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Severe Agoraphobia: A Controlled Prospective Trial of Behaviour Therapy

Published online by Cambridge University Press:  29 January 2018

M. G. Gelder  and
I. M. Marks
M. G. Gelder
Affiliation:
Institute of Psychiatry and Maudsley Hospital, London, S.E.5
I. M. Marks
Affiliation:
Institute of Psychiatry and Maudsley Hospital, London, S.E.5
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Extract

Severe agoraphobia is difficult to treat. Encouraging immediate results have been reported with diverse treatments, including intensive psychotherapy (Friedman, 1959), acetyl choline injections (Sim, 1964), antidepressant drugs (King, 1962) and more recently with behaviour therapy (Wolpe, 1958). It is this latter claim which this paper examines. Early reports (e.g. Meyer, 1957; Wolpe, 1958) suggested that behaviour therapy might prove to be a rapid and effective treatment, but a small series studied by Meyer and Gelder (1963) demonstrated that results were not always as effective as single case reports suggested, and showed clearly that the treatment was often lengthy, taking 80 hours on the average. A retrospective investigation of a larger series (Marks and Gelder, 1965; Cooper, Gelder and Marks, 1965) again failed to support the early claims, although it was shown that behaviour therapy is an effective treatment for circumscribed phobias such as fears of animals and insects.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 112 , Issue 484 , March 1966 , pp. 309 - 319
Copyright
Copyright © Royal College of Psychiatrists, 1966 

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References

Cooper, J. E., Gelder, M. G., and Marks, I. M. (1965). “The results of behaviour therapy in 77 psychiatric patients.” Brit. med. J., i, 1222–1225.Google Scholar
Frank, J. D. (1961). Persuasion and Healing: A Comparative Study of Psychotherapy. Baltimore: Johns Hopkins Press.Google Scholar
Friedman, P. (1959). “The Phobias”, in American Handbook of Psychiatry, ed. Arieti, S. New York: Basic Books.Google Scholar
Gelder, M. G., Marks, I. M., Sakinofsky, I., and Wolff, H. H. (1964). Paper read at Sixth International Congress of Psychotherapy, London.Google Scholar
Gliedman, L. H., Stone, A. R., Frank, J. D., Nash, E. H., and Imber, S. D. (1957). “Incentives for treatment related to remaining or improving in psychotherapy.” Am. J. Psychoth., 11, 589–598.Google Scholar
Grossberg, J. M. (1964). “Behaviour therapy; a review.” Psychol. Bull., 62, 73–88.CrossRefGoogle Scholar
King, A. (1962). “Phenelzine treatment of Roth's calamity syndrome.” Med. J. Australia, 9 June, 1962.Google Scholar
Lazarus, A. A. (1963). “The results of behaviour therapy in 126 cases of severe neurosis.” Behav. Res. Ther., 1, 69–79.Google Scholar
Jones, H. G. (1964). Paper read at Sixth International Congress of Psychotherapy, London.Google Scholar
Marks, I. M., and Gelder, M. G. (1965). “A controlled retrospective study of behaviour therapy in phobic patients.” Brit. J. Psychiat., 111, 561–573.Google Scholar
Meyer, V., and Gelder, M. G. (1963). “Behaviour therapy and phobic disorders”. Ibid., 109, 19–28.Google Scholar
Meyer, V., and Gelder, M. G. (1957). “The treatment of two phobic patients on the basis of learning principles.” J. abnorm. soc. Psychol., 55, 261–266.Google Scholar
Miles, H., Barrabee, E., and Finesinger, J. (1951). Psychosom. Med., 13, 82.Google Scholar
Roberts, A. H. (1964). “Housebound housewives—a follow-up study of a phobic anxiety state.” Brit. J. Psychiat., 110, 191–197.Google Scholar
Rogers, C. R., and Dymond, R. F. (Eds.) (1954). Psychotherapy and Personality Change. Univ. of Chicago Press, Chicago, Ill.Google Scholar
Sandler, J., de Monchaux, C., and Dixon, J. J. (1958). “Patterns of anxiety, the correlates of social anxieties.” Brit. J. med. Psychol., 31, 24–31.Google Scholar
Sim, M. (1963). Guide to Psychiatry. Edinburgh: Livingstone Ltd.Google Scholar
Wolpe, J. (1958). Psychotherapy by Reciprocal Inhibition, Stanford University Press, Stanford, Calif.Google Scholar
Wolpe, J. (1964). “Behaviour therapy in complex neurotic states.” Brit. J. Psychiat., 110, 28–34.Google Scholar
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