Article

Removing emotional obstacles to learning and performance by visuo-motor behavior rehearsal

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Abstract

Some innovative adaptations of desensitization, visuomotor behavior rehearsal and the use of competency, were developed to treat a Ph.D. candidate with a severe examination anxiety. Treatment was aimed at developing adaptive behavior, rather than simply the removal of the anxiety.

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... Behavioral Rehearsal), el qual inclou una fase inicial d'atenció a la respiració, la imatgeria de l'acció esportiva durant una situació específica estressant i posar en pràctica les tècniques psicològiques apreses durant la simulació de la situació estressant (Hall i Erffmeyer, 1983; Weinberg, Seabourne i Jackson, 1981). El VMBR és considerat quelcom més que imaginar, és tracta d'una còpia ben controlada de l'experiència, un tipus de pensament corporal similar a la il·lusió poderosa de certs somnis a la nit (Suinn, 1972). S'ha demostrat que el VMBR augmenta el rendiment, tant en estudis de casos (Lane, 1980;Suinn, 1972) com en investigacions experimentals (Hall i Erffmeyer, 1983;Noel, 1980;Weinberg et al., 1981). ...
... El VMBR és considerat quelcom més que imaginar, és tracta d'una còpia ben controlada de l'experiència, un tipus de pensament corporal similar a la il·lusió poderosa de certs somnis a la nit (Suinn, 1972). S'ha demostrat que el VMBR augmenta el rendiment, tant en estudis de casos (Lane, 1980;Suinn, 1972) com en investigacions experimentals (Hall i Erffmeyer, 1983;Noel, 1980;Weinberg et al., 1981). A més, Weinberg, Seabourne i Jackson (1987) van veure que l'atenció a la respiració abans de la imaginació produïa una millor execució de la imatgeria. ...
Thesis
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Historically, mind studies have been separated from those carried out on the brain and behavior; the mind was still an abstract concept. However, later on, neurosciences and sports psychology have gone further and created a new discipline: sports neurosciences, aimed at exploring the physical and mental confines of an athlete and make them grow more and more. Neurosciences can, therefore, help bring closer psychological and biological areas, cognitive and mechanical structures. Several researches have been done on activation in situations under pressure, imagery (in hypnosis) and electroencephalogram (EEG); however, there is an obvious lack of studies that analyze how to monitor mental training on activation in situations under pressure by means of EEG, both in the office and on the field. Consequently, the objective of the present thesis is to monitor mental training on activation during a neutral situation and in a situation under pressure, by analyzing the heart rate, brainwaves and subjective registrations in athletes with and without previous imagery experience. The pilot test analyzed the heart rate behavior in the activation of 7 athletes during imagery of under-pressure situations. In it, there was an increase in the heart rate in the situations under pressure, which was experienced, mainly, at the moment of highest pressure. From Study 1-A and 1-B neutral situation imagery (tennis service) was compared with imagery of under-pressure situations on 16 tennis players. On the one hand, in Study 1-A the activation during imagery of a neutral situation was monitored through the analysis of the heart rate, brainwaves and subjective registrations of tennis players with and without prior experience in imagery; on the other hand, in Study 1-B activation during imagery was also monitored, although this time in a situation under pressure (tennis match). Results show that imageries from both neutral and under-pressure situations increased the heart rate, especially on those subjects with imagery experience; being this increase higher in the case of imagery of situations under pressure and finding its highest point at the moment of maximum pressure of the imagery: interval 5-6. Regarding brainwaves, imagery of both neutral and under-pressure situations (either by intervals, hemispheres, zones or channels) led to a decrease in the gamma wave activity, both in tennis players with previous experience in imagery and without. In the case of Study 1- B, an increase of the gamma wave was also observed in interval 5-6, which corresponds to the moment of maximum pressure. Regarding entropy, in Study 1-A it was lower in the neutral situation imagery, both in those with imagery experience and without; while in Study 1-B, the approximate and sample entropies were higher in the imagery of the situation under pressure in those without imagery experience. With regards to the subjective registrations, in psychological abilities (activation, self-confidence, motivation and concentration) of Studies 1-A and 1-B there were no significant differences between pre and post neither between before, during and after, except in Study 1-B between pre and post for the activation at during with a significance level of 10%. Regarding the reality of imagery, in Study 1-A the most real dimensions, from highest to lowest, were kinesthetic, visual, emotional, tactile and auditory (score from 3 to 