Facing Eating Disorder Fears Using Imaginal Exposure

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ID: 337717
2026
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Abstract
Abstract This chapter outlines a session focused on using imaginal exposure to target eating disorder fears. The session begins with assessment, weighing, and review of in vivo homework followed by preparing clients for script development. It describes reinforcing in vivo exposure engagement and allocating substantial time to collaboratively construct a detailed, worst-case imaginal exposure script. The chapter emphasizes selecting top fears from prior interviews, linking concerns to core feared consequences, eliciting sensory and emotional detail, monitoring the Subjective Units of Distress Scale (SUDS), and attending to emotional and cognitive responses in session. Therapist guidance on building scripts that focus on core fears, recording the exposure, and processing is provided. Finally, the chapter assigns homework involving additional in vivo exposures with structured forms, repeated script rehearsal with SUDS monitoring, reflection on learning, and preparation for the next session.
Reference Key
openalex_W7224531410 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Cheri A. Levinson, Rachel M. Butler
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Journal Oxford University Press eBooks
Year 2026
DOI
10.1093/med-psych/9780197816875.003.0007
URL
https://doi.org/10.1093/med-psych/9780197816875.003.0007
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