• J Behav Ther Exp Psychiatry · Sep 1994

    Review Case Reports

    Behavioral treatment of phobic avoidance in multiple chemical sensitivity.

    • R S Guglielmi, D J Cox, and D A Spyker.
    • Department of Psychology, Lake Forest College, IL 60045-2399.
    • J Behav Ther Exp Psychiatry. 1994 Sep 1;25(3):197-209.

    AbstractThe clinical ecology model of environmental illness, or multiple chemical sensitivity (MCS), and particularly the theoretical assumptions, diagnostic procedures, and therapeutic recommendations promulgated by clinical ecologists are reviewed. No scientific evidence is found for their claims. MCS is conceptualized, instead, as a phobic disorder explicable in terms of the two-factor model of avoidance. Three cases of MCS are discussed in light of this model, and a comprehensive behavioral treatment package that includes biofeedback-assisted in vivo desensitization and cognitive restructuring is proposed.

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