Show Summary Details
Page of

(p. 195) Addressing the Impact of Different Settings and Institutional Resistance 

(p. 195) Addressing the Impact of Different Settings and Institutional Resistance
Chapter:
(p. 195) Addressing the Impact of Different Settings and Institutional Resistance
Author(s):

Carolyn Black Becker

, Nicholas R. Farrell

, and Glenn Waller

DOI:
10.1093/med-psych/9780190069742.003.0018
Page of

PRINTED FROM OXFORD CLINICAL PSYCHOLOGY ONLINE (www.oxfordclinicalpsych.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Clinical Psychology Online for personal use (for details see Privacy Policy and Legal Notice).

date: 25 February 2020

It is important to be aware of how different treatment settings and institutional barriers can undermine the effectiveness of exposure. These barriers often manifest in the team dynamic (e.g., the team that treats the exposure therapist as a threat to the patient’s equanimity), in outpatient service provision issues, and particularly in more intensive care provision issues. In each of these, the context in which patients are exposed to feared stimuli needs to be appropriately diverse to ensure that they are able to voluntarily engage in exposure and overcome their use of avoidance and safety behaviors in the broader context of everyday life. Yet, the team and service can purposefully or inadvertently enhance the patient’s use of avoidance and safety behaviors if the structures are not responsive to patients’ needs. These issues need to be addressed by the team as a whole, rather than by the individual clinician.

Access to the complete content on Oxford Clinical Psychology requires a subscription or purchase. Public users are able to search the site and view the abstracts and keywords for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.