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Behavior Modification
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"Hypoglycemic" Anxiety

The Role of Reinforcement in Psychophysiological Disorders

Elizabeth A. Klonoff

Case Western Reserve University, School of Medicine

Anthony Biglan

Oregon Research Institute

Treatment of a case of anxiety believed to be associated with hypoglycemia is reported. The treatment involved relaxation training and changes in the contingent relationship between anxiety and eating. A reversal design was employed to demonstrate the functional relationship between anxiety and eating. Results suggest that it may be a mistake to advise patients who may be hypoglycemic to eat whenever they experience symptoms. Implications of the role of reinforcement in other psychophysiological disorders are discussed.

Behavior Modification, Vol. 11, No. 1, 102-113 (1987)
DOI: 10.1177/01454455870111008
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