Why not give your client a counter: A survey of what happened when we did

A perusal of the recent literature of behavior modification shows an increasing emphasis on the use of self-recording as a research tool (see for example, Barlow et al., 1969; Duncan, 1969; McFall, 1970; Johnson and White, 1971 ; and Ackerman, 1972). In addition, self-recording is being more frequently utilized as a method of teaching students, clients and patients to (a) observe themselves more precisely, (b) assess the effects of treatments which they apply to themselves, with or without the guidance of a counsellor or therapist, and finally (c) provide the latter with objective information (see for example, Stuart. 1967; Lindsley, 1969; Kanfer, 1970; Duncan, 1971; Watson and Tharp, 1972; Mahoney and Thoresen, 1974; Thoresen and Mahoney, 1974; Zimmerman, 1975).

Several researchers have suggested and provided evidence for the notion that self-recording of one's own behavior can be a reactive measure which leads to behavior change on the part of the recorder without the addition of further treatment (see for example, McFall, 1970; Johnson and White, 1971; McFall and Hammen, 1971; Kazdin, 1974; and Lipinski and Nelson, 1974). Preliminary results which each of the present authors have observed with some self-recording clients confirms the above observation. Furthermore, we have also observed that self-recording can sometimes lead to unexpected, therapeutic side-effects. For example, the junior author recently gave a golf counter to a 17-year-old female patient who reported having many impulses to “go back and check” things before leaving her home. These impulses were usually acted upon and one of the consequences of this was that the patient usually kept her parents waiting when the three had to go out. This patient was asked to wear a golf counter, which was given to her, to count the number of times each day that she had an “impulse to check”. In an interview with her following a 7-day counting period, she reported that she had not been aware that she had so many impulses (103 the first day of counting); she actually felt revulsion with herself upon clearly seeing how frequently she had these impulses; she had more impulses when nervous and fewer when relaxed; and finally, both the number of impulses and the actual number of times she acted upon them were markedly reduced over the 7-day counting period. This set of results, together with other (albeit less dramatic) results, suggested to us that some clients can benefit merely by self-recording their own behavior. For some the benefit may be greater awareness or knowledge of the self-recorded behavior, for some it could be actual behavior change, and for some both benefits might be achieved.

To our knowledge, no study has been conducted which has surveyed such possible benefits of self-recording across a number of clients and under conditions in which many therapists are involved. The purpose of the present study was to explore the effects of self-recording, per se, across many clients who were being seen by many different therapists. We did so by recruiting therapists who would be interested in trying out the procedure of having one or more clients self-record.