Volume 145, Issue 7 pp. 346-348
Case Reports
Full Access

Psychological treatment of phobic anxiety associated with adjuvant chemotherapy

David J. de L. Horne BA, MPhil, PhD, ABPsS, FAPsS

David J. de L. Horne BA, MPhil, PhD, ABPsS, FAPsS

Psychologist

The University of Melbourne, Departments of Psychiatry and Surgery, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052

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Heather M. McCormack BA, MSc, MAPS

Heather M. McCormack BA, MSc, MAPS

Psychologist

The University of Melbourne, Departments of Psychiatry and Surgery, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052

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John P. Collins MB BS, FRACS, FACS

John P. Collins MB BS, FRACS, FACS

Surgeon

The University of Melbourne, Departments of Psychiatry and Surgery, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052

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John F. Forbes MB, MS, BMedSci, FRACS, FRCS

John F. Forbes MB, MS, BMedSci, FRACS, FRCS

Surgeon

The University of Melbourne, Departments of Psychiatry and Surgery, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052

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Ian S. Russell MS, FRCS, FRACS

Ian S. Russell MS, FRCS, FRACS

Surgeon

The University of Melbourne, Departments of Psychiatry and Surgery, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052

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First published: 01 October 1986
Citations: 6

Abstract

A 50-year-old patient with breast cancer was about to withdraw from her adjuvant chemotherapy regimen because of a long-standing phobia about being injected, which had been compounded by anxieties that were associated with the severe side-effects of adjuvant chemotherapy. She experienced a conditioned nausea response to hospital and medical situations. A psychological programme that incorporated relaxation training, systematic desensitization by way of the patient's visual imagination and videotape modelling, allowed her to complete the course of chemotherapy and to feel less anxious in hospital and medical settings.

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