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4 - Anxiety

Published online by Cambridge University Press:  16 March 2023

By
Dean McKay
Edited by
Stephen Hupp  and
Cara L. Santa Maria
Stephen Hupp
Affiliation:
Southern Illinois University Edwardsville
Cara L. Santa Maria
Affiliation:
Fielding Graduate University, California
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Summary

This chapter describes pseudoscience and questionable ideas related to specific phobias, social anxiety disorder, panic disorder, agoraphobia, generalized anxiety disorder, separation anxiety disorder, and selective mutism. The chapter opens by discussing questionable approaches such as the use of genetic profiles to determine rates of neurotransmitter metabolism. Dubious treatments include neurofeedback, energy therapies, brainspotting, Accelerated Resolution Therapy, thought stopping, animal-assisted therapy, essential oils, crystal healing, and the eliciting of autonomous sensory meridian responses. The chapter closes by reviewing research-supported approaches.

Keywords

specific phobiaanxiety disorderneurofeedbacktappingbrainspottinganimal-assisted therapyessential oilscrystal healingautonomous sensory meridian responsesexposure therapy

Information

Type
Chapter
Information
Pseudoscience in Therapy
A Skeptical Field Guide
 , pp. 36 - 52
Publisher: Cambridge University Press
Print publication year: 2023

