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Dynamic hierarchies: a control system paradigm for exposure therapy

  • Alec Brady (a1) and David Raines (a1)
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.

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Corresponding author
*Author for correspondence: Mr A. Brady, Whittington CBT, 25 Hunshelf Park, Stocksbridge, Sheffield S36 2BT, S. Yorkshire, UK. (email: alec.brady@virgin.net)
References
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Festinger, L (1957). A Theory of Cognitive Dissonance. Evanston, IL: Row Peterson.
Marks, IM (1981). Cure and Care of Neuroses: Theory and Practice of Behavioral Psychotherapy. New York: John Wiley & Sons.
Powers, WT (1973). Behavior: The Control of Perception. Edison, NJ: Aldine Transaction.
Becker, CB, Zayfert, C, Anderson, E (2004). A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD Behaviour Research and Therapy 42, 277292.
Coldwell, SE, Getz, T, Milgrom, P, Prall, CW, Spadafora, A, Ramsay, DS (1998). CARL: a LabVIEW 3 computer program for conducting exposure therapy for the treatment of dental injection fear. Behaviour Research and Therapy 36, 429441.
Cole, F, Macdonald, H, Carus, C, Howden-Leach, H (2005). Overcoming Chronic Pain: A Self-Help Guide Using Cognitive Behavioral Techniques. London: Robinson.
Craske, MG, Barlow, DH (2007). Mastery of Your Anxiety and Panic: Workbook for Primary Care Settings. New York: Oxford University Press.
Eberle, TM, Rehm, LP, McBurney, DH (1975). Fear decrement to anxiety hierarchy items – effects of stimulus intensity. Behaviour Research and Therapy 13, 255261.
Ellis, A (1962). Reason and Emotion in Psychotherapy. New York: Lyle Stuart.
Feeny, NC, Hembree, EA, Zoellner, LA (2003). Myths regarding exposure therapy for PTSD. Cognitive and Behavioral Practice 10, 8590.
Festinger, L (1957). A Theory of Cognitive Dissonance. Evanston, IL: Row Peterson.
Festinger, L, Carlsmith, JM (1959). Cognitive consequences of forced compliance. Journal of Abnormal and Social Psychology 58, 203210.
Galovski, TE, Resick, PA (2008). Cognitive processing therapy for posttraumatic stress disorder secondary to a motor vehicle accident: a single-subject report. Cognitive and Behavioral Practice. Published online: 21 July 2008. doi:10.1016/j.cbpra.2007.11.005.
Hayes, SC, Wilson, KG, Gifford, EV, Follette, VM, Strosahl, K (1996). Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology 64, 11521168.
Hare, RM (1969). Descriptivism. In: The Is-Ought Question: A Collection of Papers on the Central Problem in Moral Philosophy (ed. Hudson, W. D.), pp. 240259. London: Macmillan.
Hawton, K, Salkovskis, PM, Kirk, J, Clark, DM (1989). Cognitive Behaviour Therapy for Psychiatric Problems. Oxford: Oxford University Press.
Hebb, DO (1949). The Organization of Behavior: A Neuropsychological Theory. New York: Wiley. (Reprinted by Lawrence Erlbaum Associates, 2002.).
Kendall, PC, Robin, JA, Hedtke, KA, Suveg, C, Flannery-Schroeder, E, Gosch, E (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice 12, 136148.
Lang, P (1968). Fear reduction and fear behavior: problems in treating a construct. In: Research in Psychotherapy, vol. 3 (ed.Shlien, J.), pp. 90103. Washington, DC: American Psychological Association.
Lazarus, RS, Smith, CA (1988). Knowledge and appraisal in the cognition–emotion relationship. Cognition & Emotion 2, 281300.
Marken, RS (1997). The dancer and the dance: methods in the study of living control systems. Psychological Methods 2, 436446.
Marken, RS (1999). PERCOLATe: perceptual control analysis of tasks International Journal of Human-Computer Studies 50, 481487.
Marks, IM (1981). Cure and Care of Neuroses: Theory and Practice of Behavioral Psychotherapy. New York: John Wiley & Sons.
McGlynn, FD (1971). Individual versus standardized hierarchies in the systematic desensitization of snake-avoidance, Behaviour Research and Therapy 9, 15.
Milosevic, I, Radomsky, AS (2008). Safety behaviour does not necessarily interfere with exposure therapy. Behaviour Research and Therapy. Published online: 27 June 2008. doi:10.1016/j.brat.2008.05.011.
Parkinson, B (1997). Untangling the appraisal-emotion connection. Personality and Social Psychology Review 1, 62.
Rachman, S, Lopatka, C (1988). Return of fear: underlearning and overlearning. Behaviour Research and Therapy 26, 99104.
Rachman, S, Robinson, S, Lopatka, C (1987). Is incomplete fear-reduction followed by a return of fear? Behaviour Research and Therapy 25, 6769.
Richard, D, Lauterbach, D (eds) (2006). Handbook of Exposure Therapies. New York: Academic Press.
Rosenblatt, F (1958). The Perceptron: a probabilistic model for information storage and organization in the brain, Cornell Aeronautical Laboratory. Psychological Review 65, 386408.
Saxby, PJ (1973). Phobic responses and cognitive dissonance arousal. Behavior Therapy 4, 230234.
Tryon, WW, Misurell, JR (2008). Dissonance induction and reduction: a possible principle and connectionist mechanism for why therapies are effective. Clinical Psychology Review 28, 12971309.
Vodde, TW, Gilner, FH (1971). The effects of exposure to fear stimuli on fear reduction. Behaviour Research and Therapy 9, 169175.
Watson, JP, Gaind, R, Marks, IM (1972). Physiological Habituation To Continuous Phobic Stimulation Behaviour Research and Therapy 10, 269278.
Williams, JMG, Watson, FN, MacLeod, C, Mathews, A (1997). Cognitive Psychology and Emotional Disorders, 2nd edn. Chichester: Wiley.
Wolpe, J, Rachman, S (1960). Psychoanalytic ‘evidence’: a critique based on Freud's case of Little Hans. Journal of Nervous and Mental Disease 131, 135148.
Zimbardo, PG (1969). Cognitive Control of Motivation: the Consequences of Choice and Dissonance. Glenview: Scott, Foreman and Co.
Zlomke, K, Davis, TE (2008). One-session treatment of specific phobias: a detailed description and review of treatment efficacy. Behavior Therapy. Published online: 4 February 2008. doi:10.1016/j.beth.2007.07.003.
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