The role of mental relaxation in experimental desensitization

Certain evidence indicates that training in peripheral muscle relaxation is not an essential factor in the successful experimental desensitization of phobias. Rachman (1968) has suggested that a sense of calmness or mental relaxation is the necessary component and that all the preliminary training techniques leading to successful desensitization, have, as the basis for their success, the inadvertent induction of this state of mental calmness. The direct induction of mental relaxation then, ought to be at least as effective an adjunct to desensitization as training in muscle relaxation. Using spider phobia as the target behaviour, the present study compared the effectiveness of (a) hierarchy presentation paired with deep muscle relaxation; (b) hierarchy presentation paired with instructions to feel calm and relaxed and alternated with imagining a pleasant scene; (c) a combination of these two procedures paired with hierarchy presentation; and (d) a placebo control procedure. The treatment groups all improved significantly more than controls and there there were no differences between treatments. The results were seen as offering strong support of Rachman's position. Both theoretical and practical implications of the results are discussed with consideration being given to the nature of “mental calmness”.     

The efficacy of progressive relaxation in systematic desensitization and a proposal for an alternative competitive response--the relaxation response.

The theoretical basis of systematic desensitization is reciprocal inhibition in which an alternative, competitive response to anxiety is conditioned to arousal-producing, phobic stimuli. Abbreviated training in progressive relaxation is believed to serve as a competitive response to anxiety by decreasing autonomic nervous system activity. However, physiologic studies of progressive relaxation have not substantiated that its practice is associated with such decreased autonomic activity. Consequently, the use of progressive relaxation has been a confounding factor in the determination of the function of reciprocal inhibition in systematic desensitization. To confirm and refine the theoretical constructs of reciprocal inhibition, it is necessary to test the effects of a response which is competitive to the anxiety response. Such a response may be the relaxation response which is characterized by physiologic changes consistent with decreased autonomic nervous system activity. Derived from meditational practices, techniques which ehcit the relaxation response incorporate the element of focused attention which has been implicated as a critical factor in systematic desensitization. Thus, the use of the relaxation response should be a more appropriate method than progressive relaxation if the therapeutic usefulness of systematic desensitization is indeed due to reciprocal inhibition.     

Self-versus drug-produced relaxation and the effects of instructional set in standardized systematic desensitization

Snake fearful college students underwent Standardized Systematic Desensitization (SSD) treatment in which they received instructions designed to induce cognitions of either self- or drug-produced relaxation. Half of the subjects in each of these conditions were also given high expectancy therapy instructions and low expectancy therapy instructions respectively. All four SSD groups showed significantly greater improvement than a no-treatment control group on both the behavior avoidance test (BAT) and the self-report measure of fear. No differences between self- and drug-attributions of relaxation were found on any measure. Subjects' high expectancy ratings were significantly correlated with improvement on self-report measures but not related to BAT performance.     

Group preprogrammed systematic desensitization without the simultaneous presentation of aversive scenes with relaxation training

This study investigated the assumption that it is necessary to simultaneously present muscle relaxation and aversive scenes in order for decrements in anxiety to occur. Utilizing 70 high test anxious students, the following treatment groups were delineated: (a) preprogrammed systematic desensitization, (b) non-simultaneous (scenes presented prior to muscle relaxation), (c) relaxation, and (d) no-treatment control. Self-report measures of test and general anxiety as well as college grades constituted the dependent measures. The results indicated that there tended to be no significant differences between the preprogrammed systematic desensitization and non-simultaneous groups on the dependent measures and that the latter group tended to show significant decrements in anxiety and obtain better grades than the relaxation and no-treatment control groups. These findings question the necessity of simultaneously pairing muscle relaxation and aversive scenes in treating anxiety by this method.     

Stimulus hierarchy generalization in systematic desensitization

A group of snake phobic Ss were desensitized to the first 5 items of a standard 7 item snake fear hierarchy in which the items were ordered on the basis of distance from a snake. This group and a no-treatment control group (which did not receive the desensitization) were treated for fear of all the hierarchy stimuli in terms of ratings both before and after the desensitization. The Ss rated their fear responses to all the stimuli as presented to them in (1) real form (2) by slide, and (3) in imaginal form. The results verified all four experimental hypotheses: (1) The experimental Ss showed greater fear reduction than the control Ss to both the training stimuli (the stimuli on which desensitization done) and the generalization stimuli (the other two stimuli), (2) The systematic desensitization (SD) group showed (a) more fear reduction to the last training stimuli than to the lower generalization stimulus and (b) more to the latter than to the higher generalization stimulus, (3) The SD group showed less fear reduction to the generalization stimuli in their real form than in both the slide and imaginai modalities (in the desensitization each stimulus presentation was done first in slide form and then in imaginal form), and (4) There were significant overall individual differences in generalization of fear reduction to the generalization stimuli.