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Steven Taylor, PhD; S. Rachman, PhD
University of British Columbia 2255 Wesbrook Mall Vancover, British Columbia Canada V6T 2A1

Arch Gen Psychiatry. 1997;54(7):677-678.

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The recent exchanges between Drs Ley and Klein^1-3 have been useful in clarifying aspects of Klein's⁴ false suffocation alarm theory of panic; they also have stimulated testable extensions of the theory.² The commentaries by Ley^1,3 also raise the important question of whether alternative theories provide equally good or better accounts of panic attacks. Ley^1,3 claimed that our findings⁵ not only support Klein's theory but also support Ley's^6,7 dyspneic fear theory. The latter states that fear experienced during a hyperventilatory panic attack is a direct response to the sensation of severe dyspnea (ie, respiratory distress) in the context of a situation in which the sufferer believes that she has little or no control over the conditions that give rise to the dyspnea.⁶

Our study was not designed to contrast the theories of Ley and Klein. We made no assumption about whether our suffocation . . . [Full Text PDF of this Article]

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