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Review of the Relative Efficacy of Imaginal and In Vivo Flooding in the Treatment of Clinical Fear

Published online by Cambridge University Press:  16 June 2009

Jack E. James
Jack E. James
Affiliation:
School of Social Sciences, The Flinders University of South Australia
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Extract

The present review concerns the relative efficacy of imaginal and in vivo flooding in the treatment of debilitating fear. It has generally been concluded that in vivo flooding is superior to flooding in imagery. However, in the present review, serious methodological weaknesses were found to exist in a number of studies which have been frequently cited as demonstrating the superiority of in vivo flooding. In addition, recent empirical studies are reviewed which cast doubt on the belief that in vivo flooding is superior to imaginal flooding. Overall, little support was found for recent recommendations advocating the abandonment of methods of imaginal exposure in the treatment of clinical fear.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 14 , Issue 3 , July 1986 , pp. 183 - 191
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1986

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References

Agras, W. S., Kazdin, A. E. and Wilson, G. T. (1979). Behavior Therapy: Toward an Applied Clinical Science. San Francisco: W. H. Freeman.Google Scholar
Borkovec, T. D. and O'Brien, G. T. (1976). Methodological and target behavior issues in analogue therapy outcome research. In Progress in Behavior Modification, Hersen, M., Eisler, R. M. and Miller, P. M. (Eds), Vol. 3, New York: Academic Press.Google Scholar
Chambless, D. L., Foa, E. B., Groves, G. A. and Goldstein, A. J. (1982). Exposure and communications training in the treatment of agoraphobia. Behaviour Research and Therapy 20, 219–231.CrossRefGoogle ScholarPubMed
Chambless, D. L. and Goldstein, A. J. (1981). Clinical treatment of agoraphobia. In Phobia: Psychological and Pharmacological Treatment, Mavissakalian, M. and Barlow, D. H. (Eds), pp. 103–144, New York: Guildford..Google Scholar
Emmelkamp, P. M. G. (1977). Phobias: Theoretical and behavioral treatment considerations. In The Treatment of Phobic and Obsessive Compulsive Disorders, Boulougouris, J. C. and Rabavilas, A. D. (Eds), pp. 13–20, Oxford: Pergamon Press.Google Scholar
Emmelkamp, P. M. G. (1979). The behavioral study of clinical phobias. In Progress in Behavior Modification, Hersen, M., Eisler, R. M. and Miller, P. M. (Eds), Vol. 8, New York: Academic Press.Google Scholar
Emmelkamp, P. M. G. (1982a). Anxiety and fear. In International Handbook of Behavior Modification and Therapy, Bellack, A. S., Hersen, M., and Kazdin, A. E. (Eds), pp. 349–395, New York: Plenum Press.CrossRefGoogle Scholar
Emmelkamp, P. M. G. (1982b). Phobic and Obsessive-compulsive Disorders: Theory, Research, and Practice. New York: Plenum Press.CrossRefGoogle Scholar
Emmelkamp, P. M. G. and Wessels, H. (1975). Flooding in imagination versus flooding in vivo: A comparison with agoraphobics. Behaviour Research and Therapy 13, 7–15.CrossRefGoogle Scholar
James, J. E. (1985). Desensitization treatment of agoraphobia. British Journal of Clinical Psychology 24, 133–134.CrossRefGoogle ScholarPubMed
Jansson, L. and Ost, L. G. (1982). Behavioral treatments for agoraphobia: An evaluation review. Clinical Psychology Review 2, 42–58.CrossRefGoogle Scholar
Johnston, D. W., Lancashire, M., Mathews, A. M., Munby, M., Shaw, P. M. and Gelder, M. G. (1976). Imaginal flooding and exposure to real phobic situations: Changes during treatment. British Journal of Psychiatry 129, 372–377.CrossRefGoogle ScholarPubMed
Kazdin, A. E. and Wilcoxon, L. A. (1976). Systematic desensitization and nonspecific treatment effects: A methodological evaluation. Psychological Bulletin 83, 729–758.CrossRefGoogle ScholarPubMed
Keppel, G. (1973). Design and Analysis: A Researcher's Handbook, Englewood Cliffs, N.J.: Prentice-Hall.Google Scholar
McDonald, R., Sartory, G., Grey, S. J., Cobb, J., Stern, R. and Morles, I. (1979). The effects of self-exposure instructions on agoraphobic outpatients. Behaviour Research and Therapy 17, 83–85.CrossRefGoogle Scholar
Marks, I. M. (1978). Behavioral psychotherapy of adult neurosis. In Handbook of Psychotherapy and Behavior Change: An Empirical Analysis, Garfield, S. and Bergin, A. E. (Eds), 2nd Edn, pp. 493–547, New York: John Wiley.Google Scholar
Marks, I. M. (1981). New developments in psychological treatments of phobias. In Phobia: Psychological and Pharmacological Treatment, Mavissakalian, M. and Barlow, D. H. (Eds), pp. 175–197, New York: Guildford.Google Scholar
Marshall, W. L., Gautherier, J. and Gordon, A. (1979). The current status of flooding therapy. In Progress in Behaviour Modification, Hersen, M., Eisler, R. M. and Miller, P. M. (Eds), Vol. 7, pp. 205–275, New York: Academic Press.Google Scholar
Mathews, A. (1978). Fear-reduction research and clinical phobias. Psychological Bulletin 85, 390–404.CrossRefGoogle ScholarPubMed
Mathews, A. M., Gelder, M. G. and Johnston, D. W. (1981). Agoraphobia: Nature and Treatment, New York: Guildford.Google Scholar
Mathews, A. M., Johnston, D. W., Lancashire, M., Munby, M., Shaw, P. M. and Gelder, M. G. (1976). Imaginal flooding and exposure to real phobic situations: Treatment outcome with agoraphobic patients. British Journal of Psychology 129, 362–371.CrossRefGoogle ScholarPubMed
Mathews, A. M., Teasdale, J., Munby, M., Johnston, D. W. and Shaw, P. M. (1977). A home based treatment program for agoraphobia. Behavior Therapy 8, 915–924.CrossRefGoogle Scholar
Mavissakalian, M. and Barlow, D. H. (Eds) (1981). Phobia: Psychological and Pharmacological Treatment, New York: Guildford.Google Scholar
Mavissakalian, M. and Michelson, L. (1983). Self-directed in vivo exposure practice in behavioral and pharmacological treatments of agoraphobia. Behavior Therapy 14, 506–519.CrossRefGoogle Scholar
Popler, K. (1977). Agoraphobia: Indications for the application of the multimodal lateral conceptualization. Journal of Nervous and Mental Disease 164, 97–101.CrossRefGoogle Scholar
Rabavilas, A. D., Boulougouris, J. C. and Stefanis, C. (1976). Duration of flooding sessions in the treatment of obsessive-compulsive patients. Behaviour Research and Therapy 14, 349–355.CrossRefGoogle ScholarPubMed
Stern, R. and Marks, I. (1973). Brief and prolonged flooding: A comparison in agoraphobic patients. Archives of General Psychiatry 28, 270–276.CrossRefGoogle ScholarPubMed
Watson, J. R., Mullett, G. E. and Pillay, H. (1973). The effects of prolonged exposure to phobic situations upon agoraphobic patients treated in groups. Behaviour Research and Therapy 11, 531–545.CrossRefGoogle ScholarPubMed
Wilson, G. T. (1982). Adult disorders. In Contemporary Behavior Therapy: Conceptual and Empirical Foundations, Wilson, G. T. and Franks, C. M. (Eds), pp. 505–562, New York: Guildford.Google Scholar
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