Phobias / Edition 1

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Phobias are increasingly common amongst the general population, sometimes resulting in a very significant social disability and burden for the family. Most cases remain undiagnosed, and many of those which are diagnosed are treated inappropriately.

Written by internationally renowned psychiatrist, Mario Maj, this book provides an update of research evidence and clinical experience concerning agoraphobia, social phobia and specific phobias.

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Product Details

Table of Contents

List of Review Contributors
Ch. 1 Diagnosis and Classification of Phobias 1
Diagnosis and Classification of Phobias: A Review 1
1.1 Two Procrustean or One King-Size Bed for Comorbid Agoraphobia and Panic? 33
1.2 Politics and Pathophysiology in the Classification of Phobias 36
1.3 A Critical Evaluation of the Classification of Phobias 38
1.4 The Role of Spontaneous, Unexpected Panic Attacks in the Diagnosis and Classification of Phobic Disorders 40
1.5 Anxiety and Phobia: Issues in Classification 43
1.6 Nosology of the Phobias: Clues from the Genome 46
1.7 Clusters, Comorbidity and Context in Classification of Phobic Disorders 47
1.8 Comorbidity in Social Phobia: Nosological Implications 50
1.9 Giving Credit to "Neglected" or "Minor" Disorders 52
1.10 A Cognitive Approach to Phobias 55
1.11 Diagnosis and Classification of Phobias and Other Anxiety Disorders: Quite Different Categories or Just One Dimension? 59
Ch. 2 Epidemiology of Phobias 61
Epidemiology of Phobias: A Review 61
2.1 Risk-Factor and Genetic Epidemiology of Phobic Disorders: A Promising Approach 81
2.2 Defining a Case for Psychiatric Epidemiology: Threshold, Non-Criterion Symptoms, and Category versus Spectrum 85
2.3 Phobias: A Difficult Challenge for Epidemiology 89
2.4 Phobias: Handy or Handicapping Conditions 91
2.5 Phobic Disorders: Can We Integrate Empirical Findings with Clinical Theories? 94
2.6 Social Phobia and Bipolar Disorder: The Significance of a Counterintuitive and Neglected Comorbidity 98
2.7 Comorbidity between Phobias and Mood Disorders: Diagnostic and Treatment Implications 103
2.8 Epidemiology of Phobias: Old Terminology, New Relevance 105
2.9 Phobias: Reflections on Definitions 108
2.10 Phobias: Facts or Fiction? 110
2.11 Epidemiology of Phobias: The Pathway to Early Intervention in Anxiety Disorders 113
Ch. 3 Pharmacotherapy of Phobias 117
Pharmacotherapy of Phobias: A Review 117
3.1 Placing the Pharmacotherapy of Phobic Disorders in a New Neuroscience Context 143
3.2 Psychobiology and Pharmacotherapy of Phobias 146
3.3 The Neuropsychology of Defence: Implications for Syndromes and Pharmacotherapy 148
3.4 Social Phobia: Not Neglected, Just Misunderstood 152
3.5 Research in Pharmacotherapy of Social Anxiety Disorder 154
3.6 Pharmacotherapy for Phobic Disorders: Where Do We Go from Here? 156
3.7 Progress in Pharmacotherapy for Social Anxiety Disorder and Agoraphobia 158
3.8 Psychopharmacology Treatment of Phobias and Avoidance Reactions 160
3.9 Crowning Achievement: The Rise of Anti-phobic Pharmacotherapy 163
3.10 Comorbidity and Phobias: Diagnostic and Therapeutic Challenges 165
3.11 Comments on the Pharmacotherapy of Agoraphobia 167
3.12 Pharmacotherapy of Phobias: A Long-Term Endeavour 170
3.13 Behavioural Toxicity of Pharmacotherapeutic Agents Used in Social Phobia 172
3.14 Medication Treatment of phobias: Theories Hide Effectiveness 175
Ch. 4 Psychotherapeutic Interventions for Phobias 179
Psychotherapeutic Interventions for Phobias: A Review 179
4.1 Phobias: A Suitable Case for Treatment 211
4.2 Cognitive-Behavioural Interventions for Phobias: What Works for Whom and When 215
4.3 Practical Comments on Exposure Therapy 217
4.4 The Treatment of Phobic Disorders: Is Exposure Still the Treatment of Choice? 220
4.5 "Behavioural Experimentation" and the Treatment of Phobias 223
4.6 Evaluating the Durability of Cognitive-Behavioural Therapy 226
4.7 Some Comments on Psychological Treatment of Phobias 228
4.8 Pushing the Envelope on Treatments for Phobia 232
4.9 Treatment of Phobic Disorders from a Public Health Perspective 235
4.10 Psychotherapeutic Interventions for Phobia: A Psychoanalytic-Attachment Perspective 237
4.11 Psychotherapy in the Treatment of Phobias; A Perspective from Latin America 242
Ch. 5 Phobias in Children and Adolescents 245
Phobias in Children and Adolscents: A Review 245
5.1 Childhood Phobias: More Questions than Answers 280
5.2 Fear, Anxieties and Treatment Efficacy in Children and Adolescents 283
5.3 Where Are All the Fearful Children? 285
5.4 Etiology and Treatment of Childhood Phobias 288
5.5 From Development Fears to Phobias 290
5.6 Assessment and Treatment of Phobic Disorders in Youth 292
5.7 Phobias: From Little Hans to a Bigger Picture 295
5.8 Phobias in Childhood and Adolescence: Implications for Public Policy 297
5.9 Phobias in Children and Adolescents: Data from Brazil 299
5.10 Phobias: A View from the South Seas 301
Ch. 6 Social and Economic Burden of Phobias 303
Social Economic Burden of Phobias: A Review 303
6.1 Burden of Phobias: Focus on Health-Related Quality of Life 329
6.2 Reducing the Burden of Phobias: Patient Factors, System Issues 332
6.3 Health-Related Quality of Life: Disease-Specific and Generic Dimensions in Social Phobia 335
6.4 What's So Different about Anxiety Disorders (Such as Phobias)? 337
6.5 Why Take Social Phobia Seriously? 339
6.6 Phobias in Primary Care and in Young Children 342
6.7 Treatments Are Needed to Reduce the Burden of Phobic Illness 344
6.8 Early Diagnosis Can Reduce the Social and Economic Burden of Phobias 348
6.9 The High Cost of Underrecognition of Phobic Disorders 350
6.10 Unanswered Questions on Phobias: What Can We Do to Meet the Need? 352
Index 355
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