Document Type

Article

Publication Title

Behavioural Psychotherapy

Publication Date

10-1987

First Page

319

Last Page

336

Issue Number

4

Volume Number

15

Abstract/ Summary

Although cognitive restructuring (CR) procedures have not proven very helpful for phobics in recent studies, insight and rehearsal components of CR have often been confounded. To seek possible differences in effectiveness between insight and rehearsal, we treated 16 phobics (eight agoraphobics and eight others) with four sessions of each method, using a counterbalanced crossover design with 1-month follow-ups after each treatment component. Significantly fewer sessions were attended by the clients in the rehearsal/insight sequence, and benefit ratings made by project completers significantly favoured insight/rehearsal. Few other treatment group differences were seen, but those that emerged gave the advantage to insight. Rehearsal seemed unhelpful, particularly to non-agoraphobics. Conclusions are (1) that CR methods show some promise in application to phobias, provided that self-exposure homework forms the core of the treatment plan, and (2) that insight followed by rehearsal is the preferred sequence.

Citation/Publisher Attribution

Thorpe, G.L., Hecker, J.E., Cavallaro, L.A., & Kulberg, G.E. (1987). Insight Versus Rehearsal in Cognitive-Behavior Therapy: A Crossover Study with Sixteen Phobics. Behavioural Psychotherapy, 15, 319-336. Available on publisher's site at http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=5849720

Publisher Statement

Copyright 1987 Cambridge University Press

DOI

10.1017/S0141347300012714

Version

publisher's version of the published document

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