Use of an External Inhibition Procedure in the Treatment of Spider Phobic Subjects

240 Pages·2017·4.03 MB·English

by  Jerome D. Gilmore

VViirrggiinniiaa CCoommmmoonnwweeaalltthh UUnniivveerrssiittyy
VVCCUU SScchhoollaarrss CCoommppaassss
Theses and Dissertations Graduate School
1984
UUssee ooff aann EExxtteerrnnaall IInnhhiibbiittiioonn PPrroocceedduurree iinn tthhee TTrreeaattmmeenntt ooff SSppiiddeerr
PPhhoobbiicc SSuubbjjeeccttss
Jerome D. Gilmore
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Collegeo f Humanitieasn d Sciences
VirginiCao mmonwealthU niversity
This is to certifyt hatt he dissertati�pnr eparebdy JeromeD . Gilmore
entitledU se of an External InhibitioPnr ocedurien the Treatmenotf
Spider Phobic Subhjaesc btese n approvedh ibsy c ommitteaes
satisfactorcyo mpletioonf the dissertatiorne quiremenfto r the degree
.o f Doctoro f Philosophiyn ClinicalPs ychology
WilliamM . KallmanP,h .D.
Directoor f Dissertation
Committee Member
JamesP . McCulloughP,h .D.�
CommitteMee mber
Elskev .P. Smith,P h.D. StevenF . Peed,P h.D.
Dean CommitteMee mber
Collegeo f Humanitie&s Sciences
Ues ofa nE xternIahnli biiotPnr oucreeid nt he
Treatment Poohfb iSScbup jiedcetrs
A disrsteiaotsnu mbitdt ienp aritaflul ifllmeonftt hree qrueimtesn
fotrh dee groefDoe c toorfP hlisopohya tV igrinCioam wmoelnaht
Univietr.y s
by
JreomDea vGiidol rme
BS..V,i rgiPnoitlacey nhiIcsn tuittaen d SUtnaitveie tr,y1 s977
M.S. , VirgiCnoimawm oelnaht Univeirtsy1,89 1
Diecrto: rWililma M. Kallamn,P h.D.
AssocPirafoteseso r
Departomfe ynPctshl oogy
VirgiCnoimam olntwUhen aivietrys
Rcihomn,dV igrinia
Augtu,s1 893
ii
Acknldoegwements
Thed issertaptreisonent ehde reriefnel ctnso otnl yt heeff rots
dirtedec towaar sdni uglrap iceeo fr eesacrhb,u at los thmee thlogodiocal
antdh etoriaeclt hinktihnagt dhveaelso pdeudr imnygg r aducaatree. er
Fohr iasss itsanicnec opmltientgh irse srec,ah waesl la s fhoisr many
cotnribinuostt om yd evlpeomenats cail ninc ainarde esahrec,r wIo uld
lkie etpxor emsyss niceraepsrpte ciioaantn gdr attuidteoD rW.il ilma
Kallma.n Heh ass revevde rcya playab sm ya dsvoi,r nmteo,ar ndro le­
modetlh rougmhyyo euator sfg radtuea hsolco,a ndIh ave tcoor meeg ard
hmi asb eing ctohnems mtuae icnlicpaslyo clghoi.s tHissu ptpo,r
guicde,aa nnkdn olwdeghea vhee lpmeetd o o vercmoamndeyi ffiuclt
obstcalse,a ndIe nvayll f utusrutedn etwsh oh avteh oep ponritttuyo
worwki th. him
My apprieaictoins a los exetndetodt hoet ehrm emboerfms y
dissreattni coomtmtie. eThrougmhygo urtaa dtucea r,eD er.rJ mi
McCloulughha sd eomnstrtahtreodbu oghti hnt surctiaonnde a xmlpet he
effciyco af tshceni ties-tpcrtaiinotemro edlo f icnlicpasclyh logoy. In
sod oin,gh eh acso nbturetida gredaetla t om yt hingk cionnncienrg
pscyhloogirceaesla racnhpd r aicect.D r.D onK ileres hbaeesn a n
espieaclgliytf etde haecran dc herif�riedne dw hoh aasw laypsr ovided
mew iht cao nnstts auorcoefr eionrfmceenatn de ncournat.g Iew moelud
alsloki et oe pxresm sya prpeciioatnto D r.A rniSet oelrbagn Ddr S.t vee
Peedf otr heciorn turtiiobnasn ds iatssnacei nc opmltenigt hirse srecah
endoera.v
iii
My garttiudies oa elxsntdeetdoD r.M arinl Sypirwoho soew rn e­
saercahn idd eparsoi evddt hiep metufso trh ceu rriennstv etaitigno.
