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ERIC Number: ED059503
Record Type: RIE
Publication Date: 1970
Pages: 14
Abstractor: N/A
Reference Count: 0
The Role of Therapeutic Instruction in the Modification of Neurotic Disorders.
Agras, W. Stewart
These findings suggest that the relative effect of the main therapeutic procedure and expectancy (defined by the presence or absence of a therapeutic rationale and instructions suggesting a positive outcome from treatment) varies with different behavioral therapies. With reinforced practice and covert sensitization the main therapeutic procedure had far more effect than therapeutic instructions. For desensitization, it is concluded that the critical procedure only facilitates imaginal approach to feared or phobic situations. Most of the therapeutic effect is due to expectancy. The degree of the effect of expectancy varies with different experiments, and it is suggested that the more disabling the disorder the less the effect of therapeutic instructions. It is further questioned how the giving of therapeutic instructions and a believable rationale, influences behavior change in neurotic conditions. With phobia it appears that desensitization facilitates imaginal approach to the feared situation. This may lead the patient to try to approach the situation in reality, which in turn may be responsible for the demonstrated superiority of desensitization to other forms of the therapy. However, including exposure to the feared situation greatly adds to the efficacy of desensitization, and is beneficial in its own right. (MA)
Publication Type: N/A
Education Level: N/A
Audience: N/A
Language: N/A
Sponsor: N/A
Authoring Institution: Mississippi Univ., Jackson. Medical Center.