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Dynamic hierarchies: a control system paradigm for exposure therapy

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

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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*Author for correspondence: Mr A. Brady, Whittington CBT, 25 Hunshelf Park, Stocksbridge, Sheffield S36 2BT, S. Yorkshire, UK. (email:
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the Cognitive Behaviour Therapist
  • ISSN: -
  • EISSN: 1754-470X
  • URL: /core/journals/the-cognitive-behaviour-therapist
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