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Exposure therapy can be very stressful and so is not always effective or even feasible for many patients, if you can provide an indirect treatment that's reasonably realistic, where you contaminate a rubber hand instead of a real hand, this might provide a bridge that will allow more people to tolerate exposure therapy or even replace (it) altogether.
If you have fear, the activation in fear centers in the brain might mean more likelihood of fully awaking during sleep paralysis, and experiencing the whole thing, and by experiencing it, you would have more fear — and then, you have all these cultural ideas of what it is added as well, and now you are even more scared of it.
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