Flying phobia is a problem that affects a significant portion of the population. There are a number of therapeutic approaches but no one is universally accepted as the gold standard. One therapy is hypnosis. A recent addition to the armamentarium is virtual reality exposure (VRE) therapy. Both therapies are short-term and compare favorably to in vivo desensitization. Heretofore a combination of both approaches has not been reported. This article presents a case of a 50-year phobia to flying that was refractory to traditional methods including pharmacotherapy, systematic desensitization, and cognitive behavioral therapy but was successfully treated using VRE therapy and hypnosis as the primary modalities. This treatment was supplemented by other approaches. The rationale for this multimodal therapy and possible mechanisms involved are discussed.

译文

飞行恐惧症是一个影响很大一部分人口的问题。有许多治疗方法,但没有人被普遍接受为黄金标准。一种疗法是催眠。最近在aramentarium中添加的是虚拟现实暴露 (VRE) 疗法。两种疗法都是短期的,与体内脱敏相比是有利的。迄今为止,尚未报道两种方法的组合。本文介绍了一个50年的飞行恐惧症案例,该案例对传统方法 (包括药物疗法,系统脱敏和认知行为疗法) 难以治疗,但已成功使用VRE疗法和催眠作为主要方式进行治疗。这种治疗得到了其他方法的补充。讨论了这种多模式疗法的原理和可能的机制。

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