To the Editor.—
The article "Recent Advances in the Behavioral Treatment of Obsessive-Compulsives" by Steketee et al (Archives 1982;39:1365-1371) described a behavior therapy using in vivo exposure in combination with response prevention in the treatment of obsessive-compulsives. The article, while pointing out that the combined treatment produced an outcome significantly superior to that of single components, described a failure rate of 20%. The rejection of this method of treatment by one fourth of the persons requesting help in their center because of their fear of undergoing exposure and response prevention suggests a less anxiety-provoking method of treatment. Drugs have been used in behavior therapy1 to shorten training in relaxation to hasten desensitization,2 as well as to eliminate the anxiety and fear interfering with the initial assessment and behavioral treatment of incapacitating anxiety and phobia.3
Feldman J. Behavior Therapy. Arch Gen Psychiatry. 1984;41(1):107. doi:10.1001/archpsyc.1984.01790120111018
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