Exposure therapy is a widely used and well-evidenced treatment for a variety of avoidance behaviours. This paper offers a modest proposal for an improvement in how it is carried out (‘dynamic hierarchies’). The theoretical and practical context is set out, including some thoughts on the role of appraisals and cognitive dissonance, and some advantages of the method are suggested.
(Received August 22 2008)
(Accepted November 19 2008)
(Online publication January 05 2009)
Key words:Acceptance; behavioural therapy; belief modification; cognitive appraisals; therapy