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References

Abramowitz, J. S., Tolin, D. F., & Street, G. P. (2001). Paradoxical effects of thought suppression: A meta-analysis of controlled studies. Clinical Psychology Review, 21, 683–703.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text revision). Author.Google Scholar
American Psychological Association. (2021). Demand for mental health treatment continues to increase, say psychologists. Author. www.apa.org/news/press/releases/2021/10/mental-health-treatment-demand.Google Scholar
Anestis, M. D., Anestis, J. C., Zawilinski, L. L., Hopkins, T. A., & Lilienfeld, S. O. (2014). Equine-related treatments for mental disorders lack empirical support: A systematic review of empirical investigations. Journal of Clinical Psychology, 70, 1115–1132.Google Scholar
Bakker, G. M. (2009). In defence of thought stopping. Clinical Psychologist, 13, 59–68.CrossRefGoogle Scholar
Baxter, A. J., Vos, T., Scott, K. M., Ferrari, A. J., & Whiteford, H. A. (2014). The global burden of anxiety disorders in 2010. Psychological Medicine, 44, 2363–2374.CrossRefGoogle ScholarPubMed
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. Basic Books.Google Scholar
Brainspotting Trainings, LLC. (2017). https://brainspotting.com/.Google Scholar
Callahan, J. L., Bell, D. J., Davila, J., Johnson, S. L., Strauman, T. J., & Yee, C. M. (2020). The enhanced examination for professional practice in psychology: A viable approach? American Psychologist, 75(1), 52–65.Google Scholar
Carleton, R. N. (2014). The intolerance of uncertainty construct in anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12, 937–947.Google Scholar
Cautela, J. R., & Wisocki, P. A. (1977). The thought stopping procedure: Description, applications, and learning theory interpretations. Psychological Record, 27, 255–264.Google Scholar
Church, D., & Brooks, A. J. (2010). Application of emotional freedom techniques. Integrative Medicine, 9, 46–48.Google Scholar
Cohen, B. M., & Zubenko, G. S. (2019). Gene testing to guide antidepressant treatment: Has its time arrived? Harvard Health Blog. www.health.harvard.edu/blog/gene-testing-to-guide-antidepressant-treatment-has-its-time-arrived-2019100917964.Google Scholar
Corrigan, F., & Grand, D. (2013). Brainspotting: Recruiting the midbrain for accessing and healing sensorimotor memories of traumatic activation. Medical Hypotheses, 80, 759–766.Google Scholar
Corrigan, F. M., Grand, D., & Raju, R. (2015). Brainspotting: Sustained attention, spinothalamic tracts, thalamocortical processing, and the healing of adaptive orientation truncated by traumatic experience. Medical Hypotheses, 84, 384–394.CrossRefGoogle ScholarPubMed
Cramer, V., Torgersen, S., & Kringlen, E. (2005). Quality of life and anxiety disorders: A population study. Journal of Nervous and Mental Disease, 193, 196–202.Google Scholar
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research & Therapy, 58, 10–23.CrossRefGoogle ScholarPubMed
Deacon, B. J., Farrell, N. R., Kemp, J. J., Dixon, L. J., Sy, J. T., Zhang, A. R., & McGrath, P. B. (2013). Assessing therapist reservations about exposure therapy for anxiety disorders: The Therapist Beliefs about Exposure Scale. Journal of Anxiety Disorders, 27, 772–780.CrossRefGoogle ScholarPubMed
Dimidjian, S., & Hollon, S. D. (2010). How would we know if psychotherapy were harmful? American Psychologist, 65, 21–33.Google Scholar
Foa, E. B., & Kozak, M.J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.CrossRefGoogle ScholarPubMed
Garner, L., Steinberg, E., & McKay, D. (2021). Exposure therapy. In Wenzel, A. (Ed.), Handbook of cognitive behavioral therapy (pp. 275–312). American Psychological Association Press.Google Scholar
Gong, M., Dong, H., Tang, Y., Huang, W., & Lu, F. (2020). Effects of aromatherapy on anxiety: A meta-analysis of randomized controlled trials. Journal of Affective Disorders, 274, 1028–1040.CrossRefGoogle ScholarPubMed
Grant, G. (2011). Measuring stress reduction using the infrared negative ions amethyst biomat. Prime-Journal, 1, 50–56.Google Scholar
Gray, J. A., & McNaughton, N. (1982). The neuropsychology of anxiety: An inquiry into the septo-hippocampal system. Oxford University Press.Google Scholar
Heide, F. J., & Borkovec, T. D. (1984). Relaxation-induced anxiety: Mechanisms and theoretical implications. Behaviour Research and Therapy, 22, 1–12.CrossRefGoogle ScholarPubMed
Hendricks, S. M., Spijker, J., Licht, C. M. M., Beekman, A. T. F., Hardeveld, F., de Graaf, R., Batelaan, N.M., & Penninx, B. W. J. H. (2014). Disability in anxiety disorders. Journal of Affective Disorders, 166, 227–233.Google Scholar
