In the last decade, the literature of phobic and obsessive-compulsive disorders has increased enormously. In view of this explosive growth it becomes increasingly difficult for the practitioner to keep abreast of important developments that have led to significant changes in treat­ ment procedures. The purpose of this volume is to present a critical account of the current status of theory, research, and practice in the field of phobic and obsessive-compulsive disorders. More specifically, this book attempts to bridge the gap between theory, laboratory investiga­ tion, and application. For purposes of clarity the volume has been divided into several parts. Parts I and II provide, it is hoped, a reasonably comprehensive account of the theory and research relevant to the etiology, assessment, and treatment of these disorders. Part I deals with phobic disorders and Part II with obsessive-compulsive disorders. The third part of the text is devoted to the clinical management of these disorders. The opening chapter deals with phenomenology, classification, and prevalence of the various disorders. In addition, the status of analog research vis-a-vis clinical research is discussed. The chapters on etiology discuss the many variables inherent in a comprehensive theory of the development of phobic (Chapter 2) and obsessive-compulsive behavior (Chapter 6). An explicit effort has been made to extend the discussion beyond the boundaries oflearning theory. Attention is devoted to examining the contributions from other areas (e.g., biological, cognitive, psychoanalytical).

Inhalt

1. General Issues.- Prevalence and Classification.- Status of Analog and Clinical Research.- I: Phobic Disorders.- 2. Etiology of Fears and Phobias.- Learning Theories.- Cognitive Factors.- Biological Theories.- Other Theoretical Contributions.- Concluding Remarks.- 3. Assessment of Phobias.- Three Systems Theory.- Assessment of Clinical Phobias.- 4. Cognitive-Behavioral Interventions.- Systematic Desensitization.- Flooding Procedures.- Self-Controlled Exposure in Vivo.- Modeling.- Covert Reinforcement.- Biofeedback.- Cognitive Therapy.- Unifying Theory.- 5. Treatment of Clinical Phobias: Controlled Studies.- Psychotherapy.- Behavioral Treatment of Agoraphobia.- Behavioral Treatment of Social Anxiety.- Behavioral Treatment of Sexual Anxiety.- Psychopharmaca.- II: Obsessive-Compulsive Disorders.- 6. Etiology of Obsessive-Compulsive Behavior.- Learning Theories.- Cognitive Theories.- Biological Theories.- Psychoanalytic Theory.- 7. Assessment of Obsessive-Compulsive Disorders.- Questionnaires.- Psychophysiological Assessment.- Behavioral Assessment and Rating Scales.- 8. Behavioral Treatment of Obsessive-Compulsive Disorders.- Treatment of Compulsions.- Treatment of Obsessions.- 9. Psychopharmacological Treatment and Psychosurgery.- Psychopharmacological Treatment.- Psychosurgery.- III: Clinical Applications.- 10. Clinical Assessment and Treatment Planning.- Functional Behavior Analysis.- Functional Analysis of Relationship Problems.- Pathological Grief Reactions.- Treatment Planning.- Data Gathering.- 11. Treatment of Phobic Disorders.- Specific Phobias.- Agoraphobia.- Social Anxiety.- 12. Treatment of Obsessive-Compulsive Disorders.- Preparation for Treatment.- Exposure in Vivo.- Course of Therapeutic Intervention.- References.