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2000
Volume 21, Issue 2
  • ISSN: 2666-0822
  • E-ISSN: 2666-0830

Abstract

Exposure therapy is the gold standard treatment for anxiety and obsessive-compulsive disorders in children, adolescents, and adults. Inhibitory Learning Theory offers a nuanced and advanced perspective on exposure treatment positing that violating threat expectancies is more important than habituation. This paper highlights the effectiveness of inhibitory learning theory-guided exposure procedures for youth with anxiety and OCD, chronic pain, and eating disorders. A topical review focusing on the theoretical foundations of inhibitory learning theory, crucial augmentations of the approach, and outcomes with pediatric patients diagnosed with anxiety, eating, and pain disorders is presented. The literature review indicated that inhibitory learning theory-driven exposure produced beneficent outcomes in the identified populations. Various limitations and future directions were discussed. Limitations notwithstanding, inhibitory learning theory-led exposure represents a viable treatment option for pediatric patients with anxiety, eating, and chronic pain disorders.

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2025-05-01
2024-12-11
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References

  1. FriedbergR.D. Where’s the beef: Concrete elements in supervision with CBT with youth.J. Am. Acad. Child Adolesc. Psychiatry20155452753110.1016/j.jaac.2015.03.020 26088653
    [Google Scholar]
  2. PlaistedH. WaiteP. GordonK. CreswellC. Optimising exposure for children and adolescents with anxiety, OCD, and PTSD: A systematic review.Clin. Child Fam. Psychol. Rev.202124234836910.1007/s10567‑020‑00335‑z 33547624
    [Google Scholar]
  3. SellesR.R. NaqqashZ. BestJ.R. Effects of treatment setting on outcomes of flexibly-dosed intensive cognitive behavioral therapy for pediatric ocd: A randomized controlled pilot trial.Front. Psychiatry20211266949410.3389/fpsyt.2021.669494 34079488
    [Google Scholar]
  4. TeunisseA.K. PembrokeL. LeeO.G.M. A scoping review investigating the use of exposure for the treatment and targeted prevention of anxiety and related disorders in young people.JCPP Adv.202222e1208010.1002/jcv2.12080 37431458
    [Google Scholar]
  5. EssayliJ.H. VitousekK.M. Cognitive behavioral therapy with eating disordered youth.Cognitive Behavioral Therapy in Youth: Tradition and Innovation.1st ed FriedbergR.D. NakamuraB.J. Berlin, GermanySpringer Nature202016318710.1007/978‑1‑0716‑0700‑8_9
    [Google Scholar]
  6. MellesH. DuijvisS. JansenA. Inhibitory learning during exposure treatment in anorexia nervosa: A practical guide.Behav. Sci.202313537010.3390/bs13050370 37232607
    [Google Scholar]
  7. SimonsL.E. VlaeyenJ.W.S. DeclercqL. Avoid or engage? Outcomes of graded exposure in youth with chronic pain using a sequential replicated single-case randomized design.Pain2020161352053110.1097/j.pain.0000000000001735 31693541
    [Google Scholar]
  8. ChristianC. LevinsonC.A. An integrated review of fear and avoidance learning in anxiety disorders and application to eating disorders.New Ideas Psychol.20226710096410.1016/j.newideapsych.2022.100964
    [Google Scholar]
  9. BautistaC.L. TengE.J. Merging our understanding of anxiety and exposure: Using inhibitory learning to target anxiety sensitivity in exposure therapy.Behav. Modif.202246481983310.1177/01454455211005073 33825494
    [Google Scholar]
  10. CraskeM.G. TreanorM. ZbozinekT.D. VervlietB. Optimizing exposure therapy with an inhibitory retrieval approach and the OptEx Nexus.Behav. Res. Ther.202215210406910.1016/j.brat.2022.104069 35325683
    [Google Scholar]
