David H. Barlow

Last updated

David H. Barlow
David H. Barlow.jpg
Born
David Harrison Barlow

(1942-04-30) April 30, 1942 (age 81)
Needham, Massachusetts, U.S.
Nationality American
Alma mater University of Notre Dame (BA), Boston College (MA), University of Vermont (PhD)
Known for
SpouseBeverly Colby (m. 1966)
Children2 children and 4 grandchildren
Awards
Scientific career
Fields Clinical Psychology, Anxiety disorders, Cognitive behavioral therapy
Institutions Boston University
Notable students Steven C. Hayes, Kelly D. Brownell
Website http://bostonanxietytreatment.com

David H. Barlow (born April 30, 1942) is an American psychologist and Professor Emeritus of Psychology and Psychiatry at Boston University. [1] He is board certified by the American Board of Professional Psychology. Barlow is known for his research and publications on the etiology, nature, and treatment of anxiety disorders. The models and treatment methods that he developed for anxiety and related disorders are widely used in clinical training and practice. Barlow is one of the most frequently cited psychologists in the world. [2]

Contents

Barlow has published over 650 articles and book chapters, as well as over 95 books and clinical manuals, some of which has been translated to more than 20 languages. [3] He is best known for his book titled, Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic. [4]

Barlow has received numerous awards for his contributions to the field of psychology, including the American Psychological Association (APA) Distinguished Scientific Award for the Applications of Psychology, [5] the James McKeen Cattell Fellow Award from the Association for Psychological Science for "distinguished achievements in psychological science", [6] and Distinguished Lifetime Achievement Awards from the Connecticut, California, and Massachusetts Psychological Associations. [2] He also has been awarded honorary doctoral degrees from the University of Vermont and William James College, [7] [8] the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies (ABCT), [9] and the American Psychological Foundation's 2018 Gold Medal Award for Life Achievement in the Practice of Psychology. [10]

Barlow is currently Founder of the Center for Anxiety and Related Disorders and Professor of Psychology and Brain Sciences, and Psychiatry, Emeritus at Boston University. [1]

Background and early life

Barlow was born in Needham, Massachusetts, U.S., in 1942. His father left to fight in World War II shortly before he was born and was killed in action. Barlow grew up living with his mother and maternal grandparents. [11]

Influenced by his grandfather and uncle, Barlow cultivated a passion for sports at a young age. As a child, Barlow had even entertained the idea of a professional career in sports, especially after his baseball team made it to the Little League World Series when he was 12. [12] Yet, Barlow was also an avid reader and a scholar of classical languages, having studied six years of Latin and two years of Greek in high school. His early literary pursuits fueled his continued fascination with the written word. [11] [12]

Education

Barlow attended the University of Notre Dame in 1960, for an undergraduate degree in sociology and English. [13] During intensive studies of literature, Barlow became intrigued by the often self-defeating actions of fictional characters, and he began analyzing the psychological motivations of such acts in his literary discourse. [14]

To pursue his interest in psychology, Barlow attended Boston College in 1964. He was a student of Joseph R. Cautela, one of the pioneers in behavior therapy who eventually became president of the Association for Behavioral and Cognitive Therapies (ABCT), formerly known as the Association for Advancement of Behavior Therapy (AABT). [15] Barlow delved into the realm of experimental psychology in Cautela's research laboratories. He was convinced by Cautela that the practical applications of psychology can only advance through a scientific approach to the subject. In the summer of 1966, Barlow worked with Joseph Wolpe, widely known as the father of behavior therapy, [16] to gain clinical experience in Wolpe's emerging techniques of systematic desensitization, assertiveness training, and reciprocal inhibition. [14]

In the same fall, Barlow left Boston to attend the University of Vermont for his doctoral degree. He worked under Harold Leitenberg and Stewart Agras who were collaborating on a clinical research program at the time. Together, they developed a new experimental approach to clinical research, later known as single case experimental designs, for which Barlow eventually published a sourcebook. [17] [18] Barlow received his Ph.D. in 1969.

