Abstract
Cognitive-behavioral, psychodynamic, and experiential approaches have historically been characterized by differing definitions of emotions and beliefs concerning their role in psychopathological process and treatment. However, given recent advances in the basic psychological sciences of emotion and emotion regulation, theoretical orientations are converging on similar viewpoints as to the functional role of emotions in conceptualizing and treating of a variety of disorders. One such area where emotions and their regulation may play a significant role is in chronic, complex, and treatment-resistant forms of anxiety disorders such as generalized anxiety disorder (GAD). A review of the historical approaches to emotions in the major theoretical orientations is presented. Following this, a model of emotion disruption and dysregulation is presented as it relates to anxiety disorders and GAD, in particular. Finally, a new treatment for GAD, emotion regulation therapy, aimed at ameliorating dysfunctional affective processes, is described.
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References
Bandura, A. (1971). Analysis of modeling processes. In A. Bandura (Ed.), Psychological modeling (pp. 1–62). Chicago, IL: Aldine-Atherton.
Barlow, D.H. (2002). Anxiety and its disorders (2nd ed.). New York: Guilford Press.
Beck, A.T., Emery, G., & Greenberg, R.L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.
Beck, J.S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.
Bernstein, D.A., Borkovec, T.D., & Hazlett-Stevens, H. (2000). New directions in progressive relaxation training: A guidebook for helping professionals. Westport, CT: Praeger Publishers.
Bonnano, G. (2001). Self-regulation of emotions. In T.J. Mayne & G. Bonnano (Eds.), Emotions: Current issues and future directions (pp. 251–285). New York: Guilford Press.
Borkovec, T.D., Alcaine, O., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R.G. Heimberg, C.L. Turk, & D.S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77–108). New York: Guilford Press.
Borkovec, T.D., & Ruscio, A.M. (2001). Psychotherapy for generalized anxiety disorder. Journal of Clinical Psychiatry, 62, 37–42.
Bowlby, J. (1969). Attachment and loss. Vol. 1: Attachment. New York: Basic Books.
Crits-Christoph, P., Connolly Gibbons, M.B., & Crits-Christoph, K. (2004). Supportive-expressive psychodynamic therapy. In R.G. Heimberg, C.L. Turk, & D.S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 293–319). New York: Guilford Press.
Davenloo, H. (Ed.). (1980). Short-term dynamic psychotherapy. New York: Jason Aronson.
Dugas, M.J. (2000). Generalized anxiety disorder publications: So where do we stand? Journal of Anxiety Disorders, 14, 31–40.
Efran, J.S., Lukens, M.D., & Lukens, R.J. (1990). Language, structure, and change. New York: Norton.
Eifert, G.H., & Forsyth, J.P. (2005) Acceptance and Commitment Therapy for anxiety disorders: A practitioner’s treatment guide to using mindfulness, acceptance, and values-based behavior change strategies. Oakland, CA: New Harbinger.
Ekman, P., & Davidson, R. J. (Eds.). (1994). The nature of emotion: Fundamental questions. New York: Oxford University Press.
Epstein, S. (1994). Integration of the cognitive and psychodynamic unconscious. American Psychologist, 49, 709–724.
Erikson, E.H. (1950). Childhood and society. New York: Norton.
Foa, E.B., & Kozak, M.J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.
Fosha, D. (2000). The transforming power of affect: A model for accelerated change. New York: Basic Books.
Freud, S. (1912/1959). The dynamics of transference. In J. Riviere (Ed.), Collected papers (Vol. 2). New York: Basic Books.
Frijda, N.H. (1986). The emotions. London, England: Cambridge University Press.
Gardner, H. (1985). The mind’s new science: A history of the cognitive revolution. New York: Basic Books.
Gendlin, E.T. (1996). Focusing-oriented psychotherapy: A manual of the experiential method. New York: Guilford Press.
Goldfried, M.R., Castonguay, L.G., Hayes, A.M., Drozd, J.F., & Shapiro, D.A. (1997). A comparative analyisis of the therapeutic focus in cogntive-behavioral and psychodynamic-interpersonal sessions. Journal of Consulting and Clinical Psychology, 65, 740–748.
Greenberg, J.R., & Mitchell, S.A. (1983). Object relations in psychoanalytic theory. Cambridge, MA: Harvard University Press.
Greenberg, L.S. (2002). Emotion-focused therapy: Coaching clients to work through their feelings. Washington, DC: APA.
Greenberg, L.S., & Safran, J.D. (1987). Emotion in psychotherapy: Affect, cognition, and the process of change. New York: Guilford Press.
Greenberg, L.S., & Van Balen, R. (1998). The theory of experience-centered therapies. In L.S. Greenberg, J.C. Watson, & G. Lietaer (Eds.), Handbook of Experiential Therapy (pp. 28–57). New York: Guilford Press.
Gross, J.J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299.
Gross, J.J., & Muñoz, R.F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151–164.
Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Holaway, R.M., Mennin, D.S., Fresco, D.M., & Heimberg, R.G. (2004, May). The relationship of four higher order emotion factors to anxiety and mood psychopathology. Poster presented at the annual meeting of the American Psychological Society, Chicago, IL.
Jung, C.G. (1946). Psychological types. In H. Read, M. Fordham, & G. Adler (Eds.), The collected works of C.G. Jung (Vol. 6). New York: Pantheon.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta.
Kessler, R., Walters, E.E., & Wittchen, H.U. (2004). The epidemiology of generalized anxiety disorder. In R.G. Heimberg, C.L. Turk, & D.S. Mennin (Eds.), Generalized anxiety disorder: advances in research and practice (pp. 29–50). New York: Guilford Press.
Kring, A.M., & Bachorowski, J. (1999). Emotion and psychopathology. Cognition and Emotion, 13, 575–599.
Lang, P.J. (1985). The cognitive psychophysiology of emotion: Fear and anxiety. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders (pp.131–170). Hillsdale, NJ, Erlbaum.
Lazarus, R.S. (1991). Emotion and adaptation. New York: Oxford University Press.
Leahy, R. (2002). Improving homework compliance in the treatment of generalized anxiety disorder. Journal of Clinical Psychology, 58, 499–511.
LeDoux, J.E. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York: Simon & Schuster.
Linehan, M.M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Lopes, P.N., Brackett, M.A., Nezlek, J.B., Schütz, A., Sellin, I., & Salovey, P. (2004). Emotional intelligence and social interaction. Personality and Social Psychology Bulletin, 30, 1018–1034.
Luborsky, L. (1984). Principles of psychoanalytic psychotherapy: A manual for supportive-expressive treatment. New York: Basic Books.
Malan, D.M. (1976). The frontier of brief psychotherapy. New York: Plenum Press.
May, R. (Ed.). (1960). Existential psychotherapy. New York: Random House.
Mayer, J.D., Salovey, P., & Caruso, D. (in press). Emotional intelligence: Theory, findings, and implications. Psychological Inquiry.
McCullough, L., Kuhn, N., Andrews, S., Kaplan, A., Wolf, J., & Hurley, C.L. (2003). Treating affect phobia: A manual for short-term dynamic psychotherapy. New York: Guilford Press.
Mennin, D.S. (2004). Emotion regulation therapy for generalized anxiety disorder. Clinical Psychology and Psychotherapy, 11, 17–29.
Mennin, D.S., Heimberg, R.G., Turk, C.L., & Fresco, D.M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9, 85–90.
Mennin, D.S., Heimberg, R.G., Turk, C.L., & Fresco, D.M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research, and Therapy, 43, 1281–1310.
Mennin, D.S., Turk, C.L., Heimberg, R.G., & Carmin, C.N. (2004). Focusing on the regulation of emotion: A new direction for conceptualizing and treating generalized anxiety disorder. In M. A. Reinecke & D. A. Clark (Eds.), Cognitive therapy over the lifespan: Evidence and practice (pp. 60–89). New York: Cambridge University Press.
Neisser, U. (1967). Cognitive psychology. New York: Appleton-Century-Crofts.
