Samenvatting
Vastgesteld wordt dat er, ondanks de aangetoonde effectiviteit van imaginaire exposure nog geen definitieve interventie bestaat voor de behandeling van traumagerelateerde problematiek. Vervolgens wordt vastgesteld dat habituatie, het mechanisme dat volgens Foa en Kozak verantwoordelijk is voor de werking van imaginaire exposure, waarschijnlijk niet het enige mechanisme is dat kan worden afgeleid uit de huidige psychologische theorieën over emotie. Omdat dergelijke theorieën wel beloftes lijken in te houden voor het ontwikkelen van nieuwe effectieve interventies bij psychotrauma, wordt de bioinformatie theorie toegelicht van P.J. Lang. Vanuit deze theoretische opvattingen worden vervolgens twee varianten voorgesteld van een procedure die contra-conditionering van de UCS-representatie wordt genoemd. In de discussie wordt ingegaan op de klinische status van de procedure.
Abstract
While imaginal exposure is considered an effective intervention in the treatment of traumarelated problems, there still is no definitive cure for these disorders. It is concluded that habituation, the mechanism that according to Foa and Kozak is responsible for the efficacy of prolongued imaginal exposure, is not the only mechanism that can be derived from modern psychological theories of emotion. Because such theories seem to be worthwhile in the conception of new effective psychological interventions for psychotrauma, the theorie of Lang is amplified. Two examples of an intervention called ‘counterconditioning of the UCS-representation’ are explained. This intervention is inspired by Langs theory. The discussion elaborates on the clinical status of the intervention.
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Dr. C.W. Korrelboom, psycholoog, psychotherapeut, RIAGG Westhage, Verhulstplein 14, 2517 SC Den Haag
Drs. E. Ten Broeke, vrijgevestigd psycholoog/psychotherapeut.
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Korrelboom, K., Broeke, E.t. Trauma, geheugen en contra-conditionering van UCS-representatie. DITH 18, 77–86 (1998). https://doi.org/10.1007/BF03060194
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DOI: https://doi.org/10.1007/BF03060194