CHANGE strategies: EXPOSURE TO EMOTIONS

1 Orient client 2 select an appropriate situation 3 expose while preventing

escape/avoidance 4 exposure aims to give control over

aversives 5 during exposure give choice 6 validate pain and reinforce success

Orient client Explain why exposure needed How it works Obtain consent Give choice Give client ultimate control Proceed quickly if possible to next step

CHANGE strategies: EXPOSURE TO EMOTIONS

2 select an appropriate situation: E.G. ‘unwarranted’ emotion Try to create a matching situation ensure exposure (be aware of and

reduce SAFETY BEHAVIOURS) behaviour analysis and contingency

management can themselves be viewed as providing exposure.

CHANGE strategies: EXPOSURE TO EMOTIONS

3 expose while preventing escape/avoidance

Block action tendencies, eg avoidance, anger

Change expressive tendencies to physically expressed emotion different from cued emotion, eg anger, half smile

CHANGE strategies: EXPOSURE TO EMOTIONS

4 exposure aims to Enhance control over aversives

5 before and during exposure Give the client some control over

what’s done and how it’s done

CHANGE strategies: EXPOSURE TO EMOTIONS

6 after exposure

Validate client's difficulty Reinforce client's success