5). Those that were more difficult to be perceived as real and to be aware of were the gustatory and olfactory ones in Study 1-A and only the olfactory in 1-B. In Studies 2-A and 2-B mental training on activation during imagery of an under-pressure situation was monitored through a protocol with and without mental training carried out in the office (Study 2-A) and on the court (Study 2-B) based on the analysis of the heart rate, brainwaves and subjective registrations in a tennis player with high imagery experience in order to be able to see how activation developed, session by session, through the mental training carried out. Results show that both in the office (Study 2-A) and on the court (Study 2-B) the tennis player’s heart rate increased in the imagery of the situation under pressure (I.3-8), being higher in the office and in Protocol 2. It decreased in the mental techniques application imagery (I.8-13) in Protocol 2, being also greater in the office; it decreased further in the final breathing attention (I.13-f), being higher in the office and in Protocol 1. In the case of brainwaves, the beta wave increased in the imagery of the situation under pressure (I.3-8), both in the office and on the court, being higher in the office in Protocol 1 and on the court in Protocol 2. Also, gamma, theta and delta waves increased in Protocol 2 on the court. Beta, gamma, delta and theta waves decreased in the mental techniques application imagery (I.8-13), both in the office and on the court, being higher on the court, except for the gamma wave, which was higher in the office. Alpha and beta waves increased in the final breathing attention (I.13-f), both in the office and on the court, being higher in the office in Protocol 2. Regarding entropy (approximate entropy and sample), it decreased in the imagery of the situation under pressure (I.3-8), both in the office and on the court and both in Protocol 1 and 2, being higher on the court and in Protocol 2. It increased in the mental techniques application imagery (I.8-13) in the office as well as on the court, being higher on the court. It also increased in the final breathing attention (I.13-f), both in the office and on the court, being higher in the office in both protocols but markedly in Protocol 2. Regarding subjective registrations, the tennis player managed to feel the pressure in the imagery of the situation under pressure both in the office and on the court before, during and after between points (highest pressure moment), being higher in Protocol 2. In the mental techniques application imagery he regulated the activation to feel it at an optimal level (7), although he found it more difficult on the court. All imageries were realized with great reality in all dimensions (visual, auditory, olfactory, tactile, gustatory, kinesthetic and emotional), being the olfactory dimension more difficult to feel in the situation under pressure in the office for both Protocols, and on the court in Protocol 2, and the gustatory one on the court and in Protocol 2. Unexpectedly, it was also more difficult to feel the auditory one in the office in Protocol 1. In the mental techniques application imagery, the gustatory dimension was more difficult to feel both in the office (Study 2-A) and on the court (Study 2-B) and also, unexpectedly, the auditory one on the court. Therefore, the thesis results reflect the importance of monitoring the mental training of activation in situations under pressure; data of great use to improve neutral and under- pressure imagery and mental training in order to help athletes work on their activation. It is also useful to create neurofeedback protocols to increase the ability to perform imagery in athletes with both high and low experience and thus improve their mental training and self-awareness of under-pressure situations in their lives, what causes them, how they experience them and what they must do to deal with them.
... Imagery and mental rehearsal involve visualizing and practicing a certain athletic task without muscular movement (Corbin, 1972). Finally, visuo-motor behavior rehearsal (VMBR) incorporates relaxation into imagery, which can later be applied while actually performing the sport and receiving performance feedback (Suinn, 1972). ...
... MSPE training may additionally serve as a team bonding experience. In addition to more research with waiting-list controls, comparisons of MSPE to Gardner and Moore's MAC protocol (2004 and also to other traditional CBT interventions (e.g., VMBR; Suinn, 1972) are important. For example, MAC was recently compared with psychological skills training in a large randomized controlled trial, demonstrating significant results (see . ...
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... The rehearsal procedure is a psychological intervention which involves relaxation procedures and imagery rehearsal. This method was first described by Suinn (1972aSuinn ( , 1972b, who observed some clinical evidence about the effectiveness of imagery rehearsal but control data could not be obtained for the final comparisons. Suinn (1985) points out that this method "favorably affects motor performance"; however, the results of other studies which used this procedure are equivocal. ...
