The Practice of Exposure Therapy: Relevance of Cognitive-Behavioral Theory and Extinction Theory

The Practice of Exposure Therapy: Relevance of Cognitive-Behavioral Theory and Extinction Theory
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DOI:
10.1016/j.beth.2013.03.003
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发表时间:
2013-12-01
期刊:
影响因子:
3.7
通讯作者:
Abramowitz, Jonathan S.
Abramowitz, Jonathan S.
中科院分区:
心理学2区
文献类型:
--
作者:
Abramowitz, Jonathan S.

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暴露疗法是对焦虑症患者最有效的心理干预手段。虽然许多治疗师通过临床培训项目或教学研讨会学习如何实施暴露技术,但并非所有这些教育努力都包括对这种治疗背后的理论的关注。治疗手册提供了如何实施暴露的分步说明,这使得临床医生在接受较少培训的情况下更容易使用这些技术。这就提出了一个问题,即是否有必要了解暴露背后的理论。本文认为,相关理论的知识是至关重要的,能够实施暴露治疗的方式,优化短期和长期的结果。讨论了理论与使用曝光技术相关的具体方式。
Exposure therapy is the most effective psychological intervention for people with anxiety disorders. While many therapists learn how to implement exposure techniques through clinical training programs or instructional workshops, not all of these educational efforts include a focus on the theory underlying this treatment. The availability of treatment manuals providing step-by-step instructions for how to implement exposure makes it easier for clinicians to use these techniques with less training than they might otherwise receive. This raises questions regarding whether it is necessary to understand the theory behind the use of exposure. This article argues that knowledge of the relevant theory is crucial to being able to implement exposure therapy in ways that optimize both short- and long-term outcome. Specific ways in which theory is relevant to using exposure techniques are discussed.