Systematic desensitization, relaxation-training and suggestion in the treatment of test anxiety.

In investigations that have examined the component procedures in traditional desensitization treatment, desensitization was more effective than relaxation-training alone in several studies (Freeling and Shemberg, 1970: Davison, 1968; Rachman, 1968). while these treatments were equally effective in other studies (Benjamin, Mark and Huson, 1972: Aponte and Aponte, 1971; Johnson and Sechrest, 1968). One possible determinant of these inconsistent findings may be the presence of uncontrolled differences in therapeutic suggestion due to the fact that desensitization treatment typically includes a specific ‘rationale’ that explains the expected course and outcome of treatment while comparable authoritative guidelines for providing the rationale for relaxation treatment are not available.The present study compared the relative effectiveness of desensitization and relaxation-training in the treatment of test anxiety under conditions in which suggestion concerning the nature and outcome of treatment were essentially the same for both procedures. To examine systematically the role of suggestion in the treatment of test anxiety, instructions that were high and low in suggestion were given. Treatment outcomes were assessed in terms of changes in measures of anxiety and in performance on objective ability tests. A no-treatment group controlled for the effects of using the same pre- and post-treatment measures.     

Systematic desensitization: a technique worth trying

Systematic desensitization is a limited form of behavior therapy used in the treatment of anxiety attached to specific objects or situations. The principles underlying the technique as developed by Wolpe and others are described briefly in this article. The author also relates his experiences in using a modified form of systematic desensitization in a public school setting with counselees whose success and development are hampered by test anxiety and fear of public speaking.     

Using suggestion to model different types of automatic writing

Our sense of self includes awareness of our thoughts and movements, and our control over them. This feeling can be altered or lost in neuropsychiatric disorders as well as in phenomena such as “automatic writing” whereby writing is attributed to an external source. Here, we employed suggestion in highly hypnotically suggestible participants to model various experiences of automatic writing during a sentence completion task. Results showed that the induction of hypnosis, without additional suggestion, was associated with a small but significant reduction of control, ownership, and awareness for writing. Targeted suggestions produced a double dissociation between thought and movement components of writing, for both feelings of control and ownership, and additionally, reduced awareness of writing. Overall, suggestion produced selective alterations in the control, ownership, and awareness of thought and motor components of writing, thus enabling key aspects of automatic writing, observed across different clinical and cultural settings, to be modelled.     

Systematic desensitization in an experimental setting: A follow-up study

A follow-up study was done of female college student volunteers who had been treated for marked fear of snakes using systematic desensitization under four experimental conditions. In the original study four groups were differentiated on the basis of: (1) therapeutic instructions and praise; (2) therapeutic instructions alone; (3) praise alone; and (4) neither therapeutic instructions nor praise. At follow-up Ss were reassessed on a behavioral test of their ability to approach and handle a snake, and were interviewed to determine whether they had discerned the conditions of the original experiment.

Twenty-five of the original thirty-two Ss (78 per cent) were assessed a mean of 9.5 months after their experimental post-test. All four groups maintained their original gains and the inter-relationships of the groups remained stable: only instructions had a statistically significant added effect over systematic desensitization; the reinforcement and interaction factors did not attain statistical significance. From the interview data it could not be demonstrated that Ss were aware of either the instructional or reinforcement conditions of their respective groups.