Skip to main content

Verhaltenstherapie und Psychopharmaka bei Phobien? Welche Konsequenzen hat die „Entdeckung“ der Panic-Disorder wirklich für die verhaltenstherapeutische Praxis und Forschung?

  • Chapter
Leitsymptom Angst

Zusammenfassung

Die Phobien stellen seit mindestens 2 Jahrzehnten einen der „klassischen“ Indikationsbereiche für Verhaltenstherapie dar. Die mittlerweile kaum noch überschaubare Literatur dazu spiegelt sowohl die glänzenden wie auch die peinlicheren Entwicklungsabschnitte dieser nicht mehr neuen und doch noch so oft mißverstandenen Therapierichtung wider.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Adler J, Hager M, Zabarsky M, Jackson T, Friendly D, Abramson P (1984) The fight to conquer fear: phobias afflict millions of americans — but new therapies are providing help. Newsweek, 23. 4. 1984

    Google Scholar 

  • Agras W, Chapin H, Oliveau D (1972) The natural history of phobia. Arch Gen Psychiatry 26:315–317

    Article  PubMed  CAS  Google Scholar 

  • American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 2. ed. Washington D. C., American Psychiatric Association

    Google Scholar 

  • Appleby I, Klein D, Sachar E, Levitt M (1981) Biochemical indices of lactate induced panic: a preliminary report. In Klein D, Rabkin J (eds) Anxiety: New research and changing concepts. Raven Press, New York

    Google Scholar 

  • Bartling G, Fiegenbaum W, Krause R (1980) Reizüberflutung, Theorie und Praxis. Kohlhammer, Stuttgart Berlin Köln Mainz

    Google Scholar 

  • Buglass D, Clarke J, Henderson A (1977) A study of agoraphobic housewifes. Psychol Med 7:73–86

    Article  PubMed  CAS  Google Scholar 

  • Butollo W (1979) Chronische Angst, Theorie und Praxis der Konfrontationstherapie. Urban und Schwarzenberg, München Wien

    Google Scholar 

  • Baltimore Cadoret R (1978) Genetic principles in the taxonomy of affective disorders. In: Akiskal H, Webb W: Psychiatric diagnosis. Spectrum publications. New York

    Google Scholar 

  • Caroll B (1982) Clinical applications of the dexamethasone suppression test for endogenous depression. Pharmacopsychiatrica 15:19–24

    Article  Google Scholar 

  • Chambless D, Goldstein A (1982) Agoraphobia. Multiple persectives on theory and treatment. Wiley, New York Chichester

    Google Scholar 

  • Cloninger L, Martin R, Clayton P (1981) A blind follow-up and family study of anxiety neurosis: preliminary analysis of the St. Louis 500. In: Klein D, Rabkins J (eds) Anxiety: New research and changing concepts. Raven Press, New York

    Google Scholar 

  • Crowe R, Pauls D, Slymen D (1980) A family study of anxiety neurosis: morbidity risk in families of patients with and without mitral valve prolaps. Arch Gen Psychiatry 37:77–79

    Article  PubMed  CAS  Google Scholar 

  • Crowe R, Noyes R, Pauls D, Slymen D (1983) A family study of panic disorder. Arch Gen Psychiatry 40:1065–1069

    Article  PubMed  CAS  Google Scholar 

  • Curtis G, Cameron O, Nesse R (1982) The dexamethasone suppression test in panic disorder and agoraphobia. Am J Psychiatry 139:1043–1046

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Emmelkamp P (1982) Phobic and obsessive-compulsive disorders. Plenum Press, New York

    Google Scholar 

  • Errera P, Coleman J (1963) A long-term follow-up study of neurotic phobic patients in a psychiatric clinic. J Nerv Ment Dis 136:267–271

    Article  Google Scholar 

  • Eysenck H (1966) The effects of psychotherapy. International Science Press, New York

    Google Scholar 

  • Garfield E (1984) Why is the ancient and prevalent disorder called agoraphobia a neglected research topic? Current Contents 30.4.: 3–12