Newman, M.G. (2000). Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example. Journal of Consulting and Clinical Psychology, 68, 549–555.
Newman, M.G., Castonguay, L.G., Borkovec, T.D., & Molnar, C. (2004). Integrative therapy for generalized anxiety disorder. In R.G. Heimberg, C.L. Turk, & D.S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 320–350). New York: Guilford Press.
Orsillo, S.M., Roemer, L., Block Lerner, J., & Tull, M.T. (2004). Acceptance, mindfulness, and CBT: Comparisons, contrasts and application to anxiety. In S.C. Hayes, V.M. Follette, & M.M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press.
Pennebaker, J.W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162–166.
Perls, F.S. (1969). Gestalt Therapy Verbatim. Lafayette, CA: Real People Press.
Pos, A.E., Greenberg, L.S., Goldman, R., & Korman, L. (2003). Emotional processing during experiential treatment. Journal of Consulting and Clinical Psychology, 71, 1007–1016.
Pritchard, M.S. (1976). On taking emotions seriously: A critique of B.F. Skinner. Journal for the Theory of Social Behaviour, 6, 211–232.
Rachman, S. (1980). Emotional processing. Behaviour Research and Therapy, 18, 51–60.
Roemer, L., & Orsillo, S.M. (in press). An Acceptance Based Behavior Therapy for Generalized Anxiety Disorder. In S.M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: Conceptualization and treatment. New York: Springer.
Rogers, C.R. (1959). Client-centered therapy: Its current practice, implications, and theory. Boston: Houghton-Mifflin.
Russell, P. (1998). Trauma and the cognitive function of affects. In J.G. Teicholz & D. Kriegman (Eds.), Trauma, repitition, & affect regulation (pp. 23–48). New York: Other Press.
Safran, J.D., & Muran, J.C. (2000). Negotiating the Therapuetic Alliance: A relational treatment guide. New York: Guilford.
Samoilov, A., & Goldfried, M.R. (2000). Role of emotion in cognitive-behavior therapy. Clinical Psychology: Science and Practice, 7, 373–385.
Segal, Z., Williams, J.M.G., & Teasdale, J.D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
Skinner, B.F. (1953). Science and human behavior. New York: The Free Press.
Sullivan, H.S. (1953). The interpersonal theory of psychiatry. New York: Norton.
Taylor, S. (Ed.). (1999). Anxiety sensitivity: Theory, research, and treatment of fear of anxiety. Mahwah, NJ: Erlbaum.
Thompson, R.A. (1990). Emotion and self-regulation. In R. A. Thompson (Ed.), Socioemotional development: Nebraska symposium on motivation, 1988 (pp. 367–468). Lincoln NE: University of Nebraska Press.
Watson, J.C., Greenberg, L.S., & Lietaer, G. (1998). The experiential paradigm unfolding: Relationship and experiencing in therapy. In L.S. Greenberg, J.C. Watson, & G. Lietaer (Eds.), Handbook of experiential therapy (pp. 3–27). New York: Guilford Press.
Westen, D. (1998). The scientific legacy of Sigmund Freud: Toward a psychodynamically informed psychological science. Psychological Bulletin, 124, 333–371.
Williams, K.E., Chambless, D.L., & Ahrens, A. (1997). Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy, 35, 239–248.
Wolfe, B.E., & Sigel, P. (1998). Experiential psychotherapy of the anxiety disorders. In L.S. Greenberg, J.C. Watson, & G. Lietaer (Eds.), Handbook of experiential psychotherapy (pp. 272–294). New York: Guilford Press.
Yalom, I.D. (1980). Existential psychotherapy. New York: Basic Books.
Zinbarg, R.E., & Barlow, D.H. (1996). Structure of anxiety and the anxiety disorders: A hierarchical model. Journal of Abnormal Psychology, 105, 181–193.
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Mennin, D.S. Emotion Regulation Therapy: An Integrative Approach to Treatment-Resistant Anxiety Disorders. J Contemp Psychother 36, 95–105 (2006). https://doi.org/10.1007/s10879-006-9012-2
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DOI: https://doi.org/10.1007/s10879-006-9012-2