Skip to main content

Exposure In-Vivo with Panic Management for Agoraphobia: Treatment Rationale and Longterm Outcome

  • Conference paper

Abstract

During the 1970’s a series of international treatment studies, pioneered and led by British groups from London and Oxford, seemed to have established some of the best documented and validated, highly specific short-term treatments for a rather chronic illness in the whole field of psychotherapy research: exposure in-vivo for agoraphobia. Since the beginning of this decade, parallel to the introduction of DSM-III, an increasing amount of basic research and clinical studies on panic disorder, panic attacks and agoraphobia with panic attacks seems to question this empirical and experimental knowledge.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Agras WS, Berkowitz R (1980) Clinical research in behavior therapy: Halfaway there? Behavior Therapy 9:472–487

    Article  Google Scholar 

  • Bandura A (1978) Self-efficacy: Toward a unifying theory of behavioral change. In: Francks CM, Wilson GT (eds) Annual Review of Behavior Therapy: Theory and Practice (Vol. 6) Brunner & Mazel, New York

    Google Scholar 

  • Barlow DH, Wolfe BE (1981) Behavioral approaches to anxiety disorders: A report on the NIMH-SUNY, Albany research conference. J Cons Clin Psychol 49:448–454

    Article  CAS  Google Scholar 

  • Chambless DL, Golstein AJ (1981) Clinical treatment of agoraphobia. In: Chambless DL, Goldstein AJ (eds) Phobia: Psychological and pharmacological treatment. Guilford, New York

    Google Scholar 

  • Cohen SD, Monteiro W, Marks IM (1984) Two-year follow-up of agoraphobics after exposure and imipramine. Br J Psychiatry 144:276–287

    Article  PubMed  CAS  Google Scholar 

  • Emmelkamp PMG, Kuipers AC (1979) Agoraphobia: A follow-up study four years after treatment. Br J Psychiatry 134:352–355

    Article  PubMed  CAS  Google Scholar 

  • Fahrenberg J (1975) Die Freiburger Beschwerdeliste, FBL. Zeitschrift für klinische Psychologie 4:79–100

    Google Scholar 

  • Fahrenberg J, Selg H, Hampel R (1973) Das Freiburger Persönlichkeitsinventar, FPI. Handanweisung. Hogrefe, Göttingen

    Google Scholar 

  • Fahrenberg J, Selg H, Hampel R (1984) Das Freiburger Persönlichkeitsinventar, FPI. Handanweisung der revidierten Fassung FPI-R und der teilweise geänderten Fassung FPI-A. Hogrefe, Göttingen

    Google Scholar 

  • Foa FB, Emmelkamp PMG (eds) (1983) Failures in behavior therapy. Wiley, New York

    Google Scholar 

  • Hafner RJ, Marks IM (1976) Exposure in vivo of agoraphobics: contributions of diazepam, group exposure and anxiety evocation. Psychol Med 6:71–88

    Article  PubMed  CAS  Google Scholar 

  • Hallam RS, Hafner RJ (1978) Fears of phobic patients. Factor analyses of self-report data. Beh Res Ther 16:1–6

    Article  CAS  Google Scholar 

  • Hand I (1984) Verhaltenstherapie und Psychopharmaka bei Phobien? Welche Konsequenzen hat die „Entdeckung” der Panic Disorder wirklich für die verhaltenstherapeutische Praxis und Forschung? In: Götze P (ed) Leitsymptom Angst. Springer, Berlin

    Google Scholar 

  • Hand I (1986) Verhaltenstherapie und kognitive Therapie in der Psychiatrie. In: Kisker KP, Lanter H, Meyer J-E, Müller C, Strömgen E (eds) Psychiatrie der Gegenwart, Band 1, 3. Auflage. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Hand I, Lamontagne Y (1976) The exacerbation of interpersonal problems after rapid phobia-removal. Psychotherapy: Theory, Research and Practice 13:405–411

    Article  Google Scholar 

  • Hand I, Lamontagne Y, Marks IM (1974) Group exposure (flooding) in vivo for agoraphobics. Br J Psychiatry 124:588–602

    Article  PubMed  CAS  Google Scholar 

  • Hand I, Schröder G (1980) Die vago-vasale Ohnmacht bei der Blut-Verletzungs-Katastrophen (BVK)-Phobie und ihre verhaltenstherapeutische Behandlung. Therapiewoche 30:923–932

    Google Scholar 

  • Klein D (1981) Anxiety reconceptualized. In: Klein D, Rabkin J (eds) Anxiety: New Research and changing concept. Raven Press, New York

    Google Scholar 

  • Lambert MJ, Bergin AE (1978) The evaluation of therapeutic outcome. In: Garfield SC, Bergin AE (eds) Handbook of psychotherapy and behavior change: An empirical analysis. Wiley, New York