  11. CraskeM.G. TreanorM. ConwayC.C. ZbozinekT. VervlietB. Maximizing exposure therapy: An inhibitory learning approach.Behav. Res. Ther.201458102310.1016/j.brat.2014.04.006 24864005
    [Google Scholar]
  12. BlakeyS.M. AbramowitzJ.S. Dropping safety aids and maximizing retrieval cues: Two keys to optimizing inhibitory learning during exposure therapy.Cognit. Behav. Pract.201926116617510.1016/j.cbpra.2018.03.001
    [Google Scholar]
  13. MetcalfeR.E. PentalP. DukeD.C. Engaging preschool and early elementary school-aged children in exposure and response prevention (ERP).J. Health Psychol.202248311712510.1007/s42843‑022‑00068‑3 35891963
    [Google Scholar]
  14. TolinD.F. Inhibitory learning for anxiety-related disorders.Cognit. Behav. Pract.201926122523610.1016/j.cbpra.2018.07.008
    [Google Scholar]
  15. MowrerO.H. Two-factor learning theory: Summary and comment.Psychol. Rev.195158535035410.1037/h0058956 14883248
    [Google Scholar]
  16. ShapiroJ.P. FriedbergR.D. BardensteinK.K. Child and Adolescent Therapy: Science and Art.Hoboken, New Jersey, USAWiley2006
    [Google Scholar]
  17. BeckA.T. EmeryG. GreenbergR.L. Anxiety Disorders and Phobias: A Cognitive Perspective.New York, New York, USAPlenum Press1985
    [Google Scholar]
  18. PiacentiniJ. LangleyA. RoblekT. Cognitive-behavioral treatment of childhood OCD.New York, UKOxford University Press2007
    [Google Scholar]
  19. HannesdottirD.K. OllendickT.H. The role of emotion regulation in the treatment of child anxiety disorders.Clin. Child Fam. Psychol. Rev.200710327529310.1007/s10567‑007‑0024‑6 17705098
    [Google Scholar]
  20. BeckA.T. ClarkD.A. Anxiety and depression: An information processing perspective.Anxiety Res.198811233610.1080/10615808808248218
    [Google Scholar]
  21. FoaE.B. KozakM.J. Emotional processing of fear: Exposure to corrective information.Psychol. Bull.1986991203510.1037/0033‑2909.99.1.20 2871574
    [Google Scholar]
  22. LawC. BoisseauC.L. Exposure and response prevention in the treatment of obsessive-compulsive disorder: Current perspectives.Psychol. Res. Behav. Manag.2019121167117410.2147/PRBM.S211117 31920413
    [Google Scholar]
  23. PeñaA. Inhibitory learning theory and emotional processing theory for proper extinction learning in specific phobias: A comprehensive comparison.McNair Schol Res J2021148
    [Google Scholar]
  24. JacobyR.J. AbramowitzJ.S. Inhibitory learning approaches to exposure therapy: A critical review and translation to obsessive-compulsive disorder.Clin. Psychol. Rev.201649284010.1016/j.cpr.2016.07.001 27521505
    [Google Scholar]
  25. FriedbergR.D. McClureJ.M. Clinical Practice of Cognitive Therapy with Children and Adolescents: The Nuts and Bolts.2nd edNew York, New York, USAGuilford2015
    [Google Scholar]
  26. KendallP.C. RobinJ.A. HedtkeK.A. SuvegC. SchroederF.E. GoschE. Considering CBT with anxious youth? Think exposures.Cognit. Behav. Pract.200512113614810.1016/S1077‑7229(05)80048‑3
    [Google Scholar]
  27. BoutonM.E. Context, time, and memory retrieval in the interference paradigms of Pavlovian learning.Psychol. Bull.19931141809910.1037/0033‑2909.114.1.80 8346330
    [Google Scholar]
  28. BoutonM.E. KingD.A. Contextual control of the extinction of conditioned fear: Tests for the associative value of the context.J. Exp. Psychol. Anim. Behav. Process.19839324826510.1037/0097‑7403.9.3.248 6886630
    [Google Scholar]
  29. PeggS. HillK. ArgirosA. OlatunjiB.O. KujawaA. Cognitive behavioral therapy for anxiety disorders in youth: Efficacy, moderators, and new advances in predicting outcomes.Curr. Psychiatry Rep.2022241285385910.1007/s11920‑022‑01384‑7 36370264
    [Google Scholar]
  30. KnowlesK.A. OlatunjiB.O. Enhancing inhibitory learning: The utility of variability in exposure.Cognit. Behav. Pract.201926118620010.1016/j.cbpra.2017.12.001 31787834
