H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell
{"title":"Therapist Materials for Interoceptive Exposures","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell","doi":"10.1093/med-psych/9780190946425.003.0015","DOIUrl":"https://doi.org/10.1093/med-psych/9780190946425.003.0015","url":null,"abstract":"The session in this chapter focuses on the importance of learning to tolerate physical sensations of emotion and to identify automatic thoughts that accompany physical sensations of emotion. Clients learn this by repeatedly practicing interoceptive exposure exercises (such as hyperventilating and breathing through a thin straw) that stimulate sensations associated with negative emotions. The authors encourage the clinicians leading this treatment to always do the exercises along with their clients. This participation demonstrates the full effort of doing the exercise thoroughly by provoking strong physical sensations in the therapists themselves; models the potential for having a nonthreatening experience of physical sensations; and normalizes the challenge of this exercise. Client avoidance and emotion-driven behaviors are bound to emerge through the course of this session.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124617256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell
{"title":"Therapist Materials for Continuing Progress into the Future","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell","doi":"10.1093/med-psych/9780190946425.003.0017","DOIUrl":"https://doi.org/10.1093/med-psych/9780190946425.003.0017","url":null,"abstract":"The main point of this final session is to review key concepts from this treatment program and to help the client prepare for what comes next. This session looks at relapse prevention and reviews the important takeaway messages of the program. Clients learn a quick method of applying skills when taking action in the future by reviewing an emotion skills action plan and creating their own practice plan. Clients and therapist evaluate client progress and revisit client treatment goals created at the beginning of treatment. Studies on this treatment have shown that clients continue to see additional improvements in their symptoms for up to a full year after completion.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129166958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell
{"title":"The Three Parts of Emotions (3-Component Model)","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell","doi":"10.1093/med-psych/9780190947002.003.0007","DOIUrl":"https://doi.org/10.1093/med-psych/9780190947002.003.0007","url":null,"abstract":"During this session, clients learn about the three components of emotions, which are thoughts, physical sensations, and behaviors/urges. This information is the backbone of the work clients will do to identify their emotions and get ready to change how they approach and experience them. To help clients identify the three parts of an emotional experience, this treatment program uses the 3-Component Model. The three parts interact with one another, and the 3-Component Model uses two-way arrows from each part to the other parts to illustrate how they all affect one another. The EDA form can be useful to identify when strong emotions occurred recently, and the 3-Component Model form is useful to understand and label the thoughts, physical sensations, and behaviors that made up this emotional experience.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125013367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell
{"title":"Tracking Emotions over Time (the “ARC”)","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell","doi":"10.1093/med-psych/9780190947002.003.0008","DOIUrl":"https://doi.org/10.1093/med-psych/9780190947002.003.0008","url":null,"abstract":"The primary goal for this session is for clients to explore and learn how emotional experiences unfold. This allows clients to learn from their emotional experiences and how these experiences can influence their later behaviors and emotions. During this session, clients learn the steps that unfold over time in emotions: antecedent (A, what happened before), response (R, which includes thoughts, physical sensations, and behaviors/urges), and consequence (C, what happens after). Clients learn to look for patterns in their emotional triggers. They also learn to explore short- and long-term consequences of their emotional responses. Form 8.1: The ARC of Emotional Experiences is introduced.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132649183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell
{"title":"Countering Emotion-Driven Behaviors","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell","doi":"10.1093/med-psych/9780190947002.003.0014","DOIUrl":"https://doi.org/10.1093/med-psych/9780190947002.003.0014","url":null,"abstract":"One very important aspect of emotions is that they tell us to act in a certain way or drive certain behaviors. Emotion-driven behaviors (EDBs) are different from emotion avoidance in that EDBs happen in response to an emotion that has been triggered. Avoidance strategies tend to happen before an emotion has had a chance to occur. The same action can be avoidance or an EDB depending on when it takes place in the emotional process. Just like emotion avoidance, EDBs can become powerful habits in maintaining the cycle of emotions when the goal is to get away from the emotion. In this session, clients learn to identify EDBs and when and how these EDBs can become problematic. The homework for this session is to substitute opposite actions in place of problematic EDBs.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133087050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, R. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell
