A multimodal behavioral approach to performance anxiety

Journal of Clinical Psychology
Arnold A Lazarus, Arnold Abramovitz

Abstract

Cognitive-behavior therapy (CBT) stresses a trimodal assessment framework (affect, behavior, and cognition [ABC]), whereas the multimodal approach assesses seven discrete but interactive components--behavior, affect, sensation, imagery, cognition, interpersonal relationships, and drugs/biological factors (BASIC I.D.). Only complex or recalcitrant cases call for the entire seven-pronged range of multimodal interventions. Various case illustrations are offered as examples of how a clinician might proceed when confronted with problems that fall under the general heading of performance anxiety. The main example is of a violinist in a symphony orchestra whose career was in serious jeopardy because of his extreme fear of performing in public. He responded very well to a focused but elaborate desensitization procedure. The hierarchy that was eventually constructed contained many dimensions and subhierarchies featuring interlocking elements that evoked his anxiety. In addition to imaginal systematic desensitization, sessions were devoted to his actual performance in the clinical setting. As a homework assignment, he found it helpful to listen to a long-playing record of an actual rehearsal and to play along with the world-renowned orch...Continue Reading

Citations

Jul 5, 2012·Perceptual and Motor Skills·Ricardo Weigert CoelhoJoice Mara Facco Stefanello
Sep 28, 2010·Journal of Pediatric and Adolescent Gynecology·Dilip R PatelMarisa Terry
Aug 6, 2019·Frontiers in Psychology·David L Rowland, Jacques J D M van Lankveld
Jul 27, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Li Wang, Leinian Li
Nov 11, 2021·Science Translational Medicine·Nicole Mercer LindsayGrégory Scherrer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.