期刊
COGNITIVE AND BEHAVIORAL PRACTICE
卷 26, 期 1, 页码 130-142出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.cbpra.2018.04.003
关键词
inhibitory learning; habituation; misophonia; exposure therapy; distress tolerance
Recent findings have led to a reconceptualization of the mechanisms that account for the efficacy of exposure-based treatments. Termed the inhibitory learning model, this approach emphasizes new learning when confronted with previously avoided stimuli rather than merely the cessation of fear or aversive emotional responding. In this paper, we propose the applicability of the inhibitory learning model for conditions and contexts in which simple exposure does not produce habituation. We illustrate this application from an in-progress randomized controlled treatment trial for adults with misophonia. Misophonia is a condition marked by strong aversive reactions to specific sounds. It is a difficult to treat and understudied syndrome. All participants in the trial received exposure, either before or after a stress management module of treatment. Exposure treatment emphasized altered expectancies for the target sounds as well as deliberate practice in hearing sounds on the individually developed hierarchy. Inhibitory learning strategies were employed to increase treatment adherence and commitment, shape patient behavior during exposures, manufacture negative prediction errors, increase perceived control over reactions, and promote learning that generalized to functional improvements. The findings are discussed in the context of future applications of the inhibitory learning model for psychopathology associated with avoidance.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据