{"title":"Therapist Materials for Automatic Thoughts and Thinking Traps","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, R. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell","doi":"10.1093/med-psych/9780190946425.003.0011","DOIUrl":"https://doi.org/10.1093/med-psych/9780190946425.003.0011","url":null,"abstract":"The session in this chapter covers the concept of automatic thoughts, which are fast, subjective interpretations of the world. Automatic thoughts influence and are influenced by emotion. Clients are often not fully aware of automatic thoughts, and are often not aware of their highly subjective nature. There is more than one possible interpretation of a situation, and the skill of cognitive flexibility involves being able to consider various interpretations. This session also discusses how thinking traps (such as probability overestimation and catastrophizing) influence thoughts to produce more intense negative emotion. Clients are taught to develop greater flexibility in thoughts by learning cognitive reappraisal, which allows them to identify thinking traps and to generate alternative appraisals.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133540785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell
{"title":"Therapist Materials for the Three Parts of Emotions (3-Component Model)","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell","doi":"10.1093/med-psych/9780190946425.003.0007","DOIUrl":"https://doi.org/10.1093/med-psych/9780190946425.003.0007","url":null,"abstract":"The session covered in this chapter looks at the three components of emotions, which are thoughts, physical sensations, and behaviors/urges. These components interact and unfold over time. With regard to thoughts, clients frequently know that they have thoughts, but they have difficulty putting the thoughts into specific words. With regard to physical sensations, clients are often least familiar with thinking about physical sensations as a part of emotion. With regard to behaviors, it is useful to think of urges as well as behaviors, and also to broaden thinking to a wide range of behaviors, including not doing certain things. It is particularly useful to identify the three components of emotion in different, recent situations where they experienced strong emotion or behavioral symptoms, such as binge eating, compensatory behavior, driven exercise, body checking, or skipping a meal.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131926374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell
{"title":"Therapist Materials for Skills for Emotion Exposures","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell","doi":"10.1093/med-psych/9780190946425.003.0016","DOIUrl":"https://doi.org/10.1093/med-psych/9780190946425.003.0016","url":null,"abstract":"The session in this chapter introduces emotion exposures, which involve the planned introduction of a stimulus to provoke habitually avoided emotions in order to reduce avoidance and promote new learning. An emotion exposure can be designed to provoke any emotion, and can be situational or imaginal, in the therapy office or elsewhere. Clients in this treatment program plan emotion exposures for emotions associated with their eating disorder and other emotional issues that are involve patterns of emotional avoidance or suppression. In this session, clients begin filling out a personal emotion exposure hierarchy and learn to identify principles of planning an emotion exposure, as well as how to record before and after exposures.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131296102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell
{"title":"Therapist Materials for Regular Eating","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, Rebecca L. H. Berman, Angela Kaloudis, H. Espel-Huynh, D. R. Franklin, James F. Boswell","doi":"10.1093/med-psych/9780190946425.003.0005","DOIUrl":"https://doi.org/10.1093/med-psych/9780190946425.003.0005","url":null,"abstract":"Chapter 5 is a supplementary session designed for clients who are not receiving frequent, adjunctive treatment focused directly on eating regularly (such as meetings with a dietitian/nutrition counselor, residential treatment, or daily food coaching). Some clients may not require extensive attention to regular eating because they eat regularly already and have other issues. It is important to log eating and to monitor and discuss connections between eating, symptoms, and emotions. In addition to reviewing food logs, this chapter instructs clients on regular eating and helps clients to identify obstacles to regular eating and to develop specific plans to address those obstacles. Clients also learn to identify strategies to delay automatic compulsive eating between regular eating episodes.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116059654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell
{"title":"Eating Disorders and Emotional Disorders","authors":"H. Thompson-Brenner, Melanie T. Smith, Gayle E. Brooks, D. R. Franklin, H. Espel-Huynh, James F. Boswell","doi":"10.1093/med-psych/9780190947002.003.0001","DOIUrl":"https://doi.org/10.1093/med-psych/9780190947002.003.0001","url":null,"abstract":"The goal of this workbook is to change the way clients respond to their emotions when they occur. They will be asked to approach their emotions in a more accepting manner instead of viewing them as something to avoid. Leaning in toward our emotions and responding more effectively to them may be difficult at first, but it will gradually make our emotions more manageable. This introductory chapter describes the types of problems this treatment program (Renfrew Unified Treatment for Eating Disorders and Co-occurring Emotional Disorders) was designed to address. The chapter also explains how eating disorders and other emotional disorders occur together.","PeriodicalId":118106,"journal":{"name":"The Renfrew Unified Treatment for Eating Disorders and Comorbidity","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127240786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}