Imaginal exposure and neuroscience.

Author(s):  
Sheila A. M. Rauch ◽  
Carmen P. McLean
Keyword(s):  
1999 ◽  
Author(s):  
N. Tarrier ◽  
H. Pilgram ◽  
C. Sommerfield ◽  
B. Faragher ◽  
M. Reynolds ◽  
...  

1997 ◽  
Vol 25 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Peter Muris ◽  
Harald Merckelbach

The present study examined the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of a specific phobia. Twenty-four spider phobic subjects were randomly assigned to either (1) an EMDR group (n=8), (2) an imaginal exposure group (n=8), or (3) a control group (n=8). Both the EMDR and the imaginal exposure group underwent a one-hour treatment. The control group initially received no treatment, and waited for one hour. Next, all groups received exposure in vivo. Treatment outcome was evaluated with a standardized Behavioural Avoidance Test (BAT). No evidence was found for EMDR being more effective than imaginal exposure or waiting list control. In fact, only exposure in vivo therapy resulted in significant improvement on the BAT.


2021 ◽  
pp. 1-13
Author(s):  
Carolin Schmid ◽  
Kathrin Hansen ◽  
Tana Kröner-Borowik ◽  
Regina Steil

<b><i>Introduction:</i></b> Both imagery rescripting and imaginal exposure have been proven to be effective in the treatment of chronic nightmares when compared to a waitlist condition. Little is known about their comparative efficacy and their efficacy compared to an active control. <b><i>Objective:</i></b> The aims of this study were to compare the two treatments to one another and to positive imagery as an active control, and to explore covariates of the treatment effect. <b><i>Methods:</i></b> In this single-blinded randomized controlled trial, 96 patients with nightmare disorder (idiopathic nightmares) from an outpatient clinic were randomly assigned to a single individual treatment session of rescripting, exposure, or positive imagery and 4 weeks of practice at home. The primary outcome was nightmare distress, and the secondary outcomes were nightmare frequency, nightmare effects, self-efficacy, and general psychopathology. <b><i>Results:</i></b> Nightmare distress was reduced in all groups (imagery rescripting: Cohen’s <i>d</i> = –1.04, imaginal exposure: <i>d</i> = –0.68, positive imagery: <i>d</i> = –0.57), as were nightmare frequency, nightmare effects, and psychopathology. Self-efficacy was enhanced. No differential treatment effects were found on any primary or secondary measure. Treatment gains were not associated with demographic or disorder characteristics, baseline values, treatment credibility, or the number of practice sessions. <b><i>Conclusions:</i></b> Even short nightmare treatments are effective regardless of personal characteristics, and different interventions produce similar results. Future research should aim to clarify the mechanisms of action. Health care should make more use of these powerful and easy-to-administer nightmare treatments.


Author(s):  
Jon E. Grant ◽  
Christopher B. Donahue ◽  
Brian L. Odlaug
Keyword(s):  

Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

This chapter describes session 10 of the COPE therapy. This chapter instructs the therapist to conduct and process the imaginal exposure. Then, this chapter shows the therapist how to help patients increase their awareness and understanding of anger. The chapter instructs the therapist to review constructive and destructive anger, and triggers for anger (both PTSD- and substance use—related). Finally, this chapter instructs the therapist to teach the patient about daily wellness strategies to help keep anger levels at a minimum.


Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

This chapter describes session 5 of the COPE therapy. The therapist’s instructions for how to provide and process imaginal exposure are reviewed in this chapter. Then, the therapist will be guided on how to help the patient generate a personal emergency coping plan for high-risk situations that may increase risk for using alcohol or drugs. The difference between a lapse (e.g. a slip) and a relapse is reviewed for the therapist.


Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  
Keyword(s):  

Chapter 11 discusses the ninth session of the COPE treatment sessions. This session introduces the concept of seemingly irrelevant decisions (SIDs),which may not involve making a direct choice of whether to use, but can move you one step at a time closer to using. Common SIDs are presented, as well as strategies for recognizing SIDs.


Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

Chapter 6 outlines the fourth COPE treatment session. This session explored imaginal exposures, their purpose, and how they help overcome PTSD. The first imaginal exposure exercise takes place with the help of the therapist and the experience is discussed.


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