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51 Cards in this Set
- Front
- Back
In vivo is what?
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encountering the event (such as taking a flight in the case of fear of flying)
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How does the continuum of modes of exposure go?*
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in vivo - virtual reality - verbal and visual descriptions - imaginal
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What is in vivo exposure?
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brief, graduated exposure to actual feared stimulus or situation, often involves a competing relaxation/ coping response
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What are the steps of in vivo exposure?
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1. prep for exposure
2. creation of exposure fear hierarchy 3. initial exposure (usually therapist directed exposure) 4. repeated exposure (usually self directed) |
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What step is this in in vivo exposure therapy? Training in SUDS
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Step 2: creation of fear hierarchy
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What step is this in invivo exposure therapY?
Patient is asked every 5 minutes for SUDS rating and exposure continues until SUDS has dropped at least 50% |
Step 3: initial exposure
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What step is this in invivo exposure therapy?
Rationale and exposure procedures are explained and a commitment is made. |
Step 1: prep for exposure
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What kind of reinforcement takes away anxiety so the behavior is likely to occurr again?
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negative
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How is fear LEARNED and MAINTAINED?
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The two factor theory: by avoiding and operant conditioning
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What is reciprocal inhibition?
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Neuro physiological explanation that involves competing nature of a response that triggers the PARASYMPATHETIC nervous system in response to the *anxiety produced by sympathetic nervous system
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Graduated Brief exposure therapy consists of what?
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counter conditioning, reciprocal inhibition, extinction, and cognitive changes
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What is the feared event becomes associated with competing responses (relaxation ) and not the anxiety
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counter-conditioning
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What is the neuro pysiological explanation?
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reciprocal inhibition
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What is extinction
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conditioned stimulus occurs repeatedly without the unconditioned stimulus (imagined consequences) leading to extinction of the conditioned fear response
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What is thinking more realistically about actual dangers?
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cognitive changes
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What's flooding also called and what is it?
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anxiety induction therapies that involve prolonged contact with feared stimuli that elicit high levels of emotional response until the emotional response decreases in intensity
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What are examples of flooding?
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in vivo flooding, Response prevention, imaginal flooding, implosive therapy, EMDR
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What's implosive therapy?
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(*Exaggerated and based on case studies) imaginal, prolonged intense exposure therapy in which the client visualizes exaggerated evolving scenes that include hypothesized stimuli related to the client's anxiety.
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What is this an example of? Castration anxiety in a dental phobia?
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Implosive therapy
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How effective is implosive therapy?
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based on case studies and no evidence for greater effectiveness than traditional exposure (contreversial)
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What is exposure based treatemtn package for alleviating upsetting memories about traumatic experiences?
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EMDR
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What type of waves have to do with EMDR
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Beta (relaxation during eeg)
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What are the stages of emdr therapy?
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1. assessment and prep phase
2. imaginal flooding case 3. imagery with cognitive reprocessing |
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What stage does this relate to in emdr: Client imagines scene, (while thinking about adaptive belief) if SUDS is low and believability is high then therapy is terminated
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step 3. imagery with cognitive restructuring
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What stage does this relate to in emdr: clients id traumatic memory and bodiy sensation
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1. assessment and prep phase
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What stage does this relate to in emdr: client visualizes the traumatic even while tracking finger
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2. imaginal flooding phase
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exposure therapy consists of
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systematic and consistent exposure without the negative consequences occurring
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What is it called when you vividly imagine the event as one does in a daydream
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imaginal exposure
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Who makes verbal descriptions and visual exposure?
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therapist
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What does this refer to: during treatment the client is kept from engaging in the maladaptive avoidance used to reduce anxiety
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Response prevention
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what is systematic desensitization?
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procedure for treatment of anxiety and other negative emotional states where the emotional state (anxiety is apired with a competing response to the emo state)
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What is the process of systematic desensitization
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before even imagining, relax first, then emagine, if begin to feel anxiety, stop and relax again
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What are the steps of systematic des?
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1. training in relaxaion
2. assesssment of fear/anxiety areas toward creation of a graduated order of events according to anxiety level (hierarchy) 3. desensitization phase |
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What is essential and facilitative aspects of systematic desenesitaztion
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repeated exposre to anxiety evoking situations without the experience of negaitive consequences vs. whether conducted in a graduated manner or with competing response
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What is bodily sensations of anxiety rather than to a specific class of events or situations that trigger the anxiety and involves learning a competing coping response to be used at FIRST sign of bodily sensations anxiety
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coping desensitization (coping thoughts, relaxation, coping imagery)
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What's progressive relaxation?
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involves relaxing various skeletal muscle groups (arms, face, neck, shoulders, ches, ab, legs)
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What is interoceptive exposure
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the bodily sensations asociated with panic attacks are artivicially induced while the client visualizes panic, evoking events
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What is the component that teaches clients to sub adaptive cognitions in the place of distorted, illogical, unrealistic, exaggerated, erroneous, or otherwise maladaptive cognitions that are maintaining problem behaviors (by Beck)
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Cognitive Therapy
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What is Ellis' rational emotive behavior therapy
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client learn to id irrational thoughts/beliefs assoicated with problem moods/behaviors and challenge these beliefs and replace them with more rational alternative thoughts
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What are the two themes associated with REBT
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irrational belief thermes and sense of duty obligation
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When the counselor helps the client understand the logical part of their irrational beliefs it is called
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logical disputation
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Automatic thoughts are
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specific maladaptive thoughts about given situations that appear relexively (non consciously) without prior deliberation or reasoning (triggered)
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What is the DEEPER, borad, pervasive, persistent cognitive themes, about self others the world and the future that may stem from childhood experiences and ar efurther reingfreced throughout one's lifetime
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schemas
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what is the term for systematic LOGICAL errors in reasoning that lead to maladaptive automatic (overgeneralization and personalization
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cognitive distortion is an arbitrary inference
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is a type of cognitive bias in which a person quickly draws a conclusion without the requisite evidence.[1] It commonly appears in Aaron Beck's work in cognitive therapy.
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arbitrary inference
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What is a triple column technique?
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thought record; client examines their automatic thoughts in a speific situation for logical errors (cog distortion)
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selective abstraction is
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attending to a detail while ignoring the total context
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What is erroneously attributing an external event to yourself
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personalization
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What is collaborative empiricism?
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procdueure in wih the therapist and client jointly frame the client's dysfuntional beliefs as HYPOTHESIS (not facts) and design homework experiements that the client uses to gather data about the validity of their thoughts
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What are the aspects of collaborative empiricism?
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socratic dialog (guided discovery), triple column technique, generating alternative interpretations, reattribution of responisibility, decastraphization,
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What is the process or stages of REBT
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1 identification (of thoughts)
2. challenge (dispute the rationality of their thoughts) 3. substitution (replace irrational beliefs iwth rational ones) |