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A Combined Cognitive-Behavioural Treatment Package for a Hospitalization Phobic Patient

Published online by Cambridge University Press:  16 June 2009

Bryan D. Adams  and
Peter Hayward
Bryan D. Adams*
Affiliation:
West London Institute of Higher Education, West Surrey and North East Hants Health Authority
Peter Hayward
Affiliation:
Institute of Psychiatry, University of London
*
*Address for correspondence: Bryan D. Adams, W.L.I.H.E., Department of Health and Paramedical Studies, 300 St. Margarets Road, Middlesex TW1 1PT.
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Abstract

A senior nurse with a 10-year history of hospitalization phobia was treated with a combined cognitive therapy, imaginal and in vivo exposure therapy package. All previous medical admissions for the subject had resulted in her being transferred to a psychiatric ward and being treated with neuroleptics. The cognitive therapy provided an explanation for the phobia and a rationale for the treatment, which secured compliance to the exposure therapy. Pre- and post-treatment fear ratings showed a large reduction. Follow-up data showed the subject to be free of all psychiatric symptoms in two subsequent medical admissions. It is suggested that an initial few sessions of cognitive therapy with intransigent phobics may be a pre-requisite for an exposure programme.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 18 , Issue 2 , April 1990 , pp. 137 - 142
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

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References

Bandura, A. (1977). Social Learning Theory. Englewood Cliffs: Prentice Hall.Google Scholar
Brewin, C. R. (1988). Cognitive Foundations of Clinical Psychology. Lawrence Erlbaum Associates.Google Scholar
Dixon, J. J., Demonchaux, C. and Sandler, J. (1957). Patterns of anxiety. British Journal of Medical Psychology 30, 34–40.Google Scholar
Goorney, A. B. (1970). Treatment of aviation phobias by behaviour therapy. British Journal of Psychiatry 117, 535–544.CrossRefGoogle ScholarPubMed
Lindsay, S. J. E. (1987). Fears and Anxiety: Investigation. In A Handbook of Clinical Adult Psychology. Lindsay, S. and Powell, G. (Eds). London: Gower.Google Scholar
Lloyd, G. G. and Deakin, H. G. (1975). Phobias complicating treatment of uterine carcinoma. British Medical Journal 4, 440.CrossRefGoogle ScholarPubMed
Marks, I. M. and Mathews, A. M. (1979). Brief standard self-rating for phobic patients. Behaviour Research and Therapy 17, 263–267.CrossRefGoogle ScholarPubMed
Marks, I. M. (1987). Fears, Phobias and Rituals. Oxford: Oxford University Press.Google Scholar
Marshall, W. L., Gautherier, J. and Gordon, A. (1979). The current status of flooding therapy. In Progress in Behaviour Modification. Hersen, M., Eisler, R. M. and Miller, P. M. (Eds). New York: Academic Press.Google Scholar
Naud, J., Boisvert, J. M. and Lamontagne, Y. (1973). Treatment of firearm phobia by flooding in vivo and motor activity. Journal of Behaviour Therapy and Experimental Psychiatry 4, 407–409.CrossRefGoogle Scholar
Powers, P. S. and Powers, H. P. (1975). Using a hospital for desensitization of an outpatient's illness-related fears. Hospital and Community Psychiatry 26, 675–677.Google ScholarPubMed
Snaith, R. P. (1968). A clinical investigation of phobias. British Journal of Psychiatry 114, 673–698.CrossRefGoogle ScholarPubMed
Torgersen, S. (1979). The nature and origin of common phobic fears. British Journal of Psychiatry 134, 343–351.CrossRefGoogle ScholarPubMed
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