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Results for “Desensitization, Psychologic”

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At least 667 records · Page 37Linked to original sources
PubMed1979

Reversal of innate aversions: attempts to induce a preference for chili peppers in rats.

Although humans frequently develop preferences for innately unpalatable bitter or irritant substances, such preferences are extremely rare in animals. An attempt was made to understand the nature of this difference by systematic experiments with laboratory rats, with chili pepper as the unpalatable substance. In parallel with major aspects of the human experience with chili pepper, rats were exposed to it as a flavoring in all their food for periods up to 11 mo from birth, without significant preference enhancement. Gradual introduction of chili into the diet also had no effect, nor did a series of poisoning and safety experiences designed to teach the rats that only chili-flavored foods were safe to eat. A sequence of seven pairings of chili-flavored diet with prompt recovery from thiamine deficiency did significantly attenuate the innate aversion and may have induced a chili preference in at least one case. Extensive experience with chili did not reliably make rats much less sensitive to its oral effects. The only reliable way to eliminate chili aversion in rats is to destroy their chemical irritant sense, which was accomplished in one group of rats. It is concluded that in contrast to humans, it is extremely difficult to reverse innate aversions in rats.

Animals↗
PubMed1998

Trauma treatment training for Bosnian and Croatian mental health workers.

Trauma treatment training programs were conducted in the former Yugoslavia for Bosnian and Croatian mental health workers. A method was developed for measuring and evaluating compassion fatigue and burnout among the trainees, and an efficient system of international supervision and consultation was implemented. Plans for development of this system to support future training and consultation programs are discussed.

Behavior Therapy↗
PubMed1998

An open trial of EMDR as treatment for chronic PTSD.

In a prepilot study, eight adults with chronic PTSD underwent three 90-minute sessions of eye movement desensitization and reprocessing (EMDR) at one-week intervals in an open trial. None of the seven who completed treatment met criteria for current PTSD two months later. Significant decreases in measures of pathology and disturbance were recorded. A controlled trial of EMDR is under way.

Adult↗
PubMed1979

Comparison of regulated-breathing verses abbreviated desensitization on reported stuttering episodes.

This study was an investigation of the regulated-breathing method for controlling stuttering as compared to a placebo-control method consisting of abbreviated desensitization training. The regulated-breathing procedure, given to 21 stutterers, taught the speaker to breathe smoothly and deeply, to pause at natural juncturing points, to plan ahead for the content of the speech, and to relax chest and neck muscles. Several general behavioral procedures were also used including relaxation training, self-correction for errors, social support, daily home practice, and response awareness, which are components of the general habit reversal procedure for diverse habits. Training was given in one or two sessions plus regular follow-up telephone calls. Daily self-recordings were obtained of the number of stuttering episodes during everyday speech, to determine the generalized effect of the treatment. The regulated-breathing method reduced the reported stuttering episodes by 94% on the first day after training and by 97% during the fourth week and the three-month follow-up. The control procedure reduced reported stuttering only slightly (about 10%). The results indicate substantial effectiveness of the regulated-breathing method for reducing reported stuttering episodes in everyday speech as compared with an alternative treatment of equal duration.

Adolescent↗
PubMed1999

Trauma-induced dissociative amnesia in World War I combat soldiers. II. Treatment dimensions.

OBJECTIVE: This is the second part of a study of posttraumatic amnesia in World War I (WW I) soldiers. It moves beyond diagnostic validation of posttraumatic amnesia (PTA), to examine treatment findings, and relates these to contemporary treatment of dissociative amnesia, including treatment of victims of civilian trauma (e.g. childhood sexual abuse). METHOD: Key WW I studies are surveyed which focus on the treatment of PTA and traumatic memories. The dissociation-integration and repression-abreaction models are contrasted. RESULTS: Descriptive evidence is cited in support of preferring Myers' and McDougalls' dissociation-integration treatment approach over Brown's repression-abreaction model. CONCLUSION: Therapeutic findings in this paper complement diagnostic data from the first report. Although effective treatment includes elements of both the dissociative-integrative and abreactive treatment approaches, cognitive integration of dissociated traumatic memories and personality functions is primary, while emotional release is secondary.

