In follow-up of 2 to 5 years there was no relapse or symptom substitution
I should note that even some eminent behavior therapists, who traditionally have disputed the idea of symptom substitution
, had documented some remarkable cases of symptom substitution
in patients with Conversion Disorder (Blanchard & Hersen, 1976).
My experience is that the overgen-eralized concept of symptom substitution
is not applicable in most cases.
Although symptom substitution
may occur in a small number of people, it's by far not a rule, and it still is important for us to treat and alleviate chronic pain problems.