    Google Scholar 

  • Goldstein A, Chambless D (1978) A reanalysis of agoraphobia. Behav Ther 9:47–59

    Article  Google Scholar 

  • Gorman J, Levy G, Liebowitz M, McGrath M, Appleby I, Dillon D, Davies S, Klein D (1983) Effect of acute ß-adrenergic blockade on lactate-indured panic. Arch Gen Psychiatry 40:1079–1082

    Article  PubMed  CAS  Google Scholar 

  • Greist J, Marks I, Berlin F, Gourney K, Noshirvani H (1980) Avoidance versus confrontation of fear. Behav Res Ther 11:1–14

    Article  Google Scholar 

  • Grunhaus L, Gloger S, Weisstub D (1981) Panic attacks: a review of treatments and pathogenesis. J Nerv Ment Dis 169:608–613

    Article  PubMed  CAS  Google Scholar 

  • Hallam R (1978) Agoraphobia: a critical review of the concept. Br J Psychatry 133:314–319

    Article  CAS  Google Scholar 

  • Hand I (1975) Symptom-zentrierte Gruppentherapie bei Phobien — die problemorientierte Arbeitsgruppe in der Psychotherapie. Fortschr Neurol Psychiatr 43:285–304

    CAS  Google Scholar 

  • Hand I (1981a) Expositionsbehandlung — Implosion, flooding, exposure, Reizüberflutung. In: Linden M, Hautzinger M (Hrsg) Psychotherapie-Manual. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Hand I (1981b) Motivationsanalyse und Motivationsmodifikation im Erstkontakt. In: Crombach-Seeger B (Hrsg) Erstkontakt — prägender Beginn einer Entwicklung. Facultas, Wien

    Google Scholar 

  • Hand I (1982) Multimodale Verhaltenstherapie bei Zwängen. In: Helmchen H, Linden M, Rüger V (Hrsg) Psychotherapie in der Psychiatrie. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Hand I (1984) Verhaltenstherapie in der Psychiatrie. Therapiewoche 34:259–270

    Google Scholar 

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

    Article  Google Scholar 

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

    Google Scholar 

  • Hand I, Zaworka W (1982) An operationalized multisymptomatic model of neuroses (OMMON): Towards a reintegration of diagnosis and treatment in behaviour therapy. Arch Psychiatr Nervenkr 232:359–379

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Hand I, Spoehring B, Stanik E (1977) Treatment of obsessions, compulsions and phobias as hidden couple counseling. In: Boulougouris J, Rabavilas A (eds): Phobic and obsessive compulsive disorders. Pergamon Press, New York

    Google Scholar 

  • Harris E, Noyes R, Crowe R, Chaudhry O (1983) Family study of agoraphobia. Arch Gen Psychiatry 40:1061–1064

    Article  PubMed  CAS  Google Scholar 

  • Jacob R, Moller M, Turner S, Wall C (1983) Otoneurological dysfunction in patients with panic disorder or agoraphobia with panic attacks. Vortrag u. Manuskript zum World Congress on Behavior Therapy, Washington, 8.-11. 12. 1983

    Google Scholar 

  • Jannoun L, Munby M, Catalan J, Gelder M (1980) A home-based treatment program for agoraphobia: replication and controlled evaluation. Behav Res Ther 11:294–305

    Article  Google Scholar 

  • Jansson L, Ost C (1982) Behavioral treatment for agoraphobia: an evaluative review. Clin Psychol Rev 2:311–336

    Article  Google Scholar 

  • Kanfer F, Grimm L (1980) Managing clinical change: a process model of theory. Behav Modification 4:419–444

    Article  Google Scholar 

  • Kantor J, Zitrin C, Zeldis S (1980) Mitral valve prolapse syndrom in agoraphobic patients. Am J Psychiatry 137:4

    Google Scholar 

  • Kelly D, Mitchell-Heggs N, Sherman D (1971) Anxiety and the effects of sodium lactate assessed clinically and physiologically. Br J Psychiatry 119:468–470

