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

  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},
  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… 

The Development of Novel Interoceptive Exposure Methods for Inducing Derealization and Depersonalization Symptoms

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Depersonalization (DP) and derealization (DR) refer to states of dissociation in which one feels a sense of alienation in relation to one’s self and environment, respectively. Whilst transient

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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.

Do Cognitive Reappraisal and Diaphragmatic Breathing Augment Interoceptive Exposure for Anxiety Sensitivity?

Interoceptive exposure (IE) is an effective procedure for reducing anxiety sensitivity (AS) and the symptoms of panic disorder. However, considerable variance exists in how IE is delivered among

The Circumplex Structure of Depersonalization/Derealization

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Fear reactivity to cognitive dyscontrol via novel head-mounted display perceptual illusion exercises.

The impact of dissociation on perceptual priming and intrusions after listening to auditory narratives

  • M. DorahyRowan K PeckR. Huntjens
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2016
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.



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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.

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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.

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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.