Safety behaviour: A reconsideration

Behaviour Research and Therapy

Volumn 46, Issue 2, 2008, Pages 163-173

  Rachman, S ^a   Radomsky, Adam S ^b   Shafran, Roz ^c  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b Gina Cody School of Engineering and Computer Science   (Canada)

^c UNIVERSITY OF READING   (United Kingdom)

Author keywords

Anxiety disorders; Cognitive behaviour therapy; Exposure; Neutralization; Safety behaviour; Treatment

Indexed keywords

AGORAPHOBIA; ANXIETY DISORDER; ARTICLE; ATTITUDE; AVOIDANCE BEHAVIOR; BEHAVIOR; CLINICAL OBSERVATION; COGNITIVE THERAPY; ESCAPE BEHAVIOR; EXPERIMENTATION; FEAR; HUMAN; MENTAL DISEASE; SAFETY BEHAVIOR; SOCIAL PHOBIA; THEORETICAL STUDY;

ANXIETY DISORDERS; BEHAVIOR THERAPY; FEAR; HUMANS; PERSONALITY DISORDERS; SAFETY; TREATMENT OUTCOME;

EID: 38649141500     PISSN: 00057967     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.brat.2007.11.008     Document Type: Article

References (40)

1. Abramowitz J.S., and Moore E.L. An experimental analysis of hypochondriasis. Behaviour Research and Therapy 45 (2007) 413-424
2. Bandura A., and Adams N.E. Analysis of self-efficacy theory of behavioral change. Cognitive Therapy and Research 1 (1977) 287-310
3. Bandura A., Jeffery R., and Wright C. Efficacy of participant modeling as a function of response aids. Journal of Abnormal Psychology 83 (1974) 56-64
4. Battersby M. Response to 'Does reducing safety behaviours improve treatment response in patients with social phobia?'. Australian and New Zealand Journal of Psychiatry 34 (2000) 871-872
5. Clark D.M. A cognitive approach to panic. Behaviour Research and Therapy 24 (1986) 461-470
6. Clark D.M., Ehlers A., Hackmann A., McManus F., Fennell M., Grey N., et al. Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology 74 (2006) 568-578
7. Clark D.M., and Wells A. A cognitive model of social phobia. In: Clark D.M., and Wells A. (Eds). Social phobia: Diagnosis, assessment and treatment (1995), Guilford, New York
8. Craske M.G., and Barlow D.H. Panic disorder and agoraphobia. In: Barlow D.H. (Ed). Clinical handbook of psychological disorders. 3rd ed (1991), Guilford, New York
9. de Silva P., and Rachman S. Does escape behaviour strengthen agoraphobic avoidance? A preliminary study. Behaviour Research and Therapy 22 (1984) 87-91
10. Emmelkamp P. Phobic and obsessive-compulsive disorders (1982), Plenum Press, New York
11. Foa E.B., Liebowitz M.R., Kozak M.J., Davies S., Campeas R., Franklin M.E., et al. Randomized, placebo-controlled trial of exposure and ritual prevention in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry 162 (2005) 151-161
12. Freeman D., Garety P.A., Kuipers E., Fowler D., Bebbington P.E., and Dunn G. Acting on persecutory delusions: The importance of safety seeking. Behaviour Research and Therapy 45 (2007) 89-99
13. Harvey A.G. Identifying safety behaviors in insomnia. Journal of Nervous and Mental Disease 190 (2002) 16-21
14. Hodgson R.J., and Rachman S. The effects of contamination and washing in obsessional patients. Behaviour Research and Therapy 10 (1972) 111-118
15. Hodgson R.J., and Rachman S. Obsessional-compulsive complaints. Behaviour Research and Therapy 15 (1977) 389-397
16. Kim E.J. The effect of decreased safety behaviors on anxiety and negative thoughts in social phobics. Journal of Anxiety Disorders 19 (2005) 69-86
17. Mathews A., Gelder M., and Johnston D. Agoraphobia (1981), Tavistock Press, London
18. McManus, F., Sacadura, C., & Clark, D. M. (in press). Why social anxiety persists: An experimental investigation of the role of safety behaviors as a maintaining factor. Journal of Behavior Therapy and Experimental Psychiatry.
19. Morgan H. Response to Dr. Battersby. Australian and New Zealand Journal of Psychiatry 34 (2000) 872-873
