Abstract
Hyperventilation often plays an important role in the clinical diagnosis and treatment of psychological disorders. Given the high frequency of incorrect breathing patterns in the adult population (Lum, 1976), attention to the symptoms of hyperventilation should be a routine part of every psychological examination, regardless of the specific presenting complaints. Faulty breathing patterns affect patients differently. They may be the central problem, directly bringing on the pathological symptoms; they may magnify, exacerbate, or maintain symptoms brought on by other causes; or they may be involved in peripheral problems that must be ameliorated before psychotherapeutic access is gained to the core treatment targets. Their manifestations may be direct and obvious, as when overbreathing leads to a panic attack, or they may initiate or maintain subtle symptoms that perpetuate an entire personality disorder. Diagnosis of hyperventilatory conditions is crucial.
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References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed., revised. Washington, D.C.: A.P.A., 1987.
Bass, C., and Gardner, W. Diagnostic issues in the hyperventilation syndrome. British Journal of Psychiatry,1985, 146, 101–102.
Beck, A., and Emery, G. Anxiety disorders and phobias. New York: Basic Books, 1985.
Bonn, J.A., Readhead, P.A., and Timmons, B.H. Enhanced adaptive behavioural response in agoraphobic patients pretreated with breathing retraining. Lancet, 1984, 2, 665–669.
Clark, D. A cognitive approach to panic. Behaviour Research and Therapy, 1986, 24, 461–470.
Compernolle, T., Hoogduin, K., and Jodle, L. Diagnosis and treatment of the hyperventilation syndrome. Psychosomatics, 1979, 19, 612–625.
Conway, A., Freeman, L., and Nixon, P.G.F. Hypnotic examination of trigger factors in the hyperventilation syndrome. American Journal of Clinical Hypnosis, 1988, 30, 296–304.
Eysenck, H.J. The classification of depressive illness. British Journal of Psychiatry, 1970, 117, 241–250.
Fensterheim, H. Clinical behavior therapy for depression. In J.F. Clarkin and H.I. Glazer (Eds.), Depression: Behavioral and directive intervention strategies. New York: Garland Press, 1981.
Fensterheim, H. The behavioral psychotherapy model of phobias. In H. Fensterheim and H.I. Glazer (Eds.), Behavioral Psychotherapy: Basic Principles and Case Studies in an Integrative Clinical Model, New York: Brunner/Mazel, 1983.
Folgering, H. Diagnostic criteria for the hyperventilation syndrome. In C. von Euler and M. Katz Salamon (Eds.), Respiratory Psychophysiology, New York: Stockton Press, 1988.
Freeman, L.J., and Nixon, P.G.F. Dynamic causes of angina pectoris, American Heart Journal, 1985, 11, 1087–1092.
Fried, R. The Hyperventilation Syndrome. Baltimore: Johns Hopkins University Press, 1987. Garssen, B., van Veenendaal, W., and Bloemink, R. Agoraphobia and the hyperventilation syndrome. Behaviour Research and Therapy, 1983, 21, 643–649.
Gibson, H.B. A form of behavior therapy for some states diagnosed as “affective disorder.” Behaviour Research and Therapy, 1978, 16, 191–195.
Gorman, J., Goetz, R., Uy, J., Ross, D., Martinez, J., Fyer, A., Liebowitz, M., and Klein, D. Hyperventilation occurs during lactate-induced panic. Journal of Anxiety Disorders, 1988, 2, 193–202.
Hibbert, G.A. Hyperventilation as a cause of panic attacks. British Medical Journal, 1984, 288, 263–264.
Kerr, W.J., Dalton, J.W., and Gliebe, P.A. Some physical phenomena associated with anxiety states and their relation to hyperventilation. Annals of Internal Medicine, 1937, 11, 961–992.
King, J.C., and Nixon, P.G.F. A system of cardiac rehabilitation: Psychophysiological basis and practice. British Journal of Occupational Therapy, 1988, 51, 376–384.
Lazarus, H.R., and Kostan, J.J. Psychogenic hyperventilation and death anxiety. Psychosomatics, 1969, 10, 14–22.
Ley, R. Panic disorder and agoraphobia: Fear of fear or fear of the symptoms produced by hyperventilation?, Journal of Behavior Therapy and Experimental Psychiatry, 1987, 18, 305–316.
Ley, R. Panic attacks during sleep: A hyperventilation-probability model, Journal of Behavior Therapy and Experimental Psychiatry, 1988, 19, 181–192.
Ley, R. Dyspneic—Fear and catastrophic conditions in hyperventilatory panic attacks. Behaviour Research and Therapy, 1989, 27, 549–554.
Lum, L.C. Hyperventilation: The tip and the iceberg. Journal of Psychosomatic Research, 1975, 19, 375–383.
Lum, L.C. The syndrome of habitual chronic hyperventilation. In O. Hill (Ed.), Modern trends in psychosomatic medicine. Vol. 3. Boston: Butterworth, 1976.
Lum, L.C. Respiratory alkalosis and hypocarbia. The Chest, Heart and Stroke Journal, 1978/79, 3, 31–34.
Lum, L.C. Hyperventilation and anxiety state. Journal of the Royal Society of Medicine, 1981, 74, 1–4.
Masters, W.H., and Johnson, V.E. Human sexual inadequacy. Boston: Little, Brown, 1970.
Mathews, A.M., Gelder, M.G., and Johnston, D.W. Agoraphobia: Nature and treatment. New York: Guilford Press, 1981.
Sanderson, W.C., and Beck, A.T. Classical conditioning model of panic disorder: Response to Wolpe and Rowan. Behaviour Research and Therapy, 1989, 27, 581–582.
Wolpe, J. The experimental model and treatment of neurotic depression. Behaviour Research and Therapy1979, 17, 555–565.
Wolpe, J., and Rowan, V. Panic disorder: A product of classical conditioning. Behaviour Research and Therapy1988 26441–450.
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Fensterheim, H. (1994). Hyperventilation and Psychopathology. In: Timmons, B.H., Ley, R. (eds) Behavioral and Psychological Approaches to Breathing Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9383-3_10
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DOI: https://doi.org/10.1007/978-1-4757-9383-3_10
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