Season 1 Ep 11: Anti-Exposure Bias in Trauma Therapy
In episode 10, Allison Aosved and I discussed exposure therapy for trauma, and the anti-exposure bias that we are seeing in the field.
Today, I want to dig a little deeper into the context of that conversation, the factors that are contributing to anti-exposure bias, and how opinion on theoretical orientation inevitably shifts and swings over time, and how concerns about retraumatization and vicarious trauma may be impacting therapists’ ability to truly help their clients heal.
Because my concern in the context of anti-exposure bias is that many people may be missing out on some of the potential transformative impact of trauma therapy when they don't have access to exposure-based methods that do utilize the narrative, and that access to these modalities is becoming increasingly limited.
Listen to the full episode to hear:
How differences in generational cohorts may be influencing view on exposure-based modalities
Why our field is so prone with pendulum swings of prevailing opinion on treatment and best practices
Why therapeutic rupture and client buy-in may be major contributing factors to adverse experiences with exposure therapy
How anti-exposure bias increases opportunities for avoidance and therapist-client collusion
How clients’ positive outcomes influence the impact of vicarious trauma
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About Riva
Riva Stoudt is a therapist based in Portland, Oregon. When she's not working with patients, she likes to talk about all the things a therapist isn't "supposed" to talk about.
