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Specific and Non-specific Factors in Behaviour Therapy

Published online by Cambridge University Press:  29 January 2018

M. G. Gelder ,
J. H. J. Bancroft ,
D. H. Gath ,
D. W. Johnston ,
A. M. Mathews  and
P. M. Shaw
M. G. Gelder
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford, OX3 7JX
J. H. J. Bancroft
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford, OX3 7JX
D. H. Gath
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford, OX3 7JX
D. W. Johnston
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford, OX3 7JX
A. M. Mathews
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford, OX3 7JX
P. M. Shaw
Affiliation:
Department of Psychiatry, University of Oxford, The Warneford Hospital, Oxford, OX3 7JX
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Extract

Previous investigations have suggested that desensitization is the treatment of choice for simple phobic disorders, but is less effective with agoraphobia, particularly when the phobias are accompanied by much generalized anxiety (Gelder and Marks, 1966). Even the milder agoraphobias usually respond incompletely despite prolonged treatment. An alternative treatment that offers more rapid or effective results, particularly with agoraphobia, would therefore be of value. The technique of flooding or implosion has recently been the subject of a number of studies, and some, but not all, have shown evidence of considerable therapeutic power. The method is also of some theoretical interest since it breaks the rules which are thought to be important in desensitization. Thus, according to early proponents (Stampfl and Levis, 1967) success depends on exposing patients to fantasy material of an extremely intense and anxiety-provoking nature, so that extinction to cues associated with the original traumatic situation may take place. From this theoretical viewpoint desensitization can be only partially successful, since these traumatic origins are neither sought for nor presented to the patient. Even if the necessity of dealing with original anxiety-provoking cues is not accepted, the use of material which evokes maximal anxiety for prolonged periods is contrary to the counter-conditioning theory of desensitization (Wolpe, 1958). Indeed, this theory predicts that flooding would rarely be successful and might make the phobia worse because uncontrolled increases in anxiety may cause reconditioning.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 123 , Issue 575 , October 1973 , pp. 445 - 462
Copyright
Copyright © Royal College of Psychiatrists, 1973 

