1. |
- Folke, Fredrik, et al.
(author)
-
Exposure and response prevention in the treatment of body dysmorphic disorder : A case series
- 2012
-
In: Pragmatic Case Studies in Psychotherapy. - : National Register of Health Service Psychologists. - 1553-0124. ; 8:4, s. 255-287
-
Journal article (peer-reviewed)abstract
- This case study investigates the effect of exposure and response prevention in relation to other components present in behavioral therapy for Body Dysmorphic Disorder (BDD). Treatment components were added one at a time in four consecutive phases: A1) Self-Monitoring; B) Therapist Contact; C) Exposure and Response Prevention (ERP); and, A2) Renewed Self-Monitoring. Client assessment involved (a) a daily self-report diary of BDD symptoms throughout treatment and (b) periodic completion of standardized self-report measures tapping BDD symptoms and related symptoms of depression and global functioning. In all, six clients participated in the study. Three clients (Ms. A, Ms. B, and Ms. C) made large or relatively large improvements in their daily self-reported BDD symptoms during the exposure and response prevention treatment phase. A fourth client (Mr. D) did not make such an improvement during this phase, but made overall progress over the course of treatment. All four of these clients achieved statistically significant improvement over baseline on the standardized BDD measure. One client (Ms. E) dropped out of treatment during the ERP phase, and one (Ms. F) chose not to proceed to the ERP phase after receiving education about it. The results indicate that beneficial effects of treatment occurred during the ERP phase for three of the clients, and thus suggest that this component should, in spite of clients’ almost reflexive, initial skepticism, be considered essential in the behavioral treatment of Body Dysmorphic Disorder. The variety of reactions of the different clients to the treatments is documented and discussed, along with an analysis of the factors that differentiated those clients who found the ERP phase helpful and those who did not.
|
|
2. |
- Ramnerö, Jonas, et al.
(author)
-
Exposure Therapy : What Is It That We Are Selling?
- 2012
-
In: Pragmatic Case Studies in Psychotherapy. - : National Register of Health Service Psychologists. - 1553-0124. ; 8:4, s. 296-301
-
Journal article (peer-reviewed)abstract
- This discussion is a response to Muller and Schultz’s (2012) thoughtful commentary on our case series on treating Body Dysmorphic Disorder (BDD) in this issue of the Pragmatic Case Studies in Psychotherapy. We join Muller and Schultz in their dedication to exposure treatment. We elaborate on their perceptive comments on what exposure is, and how it is presented, applied, and implemented most effectively, in the context of BDD specifically. We conclude by briefly exploring some of the complexities of the theory underlying exposure therapy.
|
|