Her mhaenluypl sf ueggsitonasn dc otnniuoussu ppmoardtte h ipsr eojct
escpielayle nojyalbea nwdo rhtihlwe.I am aslog rautlet foD r.S am
Ruibnw hoc heuellryft oelradt meyp reopcaictouwni ht copmlentgi st hi
stduy, apnordv eiddm ew itthh temi ea nde ncouratgoedm ose o.n t
Fianlyl,I wihs tod edictahtieesff or,at sw ella s emnyit re
graducaatree, t eorm y mo,tL hoeiWrs.G limo.r Heeru nshalkefe aabith
anbde liienmf e, e veinnt hotsmiee tsh aItd obutde smeylrfe,p resent
thseu praemcet lovofe tohnlayta p arecnatbn e tso.w Heru ndernsditgna
anadsb loutceo nfidheanvhceee l pmeadkm eyg radusahctoeoc la reer
poislbsea,n dI am vergyr atetfohu elfr or bwehiosn hgie s .
iv
TABOLFEC ONTENTS
Page
Acknldoegwemsen.t ii
LisotfT balse. vi
LisotfF iugres viii
Absrtac.t. . ix
Inotdrcutni.o 1
ThoeretiMcoadlleso fA nxie.t y 2
AsssemseanntTd r eatmIpemlnatit cnis.o 11
Ssytme Indepnec.ne de. . .. .. .. . 21
AssessmeanntTd r eatmIpemlnatit cnis.o 33
ExternIanlbh iiitno. 43
PresSetnduty. 60
Meth.od. 71
Sbujects 71
Epxereintmer 72
Apaprat.u.s 72
DepenMdeeanstu res 73
Procree.d u. . . . 75
TreatGmreonut.p s 77
PosetattrmAessnsets ment 80
Resutls. . . . . .. . 83
. .
SubejcSte lenc Vtaiirobalse. 83
BevhiaolrA avioadnceT es.t. 87
Suebjcitev Units Dosiftr ess 90
HeaRratt .e . . 99
. .
SkiCno uncdntcae. . . . 107
SpiedrQ uestninioar.e . 117
ConcorodfaDn ecpee nVdaeirnbalte s 119
TreatTmreainlts 126
Disscsouin. 129
HyoptehsisI 129
HyptohiessI I 137
HyoptehsiIsI I 193
HyptoehsiIsV 143
HypoethsisV 146
Ipmlcaitniso- ExetrnaIhlni tbiino 148
Ipmlaitcniso- AnlagoueF eaRree sar.c h 156
v
Page
References. 146
Appendices. 177
A. SpiderQ uestionnaire. 177
B. PreliminarQyu estoinnaire 179
C. ConsentF orm.. . . . . . 180
D. PretreatmenItn's tructions 182
E.G roupM eansa nd StandardD eviations 185
F. PublicatioDnr aft 168
221
Vita.
vi
LisotfT balse
Talbe Page
1.O vervoifMe ewot dh.. . . . . . . . .6 3 . . .
2.S lecetni Voairbal-GeroMuepa annsSd tnadaDrvdei ants.i o 84
3.A nlayisso fV arinacfeo Sru ebjcStel cetni Voraibalse. 85
4.A nlasyiosf V aarnicfeo rB evhiaroaAlv ioadncTees t. . 88
S. Analsyiosf V airnacfeo rS ubejcitvUeni tosf D itsrse s
l-OFooDti sntc.ae 92
6.A nlasyiosf V airnacfeo Srbu ejcitvUeni tosf D istress
ColsePsrte ttrmeeaAnptp roach 94
7.A naylsiso fV airnacfeo Sru ebjcitvUeni st ofD sitress
Poinotf C losAepsptar coh 96
8.A nlayisso fV airnacfeo r HReaatr- et1 -0oFoDti tsacne. 110
9.A nlaysoifsV arnicafeo Hre aRratt -eC olsePsrtre etatment
Approcha. 130
.
10.A nlaysoifsV airnacfeo Hre aRrat t-eP oionftC losest
Approa.c.h' ... . . . . . .. . . .140
11.An laysoifsV airnacfeo Sr kiCno ntdnuacc-e1 0F oot
Ditsacne. . . . . .. ... .. . .. .. 1.90. . .. .
