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Only Wolpe's conditioning psychotherapy works, August 13, 2006
This review is from: Psychotherapy by Reciprocal Inhibition/2043776 (Hardcover)
Wolpe's discovery of human conditioning therapy
Combat often causes chronic fear, anger and depression spoiling relationships and making the veteran's life of miserable. The former terms used were shell shock or combat fatigue; now it is called posttraumatic stress disorder (PTSD). Treating PTSD of veterans psychiatrist JOSEPH WOLPE first used Freudian psychoanalysis. Freud's theory was that understanding why you were vulnerable would help you control your unhealthy behavior. These days that still sounds like nonsense, and Wolpe found that it did not help his veterans or anyone else. So he developed a psychotherapy based on Pavlov's (1927) conditioning of inhibition. It actually worked giving many veterans lasting control of their unhealthy behavior.
After a decade more research psychotherapy was revolutionize by Wolpe's 1958, "Psychotherapy by Reciprocal Inhibition"written at the Stanford Institute of Advanced Studies, Reading it is still the best way to learn psychotherapy. (In 1962 it showed me how to cure the patients I discovered in my medical practice. Since retirement I have conditioned inhibition not with the practice of relaxing large muscles as Wolpe did but with Shapiro's eye muscle desensitization.
Almost ALL successful treatment of neurosis involves repeated pairing - in imagination or in actuality - a source of inhibition, such as relaxation, self-restraint, or confidence. Inhibition presumably becomes 'attached' to the link between neuronal representation of the stimulus in the brain and the representation of the habit. Desensitization is Wolpe's term for conditioning inhibition. The link becomes drowsy' and the patient tears and yawns. With enough practice the link 'sleeps ' and coma may follow, the inhibition lasting indefinitely.
For clarity and to honor Joseph Wolpe, who invented and named the technique, all the treatments that condition inhibition should be termed desensitization: the 'triggers' of unhealthy behavior are made less sensitive.
Never mentioning Wolpe's discovery, others call desensitization extinction, deconditioning, processing, counter-conditioning, habituation and cue (stimulus) exposure with response prevention. Some may consider that stealing Wolpe's credit for his discoveries by using other terms is dishonorable.
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5.0 out of 5 stars
Psychotherapy By Reciprocal Inhibition, July 27, 2006
The quick and lasting results which Dr. Wolpe has obtained with the pioneer method of psychotherapy described in this book have begun to attract attention of psychiatrists and behavioral scientists everywhere. A new theory of psychotherapy is here presented: a serious alternative to the repression theory of psychoanalysis and one that is the direct product of modern learning theory.
By applying known laws of learning to the special problems of neurosis, Dr. Wolpe has developed new techniques of therapy apparently much more effective than any previously reported. Methods ranging from traditional counseling to psychoanalysis all record much the same measure of success (about 50 per cent). The methods developed by Dr. Wolpe have resulted in a ratio of "apparently cured" and "much improved" patients that is consistently in the region of 90 per cent.
According to Dr. Wolpe, several facts emerge from his work that support the hypothesis that reciprocal innhibition has a central role in human psychotherapy: in general, it is posssible to overcome a habit by forming a new and antagonistic habit in the same stimulus situation; animal neuroses are overcome if feeding can be made to occur in the presence of anxiety-evoking stimuli; by deliberately opposing response antagonistic to anxiety responses, neurotic anxiety-response habits can be overcome, and more neurotic patients can be successfully treated, apparently, than by other methods; the success of other approaches to therapy is explicable on the reciprocal inhibition principle; "spontaneous" improvement of neuroses in the ordinary course of life is explicable on the reciprocal inhibition principle.
In addition to the theoretical, experimental, and clinical material that forms the background to this approach, there is a detailed description of the techniques of therapy and a statistical analysis of 210 patients.
--- from books dustjacket
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