Exposure Therapy Rethinking the Model - Refining the Method
Exposure Therapy Rethinking the Model - Refining the MethodPeter Neudeck and Hans-Ulrich WittchenFrom its early uses in treating phobias, exposure methods have expanded greatly, being established now as state of the art and first-line interventions for al
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Peter Neudeck
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Hans-Ulrich Wittchen
Editors
Exposure Therapy Rethinking the Model – Refining the Method
Editors Peter Neudeck Praxis für Verhaltenstherapie Follerstr. 64 50676 Cologne Germany
Hans-Ulrich Wittchen Institut für Klinische Psychologie und Psychotherapie Technische Universität Dresden Chemnitzer Str. 46 01187 Dresden Germany
ISBN 978-1-4614-3341-5 e-ISBN 978-1-4614-3342-2 DOI 10.1007/978-1-4614-3342-2 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2012937869 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Barbara, Jakob, Johann, and Josef Neudeck With love and gratefulness
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Preface
Exposure therapy is well regarded as a powerful therapeutic agent in the treatment of phobias and anxiety disorders. It is also one of the most empirically supported treatments for anxiety disorders. Over the years, exposure therapy has undergone a number of transformations, from its early form of systematic desensitization, to flooding therapy, to the combination with cognitive therapy. Significant recent advances in the areas of cognition, fear learning, neuroscience, and acceptance based approaches have led to further shifts in the conceptualization and delivery of exposure therapy, as a science-based model of clinical practice. The fundamentals of exposure therapy and the latest science-based developments in its optimization are the topics of this volume. Thus, this volume provides the most up-to-date overview of the mechanisms and implementation of exposure therapy for anxiety and related disorders, proving an invaluable resource to both the researcher and the clinician. The volume contains four parts. The first part covers the theoretical and formal aspects of exposure therapy, including the ethics of exposure therapy, and the fear learning and neurobiology of extinction and its application to exposure therapy. The second part covers the application of exposure therapy in a number of ways, including in children, the use of interoceptive exposure to feared bodily sensations, and the incorporation of exposure within acceptance-based approaches to behavioral therapy, within schema therapy, and within the cognitive behavioral analy
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