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Treatment of Psychoneurotic Outpatients

R. Taylor Segraves, MD, PhD; Robert C. Smith, MD, PhD

Arch Gen Psychiatry. 1976;33(6):756-763.

Abstract
• The feasibility and effects of treating psychoneurotic outpatients with concomitant but separate treatment programs of psychoanalytically oriented psychotherapy and behavior therapy was investigated in three cases, utilizing detailed clinical observations and questionnaire responses. The two treatment regimens appeared to have synergistic effects, and anticipated difficulties, such as a split therapeutic alliance, symptom substitution, or precipitous withdrawal from psychotherapy after symptom removal, did not occur. Although there was no evidence of symptom substitution after the behavioral removal of the "target symptom," both clinical observations and questionnaire responses indicated that successful behavior therapy had many unanticipated effects on the patient's nontarget behaviors and cognitions.

Author Affiliations
From the Department of Psychiatry, University of Chicago.

Footnotes
Accepted for publication June 24, 1975.

Read before the annual meeting of the American Psychiatric Association, Anaheim, Calif, May 8, 1975.

Reprint requests to Department of Psychiatry, University of Chicago, 950 E 59th St, Chicago, IL 60637 (Dr Segraves).

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ABSTRACT