The effect of coping statements on progress through a desensitization hierarchy.

The effect of "coping statements" on the rapidity of progress through desensitization hierarchies was examined in several cases of clinically significant anxiety-based disorders. Using a series of single-case experimental designs (relying heavily on an alternating treatments element), it was shown that (a) coping statements decrease the reported anxiety shown in desensitization, (b) these statements seem to produce greater behavioral gains outside the treatment sessions per unit of treatment time, (c) the coping statements gradually begin to generalize across stimuli and (d) their effects go beyond those due merely to distraction, competing behaviors, or general expectations. The present methodology may comprise an alternative method, more compatible with ongoing clinical work, for the investigation of cognitive treatments.