Abreaction↗
PubMed2001

Successful cognitive-behavioral habituation training toward photophobia in photogenic partial seizures.

We report on the cognitive-behavioral treatment of a 12-year-old boy with photogenic partial seizures with secondary generalization who had developed phobic avoidant behavior toward all kinds of situations with potential photostimulation, leading to serious impairments of life quality. Based on a behavioral analysis of seizure and anxiety reaction, a habituation training (systematic desensitization procedure) was developed and performed, while maintaining protection against seizures with antiepileptic pharmacotherapy. The treatment was to gradually increase exposure to computer monitor and television screen photostimulation, closely adjusted to the level of subjective distress and tolerance. In addition to exercising control of photogenic input by regulating the monitor control button, rapid relaxation and imagery techniques were taught and applied as countermeasures at the onset of seizure precipitants. The treatment resulted in complete remission of phobic anxieties and responses and may also have facilitated ongoing seizure control after termination of antiepileptic medication.

Anticonvulsants↗
PubMed2002

[Therapy of fear of flying].

Fear of flying is a widespread phenomenon and therefore, there is no clear-cut borderline between "normal" and "pathological" fear. People who seek help are those whose lives are severely affected by their avoidance behaviour. Fear of flying can be treated, and in particular, procedures for coping with fear, as developed in behavioural therapy are employed in the course of treatment. 'Systematic desensitization' is particularly suitable for dealing with specific flying phobia. 'Exposure according to the reaction management model' is indicated in the case of patients in whom fear of flying is an expression of panic attacks. A variety of pharmacological therapy measures are available which aim at influencing the vegetative reaction to phobic situations (benzodiazepine, antidepressants, beta-blockers). However, the effectiveness of such medications is subject to controversy.

Aerospace Medicine↗
PubMedDate not supplied

Effects of axis I and II comorbidity on behavior therapy outcome for obsessive-compulsive disorder and agoraphobia.

The impact of concurrent axis I diagnoses and axis II traits on the efficacy of a 22-session exposure-based treatment program for 43 outpatients with panic disorder and agoraphobia (PDA) and 63 with obsessive-compulsive disorder (OCD) was examined. Trained interviewers used the Structured Clinical Interview for DSM-III-R (SCID) to assess axis I diagnoses and the SCID-II to identify the number of axis II criteria met for anxious, dramatic, and odd clusters. Among axis I diagnoses, secondary major depressive disorder (MDD), dysthymia, social phobia, and generalized anxiety disorder (GAD) were present in sufficient numbers to study their effects on treatment outcome. Outcomes were assessed on self-rated target fears and functioning and on a behavioral avoidance test at post-treatment and at 6 months follow-up. Only GAD comorbidity predicted dropout, whereas MDD and all three personality cluster traits predicted post-treatment outcomes. Follow-up analyses showed significant effects of MDD and GAD, but axis II cluster criteria were not predictive.

Adolescent↗
PubMed2002

[In-patient hypnotherapeutic trauma exposure for posttraumatic stress disorder: a case report].

This paper describes the treatment of a patient with the diagnoses of a borderline personality disorder and posttraumatic stress disorder (DSM-IV and ICD-10) within the setting of a psychiatric ward spezializing in depression. For purposes of controlled re-exposure to the patient's trauma, a hypnotherapeutic method was chosen. A significant reduction of symptoms, in particular the intrusions and the hyperarousal, was observed. Of great importance in the successful outcome of this case is the integration of hypnotherapy into a multi-dimensional treatment concept including group therapy, physical therapy and anxiety-reducing self-management therapy. This approach facilitated the development of trust and security in the patient required for the hypnotherapeutic intervention and minimized the splitting tendencies specific to borderline patients. Further discussion is centered on the difficulties arising in the context of an emergency ward setting with its high intensity atmosphere encompassing the danger of retraumatization of this special group of patients. Finally several aspects of the clinical implications of this method are addressed.

Adolescent↗