The second edition of Exposure Therapy for Anxiety: Principles and Practice by Jonathan Abramowitz, Brett Deacon, and Stephen Whiteside is an invaluable reference and practical guide for new therapists and seasoned practitioners alike. The authors note that while various anxiety disorders have differing fear cues, misperceptions, and maladaptive coping responses, the underlying conceptual framework remains the same. That is, objectively safe stimuli are misperceived as dangerous. The resulting maladaptive coping responses (e.g., avoidance, safety behaviors) temporarily relieve the unnecessary anxiety yet inadvertently perpetuate the problem. Consequently, the authors take a transdiagnostic approach and focus on the application of therapeutic exposure to promote fear tolerance and inhibitory learning as effective, empirically supported mechanisms of change. The authors aptly revised their book in this second edition consistent with advances in research and the field’s understanding of anxiety. Most notably, the authors moved to an inhibitory learning perspective from the emotional processing perspective that underscored the text’s first edition. The book is divided into three sections: fundamentals of exposure therapy, implementation of exposure therapy for specific types of fears, and special considerations in the use of exposure therapy. The first section introduces the reader to exposure therapy by covering a brief history of the topic. Chapter 2 discusses advances in research to date and reviews efficacy and effectiveness of exposure whilst providing strategies for readers on consuming literature and identifying effective treatments. The book then moves into the conceptual nature of clinical anxiety and rationale for the use of exposure (Chapter 3), functional assessment and treatment planning (Chapters 4 and 5), and implementation strategies (Chapter 6). Abramowitz et al. (2019) strike a balance between depth and breadth by succinctly—yet comprehensively— covering the fundamental components of anxiety and therapeutic exposure. The second section, covered in Chapters 7 through 15, discusses the use of exposure for a variety of specific fears. In line with the transdiagnostic framework, the authors illustrate how treatment may be modified to address specific fear cues and make note that such modification need not be synonymous with different treatment nor necessitate the use of a different treatment manual. Consistent with this approach, the section focuses on specific fears (e.g., unwanted intrusive thoughts, health concerns, incompleteness feelings) rather than on diagnostic categories per se. Each chapter reviews the overarching clinical presentation related to the specific fear, conceptual basis for use of exposure, goals of the functional assessment, and practical guidance for obtaining key information related to common cues, feared consequences, and safety behaviors. Further, each chapter also provides guidance for presenting the rationale for exposure, and suggestions for exposure implementation and response prevention. The authors conclude each chapter with an illustrative case example and additional resources for the reader. The third section reviews important considerations in the use of exposure as well as a variety of ancillary topics of interest including managing complexities (Chapter 16), working with children (Chapter 17), involving significant others in treatment (Chapter 18), combining exposure with medication (Chapter 19), maintaining treatment gains (Chapter 20), using technology (Chapter 21), application of acceptance and commitment therapy concepts with exposure (Chapter 22), and a risk–benefit analysis of exposure coupled with general ethical considerations (Chapter 23). The book is a must-read for students and trainees as well as seasoned clinicians looking for a comprehensive, practical, readable text that is rooted in contemporary research. The authors emphasize the goals of exposure throughout, * Allison L. Baier alb184@case.edu

