Clinical Case Formulations by Ingram Barbara Lichner

Author:Ingram, Barbara Lichner
Language: eng
Format: epub
ISBN: 9781118129753
Publisher: Wiley
Published: 2011-10-31T16:00:00+00:00

Anchoring

Anchoring is a method that prepares people for situations that are anxiety producing, such as taking the GREs or sitting for an oral examination. It uses classical conditioning principles, pairing a relaxed state to a cue that is under the client’s control. The cue can be a word (calm), a phrase (let it go), a visual image (picturing a waterfall), or the sense of touch (pressing a freckle on the hand). The imagery method at the end of Table 9.4 is useful for this technique. To set up an anchor, use the following steps:

Conditioning phase: Have the client enter the imaginary scene and use all of her senses to induce a very relaxed state. When that state is achieved, she uses the cue (e.g., pressing the freckle for several seconds) and then returns to an alert state. The pairing of cue and relaxation is repeated two more times.

Testing: Now, the client is asked to just use the cue. The desired result is for there to be a sudden switch back to the relaxed state. If this does not occur, repeat the conditioning phase.

Homework: The client is instructed to practice the conditioning and testing at home, at least once a day.

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