Two patients developed work phobias following major catastrophic physical illness. A combined approach to addressing their specific fears of returning to premorbid levels of work function utilized deep muscle relaxation, imagery based desensitization, social reinforcement, and shaping techniques. A significant increase in adaptive function and decrease in depressive symptomatology resulted in both cases within six weeks after initiation of treatment.
Get full access to this article
View all access options for this article.
References
1.
VerwoerdtA.BovenmuehleR., Heart Disease and Depression, Geriatrics, p. 856, 1964.
2.
HymanM., The Stigma of Stroke, Geriatrics, p. 132, 1971.
3.
StoeckleJ.ZolaI.DavidsonG., The Quantity and Significance of Psychological Distress in Medical Patients, J. of Chronic Disease, 17, pp. 959–970, 1964.
4.
StoeckleJ.ZolaI.DavidsonG., Return to Work After Myocardial Infarction, The Lancet, p. 591, 1971.
5.
WynnA., Unwarranted Emotional Distress in Men with Ischaemic Heart Disease, The Medical J. of Australia, p. 847, 1967.
6.
GrodenB.CheyneA., Rehabilitation After Cardiac Illness, Brit. Med. J., 2, pp. 700–703, 1972.
7.
JacobsonE., Progressive Relaxation, University of Chicago Press, Chicago, 1938.
8.
WolpeJ., Psychotherapy by Reciprocal Inhibition, Stanford University Press, Stanford, Calif., 1958.
9.
LewinsohnP.WeinsteinM.ShawD., Depression: A Clinical-Research Approach in Advances in Behavioral Therapy, RubinR.FranksC. (eds.), Academic Press, New York, 1969.
10.
ThocklothR.WrightS.SeldonW., Is Cardiac Rehabilitation Really Necessary?, The Medical J. of Australia, 2, pp. 669–674, 1973.
11.
CayE.VetterN.PhilipA., J. of Psychosom. Res., 17, pp. 231–243, 1973.
12.
NagelR.GanzolaR.Picton-RobinsonI., Factors Influencing Return to Work After Myocardial Infarction, The Lancet, p. 454, 1971.
13.
PerlmanL.FergusonS.BergumK., Recipitation of Congestive Heart Failure: Social and Emotional Factors, Ann. Intern. Med., 75:1, pp. 1–7, 1971.
14.
CassemN.HackettT., Psychiatric Consultation in a Coronary Care Unit, Ann. Intern. Med., 75, pp. 9–14, 1971.
15.
McGrathF.RobinsonJ., The Medical Social Worker in the Coronary Care Unit, The Med. J. of Australia, 2:1, pp. 113–116, 1973.
16.
McLeanP.OgstonK.GrauerL., A Behavioral Approach to the Treatment of Depression, J. of Behavior Therapy and Experimental Psychiatry, 4, pp. 323–330, 1973.
17.
RobertsonE.SuinnR., The Determination of Rate of Progress of Stroke Patients Through Empathy Measures of Patient and Family, J. of Psychosomatic Research, 12, p. 189, 1968.
18.
HymanM., Social Isolation and Performance in Rehabilitation, J. of Chronic Disease, 25, pp. 85–97, 1972.