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Severe depersonalization treated by behavior therapy

D Sookman, L Solyom

    The American Journal of Psychiatry
    |December 1, 1978
    PubMed
    Summary
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    Behavior therapy, specifically flooding, effectively treated severe intractable depersonalization in two cases. This approach significantly reduced obsessive symptoms and anticipatory anxiety, offering a promising treatment for complex depersonalization disorder.

    Area of Science:

    • Psychiatry
    • Psychology
    • Behavioral Therapy

    Background:

    • Depersonalization disorder is a challenging psychiatric condition characterized by persistent feelings of detachment from oneself.
    • Severe and intractable cases often require innovative treatment strategies beyond conventional therapies.

    Observation:

    • This study examined the application of behavior therapy, specifically the flooding technique, in two patients with severe, treatment-resistant depersonalization.
    • Outcome assessment involved comprehensive psychiatric evaluations, patient self-reports, and psychometric testing.

    Findings:

    • Flooding therapy demonstrated high effectiveness in one patient with depersonalization.
    • In the second patient, behavioral techniques led to substantial reductions in associated obsessive symptoms and anticipatory anxiety.

    Related Experiment Videos

  • These findings suggest behavior therapy is beneficial when exacerbating factors like anxiety and obsessive traits are present.
  • Implications:

    • Behavioral interventions, particularly flooding, represent a viable therapeutic option for severe depersonalization.
    • The study highlights the potential of targeting specific symptom clusters, such as anticipatory anxiety and obsessive perseveration, within depersonalization treatment.
    • Further research into behavioral techniques could refine treatment protocols for depersonalization disorder and related conditions.