    [Google Scholar]
  31. CraskeM.G. KircanskiK. ZelikowskyM. MystkowskiJ. ChowdhuryN. BakerA. Optimizing inhibitory learning during exposure therapy.Behav. Res. Ther.200846152710.1016/j.brat.2007.10.003 18005936
    [Google Scholar]
  32. den HollanderM. SmeetsR.J.E.M. van MeulenbroekT. van GeelenL.C.C.M. BaadjouV.A. TimmersI. Exposure in vivo as a treatment approach to target pain-related fear: Theory and new insights from research and clinical practice.Phys. Ther.20221022pzab27010.1093/ptj/pzab270 35084025
    [Google Scholar]
  33. BöhnleinJ. AltegoerL. MuckN.K. Factors influencing the success of exposure therapy for specific phobia: A systematic review.Neurosci. Biobehav. Rev.202010879682010.1016/j.neubiorev.2019.12.009 31830494
    [Google Scholar]
  34. KennedyS.M. HawksJ.L. Lessons learned from a randomized controlled pilot trial testing an inhibitory learning approach to exposure in anxious youth.Cognit. Behav. Pract.202128224125810.1016/j.cbpra.2020.09.011
    [Google Scholar]
  35. OdriozolaP. GeeD.G. Learning about safety: Conditioned inhibition as a novel approach to fear reduction targeting the developing brain.Am. J. Psychiatry2021178213615510.1176/appi.ajp.2020.20020232 33167673
    [Google Scholar]
  36. PetermanJS CarperMM KendallPC Testing the habituation-based model of exposures for child and adolescent anxiety.J Clin Child Adolesc Psychol201948(sup1):S34S4410.1080/15374416.2016.116370727355694
    [Google Scholar]
  37. HoffmanL.J. ChuB.C. When is seeking safety functional? Taking a pragmatic approach to distinguishing coping from safety.Cognit. Behav. Pract.201926117618510.1016/j.cbpra.2018.11.002
    [Google Scholar]
  38. McGuireJ.F. StorchE.A. An inhibitory learning approach to cognitive-behavior therapy for children and adolescents.Cognit. Behav. Pract.201926121422410.1016/j.cbpra.2017.12.003 31205406
    [Google Scholar]
  39. RiefW. SperlM.F.J. Braun-KochK. Using expectation violation models to improve the outcome of psychological treatments.Clin. Psychol. Rev.20229810221210.1016/j.cpr.2022.102212 36371900
    [Google Scholar]
  40. BjorkR.A. BjorkE.L. Desirable difficulties in theory and practice.J. Appl. Res. Mem. Cogn.20209447547910.1016/j.jarmac.2020.09.003
    [Google Scholar]
  41. Ginat-FrolichR. Kara-IvanovA. StraussA.Y. MyersA. HuppertJ.D. Mechanisms underlying interoceptive exposure: belief disconfirmation or extinction? A preliminary study.Cogn. Behav. Ther.202352213214510.1080/16506073.2022.2109511 36217830
    [Google Scholar]
  42. MarksE.H. WalkerR.S.W. OjalehtoH. GilliganB.M.A. ZoellnerL.A. Affect labeling to facilitate inhibitory learning: Clinical considerations.Cognit. Behav. Pract.201926120121310.1016/j.cbpra.2018.05.001
    [Google Scholar]
  43. AbramowitzJ.S. ArchJ.J. Strategies for improving long-term outcomes in cognitive-behavioral therapy for obsessive-compulsive disorder: Insights from learning theory.Cognit. Behav. Pract.2014211203110.1016/j.cbpra.2013.06.004
    [Google Scholar]
  44. GuzickA.G. ReidA.M. BalkhiA.M. GeffkenG.R. McNamaraJ.P.H. That was easy! Expectancy violations during exposure and response prevention for childhood obsessive-compulsive disorder.Behav. Modif.202044331934210.1177/0145445518813624 30449128
    [Google Scholar]
  45. MilgramL. SheehanK. CainG. Comparison of patient-reported distress during harm avoidance and incompleteness exposure tasks for youth with OCD.J. Obsessive Compuls. Relat. Disord.20223510076010.1016/j.jocrd.2022.100760
    [Google Scholar]
  46. KnowlesK.A. JessupS.C. OlatunjiB.O. Facing uncertainty: A comparison of hierarchical and variable exposure interventions for contamination fear.J. Obsessive Compuls. Relat. Disord.20233610077710.1016/j.jocrd.2022.100777 36582425
