Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-17T13:19:25.410Z Has data issue: false hasContentIssue false

The therapeutic potential of positive reframing in panic

Published online by Cambridge University Press:  16 April 2020

J Neeleman*
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ, UK
Get access

Summary

Four patients are described whose presenting complaint - panic attacks associated with atypical chest-pain and varying degrees of avoidance; improved substantially following a simple paradoxical intervention. Three months’ follow-up suggested lasting benefits.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ascher, LM (1981) Employing paradoxical intention in the treatment of agoraphobia Behav Res Ther 19, 533542CrossRefGoogle ScholarPubMed
Bass, CM (1990) Functional cardiorespiratory syndromes. In: Somatization; Physical Symptoms and Psychological Illness (Bass, CM, ed) Blackwell, Oxford, 171206Google Scholar
Brewin, CR (1989) Cognitive change processes in psychotherapy Psychol Rev 96, 379394CrossRefGoogle ScholarPubMed
Beck, ATWard, CHMendelson, MMock, JErbaugh, J (1961) An inventory for measuring depression Arch Gen Psychiatry 4, 561571CrossRefGoogle ScholarPubMed
Beck, ATEpstein, NBrown, GSteer, RA (1988) An inventory for measuring clinical anxiety J Consult Clin Psychol 56, 893897CrossRefGoogle ScholarPubMed
Beck, JTStrong, SR (1982) Stimulating therapeutic change with interpretations; a comparison of positive and negative connotations J Counsel Psychol 29, 551559CrossRefGoogle Scholar
Clark, DM (1986) A cognitive approach to panic Behav Res Ther 24, 461470CrossRefGoogle ScholarPubMed
De Silva, PRachman, S (1981) Is exposure a necessary condition for fear-reduction? Behav Res Ther 19, 227232CrossRefGoogle ScholarPubMed
Feldman, DAStrong, SRDanser, DB (1982) A comparison of paradoxical and non-paradoxical interpretations and directives J Counsel Psychol 29, 572579CrossRefGoogle Scholar
Frankl, VE (1955) The Doctor and the Soul; From Psychoterapy to Logotherapy. Knopf, New YorkGoogle Scholar
Frankl, VE (1960) Paradoxical intention; a logotherapeutic technique Am J Psychother 14, 520535CrossRefGoogle ScholarPubMed
Frankl, VE (1975) Paradoxical intention and dereflection Psychother Theor Res Prac 12, 226237CrossRefGoogle Scholar
Marks, IMMathews, AM (1979) Brief standard self-rating agoraphobic patients Behav Res Ther 17, 263267CrossRefGoogle Scholar
Marks, IM (1986) Behavioural Psychotherapy; Maudsley Pocket Book of Clinical Management. John Wright, BristolGoogle Scholar
Marks, IM (1991) Emotional arousal as therapy; activation versusdissociation Eur J Psychiatry 6, 161171Google Scholar
Marks, IMTobena, A (1991) Learning and unlearning fear; a clinical and evolutionary perspective Neurosci Biobehav Rev 14, 365384CrossRefGoogle Scholar
Michelson, LMavissakalian, MMarchione, KDancu, CGreenwald, M (1986) The role of self-directed in vivoexposure in cognitive, behavioral and psychophysiological treatments of agoraphobia Behav Ther 17, 91108CrossRefGoogle Scholar
O’Connell, DS (1983) Symptom prescription in psychotherapy Psychother Theory Res Pract 20, 1220CrossRefGoogle Scholar
O’Sullivan, GMarks, IM (1990) Long term outcome of phobic and obsessive-compulsive disorders after treatment. In: Handbook of Anxiety Disorders, vol 4 (Noyes, RBurrows, GD, eds) Elsevier, AmsterdamGoogle Scholar
Rapee, RMBarlow, DH (1991) The cognitive behavioral treatment of panic attacks and agoraphobia. In: Panic Disorder and Agoraphobia (Walker, JRNorton, GRRoss, CA, eds) Brooks/Cole Publishing Company, New York, 252305Google Scholar
Ross, MOlson, JM (1981) An expectancy-attribution model of the effects of placebos Psychol Rev 88, 408437CrossRefGoogle ScholarPubMed
Selvini Palazzoli, MBoscolo, LCecchin, GFPratta, G (1978) Paradox and Counterparadox; A New Model in the Therapy of the Family in Schizophrenic Transaction (transl Burt, EV) Aronson, New YorkGoogle Scholar
Teasdale, J (1988) Cognitive models and treatments for panic; a critical evaluation. In: Panic; Psychological Perspectives (Rachman, SMaser, JD, eds) 189-203 Lawrence Erlbaum, New Jersey, 189203Google Scholar
Warwick, HMCMarks, IM (1988) Behavioural treatment of illness phobia and hypochondriasis; a pilot study of 17 cases Br J Psychiatry 152, 239241CrossRefGoogle ScholarPubMed
Warwick, HMSalkovskis, PM (1985) Reassurance Br Med J 290, 1028CrossRefGoogle ScholarPubMed
Watzlawick, PWeakland, JHFisch, R (1974) Change; Principles of Problem Formation and Problem Resolution Norton, New YorkGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.