Career

1969–1979

After completing his PhD, Barlow became an assistant professor of psychiatry at the University of Mississippi Medical Center (UMMC) in 1969. [11] He founded the clinical psychology internship program there, with the aim of training students on science-based clinical practices. In 1974, he was promoted to professor of psychiatry. [12]

In 1975, Barlow relocated to Brown University with a joint appointment as professor of psychiatry and psychology, and Director of Education and Training at Butler Hospital. [19] At Brown, Barlow was again in charge of creating a clinical psychology internship program, which had been successful at the UMMC. Barlow was to spend five years at Brown. In 1979, Barlow served as the president of the Association for Behavioral and Cognitive Therapies (ABCT). [15] Throughout this time, Barlow broadened and deepened his research on anxiety and related disorders, but also developed a research program on understanding sexual behaviors and gender expression. Some of this work included "treating" individuals with "sexual deviations" which at the time included homosexual men with behavioral techniques including covert sensitization, [20] fading, [21] biofeedback fading, and classical conditioning, [22] a practice that is now known as conversion therapy. One of the studies details changes in gender identity expression that were attributed to an exorcism. [23]

1979–1996

In 1979, Barlow accepted a position as professor (and later, distinguished professor) of psychology at the State University of New York at Albany. It was here where Barlow was able to focus more deeply on clinical research. Together with his colleague and friend, Edward B. Blanchard, Barlow founded the Center of Stress and Anxiety Disorders, which became a large federally funded research clinic. [11] [12] In addition to continuing his early research on the relationship between anxiety and sexual dysfunction, Barlow also studied the nosology and treatment of anxiety and related disorders. Together with his colleagues, he started to develop new treatment methods for the anxiety disorders, most notably, the treatment of panic disorder developed with Michelle Craske, and Ron Rapee. [24] [25] [26] In addition to this work, several additional articles were published based on earlier work to characterize differences in gender identity expression as well as using behavioral treatments to change sexual orientation and gender expression. [27]

As Barlow's ideas of the nature and origins of anxiety started to become more elaborate, he published a series of books that delineated the results from his research and advocated for a more empirical scientific approach to clinical psychology. In 1985, he published the first edition of the Clinical handbook of psychological disorders: A step-by-step treatment manual, [28] explicating evidence based practices. Aggregating his ideas from this period of extensive research, Barlow published what the American Psychologist deemed as his "most influential book", [11] Anxiety and its disorders: The nature and treatment of anxiety and panic.

From 1984 to 1994, Barlow served on work groups for the third (revised) edition and on the task force for the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, (abbreviated to DSM-III-R and DSM-IV, respectively). [29] [30] He was instrumental in developing the criteria for classifying anxiety disorders in both revisions. [19] [31] In 1993, Barlow was elected the president of the American Psychological Association, Division of Clinical Psychology. [32]

1996–present

In 1996, Barlow returned to Boston to serve as a professor of psychology and psychiatry at Boston University. He also took on the roles of Director of Clinical Training Programs and Director of the Center for Anxiety and Related Disorders. [12] At Boston University, he continued updating and deepening his theories of the origins and nature of anxiety disorders. With his team at the Center for Anxiety and Related Disorders at Boston University, Barlow developed the Unified Protocol for transdiagnostic treatments of anxiety related disorders. [33] [34] He continues to conduct research on the efficacy and treatment mechanisms of the protocol and is working to enhance dissemination.

In 2022, Barlow was interviewed about his research on changing sexual orientation and gender identity expression. [35] He expressed deep regret for this work, but stated that he does not believe these articles could be retracted, saying that "[t]he only reason you can really retract a journal article, based on my understanding, and I've been an editor myself, is if you have some evidence that the data was manipulated or fabricated or false, and the science is wrong." He added "I don't think you can retract an article because times have changed, or you have a different view of it now and you don't like the conclusion. (individuals calling for a retraction of his research simply "don't like the conclusion") but denied that his science was "faulty". [35] Barlow's response is consistent with publishing guidelines. The journal publisher subsequently refused retraction of these articles, for the same reasons that Barlow cited.

