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An Experimental Analysis

Harry L. Mills, MS; W. Stewart Agras, MD; David H. Barlow, PhD; Joyce R. Mills, MS

Arch Gen Psychiatry. 1973;28(4):524-529.

Abstract
To evaluate variables influencing the treatment of compulsive rituals, five patients with discrete rituals were studied while treatment conditions were systematically varied. Both behavioral and subjective measures were taken. Observation of these patients suggests that expectancy of improvement, exposure, and instructions were not sufficient conditions for the elimination of rituals, although these variables influence change in interaction with the prevention of the response for a period of time.

In each case there was a dramatic reduction in the rate of the ritualistic behavior after a period of response prevention. In each of the cases the reduction in the compulsive ritual was maintained after release, although in two of the five cases further intervention was necessary.

Author Affiliations
Jackson, Miss

From the Department of Psychiatry, University of Mississippi Medical Center, Jackson.

Footnotes
Accepted for publication Jan 9, 1973.

Reprint requests to PO Box 4465, Biloxi, MS 39531 (Mr. Mills).

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