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References

Barrett, G. L. (1969). ‘Systematic desensitization versus implosive therapy.’ Journal of Abnormal Psychology, 74, 587–92.Google Scholar
Bernstein, D. A., and Allen, G. J. (1969). ‘Fear Survey Schedule (II): normative data and factor analyses based upon a large college sample.’ Behaviour Research and Therapy, 7, 403–7.Google Scholar
Borkovec, T. D. (1972). ‘Effects of expectancy on the outcome of systematic desensitization and implosive treatments for analogue anxiety.’ Behaviour Therapy, 3, 29–40.CrossRefGoogle Scholar
Braun, P. R., and Reynolds, D. J. (1969). ‘A factor analysis of a 100-item fear survey inventory.’ Behaviour Research and Therapy, 7, 399–402.CrossRefGoogle Scholar
Calef, R. A., and MacLean, G. D. (1970). ‘A comparison of reciprocal inhibition and reactive inhibition therapies in the treatment of speech anxiety.’ Behaviour Therapy, 1, 51–8.Google Scholar
Davison, G. C. (1968). ‘Systematic desensitization as a counterconditioning process.’ Journal of Abnormal Psychology, 73, 91–9.CrossRefGoogle ScholarPubMed
De Moor, W. (1970). ‘Systematic desensitization versus prolonged high intensity stimulation (flooding).’ Journal of Behaviour Therapy and Experimental Psychiatry, 1, 45–52.Google Scholar
Gelder, M. G., and Marks, I. M. (1966). ‘Severe agoraphobia: a controlled prospective trial of behaviour therapy.’ British Journal of Psychiatry, 112, 309–19.CrossRefGoogle ScholarPubMed
Gelder, M. G., Marks, I. M., Wolff, H. H. (1967). ‘Desensitization and psychotherapy in the treatment of phobic states: a controlled inquiry.’ British Journal of Psychiatry, 113, 53–73.CrossRefGoogle Scholar
Hoehn-Saric, R., Frank, J. D., Imber, S. D., Nash, E. H., Stone, A. R., and Battle, G. G. (1964). ‘Systematic preparation of patients for psychotherapy: I. Effects on therapy behaviour and outcome.’ Journal of Psychiatric Research, 2, 267–81.Google Scholar
Hussain, M. Z. (1971). ‘Desensitization and flooding (implosion) in treatment of phobias.’ American Journal of Psychiatry, 127, 1509–14.Google Scholar
Imber, S. D., Pande, S. K., Frank, J. D., Hoehn–Sario, R., Stone, A. R., and Wargo, D. G. (1970). ‘Time-focused role induction.’ Journal of Nervous and Mental Disease, 150, 27–36.Google Scholar
Lader, M. H., and Wing, L. (1966). Physiological Measures, Sedative MDrugs and Morbid Anxiety. Maudsley Monograph No. 14. London: Oxford University Press.Google Scholar
Leitenberg, H., Aoras, W. S., Barlow, D. H., and Oliveau, D. C. (1969). ‘Contribution of selective positive reinforcement and therapeutic instructions to systematic desensitization therapy.’ Journal of Abnormal Psychology, 74, 113–18.Google Scholar
Lykken, D. T., Rose, R. J., Luther, B., and Maley, M. (1966). ‘Correcting psychophysiological measures for individual differences in range.’ Psychological Bulletin, 66, 481–4.Google Scholar
Marks, I. M. (1967). ‘Components and correlates of psychiatric questionnaires.’ British Journal of Medical Psychology, 40, 261–72.Google ScholarPubMed
Marks, I. M. (1969). Fears and Phobias. London: W. Heinemann.Google Scholar
Marks, I. M., Boulogouris, J., and Marset, P. (1971). ‘Flooding versus desensitization in the treatment of phobic patients: a crossover study.’ British Journal of Psychiatry, 119, 353–75.Google Scholar
McGlynn, F. D. (1971). ‘Experimental desensitization following three types of instructions.’ Behaviour Research and Therapy, 9, 367–9.CrossRefGoogle ScholarPubMed
McNair, D. M., and Lorr, M. (1964). ‘An analysis of mood in neurotics.’ Journal of Abnormal and Social Psychology, 69, 620–7.Google Scholar
Mealiea, W. L., and Nawas, M. M. (1971). ‘The comparative effectiveness of systematic desensitization and implosive therapy in the treatment of snake phobia.’ Journal of Behaviour Therapy and Experimental Psychiatry, 2, 85–94.Google Scholar
Prochaska, J. O. (1971). ‘Symptom and dynamic cues in the implosive treatment of test anxiety.’ Journal of Abnormal Psychology, 77, 133–42.CrossRefGoogle ScholarPubMed
Rogers, C. R., and Dymond, R. F. (1954). Psychotherapy and Personality Change. Chicago: University of Chicago Press.Google Scholar
Rubin, S. E., Lawliss, G. F., Tasto, D. L., and Namenek, T. (1969). ‘Factor analysis of the 122 item fear survey schedule.’ Behaviour Research and Therapy, 7, 381–6.Google Scholar
Sherman, A. R. (1972). ‘Real-life exposure as a primary therapeutic factor in the desensitization treatment of fear.’ Journal of Abnormal Psychology, 79, 19–28.CrossRefGoogle ScholarPubMed
Stampfl, T. G., and Levis, D. J. (1967). ‘Essentials of implosive therapy: a learning-theory-based psycho-dynamic behavioural therapy.’ Journal of Abnormal Psychology, 72, 496–503.CrossRefGoogle Scholar
Truax, C. B., and Carkhuff, R. R. (1967). Toward Effective Counselling and Psychotherapy. Chicago: Aldine.Google Scholar
Warr, P. B., and Haycock, V. (1970). ‘Scales for a British personality differential.’ British Journal of Social and Cluneal Psychology, 9, 328–37.Google Scholar
Watson, J. P., Gaind, R., and Marks, I. M. (1971). ‘Prolonged exposure: a rapid treatment for phobias.’ British Medical Journal, i, 13–15.CrossRefGoogle Scholar
Wilkins, W. (1971). ‘Desensitization: social and cognitive factors underlying the effectiveness of Wolpe's procedure.’ Psychological Bulletin, 76, 311–17.Google Scholar
Willis, R. W., and Edwards, J. A. (1969). ‘A study of the comparative effectiveness of systematic desensitization and implosive therapy.’ Behaviour Research and Therapy, 7, 387–95.Google Scholar
Winer, B. J. (1962). Statistical Principles in Experimental Design. New York: McGraw-Hill.CrossRefGoogle Scholar
Wolpe, J. (1958). Psychotherapy by Reciprocal Inhibition. Stanford: Stanford University Press.Google Scholar
Wolpe, J. and Lang, P. J. (1964). ‘A fear survey schedule for use in behaviour therapy.’ Behaviour Research and Therapy, 2, 27–30.Google Scholar
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