20. Morgan H., and Raffle C. Does reducing safety behaviors improve treatment response in patients with social phobia?. Australian and New Zealand Journal of Psychiatry 33 (1999) 503-510
21. Milosevic, I. (2006). Safety behaviour does not interfere with exposure therapy: The case of specific phobia. Master's thesis, Concordia University.
22. Milosevic, I., & Radomsky, A. S. (2007). Safety behaviour does not interfere with exposure therapy: The case of specific phobia. Manuscript under review.
23. Powers M.B., Smits J.A., and Telch M.J. Disentangling the effects of safety-behavior utilization and safety-behavior availability during exposure-based treatment: A placebo-controlled trial. Journal of Consulting and Clinical Psychology 72 (2004) 448-454
24. Rachman S. Agoraphobia-A safety-signal perspective. Behaviour Research and Therapy 22 (1984) 59-70
25. Rachman S. Fear and courage. 2nd ed (1990), Freeman, New York
26. Rachman S., Craske M., Tallman K., and Solyom C. Does safety behavior strengthen agoraphobic avoidance? A replication. Behavior Therapy 17 (1986) 366-384
27. Rachman, S., Hammond, D., & Radomsky, A. S. (2000). The use of safety gear in exposure therapy. Unpublished data.
28. Rachman S., Shafran R., Mitchell D., Trant J., and Teachman B. How to remain neutral: An experimental analysis of neutralization. Behaviour Research and Therapy 34 (1996) 889-898
29. Ritter B. The use of contact desensitization, demonstration-plus-participation, and demonstration alone in the treatment of acrophobia. Behaviour Research and Therapy 7 (1969) 164-175
30. Rodriguez B.I., and Craske M.G. The effects of distraction during exposure to phobic stimuli. Behaviour Research and Therapy 31 (1993) 549-558
31. Salkovskis P.M. The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, Special issue: The changing face of behavioural psychotherapy 19 (1991) 6-19
32. Salkovskis P.M., Clark D.M., and Gelder M.G. Cognition-behaviour links in the persistence of panic. Behaviour Research and Therapy 34 (1996) 453-458
33. Salkovskis P.M., Clark D.M., Hackmann A., Wells A., and Gelder M.G. An experimental investigation of the role of safety-seeking behaviours in the maintenance of panic disorder with agoraphobia. Behaviour Research and Therapy 37 (1999) 559-574
34. Salkovskis P.M., Hackmann A., Wells A., Gelder M.G., and Clark D.M. Belief disconfirmation versus habituation approaches to situational exposure in panic disorder with agoraphobia: A pilot study. Behaviour Research and Therapy 45 (2007) 877-885
35. Sartory G., Master D., and Rachman S. Safety-signal therapy in agoraphobics: A preliminary test. Behaviour Research and Therapy 27 (1989) 205-209
36. Sloan T., and Telch M.J. The effects of safety-seeking behaviour and guided threat reappraisal on fear reduction during exposure: An experimental investigation. Behaviour Research and Therapy 40 (2002) 235-251
37. Tang N.K.Y., Salkovskis P.M., and Poplavskaya E. Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety. Behaviour Research and Therapy 45 (2007) 2821-2835
38. Thwaites R., and Freeston M.H. Safety-seeking behaviour: Fact or function? How can we clinically differentiate between safety behaviours and adaptive coping strategies across anxiety disorders?. Behavioural and Cognitive Psychotherapy 33 (2005) 1-12
39. Veale D., and Riley S. Mirror, mirror on the wall, who is the ugliest of them all? The psychopathology of mirror gazing in body dysmorphic disorder. Behaviour Research and Therapy 39 (2001) 1381-1393
40. Wells A., Clark D.M., Salkovskis P., Ludgate J., et al. Social phobia: The role of in-situation safety behaviors in maintaining anxiety and negative beliefs. Behavior Therapy 26 (1995) 153-161