders.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pittig, Andre UNSPECIFIED orcid.org/0000-0003-3787-9576 UNSPECIFIED Stevens, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Vervliet, Bram UNSPECIFIED UNSPECIFIED UNSPECIFIED Treanor, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Conway, Christopher C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zbozinek, Tomislav UNSPECIFIED UNSPECIFIED UNSPECIFIED Craske, Michelle G. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-394108
DOI:	10.1007/s00278-015-0042-7
Journal or Publication Title:	Psychotherapeut
Volume:	60
Number:	5
Page Range:	S. 401 - 419
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2080
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COGNITIVE-BEHAVIORAL THERAPY; MULTIPLE CONTEXTS; ANXIETY DISORDERS; MEMORY RETRIEVAL; CONDITIONED FEAR; EXTINCTION CUE; PANIC DISORDER; RETURN; RENEWAL; RECONSOLIDATION Multiple languages Psychology, Clinical; Psychology, Psychoanalysis Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39410