    [Google Scholar]
  47. WheatonM.G. ChenS.R. Homework completion in treating obsessive-compulsive disorder with exposure and ritual prevention.Cognit. Ther. Res.202145223624910.1007/s10608‑020‑10125‑0
    [Google Scholar]
  48. SimonsJ.S. GaherR.M. The distress tolerance scale: Development and validation of a self-report measure.Motiv. Emot.20052928310210.1007/s11031‑005‑7955‑3
    [Google Scholar]
  49. LinehanM.M. Cognitive-behavioral treatment of borderline personality disorder.New York, USAGuilford Press1993
    [Google Scholar]
  50. BanneyerK.N. BoninL. PriceK. GoodmanW.K. StorchE.A. Cognitive behavioral therapy for childhood anxiety disorders: A review of recent advances.Curr. Psychiatry Rep.20182086510.1007/s11920‑018‑0924‑9 30056623
    [Google Scholar]
  51. BergezK.C. RamirezA.C. GrebeS.C. Efficacy of exposure-based therapy for youth anxiety and obsessive-compulsive disorder. PerisT.S. StorchE.A. McGuireJ.F. Cambridge, MAAcademic Press2020213710.1016/B978‑0‑12‑815915‑6.00002‑0
    [Google Scholar]
  52. McMillanH.C.K. FrancisS.E. Rith-NajarianL. ChorpitaB.F. Evidence base update:50 years of research on treatment for child and adolescent anxiety.J. Clin. Child Adolesc. Psychol.20164529111310.1080/15374416.2015.1046177 26087438
    [Google Scholar]
  53. PalitzS.A. DavisP. KendallP.C. Anxiety disorders.Treatment of disorders in childhood and adolescence. PrinsteinM.J. YoungstromE.A. MashE.J. BarkleyR.A. New York201928131010.1007/978‑3‑030‑30687‑8_7
    [Google Scholar]
  54. PerisT.S. CaporinoN.E. O’RourkeS. Therapist-reported features of exposure tasks that predict differential treatment outcomes for youth with anxiety.J. Am. Acad. Child Adolesc. Psychiatry201756121043105210.1016/j.jaac.2017.10.001 29173738
    [Google Scholar]
  55. SilkJ.S. TanP.Z. LadouceurC.D. A randomized clinical trial comparing individual cognitive behavioral therapy and child-centered therapy for child anxiety disorders.J. Clin. Child Adolesc. Psychol.201847454255410.1080/15374416.2016.1138408 26983904
    [Google Scholar]
  56. WhitesideS.P.H. SimL.A. MorrowA.S. meta-analysis to guide the enhancement of CBT for childhood anxiety: Exposure over anxiety management.Clin. Child Fam. Psychol. Rev.202023110212110.1007/s10567‑019‑00303‑2 31628568
    [Google Scholar]
  57. BilekE. TomlinsonR.C. WhitemanA.S. Exposure-focused CBT outperforms relaxation-based control in an RCT of treatment for child and adolescent anxiety.J. Clin. Child Adolesc. Psychol.202251441041810.1080/15374416.2021.1901230 33905281
    [Google Scholar]
  58. AleC.M. McCarthyD.M. RothschildL.M. WhitesideS.P.H. Components of cognitive behavioral therapy related to outcomes in child anxiety disorders.Clin. Child Fam. Psychol. Rev.201518324025110.1007/s10567‑015‑0184‑8 26001645
    [Google Scholar]
  59. VillabøM.A. NarayananM. ComptonS.N. KendallP.C. NeumerS.P. Cognitive–behavioral therapy for youth anxiety: An effectiveness evaluation in community practice.J. Consult. Clin. Psychol.201886975176410.1037/ccp0000326 30138014
    [Google Scholar]
  60. FrankB. McKayD. Introduction to the special series: Clinical applications of the inhibitory learning model.Cognit. Behav. Pract.201926112712910.1016/j.cbpra.2018.12.002
    [Google Scholar]
  61. McNallyR.J. Anxiety sensitivity and panic disorder.Biol. Psychiatry2002521093894610.1016/S0006‑3223(02)01475‑0 12437935
    [Google Scholar]
  62. CannonC.J. MakolB.A. KeeleyL.M. A paradigm for understanding adolescent social anxiety with unfamiliar peers: Conceptual foundations and directions for future research.Clin. Child Fam. Psychol. Rev.202023333836410.1007/s10567‑020‑00314‑4 32140896
    [Google Scholar]
