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Behavior Modification
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Patient-Therapist Interaction in the Behavioral Treatment of Panic Disorder with Agoraphobia

Ger P. J. Keijsers

Cas P.D.R. Schaap

Cees A. L. Hoogduin

Mirjam W. Lammers

University of Nijmegen

Although effective behavioral techniques have been developed, what aspects of the patient-therapist interaction affect treatment outcome remain largely unknown. This study hypothesized that the interaction between patient and therapist develops over several phases. Further, the association between behavior modes and treatment outcome was expected to alter as that interaction developed. Thirty patients diagnosed with panic disorder with agoraphobia were treated with a standardized behavioral treatment program of 12 sessions. The interpersonal verbal therapist and patient behavior modes were studied at Sessions 1, 3, and 10, using an observational instrument. It was found that behavior modes change over the course of treatment, in line with predictions derived from social-psychological models. The hypothesis that establishing a therapeutic relationship requires an empathic and nondirective stance by the therapist in Session 1 was pardy confirmed.

Behavior Modification, Vol. 19, No. 4, 491-517 (1995)
DOI: 10.1177/01454455950194005
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Home page
 Behav ModifHome page
G.P.J. Keijsers, C.P.D.R. Schaap, and C.A.L. Hoogduin
The Impact of Interpersonal Patient and Therapist Behavior on Outcome in Cognitive-Behavior Therapy: A Review of Empirical Studies
Behav Modif, April 1, 2000; 24(2): 264 - 297.
[Abstract] [PDF]