When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
Stampfl's approach is most easily understood in the light of recent
experimental work on animal avoidance behavior. A dog, for example, is
confined in a cage that is divided in two. A low wall separates the
two halves of the cage, over which the dog can jump. On one side there
is a bell that rings just before the dog receives an electric shock.
The dog promptly learns that he can avoid the shock by jumping to the
other side of the cage. Soon he will learn to do this automatically,
whenever the bell rings. What is significant from a psychologist's
point of view is that the dog will continue for a long time to jump to
the opposite side of the cage, even once no further shocks are given.
The dog's fear is maintained in force only by his own memory.
Animal psychologists have found a quick way to end the dog's fear: ring
the bell, but _prevent_ the dog from jumping to the other side of the
cage. Once the anxiety-stricken animal realizes that he is no longer
going to be shocked, the old habit based on fear simply disappears.
Implosive therapists make use of an equivalent technique with human
beings. Patients are asked to imagine, as vividly as {166} possible,
that they are facing the very thing they chronically have tried to
avoid. For example, an individual may have suffered from a terrifying
fear of elevators for years. The therapist tries to use exaggerated
imagery to produce maximum anxiety. He might ask the patient to
imagine being stuck in an elevator fifty floors up, having the elevator
shake and abruptly fall a foot, then have the lights go out, and so on.
By _maintaining_ this contrived elevator nightmare long enough,
implosive therapists claim that, frequently, the level of anxiety of
patients quickly and dramatically falls, and they lose their
exaggerated fears.
Implosive therapists are therefore not primarily concerned with being
genuine, sympathetic, or mothering. They focus their energy and
attention on pushing clients to confront the worst fears and
catastrophes they can imagine. All the while, clients are aware both
that the intense anxiety they experience is an _intended_ goal of
therapy and that the therapist is convinced they are much stronger than
they have thought.
Implosive therapy is usually done on an individual basis and is
comparatively brief, usually lasting less than a dozen sessions. It
should be mentioned that, when not successful, implosive therapy may
occasionally _sensitize_ clients to feel even more anxiety than they
did at the outset. It therefore tends to be a higher-risk treatment,
but it can be remarkably effective. Visualizing anxiety-producing
events also has successfully been used by individuals on their own.
(For more information, see "Appendix B: Suggestions for Further
Reading.")
_Applications of Implosive Therapy_
Public-domain text, read in full here on John Shaqi.
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