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van Dam, Q. (2018). Angstherkenning en gevoelsuiting in de affectfobietherapie: Een pleidooi voor integratie in de psychodynamische therapie. Tijdschr. Psychoanal., 24(4):252-265.

(2018). Tijdschrift voor Psychoanalyse, 24(4):252-265


Angstherkenning en gevoelsuiting in de affectfobietherapie: Een pleidooi voor integratie in de psychodynamische therapie

Quin van Dam


Exploring fear and expressing feelings in affect phobia therapy: A plea for integration in psychodynamic therapy

Many patients were forced as children to put up defences against their feelings and anxieties. As a result, they [1] have not learned to recognise the emotional and physical characertistics accompanying fear and regulate their anxiety and [2] have not developed the skills to express their feelings in an appropriate way. These competences have received little attention in psychodynamic therapy. Applying interventions rooted in Affect Phobia Therapy can be a fitting addition, owing to the experiential and cognitive behavioural techniques that are part and parcel of the psychodynamic context in which APT is practised.

In this article examples of interventions to regulate fear and explore adaptive expression of feelings are discussed. These are specifically advisable in the psychodynamic treatment of patients with serious personality disorders which are accompanied by sustained behavioural problems and egosyntonic defences.

Key words: adaptive expression of feelings, Affect Phobia Therapy (APT), anxiety-regulation, manifestations of anxiety, psychotherapy

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