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A multimodal behavioral approach to performance anxiety.
Arnold A Lazarus1, Arnold Abramovitz
1Rutgers University, Princeton, NJ 08540, aalaz@aol.com.
Journal of Clinical Psychology
|July 9, 2004
Summary
Cognitive-behavior therapy (CBT) and multimodal therapy (MT) offer frameworks for treatment. A violinist with performance anxiety successfully used MT, including desensitization, to overcome his fear.
Area of Science:
- Psychology
- Clinical Psychology
Background:
- Cognitive-behavior therapy (CBT) utilizes a trimodal assessment (affect, behavior, cognition).
- Multimodal therapy (MT) employs a broader BASIC I.D. framework (behavior, affect, sensation, imagery, cognition, interpersonal relationships, drugs/biological factors).
- MT is typically reserved for complex or treatment-resistant cases.
Observation:
- Case studies illustrate MT application for performance anxiety.
- A symphony violinist with severe public performance fear was treated.
- The violinist's career was significantly impacted by his anxiety.
Findings:
- A focused, elaborate desensitization procedure was employed.
- The desensitization hierarchy included multiple dimensions and subhierarchies.
- Treatment involved imaginal systematic desensitization and in-session performance practice.
- Homework included listening to orchestral rehearsals and playing along.
Implications:
- MT can be effective for specific phobias like performance anxiety.
- Comprehensive assessment and tailored interventions are crucial for complex cases.
- Successful treatment can lead to significant career and personal improvements.