Rapp M S, Thomas M R, Reyes E C
Can J Psychiatry. 1983 Mar;28(2):105-8. doi: 10.1177/070674378302800205.
This was a pilot project set up to test the feasibility of effectively and inexpensively treating agoraphobic patients who had not responded to adequate trials of behaviour therapy (and other therapy) in the past. We employed a quantitatively intensive program of exposure therapy, calisthenics and muscular relaxation, and have explained the rationales for the choice of each treatment. The results were gratifying in four of the five patients, with follow-up to three years. This pilot project enabled us to set up a cost-effective treatment for all forms of agoraphobia which is as efficient as other programs described. It has also highlighted the fact that some patients exist who may do poorly on schedules of behaviour therapy which are adequate for some patients, and yet may do well if the amount of treatment is drastically increased.
这是一个试点项目，旨在测试有效且低成本地治疗过去对行为疗法（及其他疗法）的充分试验无反应的广场恐惧症患者的可行性。我们采用了一个定量强化的暴露疗法、健身操和肌肉放松项目，并解释了每种治疗方法选择的基本原理。五名患者中有四名取得了令人满意的结果，随访时间长达三年。这个试点项目使我们能够为所有形式的广场恐惧症建立一种具有成本效益的治疗方法，其效果与所描述的其他项目一样好。它还突出了这样一个事实，即存在一些患者，他们在对某些患者足够的行为治疗方案上可能表现不佳，但如果大幅增加治疗量，可能会表现良好。
