A cognitive behavioral model for dissociation: Conceptualization, empirical evidence and clinical implications - 16/06/23
Abstract |
There is a lack of evidence-based models and treatment for dissociation. This article aims to fill this gap by providing a comprehensive evidence-based model for dissociation using a cognitive behavioral conceptualization. We postulate that, following an initial experience of dissociation, associative conditioning will increase the frequency and intensity of dissociative symptoms. Various mechanisms could facilitate dissociation: negative beliefs about emotion, beliefs about dissociation, emotional dysregulation, low attentional control and poor mindfulness skills. Based on this model, a range of clinical interventions can be proposed to reduce dissociation, including cognitive restructuring through reality testing, decisional balance and Socratic questioning, emotion regulation and attentional training, and mindfulness-based programs. The impact of these interventions on dissociation needs to be appraised using experimental methodologies (randomized controlled trials and intervention studies with outcome measures).
Le texte complet de cet article est disponible en PDF.Keywords : Dissociation, Emotion regulation, Mindfulness, Beliefs, Attention, Conditioning, CBT, beliefs
Plan
Vol 33 - N° 2
P. 127-137 - juin 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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