Abstract
Four treatments with a severe agoraphobic were compared in a single-case analysis in which daily anxiety, self-appraisal, Valium intake, and mileage ridden in a car were dependent variables. Treatment conditions sequentially added were relaxation, self-instruction, cognitive restructuring, and interpersonal feedback. Behavioral interventions produced desired changes in anxiety, Valium intake, and self-appraisal, but only after interpersonal feedback did these treatments influence avoidant behavior per se (mileage). A 16-mo. (post-treatment) follow-up showed that, while the patient continued to travel distances from his home which were roughly equivalent to those attained in Phase 4 of treatment, his travels were mainly confined to an area within a 5-mi. radius of his home. This adjustment was accompanied by far fewer hospitalizations, relative freedom from panic, and more expressed interest in family and sexual matters (the latter verified by spouse).
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