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... Zihinsel olarak uygulanan bu yöntemin fiziksel anlamda sporcuya kazandırdığı kuvvet diğer araştırmacıların ve antrenörlerin dikkatini çekmiştir. Başka bir çalışmada Suin (16), bir kayakçının bacaklarına bağladığı elektrotlar yardımıyla ilk önce kayak hareketini yaparken ölçüm almıştır. Daha sonra aynı kayma hareketini uygulamadan zihinsel olarak hayal etmesini istemiştir ve tekrar ölçüm yapmıştır. ...
... In another study, the implementation of a cognitive-affective stress management training program based on Smith's (1986) CASBBM led to lower levels of negative thinking among volleyball players (Crocker, Alderman, & Smith, 1988). There is also empirical support for the use of visual-motor behavioral rehearsal (Suinn, 1972) and stress inoculation training (Meichenbaum, 1977) for stress reduction among athletes. It is noteworthy that these studies targeted stress and not burnout. ...
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... Zihinsel olarak uygulanan bu yöntemin fiziksel anlamda sporcuya kazandırdığı kuvvet diğer araştırmacıların ve antrenörlerin dikkatini çekmiştir. Başka bir çalışmada Suin (16), bir kayakçının bacaklarına bağladığı elektrotlar yardımıyla ilk önce kayak hareketini yaparken ölçüm almıştır. Daha sonra aynı kayma hareketini uygulamadan zihinsel olarak hayal etmesini istemiştir ve tekrar ölçüm yapmıştır. ...
... Sports psychologists have often reported that athletes can enhance their performance through the use of mental imagery (Murphy, 1994;Orlick, 1986;Suinn, 1972Suinn, , 1985Suinn, , 1993. Results of a meta-analysis of mental rehearsal studies indicate that mental practice, including the use of imagery, has a positive and significant effect on performance (Driskell, Copper, & Moran, 1994). ...
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... In the field of psychoneurourununology, posihve correlahons have been shown between comfort achieved by relaxation and unagery to enhanced immune parameters (Jasnoski & Kugler 1987, McOelland 1988, Zadianzea ei al 1990, Groer 1991 Sumlarly, comfort achieved by relaxahon and imagery have desirable effects on blood pressure (Pender 1985), pulse (Guzzetta 1980) and respirahons (Alexander ei al 1979 In a study of abortion, pahents had mcreased comfort after partiapahng m pleasant unagery (Wells 1989) In efforts to mcrease athletic performance and endurance, comfort achieved by imagery was related posihvely to basketball skills (Kendall et al 1990), muscular endurance urespechve of mood state (Lee 1990) and strength (Murphy ei al 1988) Funchonal outcomes were enhanced by the comfortmg effects of relaxahon m adults with traumahc head mjiuies (Lysaght & Bodenhamer 1990), while copmg strategies were enhanced by effeds of a smular mtervenhon m children (LaMontagne ei al 1985), students with test anxiety (Suinn 1972), and m adults with mulhple sderosis (Foley ei al 1987) The mtervenhons ated above are holishc and the outcomes are congruent with mtemal or extemal health-seekmg behaviours These studies and others lend encouragement to nurse researchers who ask the queshoa 'Why comfortT ...
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Although many types of relaxation techniques are available, definitive data are needed to examine their effectiveness. The purpose of the present study was to compare the effects of a 6-week program of visuomotor behavior rehearsal, and a control on slow fire, timed fire, rapid fire, and composite (total) pistol-shooting performance of 15 male and 15 female undergraduates. A 3 treatment (Transcendental Meditation, Visuomotor Behavior Rehearsal, Control) × 2 (Trial 1, 2: Pretest, Posttest) randomized design was used to examine the data. The visuomotor behavior rehearsal group showed a consistent increase from pretest to posttest on all four types of pistol-shooting performance. Results were discussed in relation to cognitive and somatic types of relaxation and their effect on specific sport skills.
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The present study compared the effects of correcting errors in a typical tennis class to selectively ignoring these errors while praising appropriate tennis performance. The effects of this behavioral procedure, differential reinforcement, were assessed using a multiple baseline design across subjects (three junior high students) and three tennis skills: forehand, backhand, and serve. The results demonstrated that differential reinforcement increased performance two to four times over baseline. These results extend the findings on differential reinforcement and suggest this procedure as a method for developing sports skills.