Selected awards and honors

Barlow has received over 40 awards and honors for his contributions to the understanding and treatment of anxiety and related disorders, [3] including, but not limited to:

"Awarded to investigators whose research competence and productivity are distinctly superior and who are likely to continue to perform in an outstanding manner" [37]

"Awarded for his contribution to our understanding of the nature of anxiety and anxiety disorders with the goal of developing reliable and effective psychological treatments, and as the principal psychologist in the work group on the anxiety disorders for the Diagnostic and Statistical Manual of Mental Disorders (DSM), he was instrumental in seeing that Psychology's contributions to the field were heeded." [11]

"In recognition of his distinguished achievements in psychological science" [6]

"For his lifelong dedication and passion for advancing psychology through science education training and practice" [41]

Publications

Selected books

Selected clinical manuals

Selected chapters and articles

Related Research Articles

<span class="mw-page-title-main">Anxiety</span> Unpleasant state of inner turmoil over anticipated events

Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different from fear in that fear is defined as the emotional response to a real threat, whereas anxiety is the anticipation of a future threat. It is often accompanied by nervous behavior such as pacing back and forth, somatic complaints, and rumination.

<span class="mw-page-title-main">Cognitive behavioral therapy</span> Therapy to improve mental health

Cognitive behavioral therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders. Cognitive behavioral therapy is one of the most effective means of treatment for substance abuse and co-occurring mental health disorders. CBT focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop personal coping strategies that target solving current problems. Though it was originally designed to treat depression, its uses have been expanded to include many issues and the treatment of many mental health conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.

<span class="mw-page-title-main">Agoraphobia</span> Anxiety disorder

Agoraphobia is a mental and behavioral disorder, specifically an anxiety disorder characterized by symptoms of anxiety in situations where the person perceives their environment to be unsafe with no easy way to escape. These situations can include public transit, shopping centers, crowds and queues, or simply being outside their home on their own. Being in these situations may result in a panic attack. Those affected will go to great lengths to avoid these situations. In severe cases, people may become completely unable to leave their homes.

Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well-being and personal development. Central to its practice are psychological assessment, clinical formulation, and psychotherapy, although clinical psychologists also engage in research, teaching, consultation, forensic testimony, and program development and administration. In many countries, clinical psychology is a regulated mental health profession.

The Dodo bird verdict is a controversial topic in psychotherapy, referring to the claim that all empirically validated psychotherapies, regardless of their specific components, produce equivalent outcomes. It is named after the Dodo character in Alice in Wonderland. The conjecture was introduced by Saul Rosenzweig in 1936, drawing on imagery from Lewis Carroll's novel Alice's Adventures in Wonderland, but only came into prominence with the emergence of new research evidence in the 1970s.

Exposure therapy is a technique in behavior therapy to treat anxiety disorders.

Interoceptive exposure is a cognitive behavioral therapy technique used in the treatment of panic disorder. It refers to carrying out exercises that bring about the physical sensations of a panic attack, such as hyperventilation and high muscle tension, and in the process removing the patient's conditioned response that the physical sensations will cause an attack to happen.

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<span class="mw-page-title-main">Panic disorder</span> Anxiety disorder characterized by reoccurring unexpected panic attacks

Panic disorder is a mental and behavioral disorder, specifically an anxiety disorder characterized by reoccurring unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen. The maximum degree of symptoms occurs within minutes. There may be ongoing worries about having further attacks and avoidance of places where attacks have occurred in the past.

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<span class="mw-page-title-main">Michelle Craske</span> Australian psychologist

Michelle G. Craske is an Australian academic who is currently serving as Professor of Psychology, Psychiatry, and Behavioral Sciences, Miller Endowed Chair, Director of the Anxiety and Depression Research Center, and Associate Director of the Staglin Family Music Center for Behavioral and Brain Health at the University of California, Los Angeles. She is known for her research on anxiety disorders, including phobia and panic disorder, and the use of fear extinction through exposure therapy as treatment. Other research focuses on anxiety and depression in childhood and adolescence and the use of cognitive behavioral therapy as treatment. Craske has served as President of the Association for Behavioral and Cognitive Therapy. She was a member of the DSM-IV work group on Anxiety Disorders and the DSM-5 work group on Anxiety, Obsessive Compulsive Spectrum, Posttraumatic, and Dissociative Disorders, while chairing the sub-work group on Anxiety Disorders. She is the Editor-in-chief of Behaviour Research and Therapy.

