By David A. Clark PhD, Aaron T. Beck MD
Updating and reformulating Aaron T. Beck’s pioneering cognitive version of hysteria problems, this groundbreaking paintings is either authoritative and hugely sensible. The authors synthesize the newest pondering and empirical info on anxiousness remedy and supply step by step guide in cognitive evaluate, case formula, cognitive restructuring, and behavioral intervention. they supply evidence-based mini-manuals for treating the 5 most typical anxiousness issues: panic sickness, social phobia, generalized anxiousness illness, obsessive–compulsive sickness, and posttraumatic rigidity affliction. straightforward positive factors contain vibrant case examples, concise “Clinician directions” that strengthen key issues, and over 3 dozen reproducible handouts and types. (20100401)
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Extra resources for Cognitive Therapy of Anxiety Disorders: Science and Practice
Conscious Cognitive Processes Can Alter Fear Responses Öhman and Mineka (2001) contend that the fear module is impenetrable to conscious cognitive control. However, this view is difficult to reconcile with empirical evidence that cognitive or informational factors can lead to a reduction in fear (see discussion by Brewin, 1988). Even with exposure-based interventions, which are directly derived from conditioning theory, there is evidence that long-term habituation of fear responses requires conscious directed attention and processing of the fear-relevant information (Foa & Kozak, 1986).
The second pathway involves transmission of fear stimulus information from the sensory thalamus through the sensory cortex and on to the lateral nucleus. Within the amygdala region the lateral nucleus, which receives inputs in fear conditioning, innervates the central nucleus that is responsible for the expression of the conditioned fear response (see also Davis, 1998). 1 illustrates the two parallel pathways of LeDoux’s conditioned fear reaction system. LeDoux (1996) draws a number of implications from his dual pathway of fear.
The level or intensity of anxiety can be expressed in the following manner: High Anxiety = ↑ threat probability/severity + ↓ coping and safety Low Anxiety = ↓ threat probability/severity + ↑ coping and safety Moderate Anxiety = ↔ threat probability/severity + ↔ coping and safety Beck and Greenberg (1988) noted that the perception of danger sets off an “alarm system” involving primal behavioral, physiological, and cognitive processes that evolved to protect our species from physical harm and danger (see also Beck, 1985).
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