It is not necessary to use a live model, videos of co-operative patients are of value.
However, the following points should be taken into consideration when setting up a
programme.
- Ensure that the model is close in age to the nervous child or children involved.
- The model should be shown entering and leaving the surgery to prove treatment has
no lasting effect. - The dentist should be shown to be a caring person who praises the patient.
Fig. 2.14 We want our patients to leave us in a happy frame of mind. (With
thanks to David Myers and kind permission of Eden Bianchi Press.)2.6.3 Cognitive approaches
Modelling helps people learn about dental treatment from watching others, but it does
not take account of an individual's 'cognitions' or thoughts. People may heighten their
anxiety by worrying more and more about a dental problem so creating a vicious
reinforcing circle. Thus there has been great interest in trying to get individuals to
identify and then alter their dysfunctional beliefs. A number of cognitive modification
techniques have been suggested, the most common ones including:
(1) asking patients to identify and make a record of their negative thoughts;
(2) helping patients to recognize their negative thoughts and suggesting more positive
alternatives⎯'reality based';
(3) working with a therapist to identify and change the more deep-seated negative
beliefs.
Cognitive therapy is useful for focused types of anxiety⎯hence its value in