Therapeutic social influence: sternly strike while the iron is hot

Two studies tested social influence options in symbolic modeling therapy. The first gave a pretreatment interview in which the therapist behaved in a “warm” or “businesslike” manner, and then urged the clients to approach a snake as closely as possible when (immediately afterward) they repeated a prior runway BAT and fear assessment. The “businesslike” group reported less fear than the “warm” group, but differential therapist perceptions did not affect overt avoidance. Study 2 compared directive social influence or its omission when clients performed approach immediately vs. the next week. The strongest BAT gains occurred if social influence was followed by prompt execution of the relevant task, but these differences were not maintained after treatment. The data suggested that timing is critical for applying social influence, which should be given immediately before task demands. Continued efforts to capitalize on initial differences might sustain socially-influenced gains for enduring treatment purposes.