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Insight Versus Rehearsal in Cognitive-Behaviour Therapy: A Crossover Study with Sixteen Phobics

Published online by Cambridge University Press:  16 June 2009

Geoffrey L. Thorpe ,
Jeffrey E. Hecker ,
Lorraine A. Cavallaro  and
Gordon E. Kulberg
Geoffrey L. Thorpe
Affiliation:
University of Maine
Jeffrey E. Hecker
Affiliation:
University of Maine
Lorraine A. Cavallaro
Affiliation:
University of Maine
Gordon E. Kulberg
Affiliation:
University of Maine
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Abstract

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.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 15 , Issue 4 , October 1987 , pp. 319 - 336
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1987

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