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10th INTERNATIONAL CONGRESS and 15th
NATIONAL of CLINICAL PSYCHOLOGY


MONASTERIO SAN MARTÍN PINARIO
SANTIAGO DE COMPOSTELA (SPAIN)
16-19 NOVEMBER, 2017 
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Jürgen Margraf
Mental Health Research and Treatment Center, Ruhr-Universität Bochum
ALEMANIA
1 English
Jürgen Margraf studied psychology, sociology and physiology in Germany and Belgium. After a research scholarship in Psychiatry and Behavioral Sciences at Stanford University he completed his PhD at the University of Tübingen in 1986 and subsequently held professorships in Berlin, Dresden, Basel and Bochum. In 2009 he was the first psychologist to be awarded an Alexander von Humboldt-Professorship, Germany´s most highly endowed scientific award. His work focuses on the interplay between psychological, biological and social factors in mental health, using a combination of etiological, epidemiological and intervention research strategies and leading to some 500 publications. He is member of the Leopoldina - German National Academy of Science, member of the Academia Europaea and Fellow of the Association for Psychological Science as well as past president of the European Association for Behavioural and Cognitive The¬rapies (EABCT), the German National Scientific Council on Psychotherapy and the German Society of Psychology.

CONFERENCE ABSTRACT
Enhancing Exposure and Extinction (Triple E)
Exposure therapy is a major success story in mental health with extinction learning as a core active ingredient. Systematically enhancing exposure and extinction offers a scientifically promising and ethically justified pathway to a mechanistic understanding of lasting therapeutic change. Our research program combines laboratory experiments, clinical and long-term follow-up studies to elucidate behavioral and pharmacological augmentation as well as psychological and biological mechanisms. Cortisol, sleep and increased self-efficacy systematically enhance outcomes, underscoring the relevance of learning and memory mechanisms. Our new large-group exposure protocol allows the highly standardized simultaneous treatment of up to 80 patients in a single session. Using this, we were able to show that genetic variation of the serotonin transporter gene is associated with differential stability of inhibitory learning and long-term therapeutic outcome, potentially reflecting heightened susceptibility to context-related fear renewal in S-allele carriers. Together, augmentation, follow-up and therapy genetic findings have important clinical and research implications.