Richard / Lauterbach Handbook of Exposure Therapies

1. Auflage 2011
ISBN: 978-0-08-046781-8
Verlag: Elsevier Science & Techn.
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 464 Seiten, Web PDF

Exposure Therapy refers to any clinical intervention in which a client directly confronts a source of fear. Since high levels of anxiety can not be maintained indefinitely, repeated exposure leads to decreased anxiety. This type of treatment is effective with phobias, post traumatic stress disorder, obsessive compulsive disorders, panic, generalized anxiety, and several other disorders. It's also been found to be effective in helping to treat substance abuse. Although exposure-based treatments have been extensively researched and reported in the literature, there is no single comprehensive treatment of exposure therapies. Writings tend to be limited to larger pieces on treating specific disorders or types of patients. A comprehensive book on the use of these treatments across patient disorders will be of great use to practitioners. The book is divided into three sections: Foundation, Applications, and Issues. Foundation chapters considers theoretical and assessment issues. Applications chapters will discuss research literature on each disorder having been proven to be successfully treated with exposure therapy. Issue chapters will discuss liability issues, false memory syndrome, and the use of computers and virtual reality in exposure therapy.*Covers the broad range of exposure therapies in one comprehensive source*Provides an integrated look at exposure therapy across a variety of disorders*Each such chapter will include a case study*Blends literature review and practice guidelines

Autoren/Hrsg.

Richard, David C. S.