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This paper reviews the mental practice literature as well as more current research on the effect of specific mental preparation strategies on skilled performance. A synopsis of the mental practice literature indicated that mental practice was generally effective in enhancing performance. For maximum effectiveness, mental practice should be used in conjunction with physical practice and should not be thought of as a replacement for physical practice. The degree of effectiveness of mental practice is dependent on a number of variables, such as conceptualizing ability, previous experience, task type, and length of practice session. Recently, researchers have begun to study the effect of specific mental preparation on motor performance. Some of the more popular techniques include imagery, selfefficacy statements, attentional focus, preparatory arousal, and relaxation. In addition, several recent techniques such as stress innoculation training and visuomotor behavior rehearsal use a combination of the techniques. Although preliminary empirical research is encouraging, more controlled outcome studies are necessary to determine the effectiveness of these techniques in enhancing skilled performance.
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One theme in discussing physical activity and stress is the relationship between emotional arousal and motor performance. Different research models have produced converging evidence for the notion that motor performance relates to a state of optimal arousal. Themes emerging from the literature and recommendations for future consideration are examined. (SM)
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This personal perspective on both sport and business coaching psychology practice discusses theories and models utilised by practitioners in both settings. Performance demands and examples of intervention research common to sport and business settings are described, and suggestions on collaborative research projects are offered. Advice that sport leaders have offered business leaders is summarised and a case study example of transformational leadership in sport is provided. In the author's opinion the evidence suggests that coaching psychologists in both performance environments would benefit considerably from more closely linked approaches to applied research.
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Research examining imagery use by athletes is reviewed within the context of an applied model for sport. The model conceptualizes the sport situation, the type of imagery used, and imagery ability as factors that influence how imagery use can affect an athlete. Three broad categories of imagery effects are examined: (a) skill and strategy learning and performance, (b) cognitive modification, and (c) arousal and anxiety regulation. Recommendations are offered for the operationalization and measurement of constructs within the model, and suggestions are provided for how the model may guide future research and application. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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IntroductionInjury preventionInjury rehabilitationPractical considerationsFurther reading
Article
Il lavoro in Polizia è riconosciuto in letteratura come altamente stres-sante. Basti pensare che, fin dai primi anni Ottanta, Spielberger aveva ide-ato uno strumento volto proprio a misurare lo stress nelle forze di Polizia chiamato Police Stress Survey (Spielberger et al., 1980). In Europa, negli Stati Uniti e in Australia sono state effettuate numerose ricerche al fine di indagare i molteplici aspetti del benessere, della qualità della vita lavorati-va e della salute mentale dei poliziotti (Anshel, Robertson e Caputi, 1997; Dick, 2000; Mayhew, 2001; McNeill, 1996). Quando si vogliono comprendere gli effetti della vita lavorativa sul benessere psicologico e sull'adattamento psicologico di un agente di Poli-zia, così come per altri ambiti professionali, è opportuno prendere in consi-derazione la molteplicità delle dimensioni negli aspetti positivi e negativi. stressanti a cui sono esposti sono inerenti alle mansioni (scon-tri violenti, incidenti, disastri) e al contesto di lavo-ro (clima organizzativo, norme culturali). Le diffe-renze individuali nella percezione degli stressor e nelle strategie di coping spiegano la complessità della relazione stress-salute. L'ultima sezione è dedicata agli interventi più efficaci per prevenire il burnout e ridurre il disagio psicologico e i comportamenti a rischio tra gli operatori di Polizia.
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An experiment was designed to investigate the nature and impact of cognitive psyching strategies employed by competitive weight lifters on an analogue strength task. At an Olympic-style weight-lifting meet, volunteer subjects were randomly assigned to either an experimental or a control group. After baseline assessment of strength, experimental subjects were asked to use their favorite psyching strategy as a means of improving their performance on a final strength test. Control subjects were urged to strive toward improving their performance but were not instructed to psych themselves up. To minimize the effects of spontaneous (unrequested) psyching, control subjects were asked to engage in a distracting cognitive task during the preperformance interval. Results indicated that subjects who had been asked to psych themselves showed greater improvements in strength than did control subjects. Post experimental interviews suggested that four basic psyching strategies had been employed: (1) statements bearing on selfefficacy, (2) control of attention, (3) preparatory arousal, and (4) imagery techniques. Focus of attention was the most popular strategy. Implications of this study are briefly discussed.
