Behavioral techniques to reduce relapse after exposure therapy: applications of studies of experimental extinction

Laborda, Mario A., McConnell, Bridget L., and Miller, Ralph R. (2011) Behavioral techniques to reduce relapse after exposure therapy: applications of studies of experimental extinction. In: Schachtman, Todd R., and Reilly, Steve, (eds.) Associative Learning and Conditioning Theory: human and non-human applications. Oxford University Press, New York, NY, USA, pp. 79-103.

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Pavlovian phenomena have long served as models for the etiology, treatment, and relapse from treatment of diverse disorders (e.g., phobias, addictions). Here we briefly review Pavlovian conditioning models of anxiety disorders, experimental extinction models of exposure therapy, and recovery from extinction models of relapse following exposure therapy. We then focus on how research on experimental extinction has led to the development of specific behavioral techniques to reduce recovery from extinction and hence relapse from exposure therapy. These techniques include conducting extinction treatment in multiple contexts, giving a massive amount of extinciton, increasing the time between extinction trials and between extinction sessions, administering extinction in the presence of a second excitor, and testing in the presence of a retrieval cue from extinction. It is concluded that these behavioral techniques, all of which were discovered in the experimental laboratory, are potent and important tools to be considered by psychotherapists trying to make their patients less susceptible to relapse.

Item ID: 44868
Item Type: Book Chapter (Research - B1)
ISBN: 978-0-19-973596-9
Keywords: relapse, associative learning, exposure therapy, extinction, Pavlovian conditioning, renewal, spontaneous recovery, relapse
Funders: National Institute of Mental Health (NIMH)
Projects and Grants: NIMH Grant 33881
Date Deposited: 13 Oct 2016 23:56
FoR Codes: 17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology @ 50%
17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified @ 50%
SEO Codes: 97 EXPANDING KNOWLEDGE > 970117 Expanding Knowledge in Psychology and Cognitive Sciences @ 70%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 30%
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