    Article  Google Scholar 

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

    Google Scholar 

  • Klein D (1983a) Panic and anxiety: in reply. Arch Gen Psychiatry 40:1149

    Article  Google Scholar 

  • Klein D (1983b) Panic attacks in phobia: treatment studies. in reply. Arch Gen Psychiatry 40:1151

    Article  Google Scholar 

  • Klein D, Fink M (1962) Psychiatric reaction patterns to Imipramine. Am J Psychiatry 119:432–438

    PubMed  CAS  Google Scholar 

  • Klein D, Ross D, Woerner M, Zitrin C (1983b) Phobia study criteria — in reply. Arch Gen Psychiatry 40:1150

    Article  Google Scholar 

  • Klein D, Zitrin C, Woerner M, Ross D (1983a) Treatment of phobia II. Behavior therapy and supportive psychotherapy — are there any specific ingredients. Arch Gen Psychiatry 40:139–145

    Article  PubMed  CAS  Google Scholar 

  • Laughren T, Battey Y, Greenblatt D et al. (1982) A controlled trial of diazepam withdrawal in chronically anxious outpatients. Acta Psychiatr Scand 65:171–179

    Article  PubMed  CAS  Google Scholar 

  • Leckman J, Weissman M, Merikangas K, Pauls D, Prusoff B (1983a) Panic disorder and major depression. Arch Gen Psychiatry 40:1055–1060

    Article  PubMed  CAS  Google Scholar 

  • Leckman J, Merikangas K, Pauls D, Prusoff B, Weissman M (1983b) Anxiety disorders and depression: contradictions between family study data and DSM-III conventions. Am J Psychiatry 140:880–882

    PubMed  CAS  Google Scholar 

  • Lieberman J, Brenner R, Lesser M, Coccaro E, Borenstein M, Kane J (1983) Dexamethasone suppression tests in patients with panic disorder. Am J Psychiatry 140:917–919

    PubMed  CAS  Google Scholar 

  • Liebowitz M, Klein D (1982) Agoraphobia: clinical features, patho-physiology, and treatment. In Chambless D, Goldstein A (eds) Agoraphobia: multiple perspectives on theory and treatment. Wiley, New York

    Google Scholar 

  • Marks I (1969) Fears and Phobias. Weidenfeld, London

    Google Scholar 

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

    Article  Google Scholar 

  • Marks I (1975) Behavioral treatments 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 I (1977) Bewältigung der Angst. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Marks I (1981) Cure and care of neuroses. John Wiley & sons, New York

    Google Scholar 

  • Marks I (1983a) Phobia study criteria. Arch Gen Psychiatry 40:1150

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Marks I (1983c) Are there anticompulsive or antiphobic drugs? Review of the evidence. Brit J Psychiatry 143:338–347

    Article  CAS  Google Scholar 

  • Marks I, Gray S, Cohen D, Hill R, Mawson D, Ramm E, Stern R (1983) Imipramine and brief therapist-aided exposure in agoraphobics having self-exposure homework. Arch Gen Psychiatry 40:153–162

    Article  PubMed  CAS  Google Scholar 

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

    Google Scholar 

  • Matuzas W, Glass R (1983) Treatment of agoraphobia and panic attacks. Arch Gen Psychiatry 40:220–222

    Article  PubMed  CAS  Google Scholar 

  • Mavissakalian M (1982) Pharmacologic treatment of anxiety disorder. J Clin Psychiat 43:487–491

    CAS  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 

  • McDonald R, Sartory G, Grey S, Cobb J, Stern R, Marks I (1979) The effects of self-exposure instructions on agoraphobic outpatients. Behav Res Ther 17:1183–1185

    Article  Google Scholar 

  • McNair D, Kahn R (1981) Imipramine compared with benzodiazepine for agoraphobia. In: Klein D, Rabkin J (eds) Anxiety: New Research and changing concepts. Raven Press, New York: pp 69–79

    Google Scholar 

  • Munjak D, Moss H (1981) Affective disorder and alcoholism in families of agoraphobics. Arch Gen Psychiatry 38:869–871

