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Topdog vs. underdog is a phrase coined by Fritz Perls, the father of Gestalt therapy, to describe a self-torture game that people play with themselves in order to avoid the anxiety that they encounter in their environment.
It has been used in cognitive-behavioral treatments for anxiety disorders (e.g. exposure practices and hierarchy) and for research purposes. There is no hard and fast rule by which a patient can self assign a SUDS rating to his or her disturbance or distress, hence the name subjective. Some guidelines are:
A 2006 study of behavioral activation being applied to anxiety appeared to give promising results. [25] One study found it to be effective with fibromyalgia-related pain anxiety. [26] In another, researchers observed a notable improvement in the quality of life and a reduction in anxiety levels as a result of BA treatment. [5]
The SIAS discriminates between social anxiety and general anxiety as it has low associations with trait anxiety (a level of stress associated with an individual personality) and general distress. [8] Beyond identifying those who experience social anxiety of some form, the scale can discriminate within the social anxiety class as well. [1]
The Life Events and Difficulties Schedule is a psychological measurement of the stressfulness of life events. It was created by psychologists George Brown and Tirril Harris in 1978. [1]
Supportive psychotherapy functions with the objective of reducing anxiety and maintaining a positive patient-therapist relationship with minimal focus on transference. [7] While this practice of therapy is seldom studied, it has since been identified and functions as an alternative to expressive therapy. [8]