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Related Experiment Videos

Behaviour therapy in phobic and obsessional disorders.

J Cobb

    Psychiatric Developments
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Exposure therapy is effective for agoraphobia and obsessive-compulsive neurosis, but anxiety reduction is not the primary mechanism for obsessive-compulsive neurosis. Cognitive therapy offers no added benefit during exposure treatment.

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    Area of Science:

    • Psychology
    • Clinical Psychology
    • Behavioural Therapy

    Background:

    • Behaviour therapy, specifically in vivo exposure, is a key treatment for agoraphobia and obsessive-compulsive neurosis.
    • A combined behavioral and psychological approach is recommended for formulating individual treatment targets.
    • Treatment targets can be assessed using discomfort, disability, and physiological anxiety measures, though their interrelationships require further investigation.

    Purpose of the Study:

    • To review the clinical utility of exposure in vivo therapy for agoraphobia and obsessive-compulsive neurosis.
    • To examine variables influencing the effectiveness of exposure therapy.
    • To question established models of obsessive-compulsive neurosis and the efficacy of certain pharmacological interventions.

    Main Methods:

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    • Review of existing literature on exposure therapy for anxiety disorders.
    • Analysis of factors such as session duration, frequency, and arousal levels.
    • Evaluation of the role of adjunctive cognitive therapy and response prevention techniques.

    Main Results:

    • Prolonged, frequent exposure sessions yield the best outcomes.
    • High anxiety during exposure is not essential for successful treatment.
    • Simple response prevention effectively reduces ritualistic behaviors in obsessive-compulsive neurosis without necessarily reducing anxiety.
    • Anxiety reduction is not the sole explanatory model for obsessive-compulsive neurosis treatment outcomes.

    Conclusions:

    • Exposure therapy is clinically useful for agoraphobia and obsessive-compulsive neurosis.
    • The efficacy of adjunctive cognitive therapy during exposure is questionable.
    • The anxiety reduction model for obsessive-compulsive neurosis may be insufficient.
    • The effectiveness of clomipramine and imipramine for these conditions warrants further scrutiny.