  63. KendallP.C. NorrisL.A. RabnerJ.C. CraneM.E. RifkinL.S. Intolerance of uncertainty and parental accommodation: Promising targets for personalized intervention for youth anxiety.Curr. Psychiatry Rep.20202294910.1007/s11920‑020‑01170‑3 32666277
    [Google Scholar]
  64. PalitzS.A. RifkinL.S. NorrisL.A. But what will the results be?: Learning to tolerate uncertainty is associated with treatment-produced gains.J. Anxiety Disord.20196810214610.1016/j.janxdis.2019.102146 31669785
    [Google Scholar]
  65. FreestonM. TipladyA. MawnL. BottesiG. ThwaitesS. Towards a model of uncertainty distress in the context of coronavirus (COVID-19).Cogn. Behav. Therap.20203e3110.1017/S1754470X2000029X
    [Google Scholar]
  66. FriedbergR. GoodmanC. ChoateE. Intolerance of uncertainty in pediatric patients: A transdiagnostic pathway to multiple disorders.Med. Res. Arch.2022101110.18103/mra.v10i11.3314
    [Google Scholar]
  67. ZemestaniM. HeshmatiR. ComerJ.S. KendallP.C. Intolerance of uncertainty as a transdiagnostic vulnerability to anxiety disorders in youth.Curr. Psychol.202242269662697810.1007/s12144‑022‑03645‑3
    [Google Scholar]
  68. SperlingJ. The role of intolerance of uncertainty in treatment for pediatric anxiety disorders and obsessive-compulsive disorder.Evid. Based Pract. Child Adolesc. Ment. Health2022202211010.1080/23794925.2022.2051215
    [Google Scholar]
  69. CooperS.E. DunsmoorJ.E. Fear conditioning and extinction in obsessive-compulsive disorder: A systematic review.Neurosci. Biobehav. Rev.2021129759410.1016/j.neubiorev.2021.07.026 34314751
    [Google Scholar]
  70. SimonsL.E. KaczynskiK.J. The Fear Avoidance model of chronic pain: Examination for pediatric application.J. Pain201213982783510.1016/j.jpain.2012.05.002 22832693
    [Google Scholar]
  71. SimonsL.E. HarrisonL.E. O’BrienS.F. Graded exposure treatment for adolescents with chronic pain (GET Living): Protocol for a randomized controlled trial enhanced with single case experimental design.Contemp. Clin. Trials Commun.20191610044810.1016/j.conctc.2019.100448 31650069
    [Google Scholar]
  72. BawejaR. ArshadS.H. SamselC. FriedbergR.D. Chronic pain and its impact on child mental health: management challenges and clinical guidance for child and adolescent psychiatrists.J. Am. Acad. Child Adolesc. Psychiatry202261121411141410.1016/j.jaac.2022.04.008 35483656
    [Google Scholar]
  73. SchemerL. HessC.W. Van OrdenA.R. Enhancing exposure treatment for youths with chronic pain: Co-design and qualitative approach.J. Particip. Med.202315e4129210.2196/41292 36892929
    [Google Scholar]
  74. CardiV. LeppanenJ. ColsM.D. CampbellI.C. TreasureJ. A case series to investigate food‐related fear learning and extinction using in vivo food exposure in anorexia nervosa: A clinical application of the inhibitory learning framework.Eur. Eat. Disord. Rev.201927217318110.1002/erv.2639 30198606
    [Google Scholar]
  75. EssayliJ.H. ForrestL.N. ZickgrafH.F. StefanoE.C. KellerK.L. Lane-LoneyS.E. The impact of between‐session habituation, within‐session habituation, and weight gain on response to food exposure for adolescents with eating disorders.Int. J. Eat. Disord.202356363764510.1002/eat.23894 36626314
    [Google Scholar]
  76. LavenderJ.M. De YoungK.P. WonderlichS.A. Daily patterns of anxiety in anorexia nervosa: Associations with eating disorder behaviors in the natural environment.J. Abnorm. Psychol.2013122367268310.1037/a0031823 23647124
    [Google Scholar]
  77. SchaumbergK. ReillyE.E. GorrellS. Conceptualizing eating disorder psychopathology using an anxiety disorders framework: Evidence and implications for exposure-based clinical research.Clin. Psychol. Rev.20218310195210.1016/j.cpr.2020.101952 33221621
    [Google Scholar]
  78. SchynsG. RoefsA. JansenA. Tackling sabotaging cognitive processes to reduce overeating; expectancy violation during food cue exposure.Physiol. Behav.202022211292410.1016/j.physbeh.2020.112924 32339524
