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On the last track we discussed differences and correlations between fear and anxiety and phobias and panic.
On this track we will discuss Hoch’s Paradox. You might find that an understanding of Hoch’s Paradox can become a solid foundation on which to base a cognitive therapy intervention with your phobic client. In addition, we’ll examine a case study in which the cognitive therapy technique of counting automatic thoughts is used. As you listen to this track, you might consider your phobic client.
Hoch’s paradox applies especially to cases in which the fear syndrome interferes with a person’s ability to cope effectively with a dangerous situation, and thus greatly increases the danger. There are times, for instance, when a client freezes in the face of physical threat.
The preceding example not only illustrates that fear can interfere with the execution of an effective coping response, but also demonstrates that subjective anxiety is not a necessary condition for the execution of the coping response. In fact, the driver of the car could have executed the appropriate response in this situation if his skillful behavior had not been disrupted by his primitive inhibitory response and the distraction of the anxiety.
The question, therefore, becomes one of what interventions the therapist can implement to help phobic clients overcome anxiety as a coping response. How might you apply the theory of Hoch’s paradox to the treatment goals in place with your client? One way to begin might be a with a popular cognitive therapy technique.
Technique: Counting Automatic Thoughts
At his next session I asked Paul how counting automatic thoughts worked for him. Paul stated, "I counted 32 thoughts on the first couple days that just worried the hell out of me. But by this morning there were only 27. I don’t know if that means this counting thing is working or not, but at least it gives me something to do. And it helps me get out of bed."
On this track we discussed Hoch’s Paradox. Did you find that an understanding of Hoch’s Paradox can become a solid foundation on which to base a cognitive therapy intervention with your phobic client? In addition, we also examined a case study in which the cognitive therapy technique of counting automatic thoughts is used.
On the next track we will discuss developing self awareness. Three techniques for developing self awareness which we will discuss are eliciting automatic thoughts, self observation, and in vivo exercises.
Online Continuing Education QUESTION 2
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