Hippol, L. J., & Deacon, B. J. (2013). Dissemination of evidence-based practices for anxiety disorders in Wyoming: A survey of practicing psychotherapists. Behavior Modification, 37, 170–188.Google Scholar
Irgens, A., Dammen, T., Nysaeter, T. E., & Hoffart, A. (2012). Thought field therapy (TFT) as a treatment for anxiety symptoms: A randomized controlled trial. Explore, 8, 331–338.CrossRefGoogle ScholarPubMed
Johnson, E. M., & Coles, M. E. (2013). Failure and delay in treatment-seeking across anxiety disorders. Community Mental Health Journal, 49(6), 668–674.Google Scholar
Kim, H., & Newman, M. G. (2019). The paradox of relaxation training: Relaxation induced anxiety and mediation effects of negative contrast sensitivity in generalized anxiety disorder and major depressive disorder. Journal Affective Disorders, 259, 271–278.CrossRefGoogle ScholarPubMed
Klepac, R. K., Ronan, G. F., Andrasik, F., Arnold, K. D., Belar, C. D., Berry, S. L., Christoff, K. A., Craighead, L. W., Dougher, M. J., Dowd, E. T., Herbert, J. D., McFarr, J. D., Rizu, S. L., & Strauman, T. J. (2012). Guidelines for cognitive behavioral training within doctoral psychology programs in the United States: Report of the Inter-Organizational Task Force of Cognitive Behavioral Psychology Doctoral Education. Behavior Therapy, 43, 687–697.Google Scholar
Klerman, G. L., Weissman, M. M., Rounsaville, B. J., & Chevron, E. S. (1984). Interpersonal psychotherapy of depression. Basic Books.Google Scholar
Konnopka, A. & König, H. (2020). Economic burden of anxiety disorders: A systematic review and meta-analysis. PharmacoEconomics, 38, 25–37.CrossRefGoogle ScholarPubMed
Leary, M. R. (2022). Emotional responses to interpersonal rejection. Dialogues in Clinical Neuroscience, 17, 435–441.Google Scholar
Lilienfeld, S. O. (2007). Psychological treatments that cause harm. Perspectives on Psychological Science, 2, 53–70.Google Scholar
Lipsitz, J. D., Gur, M., Vermes, D., Petkova, E., Cheng, J., Miller, N., Laino, J., Liebowitz, M. R., & Fyer, A. J. (2008). A randomized trial of interpersonal therapy versus supportive therapy for social anxiety disorder. Depression and Anxiety, 25, 542–553.Google Scholar
Lipsitz, J. D., & Markowitz, J. C. (2013). Mechanisms of change in interpersonal therapy (IPT). Clinical Psychology Review, 33, 1134–1147.Google Scholar
Lohr, J. M., Lilienfeld, S. O., & Rosen, G. M. (2012). Anxiety and its treatment: Promoting science-based practice. Journal of Anxiety Disorders, 26, 719–727.CrossRefGoogle ScholarPubMed
McFall, R. M. (2006). Doctoral training in clinical psychology. Annual Review of Clinical Psychology, 2, 21–49.CrossRefGoogle ScholarPubMed
Mendlowicz, M. V., & Stein, M. B. (2000). Quality of life in individuals with anxiety disorders. American Journal of Psychiatry, 157, 669–682.Google Scholar
Mollon, P. (2007). Thought field therapy and its derivatives: Rapid relief of mental health problems through tapping on the body. Primary Care and Community Psychiatry, 12, 123–127.Google Scholar
Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., Boswell, J. F., Szkodny, L. E., & Nordberg, S. S. (2011). A randomized controlled trial of cognitive behavior therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal of Consulting and Clinical Psychology, 79, 171–181.Google Scholar
Norton, P. J. (2012). A randomized controlled trial of transdiagnostic cognitive-behavioral treatments for anxiety disorder by comparison to relaxation training. Behavior Therapy, 43, 506–517.Google Scholar
Olatunji, B. O., Cisler, J. M., & Tolin, D. F. (2007). Quality of life in the anxiety disorders: A meta-analytic review. Clinical Psychology Review, 27, 572–581.Google Scholar
Otowa, T., Hek, K., Lee, M., Byrne, E. M., Mirza, S. S., Bigdeli, T., Aggen, S. H., Adkins, D., Wolen, A., Fanous, A., Keller, M. C., Castelao, E., Kutalik, Z., der Auwera, S. V., Homuth, G., Nauck, M., Teumer, A., Milaneschi, Y., … Hettema, J. M. (2016). Meta-analysis of genome-wide association studies of anxiety disorders. Molecular Psychiatry, 21, 1391–1399.CrossRefGoogle ScholarPubMed
Papo, D. (2018). Neurofeedback: Principles, appraisal, and outstanding issues. European Journal of Neuroscience, 49, 1454–1469.CrossRefGoogle Scholar
Poerio, G. L., Blakey, E., Hostler, T. J., & Veltri, T. (2018). More than a feeling: Autonomous sensory meridian response (ASMR) is characterized by reliable changes in affect and physiology. PLoS One, 13, e0196645.Google Scholar
Rabasco, A., & McKay, D. (2021). Exposure therapy for misophonia: Concepts and procedures. Journal of Cognitive Psychotherapy, 35, 156–166.CrossRefGoogle ScholarPubMed