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Claudi Bockting is a Dutch clinical psychologist and Professor of Clinical Psychology in Psychiatry at the University of Amsterdams Faculty of Medicine, Amsterdam University Medical Centers. Her research program focuses on identifying etiological factors of common mental health disorders such as depression, anxiety disorders and substance abuse, and developing evidence-based psychotherapeutic interventions.

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References

  1. 1 2 "David H. Barlow, PhD, ABPP". Boston University Department of Psychological & Brain Sciences. Retrieved June 4, 2018.
  2. 1 2 3 4 5 "David Barlow Career/Lifetime Achievement Award". Association for Behavioral and Cognitive Therapies. Retrieved June 4, 2018.
  3. 1 2 "David H. Barlow". Guilford Press. Retrieved June 4, 2018.
  4. ↑ "Anxiety and Its Disorders, Second Edition". Guilford Press. Retrieved June 4, 2018.
  5. 1 2 "APA Distinguished Scientific Award for the Applications of Psychology". American Psychological Association. Retrieved June 4, 2018.
  6. 1 2 3 "James McKeen Cattell Fellows". Association for Psychological Science. Retrieved June 5, 2018.
  7. 1 2 "Honorary Degree Recipients". University of Vermont. Retrieved June 13, 2018.
  8. 1 2 Durand, V.M.; Barlow, D.H.; Hofmann, S.G. (2018). Essentials of Abnormal Psychology. Cengage Learning. pp. v. ISBN   9781337670777.
  9. ↑ "Past Awards Winners". Association for Behavioral and Cognitive Therapies. Archived from the original on June 3, 2018. Retrieved June 4, 2018.
  10. ↑ "Gold Medal Awards for Life Achievement". American Psychological Foundation. Retrieved June 4, 2018.
  11. 1 2 3 4 5 6 Award for Distinguished Scientific Applications of Psychology: David H Barlow. (2000). American Psychologist, 55(11), 1245–1247. doi : 10.1037/0003-066X.55.11.1245
  12. 1 2 3 4 5 "David H. Barlow, Ph.D. | Biography". Boston University Center for Anxiety Related Disorders. Archived from the original on July 19, 2018. Retrieved June 4, 2018.
  13. ↑ Lynch, Eileen (December 9, 2016). "Alumnus David Barlow builds successful career in clinical psychology". University of Notre Dame, College of Arts and Letters. Retrieved June 4, 2018.
  14. 1 2 Hersen, Michel (2005). Encyclopedia of Behavior Modification and Cognitive Behavior Therapy. Vol. 1. Sage Publications. pp. 43–44. ISBN   9780761927471.
  15. 1 2 "Past Presidents". Association for Behavioral and Cognitive Therapies. Retrieved June 4, 2018.
  16. ↑ Rachman, S. (2000). Joseph Wolpe (1915–1997). American Psychologist, 55(4), 431–432. doi : 10.1037/0003-066X.55.4.431
  17. ↑ "Single Case Experimental Designs: Strategies for Studying Behavior Change, 3rd Edition". Pearson. Retrieved June 4, 2018.
  18. ↑ Barlow, D. H., & Hersen, M. (1973). Single-case experimental designs: Uses in applied clinical research. Archives of General Psychiatry, 29(3), 319–325. doi : 10.1001/archpsyc.1973.04200030017003
  19. 1 2 Morris, Sarah H. (2015). The Encyclopedia of Clinical Psychology. John Wiley & Sons, Inc. ISBN   9781118625392.
  20. ↑ Barlow, David H.; Leitenberg, Harold; Agras, W. Stewart (January 1, 1979), Upper, Dennis; Cautela, Joseph R. (eds.), "Chapter 4 - Experimental Control of Sexual Deviation Through Manipulation of the Noxious Scene in Covert Sensitization (Reprinted with permission from the Journal of Abnormal Psychology, 1969, 74, 597–601)", Covert Conditioning, Pergamon General Psychology Series, Pergamon, vol. 81, pp. 43–51, doi:10.1016/b978-0-08-023346-8.50008-4, ISBN   978-0-08-023346-8 , retrieved July 31, 2022
