
Contents
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5.1. Overview 5.1. Overview
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5.2. Interoceptive Exposure 5.2. Interoceptive Exposure
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5.2.1. Phobic Conditions: Fearing the Cue or Fearing the Cued Fear? 5.2.1. Phobic Conditions: Fearing the Cue or Fearing the Cued Fear?
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5.3. The Case of Anna 5.3. The Case of Anna
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5.3.1. Explaining Anna’s Presenting Problems 5.3.1. Explaining Anna’s Presenting Problems
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5.4. Assessing the Severity and Profile of Interoceptive Fears 5.4. Assessing the Severity and Profile of Interoceptive Fears
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5.5. Interoceptive Exposure Practice 5.5. Interoceptive Exposure Practice
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5.5.1. Generic Approach 5.5.1. Generic Approach
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5.5.2. Personalized Approach 5.5.2. Personalized Approach
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5.5.3. What Is the Patient to Do during Exposure? 5.5.3. What Is the Patient to Do during Exposure?
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5.5.4. Thinking about Interoceptive Exposure Broadly 5.5.4. Thinking about Interoceptive Exposure Broadly
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5.5.5. Progression 5.5.5. Progression
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5.5.6. Attending to Context 5.5.6. Attending to Context
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5.5.7. Attending to Safety Behaviors 5.5.7. Attending to Safety Behaviors
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5.6. Use of Naturalistic Symptom Evocation and Extending Treatment Gains 5.6. Use of Naturalistic Symptom Evocation and Extending Treatment Gains
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5.7. Targeting Fears of Emotions and Related Bodily Sensations across the Disorders 5.7. Targeting Fears of Emotions and Related Bodily Sensations across the Disorders
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5.8. Considering the Prototypical Session and Intervention 5.8. Considering the Prototypical Session and Intervention
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5.9. Troubleshooting Some Nonresponse Traps 5.9. Troubleshooting Some Nonresponse Traps
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5.10. Conclusions 5.10. Conclusions
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5 C5Fear of Emotions and Related Physical Sensations
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Published:July 2019
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Abstract
Chapter 5 provides an overview of fear of emotions and related physical sensations and introduces exposure methods to address the fear of what lies within. This chapter is particularly focused on planning, delivering, and processing in vivo exposures to fear of fear (interoceptive exposure). The chapter describes how to modify the exposures to fit with different patient presentations and across multiple contexts, while fading the use of safety behaviors. Case examples are presented along with methods to avoid traps that can impede improvement. Research shows that relative comfort with the experience of anxiety-related symptoms predicts resilience in a wide range of situations.
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