The Use of Assertive Training and Psychodynamic Insight in the Treatment of Migraine Headache

Behaviour therapy and psychodynamic psychotherapy: Basic conflict or reconciliation and integration?*

“…The results were presented as changes in self-ratings and ratings by present and previous therapists in terms such as 'depression', 'suicidal feelings', and so on, at the end of more than a year of group therapy. Lambley (1976) used assertive training and behaviour rehearsal at the same time as he was using insight-oriented therapy in the treatment of a female client with migraine. D'Alessio (1968) switched back and forth between behaviour therapy and psychotherapy within the same session in treating three clients with various problems.…”

“…Two of the studies previously described did attempt to design the treatment phases in such a way as to tease out the relative contributions of the various techniques (whether behavioural or psychodynamic) to the changes which occurred and to take objective measurements of those changes (Gullick & Blanchard, 1973;Lambley, 1976). But the objective data of Gullick & Blanchard indicate no more than a general tendency in the number of objective thoughts per day to show a steady reduction over treatment time, irrespective of which treatment was in operation, and their claim that these changes could be attributed to a judicious combination of insight-oriented psychotherapy and several behaviour therapy techniques is not supported by the facts.…”

A multiple paradigm treatment programme for migraine headache

“…Treatment at any one level alone will not, at least theoretically, ensure efficient use of all possibilities. Indeed such a treatment method places responsibility for the most important aspect of treatment on the patient's own ability to follow through treatment, an undesirable state of affairs (Lambley, 1976).…”

Les effets à long terme des thérapies comportementales et cognitives dans le traitement des migraines.

“…), l'entraînement à la biorétroaction (thermique ou vasomotrice), ou une combinaison entre ces deux formes d'entraînement (Blanchard & Andrasik, 1982). Mis à part ces derniers, on en distingue d'autres tels que la désensibilisation systématique (Mitchell & Mitchell, 1971), l'entraînement à l'assertion (Lambley, 1976), la thérapie émotivo-rationnelle (Lake, Rainey, & Papsdorf, 1979). Il est à remarquer que les traitements ne sont pas toujours administrés à la clinique.…”