Lauterbach, Dean

Inhaltsverzeichnis

1;Cover;1
2;Copyright page;5
3;Table of Contents;6
4;Contributors;10
5;Preface;18
6;Chapter 1: Description, Mechanisms of Action, and Assessment;22
6.1;What is Exposure Therapy?;23
6.2;Mechanisms of Action;29
6.3;Assessment;39
6.4;Summary;45
6.5;References;46
7;Chapter 2: Animal Models of Exposure Therapy: A Selective Review;50
7.1;Basic Types of Exposure Therapy;52
7.2;Animal Models;54
7.3;Conclusion;70
7.4;References;70
8;Chapter 3: Exposure Therapy and Cognitive Interventionsfor the Anxiety Disorders: Overview and Newer Third-Generation Perspectives;82
8.1;Rationales of First- and Second- Generation Behavior Therapy;83
8.2;Mechanisms and Processes Underlying Therapeutic Change;88
8.3;Treatment Efficacy;91
8.4;Emotion Regulation and the Anxiety Disorders;102
8.5;Basic and Applied Implications;112
8.6;References;120
9;Chapter 4: Translational Research Perspectives on Maximizingthe Effectiveness of Exposure Therapy;130
9.1;Context Effects in Clinicals Studies;132
9.2;Clinical Implications of Context Effects;133
9.3;Exposure Parameters from a Context Perspective;135
9.4;Concluding Comments;142
9.5;References;143
10;Chapter 5: Exposure Therapy and Post-Traumatic Stress Disorder;148
10.1;Definition of PTSD;149
10.2;Theories of PTSD;150
10.3;Exposure Therapy;154
10.4;Thoughts for the Future;166
10.5;References;168
11;Chapter 6: Exposure Therapy with Adult Survivors of Childhood Sexual Abuse;174
11.1;Theoretical Explanations of the Response to CSA;175
11.2;Exposure Therapy with CSA Survivors;177
11.3;Outcome Research;178
11.4;Special Considerations for CSA Survivors;181
11.5;Summary and Conclusions;186
11.6;References;187
12;Chapter 7: Issues in Conducting Exposure Therapy to Treat Combat Veterans’ PTSD;190
12.1;Selection and Timing of Exposure as the Treatment of Choice;192
12.2;Treatment Implementation;197
12.3;Conclusion;203
12.4;References;204
13;Chapter 8: Exposure Therapy for Obsessive-Compulsive Disorder;206
13.1;From Theory to Therapy;207
13.2;Implementation of Exposure-Based Therapy for OCD;209
13.3;Types of Imaginal Exposure;210
13.4;Habituation of Anxiety During Exposure;210
13.5;Procedural Variations;211
13.6;Delivering ERP;211
13.7;Using Cognitive Techniques During Exposure Therapy;212
13.8;Mechanisms of Action;212
13.9;The Efficacy of ERP;213
13.10;Predictors of Treatment Outcome;216
13.11;Combining Medications with Exposure Therapy for OCD;217
13.12;Case Description;217
13.13;Clinical Case Conceptualization;218
13.14;Treatment Implementation;220
13.15;Assessment;223
13.16;Results;224
13.17;Discussion;225
13.18;Summary and Conclusions;226
13.19;References;227
14;Chapter 9: Cognitive-Behavior Therapy and the Treatmentof Childhood Obsessive-Compulsive Disorder;230
14.1;Case Study: Suzie;231
14.2;References;240
15;Chapter 10: Exposure Treatments for Panic Disorderwith and without Agoraphobia;242
15.1;Interoceptive Exposure;244
15.2;Invivo Exposure;245
15.3;Panic Control Treatment;245
15.4;Cognitive Therapy;246
15.5;Treatment Efficacy;246
15.6;Combined Cognitive-Behavioral and Psychopharmacological Interventions;247
15.7;Invivo Exposure for Agoraphobia;248
15.8;Group Dismantling Studies for Panic Control Treatment;250
15.9;Barriers to Effective Exposure Therapy;256
15.10;Case study;259
15.11;Summary and Conclusions;263
15.12;References;263
16;Chapter 11: Exposure Therapy for Phobias;268
16.1;Specific Phobia and Exposure-Based Treatment: Overview;268
16.2;Spider Phobia;269
16.3;Blood-Injection-Injury (BII) Phobia;276
16.4;Claustrophobia;279
16.5;Flying Phobia;281
16.6;Social Phobia;283
16.7;Conclusions;286
16.8;References;287
17;Chapter 12: Applications of Exposure Techniquesin Behavioral Medicine;292
17.1;Specific Phobia, Blood-Injection-Injury Type;293
17.2;Historical Overview;294
17.3;Contemporary Trends;295
17.4;Clinical Issues;297
17.5;Specific Phobia, Dental Phobia Type;299
17.6;Pain Anxiety;304
17.7;Written Exposure/Emotional Disclosure;310
17.8;Conclusion;312
17.9;References;313
18;Chapter 13: Exposure Therapy for Hypochondriasis;320
18.1;Case Study: Matt;323
18.2;References;329
19;Chapter 14: The Effect of Pharmacotherapy on the Effectiveness of Exposure Therapy;332
19.1;Review of Studies on Combined Treatments for Anxiety Disorders;334
19.2;Issues that Arise in Combined Treatment;344
19.3;Concluding Comments;350
19.4;References;350
20;Chapter 15: Pharmacological Enhancement of Learning in Exposure Therapy;356
20.1;Extinction is a Neural Mechanism that may Underlie Exposure Therapy;356
20.2;Extinction Involves New Emotional Learning;358
20.3;Pharmacological Enhancement of Extinction in Animal Models;359
20.4;Pharmacological Enhancement of Behavioral Exposure Therapy for Acrophobia;360
20.5;Future Directions;364
20.6;Conclusions;364
20.7;References;365
21;Chapter 16: Virtual Reality Applications for Exposure;368
21.1;What is Invirtuo Exposure?;368
21.2;Canvr Induce Anxiety?;372
21.3;Efficacy of in Virtuo Exposure;374
21.4;Fear of Flying;374
21.5;Spider Phobia;378
21.6;Fear of Public Speaking and Social Anxiety;380
21.7;Fear of Heights;381
21.8;Post-Traumatic Stress Symptoms and Post-Traumatic Stress Disorder;383
21.9;Driving Phobia;384
21.10;Panic Disorder With Agoraphobia;385
21.11;Claustrophobia;385
21.12;Summary of Outcome Studies;386
21.13;Issues In VR Treatment;387
21.14;Case History;392
21.15;Conclusion;400
21.16;References;403
22;Chapter 17: Obstacles to Successful Implementation of Exposure Therapy;410
22.1;The Dissemination Barrier;410
22.2;Myths and Manualized Treatments;412
22.3;The Implementation Barrier;419
22.4;Conclusion;426
22.5;References;427
23;Chapter 18: Exposure Therapy Has a Public Relations Problem: A Dearth of Litigation Amid a Wealth of Concern;430
23.1;Law, Ethics, and Professional Issues in Exposure Therapy;430
23.2;Method;433
23.3;Results;436
23.4;Discussion;442
23.5;References;446
24;Appendix: Exposure Survey for Outpatients and Students;448
25;Index;452