Exposure therapies (G12)

Question 1

It has been shown that exposure therapy can be very effective, however there are several ways in which the fear can return despite exposure, which of the following is NOT a way this can happen:

a. Fear generalization
b. Context Renewal
c. Reinstatement

Answer 1

a. Fear generalization

Question 2

Describe and explain the effect propranolol can have in combination with exposure to the feared object.

Answer 2

The role of propranolol in exposure therapies

Question 3

What are three main elements impacting therapist drift?

a. Clients’ cognitions, emotions, and safety behaviors
b. Therapists’ cognitions, emotions, and (safety) behaviors
c. Therapists’ schemas, black and white thinking, and fundamental attribution bias

Answer 3

b. Therapists’ cognitions, emotions, and (safety) behaviors

Question 4

Explain what therapist drift is and give an example of it in a clinical context.

Answer 4

Example explanation: Therapist drift occurs when a clinician deviates from and thus fails to accurately deliver evidence-based treatments, even when having the resources to do so correctly.
Example in clinical context: Protecting the patient: The clinician, concerned about the patient’s fragility, doesn’t address the patient’s avoidance of something (trauma, disability). Avoidance is reinforced and gets in way of achieving key tasks in therapy.