{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T08:13:03Z","timestamp":1765267983992},"reference-count":9,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8159,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1995,9]]},"abstract":"<jats:sec id=\"S0007125000065041_S1\" sec-type=\"other\"><jats:title>Background<\/jats:title><jats:p>Dysmorphophobia may improve after a variety or combination of treatments, but which elements of a treatment are useful is usually not certain.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125000065041_S2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>In a single out-patient case study rational role-play (\u2018paradoxical discourse\u2019) was added to exposure plus cognitive restructuring (CR) for a dysmorphic delusion study comprised of 20-minute sessions one week apart.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125000065041_S3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Previous exposure plus attempted CR had improved anxiety, phobias, work and social leisure, but not dysmorphic belief. Added brief rational role-play was followed by resolution of the dysmorphic belief. All measures remained much improved at 18-month follow-up.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125000065041_S4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Rational role-play deserves a controlled trial in dysmorphophobia and other problems and exploration of its mechanism of action.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.167.3.399","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:31:20Z","timestamp":1224048680000},"page":"399-402","source":"Crossref","is-referenced-by-count":20,"title":["Does Rational Role-play Enhance the Outcome of Exposure Therapy in Dysmorphophobia?"],"prefix":"10.1192","volume":"167","author":[{"given":"Paul","family":"Cromarty","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Marks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000065041_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1990.tb01627.x"},{"key":"S0007125000065041_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465800011942"},{"key":"S0007125000065041_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/070674378503000515"},{"key":"S0007125000065041_ref5","volume-title":"Behavioural Psychotherapy: Maudsley Pocketbook of Clinical Management.","author":"Marks","year":"1986"},{"key":"S0007125000065041_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.152.5.674"},{"key":"S0007125000065041_ref1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1192\/bjp.138.1.64","article-title":"Solitary psychosis: Three cases of monosymptomatic delusion of alimentary stench treated with behavioural psychotherapy","volume":"138","author":"Beaky","year":"1981","journal-title":"British Journal of Psychiatry"},{"key":"S0007125000065041_ref2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.140.2.199"},{"key":"S0007125000065041_ref3","unstructured":"Gomez, J. C. , Marks, I. M. & Gutierrez, J. (1995) Dysmorphophobia: Clinical features and outcome with behaviour therapy. European Journal of Psychiatry (in press)."},{"key":"S0007125000065041_ref4","doi-asserted-by":"publisher","DOI":"10.1192\/S0007125000299005"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000065041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,14]],"date-time":"2020-08-14T15:12:06Z","timestamp":1597417926000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000065041\/type\/journal_article"}},"subtitle":["A Case Study"],"short-title":[],"issued":{"date-parts":[[1995,9]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1995,9]]}},"alternative-id":["S0007125000065041"],"URL":"https:\/\/doi.org\/10.1192\/bjp.167.3.399","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,9]]}}}