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Application of behavioral principles in the management of suffocation phobia: a case study of chronic respiratory

V J Malatesta1, B L West, R J Malcolm

  • 1Institute of Pennsylvania Hospital, Philadelphia 19139.

This case study presents the first application of behavioral techniques in the management of psychological reactions associated with respiratory weaning. A forty-eight-year-old woman, with a history of brain stem dysfunction and repeated respiratory arrests participated in a four-week behavioral treatment program designed to 1) eliminate suffocation fear and depression, 2) promote respiratory self-sufficiency, and 3) facilitate successful ventilatory weaning. At one year follow-up, the patient continued to display no evidence of respiratory difficulty, depressive symptomatology, or agitated mood states.

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