Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report

LAPSEKİLİ, Nergis; YELBOĞA, Zekeriya

Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report

Nergis LAPSEKİLİ, (Çorlu Askeri Hastanesi, Psikiyatri Kliniği, Tekirdağ, Türkiye)

Zekeriya YELBOĞA (Sivas Askeri Hastanesi, Psikiyatri Kliniği, Sivas, Türkiye)

Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi

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Yıl: 2014 Cilt: 27 Sayı: 2 Sayfa Aralığı: 168 - 172 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report

Öz:

Tüm fobilerde bireyler, fobik durumla karşılaştıklarında, belirgin, şiddetli, ısrarlı ve mantıksız korku yaşarlar. Fobilerin etiyolojisine bakıldığında travmatik yaşantı varlığı şart olmamakla hatta birçok hastada öyküde travmatik yaşantı bulunmamakla birlikte eğer saptanabilen bir travmatik yaşantı varsa tedavide EMDR de iyi bir seçenek gibi görünmektedir. Ayrıca başlangıcı bir travmatik yaşantı olmasa bile fobik korku oluştuktan sonra, korku nesnesiyle her karşılaşma hatta karşılaşma düşüncesi bir travmatik olay olarak ele alınabilir. Bu da fobi tedavisinde EMDR'nin bir tedavi seçeneği olabileceğini desteklemektedir. Bu yazıda da, bir uçuşu sırasında uçağın türbülansa girmesi nedeniyle uçuşta sarsıntı yaşayan, sonrasında uçuş korkusu gelişen ve uçağa binemeyen bir hastanın EMDR ile tedavisi anlatılmaktadır. Tedavide, Shapiro tarafından tanımlanmış olan fobi protokolü çerçevesinde her biri yaklaşık bir saat süren üç EMDR seansı uygulanmış ve hastanın fobik korku ve kaçınmasının ortadan kalktığı gözlemlenmiştir. Sonuç olarak, EMDR'nin geçmişte koşullanma deneyimleri sonrası oluştuğu düşünülen birçok klinik tabloda tedavi seçeneği olarak düşünülebileceği söylenebilir.

Anahtar Kelime:

Uçuş fobisinin (aviofobi) göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) yöntemi ile tedavisi: Bir olgu sunumu

Öz:

All phobic individuals, when faced with the phobic situation, feel obvious, severe, persistent and irrational fear. The presence of traumatic experiences are not necessary in the etiology of phobias. Even though there are many patients with no traumatic experiences in the history, if there is a detectable traumatic event in the history, EMDR therapy seems to be a good option for the treatment.. Also, although there is not a traumatic event at the beginning, after the formation of phobic fear, every encounter to phobic object, even the idea, can be seen as traumatic event. This support that EMDR may be an option for the treatment of phobias. In this article, EMDR treatment of a case who experienced a jolt of the aircraft during a flight because of a turbulence and who then developed flight anxiety and could not get on a plane is presented. Within the framework of the protocol defined by Shapiro, three EMDR sessions, each session lasting about an hour, were applied as treatment. And it was observed that phobic fear and avoidance of the patient were disappeared. As a result, EMDR may be considered as a treatment option in several clinical conditions thought to occur after the experiences of the past conditioning.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth ed., Washington DC: APA, 2000.
Oakes M, Bor R. The psychology of fear of flying (part I): A critical evaluation of current perspectives on the nature, prevalence and etiology of fear of flying. Travel Med Infect Dis 2010; 8:327-338.
Civil Aviation Authority. Aviation Safety Review. London: CAA, 2008.
Depla MF, ten Have ML, van Balkom AJ, de Graaf R. Specific fears and phobias in the general population: results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 2008; 43:200-208.
Bor R. Psychological factors in airline passenger and crew behaviour: a clinical overview. Travel Med Infect Dis 2007; 5:207-216.
Van Gerwen LJ, Diekstra RF. Fear of flying treatment programs for passengers: an international review. Aviat Space Environ Med 2000; 71:430-437.
Sungur MZ. Phobic Disorders. Psychiatry World 1997; 1:5-11. (Turkish)
Laker M. Specific phobia: flight. Act Nerv Super 2012; 54:108- 117.
Shapiro F. Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. New York, NY: Guilford Press, 2001.
Gelder MG. The classification of anxiety disorders. Br J Psychiatry 1989; 154:28-32.
Marks IM. Fears, Phobias and Rituals. New York: Oxford University Press, 1987
Zitrin CM, Klein DF, Woerner MG, Ross DC. Treatment of phobias:a comparison of imipramine hydrochloride and placebo. Arch Gen Psychiatry 1983; 40:125-138.
Marks IM, Viswanathan R, Lipsedge MS, Gardner R. Enhanced relief of phobias by flooding during waning diazepam effect. Br J Psychiatry 1972; 121:493-505.
Foa EB, Keane TM, Friedman MJ, Cohen JA. Effective Treatments for PTSD: Practice Guidelines of the International Society for Traumatic Stress Studies. New York, NY: Guilford Press, 2009.
Chaplin EW, Levine BA. The effects of total exposure duration and interrupted versus continuous exposure of flooding. Behav Ther 1980; 12:360-368.
Marquis JN. A report on seventy-eight cases treated by eye movement desensitization. J Behav Ther Exp Psychiatry 1991; 22:187-192.
Bates LW, McGlynn F, Montgomery RW, Mattke T. Effects of eye-movement desensitization versus no treatment on repeated measures of fear of spiders. J Anxiety Disord 1996; 10:555-569.
Kleinknecht RA. The origins and remission of fear in a group of tarantula enthusiasts. Behav Res Ther 1982; 20:437-443.
Balibey H, Balikci A. Eye movement desensitization and reprocessing (EMDR) treatment at a patient diagnosed with post- traumatic stress disorder: case report. Düşünen Adam Journal of Psychiatry and Neurological Sciences 2013; 26:96-101. (Turkish)

APA	LAPSEKİLİ N, YELBOĞA Z (2014). Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. , 168 - 172.
Chicago	LAPSEKİLİ Nergis,YELBOĞA Zekeriya Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. (2014): 168 - 172.
MLA	LAPSEKİLİ Nergis,YELBOĞA Zekeriya Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. , 2014, ss.168 - 172.
AMA	LAPSEKİLİ N,YELBOĞA Z Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. . 2014; 168 - 172.
Vancouver	LAPSEKİLİ N,YELBOĞA Z Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. . 2014; 168 - 172.
IEEE	LAPSEKİLİ N,YELBOĞA Z "Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report." , ss.168 - 172, 2014.
ISNAD	LAPSEKİLİ, Nergis - YELBOĞA, Zekeriya. "Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report". (2014), 168-172.

APA	LAPSEKİLİ N, YELBOĞA Z (2014). Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, 27(2), 168 - 172.
Chicago	LAPSEKİLİ Nergis,YELBOĞA Zekeriya Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi 27, no.2 (2014): 168 - 172.
MLA	LAPSEKİLİ Nergis,YELBOĞA Zekeriya Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, vol.27, no.2, 2014, ss.168 - 172.
AMA	LAPSEKİLİ N,YELBOĞA Z Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi. 2014; 27(2): 168 - 172.
Vancouver	LAPSEKİLİ N,YELBOĞA Z Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi. 2014; 27(2): 168 - 172.
IEEE	LAPSEKİLİ N,YELBOĞA Z "Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report." Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, 27, ss.168 - 172, 2014.
ISNAD	LAPSEKİLİ, Nergis - YELBOĞA, Zekeriya. "Treatment of Flight Phobia (Aviophobia) Through The Eye Movement Desensitization and Reprocessing (EMDR) Method: A Case Report". Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi 27/2 (2014), 168-172.