    Article  Google Scholar 

  • Noyes R, Clancy J, Crowe R (1978) The familial prevalence of anxiety neurosis. Arch Gen Psychiatry 35:1057–1059

    Article  PubMed  Google Scholar 

  • Noyes R (1982) Beta-blocking drugs and anxiety. Psychosomatics 23:155–170

    PubMed  Google Scholar 

  • Noyes R, Anderson D, Clancy J, Crowe R, Slyman D. Ghoneim M, Hinrichs J (1984) Diazepam and propanolol in panic disorder and agoraphobia. Arch Gen Psychiatry 41:287–292

    Article  PubMed  Google Scholar 

  • Öst L, Hugdahl K (1981) Acquisition of phobias and anxiety response patterns in clinical patients. Behav Res Ther 19:439–447

    Article  PubMed  Google Scholar 

  • Öst L, Hugdahl K (1983) Acquisition of agroaphobia, mode of onset and anxiety response patterns. Behv Res Ther 21:623–631

    Article  Google Scholar 

  • Pariser S, Pinta E, Jones B (1978) Mitral valve prolaps syndrome and anxiety neurosis/panic disorder. Am J Psychiatry 134:246–247

    Google Scholar 

  • Petursson H, Lader M (1981) Withdrawal from long-term benzodiazepine treatment. Br Med J 283:643–645

    Article  CAS  Google Scholar 

  • Rachman S (1984) Agoraphobia — a safety signal perspective. Behav Res Ther 22:59–70

    Article  PubMed  CAS  Google Scholar 

  • Raskin M, Peeke H, Dickman W et al. (1982) Panic and generalized anxiety disorders: developmental antecedants and précipitants. Arch Gen Psychiatry 39:687–689

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Sheehan D, Claycomb J, Surman O, Baer L, Coleman J, Gelles L (1983) Panic attacks and the Dexamethasone suppression test. Am J Psychiatry 140:1063–1064

    PubMed  CAS  Google Scholar 

  • Snaith R (1983) Phobia study criteria. Arch Gen Psychiatry 40:1149–1150

    Article  PubMed  CAS  Google Scholar 

  • Solyom C, Solyom L, LaPievre Y, Pecknold J, Morton L (1981) Phenelzine and exposure in the treatment of phobias. Biol Psychiatry 3:239–247

    Google Scholar 

  • Telch M, Teaman B, Taylor C (1983) Antidepressant medication in the treatment of agoraphobia. Behav Res Ther 21:505–517

    Article  PubMed  CAS  Google Scholar 

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

    Google Scholar 

  • Torgersen S (1983) Genetic factors in anxiety disorders. Arch Gen Psychiatry 40:1085–1089

    Article  PubMed  CAS  Google Scholar 

  • Tyrer P (1984) Classification of anxiety. Br J Psychiatry 144:78–83

    Article  PubMed  CAS  Google Scholar 

  • Tyrer P, Lader M (1974) Response to propranolol and diazepam in somatic anxiety. Br Med J 2:14–16

    Article  PubMed  CAS  Google Scholar 

  • Tyrer P, Rutherford D, Huggett T (1981) Benzodiazepine withdrawal symptoms and propranolol. Lacnet 1:520

    CAS  Google Scholar 

  • Wilson G (1982) Fear reduction methods and the treatment of anxiety disorders. In: Franks C, Wilson G, Kendall P, Brownell K: Annual Review of Behavior Therapy. Vol. 8 Guildford Press, New York

    Google Scholar 

  • Wölpe J (1958) Psychotherapy by reciprocal inhibition. Stanford University Press, Stanford

    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

    Article  PubMed  CAS  Google Scholar 

  • Zitrin C, Klein D, Woerner M, Ross D (1983) Treatment of phobias: I. comparison of Imipramine hydrochloride and placebo. Arch Gen Psychiatry 40:125–138

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

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. (eds) Leitsymptom Angst. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93259-5_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-93259-5_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-13048-2

  • Online ISBN: 978-3-642-93259-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics