1986
DOI: 10.1017/s0141347300014725
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Review of the Relative Efficacy of Imaginal andIn VivoFlooding in the Treatment of Clinical Fear

Abstract: The present review concerns the relative efficacy of imaginal andin vivoflooding in the treatment of debilitating fear. It has generally been concluded thatin vivoflooding 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 ofin vivoflooding. In addition, recent empirical studies are reviewed which cast doubt on the belief thatin vivoflooding is superior… Show more

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Cited by 12 publications
(10 citation statements)
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“…As such, most of what passes for cognitive theory and practice can be more clearly explained in terms of the principles that describe the role and functions of rulegoverned behaviour. Moreover, this analysis is consistent with a large volume of empirical data on the successful treatment of anxiety disorders, which suggests that processes involved in anxiety reduction are essentially both cognitive and enactive (i.e., involve symbolic and direct experience) (James, 1985(James, ,1986.…”
Section: Cognitive Therapysupporting
confidence: 81%
See 1 more Smart Citation
“…As such, most of what passes for cognitive theory and practice can be more clearly explained in terms of the principles that describe the role and functions of rulegoverned behaviour. Moreover, this analysis is consistent with a large volume of empirical data on the successful treatment of anxiety disorders, which suggests that processes involved in anxiety reduction are essentially both cognitive and enactive (i.e., involve symbolic and direct experience) (James, 1985(James, ,1986.…”
Section: Cognitive Therapysupporting
confidence: 81%
“…Moreover, this analysis is consistent with a large volume of empirical data on the successful treatment of anxiety disorders, which suggests that processes involved in anxiety reduction are essentially both cognitive and enactive (i.e., involve symbolic and direct experience) (James, 1985(James, ,1986. Practice provides conditioning opportunities, and these further strengthen the discriminative-stimulus properties of relevant cognitions (i.e., thoughts beliefs, self-statements, etc.)…”
Section: Cognitive Therapysupporting
confidence: 79%
“…Three of the studies reviewed by James (1986) indicate that activation of fear responses did not occur during imaginal exposure treatment. Watson et al (1973) used therapists' ratings of anxiety during imaginal exposure sessions to examine arousal levels.…”
Section: Activationmentioning
confidence: 99%
“…In his critical review of the research comparing imaginal and in vivo flooding, James (1986) concludes that the available evidence does not support the widely-held view that in vivo exposure is superior to imaginal flooding in the treatment of clinically significant fear. Although we agree with James' conclusion, and with his warning that it would be premature to abandon imaginal exposure methods, we might wish for some theoretical perspective from which to interpret these conclusions and to make further predictions (see also Barlow and Wolfe, 1981).…”
Section: Introductionmentioning
confidence: 99%
“…Deze kwestie is omstreden en speelt ook bij de later te bespreken flooding-techniek (Emmelkamp, 1982;James, 1986;Hecker & Thorpe, 1987 (Locke, 1971). Tegenwoordig verwijst men daarom liever naar het theoretisch meer neutrale begrip counterconditionering als verklaring voor de werkzaamheid van SD.…”
Section: Systematische Desensitisatieunclassified