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Physiological accompaniments of neutral and phobic imagery

Published online by Cambridge University Press:  09 July 2009

Isaac Marks ,
Pedro Marset ,
John Boulougouris  and
John Huson
Isaac Marks
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, London
Pedro Marset
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, London
John Boulougouris
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, London
John Huson
Affiliation:
Institute of Psychiatry and The Maudsley Hospital, London
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Synopsis

Each of 16 phobic patients was treated by six sessions of flooding and six sessions of desensitization in a balanced crossover design. Clinical and physiological measurements were made before treatment and after the sixth and 12th sessions of treatment. Physiological measures were made of increase in heart rate and in spontaneous fluctuations and maximum change in level of skin conductance during neutral and phobic imagery. Patients estimated subjective anxiety during the imagery. Heart rate, skin conductance, and subjective anxiety ratings all differentiated significantly between phobic and neutral imagery. Increase in autonomic activity during imagery was roughly proportional to the intensity of the imagery in a phobic hierarchy. Autonomic changes during imagery imagined in silence did not produce autonomic changes considerably different from those during imagery stimulated by a running commentary from the therapist. Clinical ratings correlated significantly with measures of skin conductance, so that autonomic measures can be useful indicators of change after treatment. However, heart rate, skin conductance, and subjective anxiety during brief periods of imagery did not usually correlate significantly with one another. This supports the view of emotion as a System of responses linked imperfectly across several Systems.

Type
Research Article
Information
Psychological Medicine , Volume 1 , Issue 4 , August 1971 , pp. 299 - 307
Copyright
Copyright © Cambridge University Press 1971

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References

REFERENCES

Agras, W. S. (1967). Transfer during systematic desensitization therapy. Behaviour Research and Therapy, 5, 193–199.CrossRefGoogle ScholarPubMed
Brady, J. V., Kelly, D., and Plumlee, L. (1969). Autonomic and behavioural responses of the rhesus monkey to emotional conditioning. Annals of New York Academy of Sciences, 159, 959–975.CrossRefGoogle ScholarPubMed
Folkins, C. H., Lawson, K. D., Opton, E. M., and Lazarus, R. S. (1968). Desensitization and the experimental reduction of threat. Journal of Abnormal Psychology, 73, 100–113.CrossRefGoogle ScholarPubMed
Gelder, M. G., and Marks, I. (1966). Severe agoraphobia: a controlled prospective trial of behaviour therapy. British Journal of Psychiatry, 112, 309–319.CrossRefGoogle ScholarPubMed
Gelder, M. G., and Mathews, A. M. (1968). Forearm blood flow and phobic anxiety. British Journal of Psychiatry, 114, 1371–1376.CrossRefGoogle ScholarPubMed
Grossberg, J. M., and Wilson, H. K. (1968). Physiological changes accompanying the visualization of fearful and neutral situations. Journal of Personality and Social Psychiatry, 10, 124–133.CrossRefGoogle ScholarPubMed
Hogan, R. A., and Kirchner, J. H. (1967). Preliminary report of the extinetion of learned fears via short-term implosive therapy. Journal of Abnormal Psychology, 72, 106–109.CrossRefGoogle ScholarPubMed
Lucey, J. I. (1967). Somatic response patterning and stress: some revisions of motivation theory. In Psychological Stress: Issues in Research, pp. 14–37. Edited by Appley, M. H. and Trumbull, R.. Appleton-Century-Crofts: New York.Google Scholar
Lader, M. H., and Wing, L. (1966). Physiological Measures, Sedative Drugs and Morbid Anxiety. Maudsley Monograph No. 14. Oxford University Press: London.Google Scholar
Lader, M. H., Gelder, M. G., and Marks, I. M. (1967). Palmar skin conductance measures as predictors of response to desensitization. Journal of Psychosomatic Research, 11, 283–290.CrossRefGoogle ScholarPubMed
Lang, P. J. (1969). The mechanics of desensitisation and the laboratory study of human fear. In Behaviour Therapy: Appraisal and Status. Edited by Franks, C. M.. McGraw-Hill: New York.Google Scholar
Marks, I. M., Marset, P., and Boulougouris, J. C. (1970). Superiority of flooding (implosion) to desensitisation for reducing pathological fear. British Journal of Psychiatry, 117. (In press.)Google Scholar
McAllister, H. (1966). The physiological correlates of anxiety: a pilot study investigating the use of the galvanic skin response. Bulletin of the British Psychological Society, London.Google Scholar
Mathews, A. M. (1969). Reciprocal inhibition. Habituation or Extinction? Paper to Conference on Behaviour Modification,Trinity College,Dublin,September 1969.Google Scholar
Mathews, A. M. (1971). Psychophysiological approaches to the investigation of desensitisation and related procedures. Psychological Bulletin (In press).CrossRefGoogle Scholar
Paul, G. L. (1966). Insight vs. Desensitization in Psychotherapy. Stanford University Press: Stanford, California.Google Scholar
Rimm, D. C., and Bottrell, J. (1969). Four measures of visual imagination. Behaviour Research and Therapy, 7, 63–69.CrossRefGoogle ScholarPubMed
Rowland, L. W. (1936). The Somatic effects of stimuli graded in respect to their exciting character. Journal of Experimental Psychology, 19, 547–560.CrossRefGoogle Scholar