Direct therapeutic exposure
Direct therapeutic exposure (DTE) is a behavior therapy technique pioneered by Patrick A. Boudewyns, where stressors are vividly and safely confronted to help combat veterans, and patients with posttraumatic stress disorder (PTSD), panic disorder, or phobias. Exposure therapy has supporting evidence with both simple and complex traumas.[1] A similar therapy is Eye Movement Desensitization and Reprocessing (EMDR). First known publication in book form is Flooding and Implosive Therapy: Direct Therapeutic Exposure in Clinical Practice by Patrick A. Boudewyns, Robert H. Shipley. 1983. ISBN 0-306-41155-5.
It is not uncommon to combine DTE treatment with other therapies.
Use
Direct exposure has been used with a variety of populations including agoraphobia[2] and chronic PTSD[3] It involves as the name applies placing the client either real or imaginally in the feared situation.
See also
Other techniques for treating PTSD:
- Cognitive behavior therapy
- Emotionally focused therapy
- Expressive therapy
- Family therapy
- Outward Bound
- Prolonged exposure therapy
- Psychodynamic psychotherapy
References
- ^ Baschnagel, J.S., Coffey, S.F., and Rash, C.J. (2006). The Treatment of Co-Occurring PTSD and Substance Use Disorders Using Trauma-Focused Exposure Therapy. IJBCT 2(4), 498-508. BAO
- ^ Katherine Porter, Carole Porcari, Ellen I. Koc, Courtney Fons and C. Richard Spates (2006): In vivo Exposure Treatment For Agoraphobia. The Behavior Analyst Today, 7(3) 434 -445. [1]
- ^ Afsoon Eftekhari, Lisa R. Stines and Lori A. Zoellner (2005): Do You Need To Talk About It? Prolonged Exposure for the Treatment of Chronic PTSD. The Behavior Analyst Today, 7(1), 70- 84 [2]
Further reading
- Boudewyns, P.A. & Hyer, L. (1990). "Physiological Response to Combat Memories and Preliminary Treatment Outcome in Vietnam Veteran PTSD patients treated with Direct Therapeutic Exposure." Behavior Therapy, 21, 63–87.
External links
- A Review of Alternative Approaches to the Treatment of Post Traumatic Sequelae
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- Acceptance and commitment therapy
- Behavior therapy
- Behavioral activation
- Cognitive analytic therapy
- Cognitive behavioral analysis system of psychotherapy
- Cognitive therapy
- Community reinforcement approach and family training
- Compassion-focused therapy
- Contingency management
- Desensitization / Exposure therapy
- Direct therapeutic exposure
- Exposure and response prevention
- Flooding
- Prolonged exposure therapy
- Systematic desensitization
- Dialectical behavior therapy
- Functional analytic psychotherapy
- Habit reversal training
- Inference-based therapy
- Metacognitive therapy
- Method of levels
- Mindfulness-based cognitive therapy
- Multimodal therapy
- Rational emotive behavior therapy
- Reality therapy
- Relapse prevention
- Schema therapy
- Self-control therapy
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