    Google Scholar 

  • Mahoney M (1983) Cognition, consciousness and processes of personal change. In: Craig K, McMahon R (eds) Advances in clinical behavior therapy. Brunner & Mazel, New York

    Google Scholar 

  • Marks IM (1970) The classification of phobic disorders. Br J Psychiatry 116:337–380

    Article  Google Scholar 

  • Marks IM (1971) Phobic disorders four years after treatment: A prospective follow-up. Br J Psychiatry 118:683–688

    Article  PubMed  CAS  Google Scholar 

  • Marks IM (1975) Behavioral treatment of phobic and obsessive-compulsive disorders: a critical appraisal. In: Hersen M, Eisler R, Miller P (eds) Progress in behavior modification. Academic Press, New York

    Google Scholar 

  • Marks IM (1983) Panic attacks in phobia: treatment studies. Arch Gen Psychiatry 40:1151

    Google Scholar 

  • Mathews AM, Teasdale J, Munby M, Johnston D, Shaw P (1977) A home based treatment program for agoraphobia. Behavior Therapy 8:915–924

    Article  Google Scholar 

  • Mathews A, Gelder M, Johnston D (1981) Agoraphobia. Nature and treatment. Guilford Press, New York

    Google Scholar 

  • Mavissakalian M, Michelson L, Dealy S (1983) Pharmacological treatment of agoraphobia: Imipramine versus Imipramine with programmed practice. Br J Psychiatry 143:348–355

    Article  PubMed  CAS  Google Scholar 

  • McPherson FM, Brougham L, McLaren S (1980) Maintainance of improvement in agoraphobic patients treated by behavioral methods - a four year follow-up. Behav Res Ther 8:150–152

    Article  Google Scholar 

  • Munby M, Johnston DW (1980) Agoraphobia: The long-term follow-up of behavioral treatment. Brit J Psychiatry 137:418–427

    Article  CAS  Google Scholar 

  • Nie NH, Hull CM, Jenkins K, Bent DH (1980) SPSS - Statistical Package for the Social Sciences. McGraw Hill, New York

    Google Scholar 

  • Priebe S (1980) Die Bedeutung von Kohäsion und Angstfluktuation bei Kurzzeitübungs-Gruppen von Agoraphobikern. Unveröffentlichte Dissertation. Universität Hamburg

    Google Scholar 

  • Sheehan D, Ballenger J, Jacobsen G (1980) Treatment of endogenous anxiety with phobic hysterical and hypochondrieal symptoms. Arch Gen Psychiatry 37:51–59

    PubMed  CAS  Google Scholar 

  • Shipley R, Boudewyns P (1980) Flooding and implosive therapy: Are they harmful? Behavior Therapy 11:503–508

    Article  Google Scholar 

  • Strian F (1983) Angst. Grundlagen und Klinik. Springer, Berlin

    Google Scholar 

  • Teaman BH, Telch MJ (1984) Phobic disorders. In: Adams HE, Sutker PB (eds) Comprehensive handbook of psychopathology. Plenum Press, New York London

    Google Scholar 

  • Teasdale JD, Walsh PA, Lancashire M, Mathews AM (1977) Group exposure for agoraphobics: A replication study. Brit J Psychiatry 130:186–193

    Article  CAS  Google Scholar 

  • Thorpe G, Burns L (1983) The Agoraphobic syndrome. Wiley, New York Chichester

    Google Scholar 

  • Thorpe GL, Burns LE, Smith PJ, Blier MJ (1984) Agoraphobia: Research developments and clinical implications. In: Franks CM (ed) New developments in behavior therapy from research to clinical application. The Haworth Press, New York

    Google Scholar 

  • Watson JP, Marks IM (1971) Relevant and irrelevant fear in flooding - a crossover study of phobic patients. Behavior Therapy 2:275–293

    Article  Google Scholar 

  • Zaworka W, Hand I, Jauernig G, Lünenschloβ K (1983) Das Hamburger Zwangsinventar (HZI) Manual and Fragebogen. Beltz, Weinheim

    Google Scholar 

  • Zerssen von DV, Koeller D-M (1976) Klinische Selbstbeurteilungsskalen (KSb-S) aus dem Münchener psychiatrischen Informationssystem. Beltz, Weinheim

    Google Scholar 

  • Zitrin C, Klein D, Woerner M (1980) Treatment of agoraphobia with group exposure in vivo and imipramine. Arch Gen Psychiatry 37:63–72

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Hand, I., Angenendt, J., Fischer, M., Wilke, C. (1986). Exposure In-Vivo with Panic Management for Agoraphobia: Treatment Rationale and Longterm Outcome. In: Hand, I., Wittchen, HU. (eds) Panic and Phobias. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71165-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71165-7_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71167-1

  • Online ISBN: 978-3-642-71165-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics