Hirsch Joseph A
a Private Practice , New York , New York , USA.
Am J Clin Hypn. 2018 Apr;60(4):367-377. doi: 10.1080/00029157.2017.1326372.
There is a high prevalence of anxiety disorders including specific phobias and panic disorder in the United States and Europe. A variety of therapeutic modalities including pharmacotherapy, cognitive behavioral therapy, systematic desensitization, hypnosis, in vivo exposure, and virtual reality exposure therapy have been applied. No one modality has been entirely successful. There has been only a limited attempt to combine psychological therapies in the treatment of specific phobias and panic disorder and what has been done has been primarily with systematic desensitization or cognitive behavioral therapy along with hypnotherapy. I present two cases of multiple specific phobias that were successfully treated with hypnotherapy combined with virtual reality exposure therapy or in vivo exposure therapy. The rationale for this integrative therapy and the neurobiological constructs are considered.
在美国和欧洲，焦虑症（包括特定恐惧症和惊恐障碍）的患病率很高。已经应用了多种治疗方法，包括药物治疗、认知行为疗法、系统脱敏疗法、催眠疗法、现实暴露疗法和虚拟现实暴露疗法。没有一种方法是完全成功的。在治疗特定恐惧症和惊恐障碍时，将心理疗法结合起来的尝试有限，而且主要是将系统脱敏疗法或认知行为疗法与催眠疗法相结合。我介绍两例多种特定恐惧症患者，他们通过催眠疗法结合虚拟现实暴露疗法或现实暴露疗法成功治愈。本文还探讨了这种综合疗法的基本原理和神经生物学机制。
