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8 DISCUSSION 209 Olatunji, B. O., Etzel, E. N., Tomarken, A. J., Ciesielski, B. G., & Deacon, B. (2011). The effects of safety behaviors on health anxiety: An experimental investigation. Behaviour Research and Therapy, 49, 719-728. https://doi.org/10.1016/j.brat.2011.07.008 Pittig, A., Brand, M., Pawlikowski, M., & Alpers, G. W. (2014). The cost of fear: avoidant decision making in a spider gambling task. Journal of Anxiety Disorders, 28, 326-334. http://dx.doi.org/10.1016/j.janxdis.2014.03.001 Rachman, S., Radomsky, A. S., & Shafran, R. (2008). Safety behaviour: A reconsideration. Behaviour Research and Therapy, 46, 163-173. https://doi.org/10.1016/j.brat.2007.11.008 Rachman, S., Shafran, R., Radomsky, A. S., & Zysk, E. (2011). Reducing contamination by exposure plus safety behaviour. Journal of Behavior Therapy and Experimental Psychiatry, 42, 397–404. https://doi.org/10.1016/j.jbtep.2011.02.010 Rattel, J. A., Miedl, S. F., Blechert, J., & Wilhelm, F. H. (2016). Higher threat avoidance costs reduce avoidance behaviour which in turn promotes fear extinction in humans. Behaviour Research and Therapy, 96, 37-46. http://dx.doi.org/10.1016/j.brat.2016.12.010 Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19 , 6–19. http://dx.doi.org/10.1017/S0141347300011472 Tabibnia, G., Lieberman, M. D., & Craske, M. G. (2008). The lasting effect of words on feelings: words may facilitate exposure effects to threatening images. Emotion, 8 , 307- 317. http://dx.doi.org/10.1037/1528-3542.8.3.307 Ten Broeke, E., & Rijkeboer, M. (2017). Over het hanteren van vermijding en veiligheidsgedrag bij de behandeling van angststoornissen. Gedragstherapie, 50 , 2-20. Thwaites, R., & Freeston, M. H. (2005). Safety-seeking behaviours: Fact or function? How can we clinically differentiate between safety behaviours and adaptive coping strategies across anxiety disorders? Behavioural and Cognitive Psychotherapy, 33 , 177-188. https://doi.org/10.1017/S1352465804001985 Treanor, M., & Barry, T. J. (2017). Treatment of avoidance behavior as an adjunct to exposure therapy: Insights from modern learning theory. Behaviour Research and Therapy, 96, 30- 36 . https://doi.org/10.1016/j.brat.2017.04.009 Van den Hout, M. A., Engelhard, I. M., & McNally, R. J. (2017). Thoughts on experimental psychopathology. Psychopathology Review, 2, 141-154. doi:10.5127/pr.045115