中文翻译：

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焦虑暴露疗法综述：原理与实践，第二版

由乔纳森·阿布拉莫维茨 (Jonathan Abramowitz)、布雷特·迪肯 (Brett Deacon) 和斯蒂芬·怀特塞德 (Stephen Whiteside) 合着的《焦虑暴露疗法：原理与实践》第二版是新治疗师和经验丰富的从业者的宝贵参考和实用指南。作者指出，虽然各种焦虑症具有不同的恐惧线索、误解和适应不良的应对反应，但潜在的概念框架保持不变。也就是说，客观安全的刺激被误认为是危险的。由此产生的适应不良的应对反应（例如，回避、安全行为）暂时缓解了不必要的焦虑，但不经意间使问题永久化。因此，作者采用跨诊断方法，并专注于治疗性暴露的应用，以促进恐惧耐受和抑制性学习同样有效，经验支持的变化机制。作者根据研究进展和该领域对焦虑的理解，在第二版中恰当地修改了他们的书。最值得注意的是，作者从强调文本第一版的情绪处理角度转向了抑制性学习的角度。本书分为三个部分：暴露疗法的基础知识、针对特定类型恐惧的暴露疗法实施以及使用暴露疗法的特殊注意事项。第一部分通过简要介绍该主题的历史向读者介绍暴露疗法。第 2 章讨论了迄今为止的研究进展并回顾了暴露的有效性和有效性，同时为读者提供了阅读文献和确定有效治疗方法的策略。然后，本书进入临床焦虑的概念性质和使用暴露的基本原理（第 3 章）、功能评估和治疗计划（第 4 和第 5 章）以及实施策略（第 6 章）。阿布拉莫维茨等人。(2019) 通过简洁而全面地涵盖焦虑和治疗暴露的基本组成部分，在深度和广度之间取得平衡。第二部分，在第 7 章到第 15 章中讨论，讨论暴露在各种特定恐惧中的使用。根据跨诊断框架，作者说明了如何修改治疗以解决特定的恐惧线索，并指出这种修改不一定与不同的治疗同义，也不需要使用不同的治疗手册。与这种方法一致，该部分侧重于特定的恐惧（例如，不需要的侵入性想法、健康问题、不完整的感觉）而不是诊断类别本身。每一章都回顾了与特定恐惧相关的总体临床表现、使用暴露的概念基础、功能评估的目标以及获取与常见线索、恐惧后果和安全行为相关的关键信息的实用指南。此外，每一章还提供了介绍暴露原理的指导，以及暴露实施和响应预防的建议。作者以说明性案例和其他资源为读者总结每一章。第三部分回顾了使用暴露的重要考虑因素以及各种感兴趣的辅助主题，包括管理复杂性（第 16 章）、与儿童一起工作（第 17 章）、涉及重要他人的治疗（第 18 章）、将暴露与药物治疗（第 19 章）、维持治疗效果（第 20 章）、使用技术（第 21 章）、接受和承诺疗法概念与暴露的应用（第 22 章），以及暴露的风险-收益分析以及一般伦理考虑（第23)。这本书是学生和实习生以及经验丰富的临床医生的必读书籍，他们正在寻找扎根于当代研究的全面、实用、可读的文本。作者始终强调曝光的目标，* Allison L. Baier alb184@case.edu 维持治疗效果（第 20 章）、使用技术（第 21 章）、接受和承诺疗法概念与暴露的应用（第 22 章），以及暴露的风险-收益分析以及一般伦理考虑（第 23 章）。这本书是学生和实习生以及经验丰富的临床医生的必读书籍，他们正在寻找扎根于当代研究的全面、实用、可读的文本。作者始终强调曝光的目标，* Allison L. Baier alb184@case.edu 维持治疗效果（第 20 章）、使用技术（第 21 章）、接受和承诺疗法概念与暴露的应用（第 22 章），以及暴露的风险-收益分析以及一般伦理考虑（第 23 章）。这本书是学生和实习生以及经验丰富的临床医生的必读书籍，他们正在寻找扎根于当代研究的全面、实用、可读的文本。作者始终强调曝光的目标，* Allison L. Baier alb184@case.edu 这本书是学生和实习生以及经验丰富的临床医生的必读之书，他们正在寻找扎根于当代研究的全面、实用、可读的文本。作者始终强调曝光的目标，* Allison L. Baier alb184@case.edu 这本书是学生和实习生以及经验丰富的临床医生的必读书籍，他们正在寻找扎根于当代研究的全面、实用、可读的文本。作者始终强调曝光的目标，* Allison L. Baier alb184@case.edu