Jones D R
Aviat Space Environ Med. 2000 Apr;71(4):438-40.
This commentary accompanies the article "Fear of flying treatment programs for passengers: an international review," by Van Gerwen and Diekstra, a report on the international aviation community's approach to fearful air travelers. Most of the aeromedical literature has dealt with fear of flying in aircrew; little has been written about such fears among passengers. The aviation community has dealt with fearful passengers through variations in cognitive-behavioral methods, but without any underlying medical model. As a result, these programs go mainly unsupervised and unregulated, and do not address such matters as differential diagnosis, informed consent for treatment, clear therapeutic goals, organized follow-up, or outcome criteria and statistics. Treating agencies also tend to apply the same treatment methods to all applicants, in spite of emerging data that show that, in fact, different causes call for different treatments. This commentary reviews these findings in the larger context of the medical model and calls for further research along the lines developed by Van Gerwen and Diekstra (11).
本评论是对范·格温（Van Gerwen）和戴克斯特拉（Diekstra）所著文章《针对乘客的飞行恐惧治疗项目：一项国际综述》的补充，该文章是关于国际航空界应对飞行恐惧乘客的方式的报告。大多数航空医学文献都关注机组人员的飞行恐惧；关于乘客此类恐惧的著述较少。航空界通过多种认知行为方法来应对恐惧乘客，但缺乏任何潜在的医学模式。因此，这些项目主要缺乏监督和规范，且未涉及诸如鉴别诊断、治疗知情同意、明确的治疗目标、有组织的随访或结果标准及统计等问题。尽管新出现的数据表明不同原因需要不同治疗，但治疗机构往往对所有申请者采用相同的治疗方法。本评论在医学模式的更广泛背景下审视了这些发现，并呼吁按照范·格温和戴克斯特拉（11）所阐述的思路开展进一步研究。
