A comparison of self-directed and therapist-directed practice for fear reduction

Various amounts of self-directed and therapist-directed practice were evaluated in reducing fear of snakes. The conditions included an exclusively self-directed condition, a predominantly self-directed condition, a predominantly therapist-directed condition, and an exclusively therapist-directed condition. All treatments resulted in reduced fear on behavioral and self-report measures. The predominantly therapist-directed subjects showed more improvement than subjects in the exclusively self-directed and predominantly self-directed conditions, but not more improvement than subjects in the exclusively therapist-directed condition.