Rosen, G. M., Lohr, J. M., McNally, R. J., & Herbert, J. D. (1998). Power therapies, miraculous claims, the cures that fail. Behavioural and Cognitive Psychotherapy, 26, 99–101.Google Scholar
Russo, G. M., Balkin, R. S., & Lenz, A. S. (2022). A meta-analysis of neurofeedback for treating anxiety-spectrum disorders. Journal of Counseling and Development, 100, 236–251.Google Scholar
Sandstrom, A., Uher, R., & Pavlova, B. (2020). Prospective association between childhood behavioral inhibition and anxiety: A meta-analysis. Research on Child and Adolescent Psychopathology, 48, 57–66.Google Scholar
Santomauro, D. F., Herrera, A. M. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., Abbafati, C., Adolphe, A., Amlaug, J. O., Aravkin, A. Y., Bang-Jensen, B. L., Bertolacci, G. J., Bloom, S. S., Castellano, R., Castro, E., Chakrabarti, S., Chattopadhyay, J., Cogen, R. M., Collins, J. K., … Ferrari, A. J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398, 1700–1712.Google Scholar
Santoro, N. F. (2019). A role for the wandering uterus? Endocrinology, 160, 55–56.CrossRefGoogle ScholarPubMed
Sareen, J., Cox, B. J., & Afifi, T. O. (2005). Anxiety disorders and risk for suicidal ideation and attempts: A population-based longitudinal study of adults. Archives of General Psychiatry, 62, 1249–1257.Google Scholar
Schullian, D. M., & Lewis, T. H. (1981). Richard Carew on the treatment of a ‘Franticke Person’ in medieval Cornwall. Journal of the History of Medicine and Allied Sciences, 36, 64–66.Google Scholar
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., Freeston, M., Garety, P. A., Hollon, S. D., Ost, L. G., Salkovskis, P. M., Williams, J. M. G., & Wilson, G. T. (2009). Mind the gap: Improving the dissemination of CBT. Behaviour Research and Therapy, 47, 902–909.Google Scholar
Sharpless, B. A., & Barber, J. P. (2009). The Examination for Professional Practice in Psychology (EPPP) in the era of evidence-based practice. Professional Psychology: Research and Practice, 40, 333–340.Google Scholar
Shen, R. Z. Z., Xiong, P., Chou, U. I., & Hall, B. J. (2018). “We need them as much as they need us”: A systematic review of the qualitative evidence for possible mechanisms of effectiveness of animal-assisted intervention. Complementary Therapies in Medicine, 41, 203–207.Google Scholar
Todd, L. (2021). Do crystals work for anxiety and depression? Medical News Today. www.medicalnewstoday.com/articles/crystals-for-anxiety-and-depression.Google Scholar
Tolin, D. F., Davies, C. D., Moskow, D. M., & Hofmann, S. G. (2020). Biofeedback and neurofeedback for anxiety disorders: A quantitative and qualitative systematic review. In Kim, Y. K. (Ed.), Anxiety disorders; Rethinking and understanding recent discoveries (pp. 265–289). Springer Nature-Singapore.Google Scholar
Twenge, J. M., & Joiner, T. E. (2020). U.S. Census Bureau-assessed prevalence of anxiety and depressive symptoms in 2019 and during the 2020 COVID-19 pandemic. Depression & Anxiety, 37, 954–956.Google Scholar
Waits, W., Marumoto, M., & Weaver, J. (2017). Accelerated Resolution Therapy (ART): A review and research to date. Current Psychiatry Reports, 19, 18.Google Scholar
Young, C., & Horton, J. (2019). Canine and equine therapy for mental health: A review of clinical effectiveness. Canadian Agency for Drugs and Technologies in Health, 26, 31553551.Google Scholar
Zeier, Z., Carpenter, L. L., Kalin, N. H., Rodriguez, C. I., McDonald, W. M., Widge, A. S., & Nemeroff, C. B. (2018). Clinical implementation of pharmacogenetic decision support tools for antidepressant drug prescribing. American Journal of Psychiatry, 175, 873–886.CrossRefGoogle ScholarPubMed
Zhang, N., & Yao, L. (2019). Anxiolytic effect of essential oils and their constituents: A review. Agriculture and Food Chemistry, 67, 13790–13808.Google Scholar

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  • Anxiety
  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book: Pseudoscience in Therapy
  • Online publication: 16 March 2023
  • Chapter DOI: https://doi.org/10.1017/9781009000611.005
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  • Anxiety
  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book: Pseudoscience in Therapy
  • Online publication: 16 March 2023
  • Chapter DOI: https://doi.org/10.1017/9781009000611.005
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Anxiety
  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book: Pseudoscience in Therapy
  • Online publication: 16 March 2023
  • Chapter DOI: https://doi.org/10.1017/9781009000611.005
Available formats
×