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Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

042: Shame-Attacking Exercises

Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

David Burns, MD

Clinical, Therapy, Anxiety, Psychotherapy, Depression, Health & Fitness, Cognitive, Mentalhealth, Mental Health, Behavior, Education, Self-improvement, Psychology, Relationships, Addiction, Happiness, Personalgrowth

4.4856 Ratings

🗓️ 26 June 2017

⏱️ 23 minutes

🧾️ Download transcript

Summary

The late Dr. Albert Ellis developed a technique to help individuals struggling with shyness. It’s called Shame-Attacking Exercises. Essentially, you do something bizarre in public to overcome your fear of making a fool of yourself; and you will probably discover that the world doesn’t come to end. When used skillfully, this method can be incredibly liberating.

However, there are several ethical considerations. First, before therapists can ask their patients to do Shame Attacking Exercises, therapists have to do Shame-Attacking Exercises themselves! David explains his first, terrifying Shame-Attacking Exercise in a Chinese restaurant in New York after giving a talk at a workshop sponsored by Dr. Ellis.

In addition, therapists have to be careful in the way they use Shame Attacking Exercises, and who they use them with. You have to have an excellent therapeutic alliance with your patient, and the patient has to trust you. In addition, the exercises have to be in an appropriate location—for example, it would be disrespectful to do them in a hospital. And you have to be careful that the Shame Attacking Exercises is not aggressive or frightening to other people.

He also describes how Shame-Attacking Exercises helped a man and a woman he treated who were both afraid to flirt with people they were attracted to, and in both cases, he had to push fairly hard since the patients put up stiff resistance to the idea.

TEAM-CBT includes many powerful techniques, and while they have the potential to bring about rapid and often fantastic change, they also have the potential to hurt if not used skillfully and appropriately. Any listeners who are interested in using these techniques should first consult with a mental health professional to make sure the techniques are appropriate and likely to be helpful to you.

All that being said, you will (we hope) LOVE this podcast!

In upcoming podcasts, David and Fabrice will address questions on OCD (Obsessive-Compulsive Disorder) submitted by several listeners. Is OCD an organic illness? Are drugs necessary in the treatment? What’s the prognosis? David will describe powerful, drug-free treatment methods based on the four models he uses to treat all anxiety disorders: the Motivational, Cognitive, Exposure, and Hidden Emotion Models.

Transcript

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0:00.0

Hello and welcome to the Feeling Good podcast.

0:12.4

I am your host, Fabrice Knight.

0:14.7

And joining me here in the Murrieta Studios is Dr. David Burns.

0:19.0

Hi, David.

0:20.0

Hi, Fabrice.

0:23.8

Dr. David Burns has been a pioneer in the development of cognitive therapy, and he is the creator of the new team therapy. He is the author of

0:30.2

Feeling Good, which has sold over 5 million copies in the United States, and has been translated into

0:35.5

over 20 languages. He is an emeritus adjunct clinical professor of psychiatry at the Stanford University School

0:43.0

of Medicine.

0:44.6

Welcome to episode 42 of the Feeling Good podcast.

0:48.2

And today I'm going to be a little bit selfish, and I wanted to ask David for some ideas on a technique

1:00.1

that's called shame-attacking exercises, which is a form of exposure.

1:06.1

And I figured since I'm asking him for some ideas on how to do this, we might as well

1:14.1

publish it for all to hear.

1:15.7

So David, I have some patients who have some social anxiety.

1:23.6

You know, they can be big or small, but I want to expose them to some social interactions that

1:32.4

may be a little bit difficult for them, or maybe very difficult for them.

1:37.3

And one thing that has been my concern is I don't want to do anything that will actually

1:42.7

hurt people or harm people or

1:45.3

disturb even people who are doing their day job. So I'd love to hear what kind of fancy ideas you have

1:54.9

about shame attacking exercises. Sure. This is one of my favorite topics in the whole world. And the shame attacking exercise

2:06.1

exercises, that's just one technique out of many that I used to treat social anxiety, which is more

...

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