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4.
Barsky, A. J., Coeytaux, R. R., Sarnie, M. K. & Cleary, P. D. (1993). Hypochondriacal patient's beliefs about good health. American Journal of Psychiatry, 150, 1085-1089.
Barsky, A. J., Geringer, E. & Wool, C. A. (1988). A cognitive-educational treatment for hypochondriasis. General Hospital Psychiatry, 10, 322-327.
Calhoun, K. S. & Resick, P. A. (1993). Post-traumatic stress disorder. In D. H. Barlow (Ed.). Clinical Handbook of Psychological Disorders (2nd edition, pp. 48-98). New York: Guilford Press.
Geissner, E., Gonzales, E., Rief, W. & Fichter, M. M. (1995). Selbstsicherheitstrainings in der verhaltenstherapeutischen Psychosomatik. In J. Margraf & K. Rudolf (Hrsg.), Soziale Kompetenz (S. 170-191). Hohengeren: Schneider.
Goldberg, D. P. (1992). The management of medical outpatients with non-organic disorders: the reattribution model. In F. Creed, R. Mayou & A. Hopkins (Eds.), Medical Symptoms not Explained by Organic Disease (pp. 53-59). London: Royal College of Psychiatrists.
Gordon, G. H. (1987). Treating somatizing patients. The Western Journal of Medicine, 147, 88-91. Kellner, R. (1983). Prognosis of treated hypochondriasis. Acta Psychiatrica Scandinavica, 67, 69-79. LaBarbera, J. D. & Dozier, J. E. (1980). Hysterical seizures: the role of sexual exploitation.
Psychosomatics, 21, 897-903.
Ladee, G. A. (1966). Hypochondrical Syndromes. New York: Eisvier.
Lipowski, Z. J. (1986). Somatization: A borderland between medicine and psychiatry. Canadian Medical Association Journal, 135, 609-614.
Pfingsten, U. & Hinsch, R. (1991). Gruppentraining sozialer Kompentenz (GSK). Weinheim: Psychologie Verlags-Union.
Rief, W. (1996). Erfolg und Mißerfolg in der Behandlung von Personen mit somatoformen Störungen. In H. Bents, R. Frank & E. R. Rey (Hrsg.), Erfolg und Mißerfolg in der Psychotherapie (S. 98-105). Regensburg: Roderer.
Rief, W., Heuser, J. & Fichter, M. M. (1996). Biofeedback — ein therapeutischer Ansatz zwischen Begeisterung und Ablehnung. Verhaltenstherapie, 6, 43-50.
Rief, W. & Hiller, W. (1998). Somatisierungsstörung und Hypochondrie. Göttingen: Hogrefe.
Rief, W., Hiller, W. & Heuser, J. (1997). Das Screening für somatoforme Störungen, SOMS. Bern:
Huber.
Rief, W., Hiller, W., Geissner, E. & Fichter, M. M. (1995). A two-year follow-up study of patients with somatoform disorders. Psychosomatics, 36, 376-386.
Rudolf, G. (1992). Körpersymptomatik als Schwierigkeit der Psychotherapie. Praxis der Psychotherapie und Psychosomatik, 37, 11 -23.
Salkovskis, P. M. (1989). Somatic problems. In K. Hawton, P. M. Salkovskis, J. Kirk & D. M. Clark (Eds.), Cognitive Behaviour Therapy for Psychiatric Problems (pp. 235-276). Oxford: University Press.
Salkovskis, P. M. (1995). Effective treatment of severe health anxiety (Hypochondriasis). Kopenhagen: World Congress of Behavioral & Cognitive Therapies.
Smith, G. R., Rost, K. & Kashner, M. (1995). A trial of the effect of a standardized psychiatric consultation on health outcomes and costs in somatizing patients. Archives of General Psychiatry, 52, 238-243.
Stern, R. & Fernandez, M. (1991). Group cognitive and behavioural treatment for hypochondriasis.
British Medical Journal, 303, 1229-1231.
Ullrich, R. & Ullrich de Muynck, R. (1976). Das Assertiveness Training Programm. München: Pfeiffer. Visser, S. & Bouman, T. K. (1992). Cognitive-behavioural approaches in the treatment of
hypochondriasis: six single case cross-over studies. Behaviour Research and Therapy, 30, 301-306.
Volz, H. P., Stieglitz, R. D., Menges, K. & Möller, H. J. (1994). Somatoform disorders - diagnostic concepts, controlled clinical trials, and methodological issues. Pharmacopsychiatry, 27, 231-237.
Warwick, H. M. C. (1989). A cognitive-behavioural approach to hypochondriasis and health anxiety.
Journal of Psychosomatic Research, 33, 705-710.
Warwick, H. M. C. (1995). Assessment of hypochondriasis. Behaviour Research & Therapy, 33, 845-
853.
Warwick, H. M. C. & Salkovskis, P. M. (1989). Hypochondriasis. In J. Scott, J. M. G. Williams, & A. T. Beck, (Eds.), Cognitive Therapy in Clinical Practice. London: Routledge.
Wooley, S. C., Blackwell, B. & Winget, C. (1978). A learning theory model of chronic illness behavior: theory, treatment, and research. Psychosomatic Medicine, 40, 378-401.
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