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The British Journal of Psychiatry (2000) 176: 597
© 2000 The Royal College of Psychiatrists

Correspondence

Imaginal exposure or cognitive therapy in the treatment of post-traumatic stress disorder

T.J. Fahy

Clinical Science Institute, National University of Ireland, Galway, Ireland

EDITED BY LOUISE HOWARD

Tarrier et al (1999) report no significant difference in outcome for patients with post-traumatic stress disorder who received either imaginal exposure or cognitive therapy. They conclude that "clinical benefits for both treatments were maintained".

In the absence of a control group such a conclusion is not warranted. Their findings are open to a number of interpretations, including significant improvement in spite of harmful effects of either or both treatments - supposing, that is, that there were two treatments. Meanwhile, their suggestion that more research is needed does merit support.

REFERENCES

  1. Tarrier, N., Sommerfield, C., Pilgrim, H., et al (1999) Cognitive therapy or imaginal exposure in the treatment of post-traumatic stress disorder. British Journal of Psychiatry, 175, 571-575.[Abstract/Free Full Text]



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