Anti-Expectation Techniques can be used in two major ways: to directly deal with symptoms or to circumvent resistance and facilitate therapy within any theoretical framework.It may well be that the chief value of AntiExpectation Techniques,with regard to combating symptoms, lies in their giving the patient a clear feeling that self-control can be exerted over behavior and problems.
There are a variety of other ideas expressed within the psychotherapy literature that are consistent with this approach.Behavior therapists have sometimes advocated the method of “negative practice,” which involves having patients repeat again and again undesirable habits they are trying to break. A number of papers have described successful treatment of tics with this procedure. Similarly, the behavioral technique labeled “emotional flooding” involves the repeated presentation of anxiety-arousing stimuli until anxiety is extinguished. Implosive Therapy, as described by Stampfl and Levis, also involves a very similar behavioral approach based on psychoanalytic theorizing. They use the patients’ own imagery to expose them to the most intense anxiety-eliciting stimuli the therapists can devise based on their theoretical understanding of the case. Again the expectation is that continuous exposure to such a stimulus without harmful consequences would cause it to lose all power to elicit anxiety.
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