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Dynamic hierarchies: a control system paradigm for exposure therapy

Published online by Cambridge University Press:  01 March 2009

Alec Brady*
Affiliation:
Department of Psychology, University of Chester, Chester, UK
David Raines
Affiliation:
Department of Psychology, University of Chester, Chester, UK
*
*Author for correspondence: Mr A. Brady, Whittington CBT, 25 Hunshelf Park, Stocksbridge, Sheffield S36 2BT, S. Yorkshire, UK. (email: alec.brady@virgin.net)

Abstract

Exposure therapy is a widely used and well-evidenced treatment for a variety of avoidance behaviours. This paper offers a modest proposal for an improvement in how it is carried out (‘dynamic hierarchies’). The theoretical and practical context is set out, including some thoughts on the role of appraisals and cognitive dissonance, and some advantages of the method are suggested.

Type
Practice article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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