Customers/patients with TAG report a higher frequency of past traumatic interpersonal events and a more uncertain attachment to their primary family member during childhood (compared to the population without this diagnosis), so the new perspectives highlight the importance of treating these patients’ interpersonal problems.
Not all of these problems are fully addressed in today’s cognitive behavioral therapies. These traumas could be deeper emotional problems that TAG patients would avoid with their concerns.
- Other new guidelines have been developed to overcome these cognitive behavioral limitations in TAG.
- Thus.
- We find Newman Integrative Therapy.
- Mennin Emotional Regulation Therapy and Roemer and Orsillo Therapy based on acceptance as a treatment for TAG.
TAG patients not only care, but also behave in a way that increases the likelihood of negative interpersonal consequences, thus preventing others from knowing how they are doing and how they feel to avoid the criticism and rejection they anticipate.
They may also not communicate their needs and desires, expressing irritation and disappointment when their emotional needs are not met.
Newman (2004) has developed an integrative therapy for the treatment of TAG that is applied sequentially, in each 2-hour session of traditional TCC, with interpersonal techniques, all aimed at intervening in the problems of the patient / client.
To achieve these goals, experience therapy techniques are used, focusing attention on emotional avoidance, on the other hand, this technique can be useful only for patients who have certain types of interpersonal problems.
Newman integrative therapy as a treatment for TAG aims to identify the patient’s interpersonal needs and help generate behaviors to meet them.
Mennin (2004) proposed emotional regulation therapy based on the idea that people with TAG experience negative emotions more easily.
In addition, they have difficulty identifying and understanding their emotions, negatively assessing them without accepting and regulating them.
Emotional regulation therapy integrates components of CBT with emotion-focused interventions that address deficits in emotional regulation. In addition, the social problems of the patients are also addressed.
Emotional regulation therapy has four phases
Emotional regulation therapy was superior to an attention control condition on a wide variety of measures (anxiety, anxiety, depression), with effects ranging from moderate to excellent.
According to the Roemer and Orsillo model, people with TAG have a problematic relationship with their internal experiences, in this component there are two aspects: the negative reaction to internal experiences and the fusion or over-identification with them.
Experience avoidance is the deliberate or automatic avoidance of internal experiences perceived as threatening; for example, taking care to avoid more disturbing experiences; such avoidance would reduce discomfort, but only temporarily, and help maintain the problematic relationship with internal experiences.
In addition, it would facilitate the development of a behavior restriction; the person is less concerned or less aware of valid or meaningful activities when performing them.
This behavioral restriction increases discomfort, resulting in more negative internal experiences and the cycle continues. In light of the above, Roemer and Orsillo (2007, 2009) proposed acceptance-based behavioral therapy (CBDT).
TCBA as a treatment for TAG would result in changes in the main variables indicated by other theoretical models: difficulties in regulating emotions, fear of emotional responses, intolerance to uncertainty and under perceived control.