Basic Science and Clinical Application of the Contrast Avoidance Model in Generalized Anxiety Disorder

被引：21

作者：

Newman, Michelle G. ^{[1
]}

Llera, Sandra J. ^{[2
]}

Erickson, Thane M. ^{[3
]}

Przeworski, Amy ^{[4
]}

机构：

[1] Penn State Univ, Dept Psychol & Psychiat, University Pk, PA 16803 USA

[2] Towson Univ, Dept Psychol, Towson, MD USA

[3] Seattle Pacific Univ, Dept Psychol, Seattle, WA 98119 USA

[4] Case Western Reserve Univ, Dept Psychol, Cleveland, OH 44106 USA

来源：

JOURNAL OF PSYCHOTHERAPY INTEGRATION | 2014年 / 24卷 / 03期

关键词：

experiential avoidance; emotion; generalized anxiety disorder; models of GAD;

D O I：

10.1037/a0037510

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The Contrast Avoidance model (Newman & Llera, 2011) proposes that individuals with generalized anxiety disorder (GAD) are excessively sensitive to negative emotional shifts (contrasts) in response to unpleasant events, and thus recruit a state of sustained intrapersonal negativity via worry as a defensive stance against such shifting states. Here we review the basic science related to environmental, psychological, and biological risk factors in the development of such emotional sensitivities in GAD, and present evidence supporting the position that worry and maladaptive interpersonal styles are employed as defensive strategies to protect against emotional contrasts. We present 2 case examples to elucidate these issues, as well as to introduce specific clinical recommendations for targeting and treating these behaviors. Suggestions for future avenues of research are also discussed.

引用

页码：155 / 167

页数：13

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