Interoceptive Exposure Exercises for Evoking Depersonalization and Derealization: A Pilot Study

@article{Lickel2008InteroceptiveEE,
  title={Interoceptive Exposure Exercises for Evoking Depersonalization and Derealization: A Pilot Study},
  author={James Ms Lickel and Elizabeth M. Nelson and A. Lickel and Brett J Deacon},
  journal={Journal of Cognitive Psychotherapy},
  year={2008},
  volume={22},
  pages={321 - 330}
}
This study examined the potential of 11 interoceptive exposure exercises to produce depersonalization and derealization among high anxiety-sensitive undergraduate students. Inspired by a February 2007 thread on the Association for Behavioral and Cognitive Therapies listserv, we identified nine exercises and compared their capacity to produce depersonalization and derealization with two previously validated tasks: mirror and dot staring. Results indicated that five exercises, including… 
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Results indicated significant reductions on six of seven items as well as total score on an outcome measure of depersonalization and derealization, and this technique appears to hold promise for utilization as a form of interoceptive exposure in the treatment of these symptoms.
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TLDR
The finding that fear reactivity to the laboratory challenges can potentially serve as a viable behavioral correlate of ASCC provides a potentially useful exposure exercise for clients experiencing high levels of AsCC.
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  • 2016
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Participants in the dissociation conditions displayed an increase in perceptual priming compared to those in the control condition and reported more distressing intrusions, and no differences were found in conceptual priming and the overall number of intrusions between conditions.
No Time Like the Present: Thinking About the Past and the Future Is Related to State Dissociation Among Individuals With High Levels of Psychopathological Symptoms
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The findings of this study suggest that dissociative detachment from one’s present occupation is associated with decreased well-being, in accordance with literature on the efficacy of mindfulness as well as the maladaptive correlates of mind-wandering.
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References

SHOWING 1-10 OF 20 REFERENCES
The experimental induction of depersonalization and derealization in panic disorder and nonanxious subjects.
TLDR
Three tasks in inducing depersonalization (DP) and derealization (DR) in panic disorder patients who report these symptoms while panicking, and nonanxious controls who never experiencing these symptoms during panic attacks are evaluated.
Instrument to assess depersonalization‐derealization in panic disorder
TLDR
A 28‐item Depersonalization‐Derealization Inventory was found to possess good reliability and validity and may be appropriate as a brief screen in patients with panic disorder.
Interoceptive assessment and exposure in panic disorder: A descriptive study
Cognitive behavioral treatment (CBT) protocols for panic disorder (PD) typically include some form of interoceptive exposure (IE)—repeated exposure to internal sensations. Despite the widespread…
Dissociation in the laboratory: a comparison of strategies.
TLDR
The findings suggest that the induction of dissociative symptoms in a nonclinical sample is easily accomplished in the laboratory and that those who report more dissociable symptoms in their day-to-day life exhibit more pronounced dissociatives symptoms when undergoing dissociation challenge in the lab.
Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma.
TLDR
This study investigated the relationships between exposure to extreme stress, the emergence of PTSD, and symptoms traditionally associated with "hysteria," which can be understood as problems with stimulus discrimination, self-regulation, and cognitive integration of experience.
Responses to symptom induction exercises in panic disorder.
TLDR
Generally, individuals with PD responded more strongly to symptom induction exercises than did controls, and the exercises producing the most fear included spinning, hyperventilation, breathing through a straw, and using a tongue depressor.
An expanded anxiety sensitivity index: evidence for a hierarchic structure in a clinical sample.
TLDR
An expanded measure of AS, the ASI-R, which consists of 36 items with subscales assessing each of the major domains of AS suggested by previous studies, and offers further evidence that Reiss's expectancy theory would benefit from revision, to incorporate the notion of a hierarchic structure of AS.
Dissociation and depression in eating disorders
Measures of dissociation and depression were obtained from 26 women with anorexia nervosa, 18 with bulimia nervosa, and 31 non eating disordered controls using the Questionnaire of Experiences of…
Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3.
TLDR
The authors developed an 18-item measure, the ASI-3, which assesses the 3 factors best replicated in previous research: Physical, Cognitive, and Social Concerns and displayed generally good performance on other indices of reliability and validity, along with evidence of improved psychometric properties over the original ASI.
Emotional processing of fear: exposure to corrective information.
TLDR
Mechanisms that govern the processing of emotional information, particularly those involved in fear reduction, are proposed and applications to therapeutic practice and to the broader study of psychopathology are discussed.
...
1
2
...