    [Google Scholar]
  79. ButlerR.M. HeimbergR.G. Exposure therapy for eating disorders: A systematic review.Clin. Psychol. Rev.20207810185110.1016/j.cpr.2020.101851 32224363
    [Google Scholar]
  80. Lane-LoneyS.E. ZickgrafH.F. OrnsteinR.M. MahrF. EssayliJ.H. A cognitive-behavioral family-based protocol for the primary presentations of avoidant/restrictive food intake disorder (ARFID): Case examples and clinical research findings.Cognit. Behav. Pract.202229231833410.1016/j.cbpra.2020.06.010
    [Google Scholar]
  81. NorrisL.A. KendallP.C. Moderators of outcomes for youth anxiety treatments: Current findings and future directions.J. Clin. Child Adolesc. Psychol.202150445046310.1080/15374416.2020.1833337 33140992
    [Google Scholar]
  82. PlaistedH. WaiteP. CreswellC. Optimising exposure for adolescents with public speaking anxiety: Affect labelling or positive coping statements?Behav. Res. Ther.202214810399710.1016/j.brat.2021.103997 34847497
    [Google Scholar]
  83. LebowitzE.R. ManoZ.S. Not so common anymore? Beyond the common factor understanding of the role of alliance in youth psychotherapy.Clin. Psychol. Sci. Pract.202229214014210.1037/cps0000088
    [Google Scholar]
  84. DoomJ.R. RozenmanM. FoxK.R. The transdiagnostic origins of anxiety and depression during the pediatric period: Linking NIMH research domain criteria (RDoC) constructs to ecological systems. Dev Psychopathol 2021335159961910.1017/S0954579421000559 35281333
    [Google Scholar]
  85. KempJ. BenitoK. HerrenJ. BrownZ. FrankH.E. FreemanJ. Exposure to exposure: A protocol for leveraging exposure principles during training to address therapist-level barriers to exposure implementation.Front. Psychiatry202314109625910.3389/fpsyt.2023.1096259 36873204
    [Google Scholar]
  86. SchrigerS.H. BoroshokA.L. KhanA.N. WangL. Becker-HaimesE.M. A case example of community-based supervision to overcome barriers and support the implementation of exposure therapy.Psychol. Serv.202320234335210.1037/ser0000665 35549303
    [Google Scholar]
  87. WhitesideS.P.H. DeaconB.J. BenitoK. StewartE. Factors associated with practitioners’ use of exposure therapy for childhood anxiety disorders.J. Anxiety Disord.201640293610.1016/j.janxdis.2016.04.001 27085463
    [Google Scholar]
  88. ReidA.M. GuzickA.G. FernandezA.G. Exposure therapy for youth with anxiety: Utilization rates and predictors of implementation in a sample of practicing clinicians from across the United States.J. Anxiety Disord.20185881710.1016/j.janxdis.2018.06.002 29929139
    [Google Scholar]
  89. PittigA. KotterR. HoyerJ. The struggle of behavioral therapists with exposure: Self-reported practicability, negative beliefs, and therapist distress about exposure-based interventions.Behav. Ther.201950235336610.1016/j.beth.2018.07.003 30824251
    [Google Scholar]
  90. BlakeyS.M. ThomasB.E. FarrellN.R. Addressing common myths and mistaken beliefs in the treatment of youth with OCD.The Clinicians Guide to Cognitive and Behavioral Therapy for Childhood Obsessive-Compulsive Disorder.1st ed StorchE.A. McGuireJ.F. McKayD. Cambridge, MassachusettsAcademic Press201820323310.1016/B978‑0‑12‑811427‑8.00011‑3
    [Google Scholar]
  91. MichaelS.T. BlakeyS.M. SherrillA.M. AosvedA.C. Exposure therapy training and supervision: Research-informed strategies for addressing barriers to adoption and dissemination.Train. Educ. Prof. Psychol.20211529710510.1037/tep0000304
    [Google Scholar]
  92. HaimesB.E.M. StewartR.E. FrankH.E. It’s all in the name: Why exposure therapy could benefit from a new one.Curr. Psychol.202221710.1007/s12144‑022‑03286‑6 35669210
    [Google Scholar]
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