The Role of Symptom Induction in the Treatment of Panic and Anxiety

Autor: Thomas E. Joiner, M D Rudd
Rok vydání: 1998
Předmět:
Zdroj: Behavior Modification. 22:96-107
ISSN: 1552-4167
0145-4455
DOI: 10.1177/01454455980221006
Popis: Although the importance of affectively charged material in the treatment of panic and anxiety has been emphasized and implicitly viewed as essential for effective therapeutic change, a general framework for organizing, understanding, implementing, and evaluating symptom induction techniques has yet to be offered. This article offers a framework for organizing symptom induction techniques, categorizing treatment targets, and, accordingly, assessing therapeutic change in the treatment of panic and anxiety. Symptom induction techniques are examined in three exposure domains: physiological, cognitive, and situational/circumstantial; treatment targets fall into five categories: (a) poor symptom tolerance and r:!sultant hypersensitivity and hypervigilance, (b) avoidance of internal and external triggers, (z) the emergence of specific catastrophic thoughts and related misinterpretations, (d) diminished adaptive coping skills, and (e) a reduction in general self-efficacy. Additionally, a distinction is proposed between conditional and unconditional properties of symptom induction, with an emphasis on the potential deleterious role conditional properties play during the course of t-eatment.
Databáze: OpenAIRE