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In their May 1994 article on the nonprescriptive treatment of panic disorder, Shear et al report findings that supposedly "raise questions about the specificity of cognitive-behavioral treatment."^1(p395) In fact, they merely demonstrate that when cognitive-behavior therapy (CBT) is presented in the guise of reflective Rogerian counseling, it still works.

I note with surprise that in the first 3 sessions of the nondirective, nonprescriptive, reflective psychotherapy condition subjects were taught that (1) hyperventilation plays a role in triggering panic; (2) misconceptions about the meaning of panic attacks play a role in the disorder; (3) panic is not an indication of serious physical or mental illness; (4) anxiety is an inborn, potentially adaptive reaction that is not inherently dangerous; and (5) certain situations/activities may become triggers for panic attacks. Thus, it seems that the "nonprescriptive" condition included some coverage of each of the major components of typical CBT programs for panic, namely, . . . [Full Text of this Article]