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SW 8350
Marla K. Ruhana, LMSW
School of Social Work
about.
Avoidance of the anxiety-provoking object perpetuates
anxiety.
By confronting the feared object through exposure one
learns that facing the feared object is not catastrophic.
Thus, the fear is overcome.
(Cormier et al.,
relaxation.
Exposure Strategies
Imaginal, in-vivo (live), in-vitro (in the office through role play)
http://www.youtube.com/watch?v=wE5F-FjbTRk
http://www.youtube.com/watch?v=GNBG0VdZvXg
Graduated exposure (gradual, hierarchical progression)
Flooding (full, intense and prolonged exposure in-vivo exposure
Implosive (full, intense & prolonged exposure imaginal
exposure
that the client does not leave the office in a high state of
anxiety
Anxiety must be associated with a specific &
Systematic Desensitization
A form of behavior therapy developed by Dr. Joseph Wolpe.
Based on the Pavlovian theory of Classical Conditioning
provoking.
Pairing relaxation with exposure to the feared stimulus until such
stimulus no longer elicits anxiety/fear.
aim is:
To inhibit a response (i.e. anxiety) by creating another response
Systematic Desensitization
Preparation - Pre-scene presentation:
Discuss the rationale for the intervention.
Identify the specific anxiety-provoking situation or event.
Test clients capacity for imagery.
Build a hierarchy (10 to 15 scenes) from least anxious to most
anxious.
Write them down.
2.
3.
4.
The helper describes the pre-determined scene and asks the client to get
into it. The client signals when he/she is into the scene
6.
there. I see his car and realize that today is the day that
I will ask the boss for a raise (75).