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Behaviour Therapy: Recent Trends and Current Practice

Published online by Cambridge University Press:  29 January 2018

Edward S. Chesser
Edward S. Chesser*
Affiliation:
Academic Department of Psychiatry, Middlesex Hospital Medical School, London W1P 8AA
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To psychiatrists who entered clinical practice in the decade 1955–65, ‘behaviour therapy’ probably conjures up the names of Eysenck, Lazarus and Wolpe; the invocation of learned maladaptive anxiety as the basis of most neurotic illness; desensitization by graduated exposure in imagination and real life to anxiety evoking situations. Neurotic ‘symptoms' were maladaptive habits and the ‘symptoms' were the disease, not merely outward manifestations of underlying disorder. Eysenck (1959) described behaviour therapy as all methods of treatment which were based on ‘modern learning theory‘. The ‘bell and pad’ treatment for enuresis and aversion therapy for alcoholism were appropriated and refined. Operant conditioning crossed the Atlantic and the application of Skinnerian principles was illustrated by Krasner and Ullman (1965). In the early sixties, at the very least behaviour therapy offered a possible treatment for a small proportion of psychiatric patients, for example those with phobias, tics or alcoholism, a group for whom other treatments were of little value.

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The British Journal of Psychiatry , Volume 129 , Issue 4 , October 1976, pp. 289 - 307
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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