Assessing therapist reservations about exposure therapy for anxiety disorders: The Therapist Beliefs about Exposure Scale

Deacon, Brett J.; Farrell, Nicholas R.; Kemp, Joshua J.; Dixon, Laura; Sy, Jennifer T.; Zhang, Annie R.; McGrath, Patrick B.

doi:10.1016/j.janxdis.2013.04.006

Cited by 204 publications

(226 citation statements)

References 33 publications

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“…‘going crazy’ or not being able to function normally (de Kleine, Hendriks, Becker, Broekman, & van Minnen, 2017; Foa & Kozak, 1986). Therapists’ fears include the fear that patients may deteriorate as a result of the emotions evoked by the trauma-focused sessions or that TFT might harm patients (Becker et al, 2004; Deacon et al, 2013; Grimmett & Galvin, 2015). An interesting study in this regard showed that (novice) therapists showed high levels of stress, both physiologically (cortisol) and psychologically, at the beginning of an exposure in vivo session with an anxiety-disordered patient, and these stress levels decreased both within and across three exposure sessions (Schumacher, Betzler, Miller, Kirschbaum, & Ströhle, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, in several studies it has been shown that training resulted in fewer beliefs about the potential harmful effects of exposure therapy (Deacon et al, 2013; Harned et al, 2014; Ruzek et al, 2016; van den Berg et al, 2016) or EMDR (D. Farrell & Keenan, 2013), but it is unclear whether these more positive beliefs indeed translate to more (adequate) use of these treatments (Gray, Elhai, & Schmidt, 2007). In addition, following on from this training, therapists may need support or supervision so that the need for exposure to their own feared situations, i.e.…”

Section: Introductionmentioning

confidence: 99%

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Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder

Minnen

Hendriks

Kleine

et al. 2018

European Journal of Psychotraumatology

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Background: Trauma-focused treatments (TFTs) for patients with post-traumatic stress disorder (PTSD) are highly effective, yet underused by therapists.Objective: To describe a new way of implementing (adequate use of) TFTs, using a therapist rotation model in which one patient is treated by several therapists.Method: In this article, we will present two examples of working with therapist rotation teams in two treatment settings for TFT of PTSD patients. We explore the experiences with this model from both a therapist and a patient perspective.Results: Our findings were promising in that they suggested that this novel approach reduced the therapists’ fear of providing TFT to PTSD patients, increased perceived readiness for TFT, and decreased avoidance behaviour within TFT sessions, possibly leading to better implementation of TFT. In addition, the therapeutic relationship as rated by patients was good, even by patients with insecure attachment styles.Conclusions: We suggest that therapist rotation is a promising novel approach to improve implementation of TFT for PTSD.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder

Minnen

Hendriks

Kleine

et al. 2018

European Journal of Psychotraumatology

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“…There are a number of possible explanations for this finding. Perhaps supervisors are aware that anxious therapists tend to focus on immediate patient comfort to the exclusion of more changeoriented methods (Deacon et al, 2013). Therefore, supervisors might be particularly reluctant to push anxious therapists towards more anxiety-evoking aspects of therapy (e.g., behavioural techniques).…”

Section: Discussionmentioning

confidence: 99%

“…Such reluctance would parallel the reluctance of therapists themselves in delivering such techniques to anxious patients (e.g., Deacon et al, 2013). However, the impact of gender on supervision is a relative unknown.…”

Section: An Experimental Study Of the Role Of Therapist Gender And Anmentioning

confidence: 99%

Supervision for treatment of depression: An experimental study of the role of therapist gender and anxiety

Simpson-Southward

Waller

Hardy

2016

Behaviour Research and Therapy

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request.

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“…Los clínicos en el centro con una mayor identificación promedio con la TCC estuvieron significativamente más dispuestos a usar una nueva intervención desarrollada por los investigadores (p <.05), adoptar una nueva práctica que es diferente de su práctica actual (p <.05) y adoptar una nueva EbP si fue requerida por su organización (p <.05) o supervisor (p <.01). Los clínicos del centro más psicodinámico/feminista ratificaron las actitudes negativas (p <.05) hacia la exposición en la Therapist beliefs about Exposure Scale (TbES, Deacon et al, 2013). El nivel de identificación con la TCC se asoció con creencias más positivas respecto de la exposición (r = .28).…”

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The Intersection of Implementing Evidence-Based Psychotherapy and Practice-Oriented Research

2018

RACP

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Resumen Los programas residenciales y otros programas de tratamiento intensivo para los trastornos alimentarios (TAs) por lo general no utilizan intervenciones basadas en evidencia coordinadas a través de ele Abstract Residential and other intensive treatment programs for eating disorders (EDs) do not commonly utilize evidence-based interventions coordinated across multi-modal treatment elements. In addition, there is a pressing need to learn more about effective (and ineffective) evidence-based intervention implementation processes and outcomes in service delivery organizations. This ongoing diverse mental health care stakeholder practice-oriented research (POR) "case study" describes the implementation of evidence-based psychotherapy for severe EDs and co-occurring emotional dis

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Assessing therapist reservations about exposure therapy for anxiety disorders: The Therapist Beliefs about Exposure Scale

Cited by 204 publications

References 33 publications

Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder

Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder

Supervision for treatment of depression: An experimental study of the role of therapist gender and anxiety

The Intersection of Implementing Evidence-Based Psychotherapy and Practice-Oriented Research

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