Exam Preview for 1921: Exposure with Response Prevention (ERP) for

Exposure with Response Prevention (ERP) for Obsessive Compulsive Disorder (OCD)

Please note: exam questions are subject to change.

1. Which part of exposure with response prevention corresponds to the compulsions in obsessive compulsive disorder? negative reinforcement habituation response prevention exposure
2. What is not one of the pitfalls of therapy for OCD that omits an exposure-based component? insight-focused treatment giving reassurance reliance on logic pathologization of taboo thought content
3. For treatment to be effective, the trainer recommends that informed consent emphasize 3 different components of ERP. What are they? Treatment as voluntary, planned obsolescence of the therapist, and gradual exposure Expectancy violation, habituation and behavioral flexibility Reducing accommodation, gradual exposure, and habituation Mindfulness, self-acceptance, and distress tolerance
4. Which mechanism best explains the cognitive change produced by exposure with response prevention? Habituation Expectancy violation Sensitization Negative reinforcement
5. Which of the following is not evidence-based practice for treating OCD? Cognitive Processing Therapy Exposure with Response Prevention Acceptance and Commitment Therapy Inference-Based Cognitive Behavioral Therapy
6. How does the trainer encourage you to define “exposure”? Any internal yucky stuff that humans try to get rid of b) Delaying or preventing escape / avoidance through increased or sustained contact with the stimulus Contact with an aversive stimulus Activation of the fight or flight pathway
7. What distinction does the distress curve shown in the training suggest we should prepare people to expect if the aversive internal state experienced is disgust or sensory aversion, as compared to anxiety? Tolerance rather than habituation Habituation rather than tolerance Expectancy violation rather than behavioral change Tolerance rather than behavioral change
8. Why does the trainer suggest that reflecting on and rewarding the client for the ERP is an essential part of the treatment? To increase motivation for complying with homework, especially for children who may not understand the inherent gains of working through difficult emotions To validate how difficult ERP is and because we want the client to return for future appointments To improve self-esteem, as suffering with OCD has been shown to hamper self-concept as a result of internalized stigma To strengthen the positive reinforcement for contact with an aversive stimulus by providing values-based reinforcers, which though more nebulous and less concrete, are much more sustainable
9. What is the one type of avoidance we will never treat through exposure? fear-based disgust-based danger-based depression-based
10. Which of these most closely resembles a definition of negative reinforcement? Removal of an aversive stimulus leading to an increase in frequency of a behavior Removal of a positive stimulus leading to a decrease in a nonpreferred behavior Applying punishment producing a paradoxical affect of increasing a behavior by providing negative attention to the behavior An inadvertent process that sometimes occurs where a person becomes sensitized to experience an obsession at higher frequency than before treatment