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- W1969988051 abstract "IN THIS excerpt from a supervisory session several points should be noted. In the first place, although the student had already treated the patient's fear of driving with notable success, she nonetheless, because of her earlier psychoanalytic orientation, leapt at speculative hypotheses when the patient suffered a setback dunng her efforts at treating his claustrophobia. These hypotheses were put forward as ~f principle, not because the circumstances of the setback pointed to them. In fact, the setback closely followed locking the patient in the trunk of a car as a therapeutic measure. It was this, evoking considerable anxiety, that was the starting point for a reconditioning of both claustrophobic anxiety and pervasive anxiety. Another point is that the enclosure m the car trunk was brief. Brief strong anxiety stimuli often increase anxiety-conditioning; while prolonged exposure (flooding) can be beneficial, paradoxical as it may seem. However, this is not a matter on which it is at present possible to generalize. Flooding is not always effective. There is much to be learned about the necessary conditions for it to succeed. Clinical experience, both in the Behavior Therapy Umt and elsewhere, indicates that it is probably wise to present the flooding stimulus in the first place at an intermediate intensity. Research at Oxford (Gelder, 1972) suggests that prolonged weak anxiety arousal may be optimal. The immediate effect of the patient's enclosement in the trunk was a high level of anxiety. Thin subsided and then built up again in the course of a few days, probably on the basis of cognitwe reminiscence of the experience. Anxiety conditioning, due to anxiety evoked by imagined stimuli is a common phenomenon that is hardly ever mentioned." @default.
- W1969988051 created "2016-06-24" @default.
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- W1969988051 date "1972-12-01" @default.
- W1969988051 modified "2023-09-24" @default.
- W1969988051 title "Supervision transcripts: III—Some problems in a claustrophobic case" @default.
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- W1969988051 doi "https://doi.org/10.1016/0005-7916(72)90053-5" @default.
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