Habituation during exposure treatment: Distraction vs attention-focusing

Grayson, Jonathan B.; Foa, Edna B.; Steketee, Gail

doi:10.1016/0005-7967(82)90091-2

Cited by 180 publications

(89 citation statements)

References 13 publications

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“…Three of the five studies were randomized (Kircanski et al, 2012;Grayson et al, 1982Grayson et al, , 1986, one controlled, non-randomized (Rabavilas et al, 1979) and one open study (Kozak et al, 1988). Rabavilas et al (1979) investigated the difference in treatment response between 6 obsessed OCD personality patients and 6 nonobsessed personality OCD patients.…”

Section: Obsessive-compulsive Disorder (Ocd)mentioning

confidence: 99%

Listening to the heart: A meta-analysis of cognitive behavior therapy impact on the heart rate of patients with anxiety disorders

Gonçalves

Rodrigues

Novaes

et al. 2015

Journal of Affective Disorders

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Section: Obsessive-compulsive Disorder (Ocd)mentioning

confidence: 99%

Listening to the heart: A meta-analysis of cognitive behavior therapy impact on the heart rate of patients with anxiety disorders

Gonçalves

Rodrigues

Novaes

et al. 2015

Journal of Affective Disorders

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“…Empirical support for this prediction is equivocal. Grayson et al (1982) found that distracted exposure resulted in greater fear retention at the start of the second session than focused exposure. In a later study Grayson et al (1986) found equal fear retention but greater within-session fear decrement with distracted exposure.…”

Section: Does Emdr Work By Means Of Habituation?mentioning

confidence: 90%

“…Procedures in which clients' attention is diverted away from the details of the feared stimulus are thought to reduce habituation rates. Investigation of this dimension of exposure has yielded mixed results (Craske, Street, & Barlow, 1989;Grayson, Foa, & Steketee, 1982Rodriguez & Craske, 1993).…”

Section: The Emotional Processing Modelmentioning

confidence: 99%

Is EMDR an exposure therapy? A review of trauma protocols

Rogers

Silver

2001

J Clin Psychol

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This article presents the well established theoretical base and clinical practice of exposure therapy for trauma. Necessary requirements for positive treatment results and contraindicated procedures are reviewed. EMDR is contrasted with these requirements and procedures. By the definitions and clinical practice of exposure therapy, the classification of EMDR poses some problems. As seen from the exposure therapy paradigm, its lack of physiological habituation and use of spontaneous association should result in negligible or negative effects rather than the well researched positive outcomes. Possible reasons for the effectiveness of EMDR are discussed, ranging from the fundamental nature of trauma reactions to the nonexposure mechanisms utilized in information processing models.

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“…At the same time, however, the paradoxical consequences of obsessive-compulsive disorder -temporary relief from anxiety and the ironic rebound of returning anxiety -suggest that attentional distraction could be detrimental in the long-run. For example, other research has shown that distraction techniques can lead to decreased subjective anxiety but elevated physiological arousal (Grayson, Foa, & Stekettee, 1986;Grayson, Foa, & Steketee, 1982). It could be the case that distraction is only effective up to a certain point and is unable to dampen the automatic physiology of experienced anxious arousal.…”

Section: Emotion Regulationmentioning

confidence: 99%