12.A nlaysoifsV airnacfeo Sr kiCno nduc-tCaolnscees t
PretreenaAttpp mroa.c .h . . . . . .. . .II I
13.An lasyiosf V airnacfeo Sr kiCno ntdnuacc-eP oionft
ColseAsptp roa.c h. . . . . .1 41
1.4 DuncaMnul'tpsil Rea nTgees fto Sr kiCno nduc-tPaonicnet
of CloApspearscot-h G rouxp P erdi Iotneriaoc.nt 115
15.An layisso fV airnacfeo Srp idQeusreit oninra.e . . 1.1 8
16.P erasoPnr odMuocmte Cnotrr eltainosf oEr xetrnla Ihniibtni o
Sbujectosnt hPer reetatmMeenats u.re.s. .. ...1.20
vii
Tbale Page
17.P eanr PsroodMuocmte Cnotrr etloianfso Er xrntaelI hnibiiotn
Subejctosnt hPeo setattrmMeenats u.r e.s . . 112
18.P eanr PsroodMuocmte Cnotrr ealtnisof oTres te-tRest
Suebjctst hPer eetartmMeenats u.r e.s . . 1.22 .
on
19.P eanr PsroodMuocmte Cnotr lrtaieonfso Tre ts-eRetst
Suebjctosn tPhoes etattrmMeenatres su. . . . 1.2 3.
20.P eanr PsroodMuocmte Cnotr lrtaieonfso Grr aduEapxtoersdeu
Suebjctosnt hPer eattrmeeMneta sur.e s. .. ..1 42 . .
.
2.1 Peanr PsroodMuocmte Cnotr lrtaieonfso Gr raduEaxtperodes u
Sbuejctosnt hPeo stttmreeMnaeta essu. r . .. .. 1 .52 .
22.C hSiq uaTreeso tfS ignainfDtif icfereonfct ehsNe u mber
ofS uebjctRsee cviign thMea xuimNm umboefr
TreatTmrienastl. . . . . . . .. .. 1 .72 . . . . . . .
viii
LisotfF irgeus
Fgiure Pgae
1.P retreaatnmPde onstet attrmBeenhtia ovlrA avioadnec
TesStc orfeosEr xrtanelI hnibiio,tnG ratduead
Epxorse,u aTnedts -eRteGsrto u.p.s . . .. . . 8 9
2.P retmreenaattn dP osetattrmSeunebtjc itvUen tis of
DitsreSscso rfeosEr x rntael Inhtioibn,i
GraduEapxtoersde,u aTnesdt e-tReGsrto uwpist h
thSep dieart t h1e- 0oFoDti sncte.a . . . . .9 3 .
3.P rettrmeeaanntP do setattrmSebunejtc tiUvniet osf
DirsetsSsc orfeosEr x ternIahnli biio,tnG raduated
Epxorseu,a nTde ts-eRteGsrto uwpistt hh Sepi edr
att he Poofi noCtsl ePsrte tmreenaAttp pro.a ch 95
4.P retreaatnmPde onstet attrmSeunbetjc tiUvniet osf
DirsetsSsc orfeosEr x rtnaelI nbhiiito,nG raduated
Epxorseu,a nTde ts-eRteGsrto uwpistt hh Sepi edr
att hPe oionftC olseAspptr oa.c . h. . . . .9 8
5.P rettrmeeantP osatnetdar tmHeenatRr att Ceh anSgceo res
for ExtIehnrniabilio ,tnG raduEaxtpeods, a unrTdees t­
ReetsGtr oupwsih tt hSepi edra t t1h0eo- oFt
Disncte.a . . . . . ... . . .. ..1 0.2 . .
6.P reetartmaenndPt o srtetatmHeenatRr tate C hanSgceo res
foErx ternIanlbh iitni,Go raduEaxtpeod,s a unrTdee ts­
ReteGsrto uwpist h Stpihedera tt hPeo ti onfC olsest
Aprpoa.c h . . .. .. . . . .. .. .. .. .16.0
7.P retreaatnmPde onstet attrmSeknitC no uncdtaCnhcaen ge
ScorfeosEr xrntael Inhtioibn,iG raduEapxtoersdeu,
anTd este-tReGsrto uwpistt hh Se piedra tt he
1-0oFoDt isncte.a . .. .. . . . . . . .1.10. . . .
8.P rreetatmaenndPt o setattrmSeknitC no uncdtaCnhcaen ge
ScorfeosEr t xernIanilhb int,iG oraduEapxtoersdeu,
anTde ste-tReGsrto uwpihst t hSepi edr tahte
PoionftC olsePsrte attrmeeAnptpa rco.h . . . 11. 3 . . . .
9.P retreenaattn mPdos tetartmSeknitC no ndtuacnCchea nge
ScorfeosEr xrtnaelI nhtioibn,iG raduEaxtpeods, ure
anTd estR-eetsGtr ouwpistt hh Sep dieart t he
PoionftC olseAsptp ro.a ch. . . . . 1.61 . . . . . . . .