Generalized anxiety disorder (GAD) is construed as an interplay betwee
n threatening signals and safety signals. Safety signals have a fear-l
imiting effect; they define the places and periods in which people can
feel safe. Patients with GAD have insufficient and/or ineffective saf
ety signals, and hence, there are few times or places in which they fe
el safe. The behavior associated with GAD is regarded as a manifestati
on of the person's unsuccessful attempts to achieve a sense of safety.
This construal helps to make intelligible three distinctive features
of GAD: the undue persistence of the anxiety, the excessive generality
of the anxiety, and the absence of a specific treatment procedure. Se
lected treatment implications are considered, and some disadvantages a
nd problems facing this proposed construal of GAD are noted.