  21. ↑ Barlow, David H.; Agras, W. Stewart (1973). "Fading to increase heterosexual responsiveness in homosexuals1". Journal of Applied Behavior Analysis. 6 (3): 355–366. doi:10.1901/jaba.1973.6-355. PMC   1310847 . PMID   16795417.
  22. ↑ Herman, Steven H.; Barlow, David H.; Agras, W. Stewart (January 1, 1974). "An experimental analysis of classical conditioning as a method of increasing heterosexual arousal in homosexuals". Behavior Therapy. 5 (1): 33–47. doi:10.1016/S0005-7894(74)80084-5. ISSN   0005-7894.
  23. ↑ Barlow, David H.; Abel, Gene G.; Blanchard, Edward B. (September 1, 1977). "Gender identity change in a transsexual: An exorcism". Archives of Sexual Behavior. 6 (5): 387–395. doi:10.1007/BF01541182. ISSN   1573-2800. PMID   921523. S2CID   8302754.
  24. ↑ Barlow, D.H., Craske, M.G., Cerny, J.A., & Klosko, J.S. (1989). Behavioral treatment of panic disorder. Behavior Therapy, 20, 261–282. doi : 10.1016/s0005-7894(89)80073-5
  25. ↑ Barlow, D.H., Brown, T.A., & Craske, M.G. (1994). Definitions of panic attacks and panic disorder in DSM-IV: Implications for research. Journal of Abnormal Psychology, 103, 553–564. doi : 10.1037/0021-843x.103.3.553
  26. ↑ Rapee, R.M. & Barlow, D.H. (1988). Panic Disorder: Cognitive-behavioral treatment. Psychiatric Annals, 18, 473–476. doi : 10.3928/0048-5713-19880801-09
  27. ↑ Hayes, Steven C.; Brownell, Kelly D.; Barlow, David H. (January 1, 1983). "Heterosocial-skills training and covert sensitization. Effects on social skills and sexual arousal in sexual deviants". Behaviour Research and Therapy. Special Announcement. 21 (4): 383–392. doi:10.1016/0005-7967(83)90007-4. ISSN   0005-7967. PMID   6138027.
  28. ↑ "Clinical Handbook of Psychological Disorders". Guilford Press. Retrieved June 4, 2018.
  29. ↑ American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.). Washington, DC: Author. ISBN   0-89042-018-1
  30. ↑ American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author. ISBN   0-89042-062-9
  31. ↑ Emamzadeh, Arash (March 1, 2018). "The Past and Future of Anxiety: An Interview with Dr. Barlow". Psychology Today. Retrieved June 4, 2018.
  32. ↑ "Past Presidents of Society of Clinical Psychology". Society of Clinical Psychology. July 17, 2015. Retrieved June 4, 2018.
  33. ↑ Barlow, D. H., & Farchione, T. J. (Eds.). (2017). Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Oxford University Press. ISBN   0-19-025554-4
  34. ↑ "About the Unified Protocol". Unified Protocol Institute. Retrieved June 4, 2018.
  35. 1 2 "Conversion therapy apology statement raises questions". www.insidehighered.com. June 14, 2022. Retrieved August 2, 2022.
  36. ↑ "Treatments That Work Editorial Board, About the Series Editor". Oxford Clinical Psychology. Retrieved June 5, 2018.
  37. ↑ "Types of Grant Programs". National Institutes of Health. Retrieved June 13, 2018.
  38. ↑ "Distinguished Scientific Contributions to Clinical Psychology". American Psychological Association. Retrieved June 5, 2018.
  39. ↑ "David Barlow, Ph.D." This Emotional Life. Archived from the original on April 7, 2017. Retrieved June 13, 2018.
  40. ↑ "Distinguished Service to the Profession Award". American Board of Professional Psychology. Archived from the original on January 26, 2021. Retrieved June 13, 2018.
  41. 1 2 "APA Presidential Citations". American Psychological Association. Retrieved June 5, 2018.
  42. ↑ "APA members on ISI's list of highly cited researchers". American Psychological Association. Retrieved June 5, 2018.
  43. ↑ "Past Honorary Presidents". Canadian Psychological Association. Retrieved June 13, 2018.
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