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This study compared the effectiveness of electromyographic (EMG) biofeedback and relaxation treatment in producing flexibility increases at the hip joint. Retention of flexibility gains and changes in sprinting performance were also examined. Fifteen male and 15 female athletes, predominantly sprinters, were matched according to age, sex, and flexibility and were randomly assigned to one of three groups. The control group received only the testing, the biofeedback group received visual and auditory EMG training, and the relaxation group received modified PMR and imagery exercises. Subjects in the two experimental groups were given eight twice-weekly 10-minute sessions and then were retested for flexibility. Retention of flexibility was reassessed 2 and 4 weeks later. Sprint performance improved for all groups. EMG biofeedback and relaxation treatment methods were no more effective than stretching exercises used by the control group for improving flexibility during the treatment period, but they did produce evidence of superior flexibility gains in the retention period. This may be important as flexibility has been reported to be related to the incidence of injuries.
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The effectiveness of two treatments for reducing stress associated with the Type A behavior pattern was evaluated. One treatment, Stress Management Training, was a replication of a previously reported treatment. The Cognitive Therapy treatment, based on the principles of rational-emotive therapy, was designed specifically for this study. Both treatment groups were compared with a waiting list control group on several self-report and physiological measures. For subjects who initially had the highest degree of Type A characteristics, Cognitive Therapy was more effective than Stress Management Training or no treatment in reducing self-perceived levels of Type A behavior. Both treatments reduced self-reported anxiety levels, and were more effective than no treatment. Neither treatment reduced subjects' cholesterol levels or blood pressure.
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The steps of brief treatment promoted by Watzlawick, Weakland and Fisch (1974) and Haley (1976, 1987) elude the novice family practitioner, especially in deriving end-of-the session task interventions from earlier assessment. The gap between the suggested procedure and the beginning clinician''s results is just starting to surface in brief therapy research. This paper compares the above authors'' interactional and problem-solving approaches, contextualizing their theories in light of training issues emerging from preliminary research. The ensuing myths of brief family therapy task intervention typically espoused by the neophyte are thus demystified, making what experience teaches more accessible.
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Psychologists have just recently shown interest in the field of sports. Researchers studied a number of phenomena related to athletes, especially regarding competitive anxiety (Epstein & Fenz, 1962; Fenz, 1975; Mahoney & Avener, 1977; Vanek & Cratty, 1972). Mahoney and Avener (1977) in a correlational study showed that successful American gymnasts had a tendency to be more anxious prior to the competition than the less successful ones. Although all gymnasts' anxiety decreased during the event, the best performers in gymnastics showed a greater decrease of their anxiety compared to the less successful ones. Furthermore, they found that the gymnasts who used primarily internal images (i.e., feeling our own body sensations as if we were in actual competition) performed better than the ones using external imageries (i.e., viewing ourselves from the perspective of a movie character). These authors recommended channeling the anxiety in a productive way, rather than trying to eliminate it. A previous study by Epstein and Fenz (1962) showed that the knowledge of the level of anxiety may lead to a misinterpretation of the athletes' abilities. Therefore it is more important to know how the athlete copes with anxiety than to know his/her level of anxiety. These findings were further confirmed by Fenz (1975), who reported that the heart rate patterns are different between experienced and inexperienced parachutists. The same report showed that parachuting skills seem to be related to the way the individual controls his autonomic responses. Mahoney and Avener (1977) and Vanek and Cratty (1972) maintained that an optimal level of tension is an essential condition for an excellent
Article
Systematic desensitization has been used almost solely for the purpose of overeoming emotional responses blocking adaptive behavior.I, ~, 6,11 There have been extremely few studies attempting to use desensitization to establish new adaptive behaviors directly. Suinn and Richardson 9 relied upon desensitization procedures to cl~ssically condition alertnes~s in a client who frequently fell asleep driving. Morgax~stern and Ratliff 4 had clients visualize smoking scenes until they lo.st their urge to smoke. Lazarus 3 and Suinn' applied a combination of imagination and rehearsal for therapeutic purposes, but none of these dealt with clients, with the level of obses~sivenes,s and the par.anoid overtones of the case study reported in this paper. The c~se reported here involved desensitization to achieve (1) the reduction of anxiety in interpers, onal situatior~s, and (2) the establishraent of feelings of self-confidence and social competency. CASE STUDY Background Data The client, a 35-yecg.old mathematician with a doctoral degree from a major university, has held two responsible positions, losing one through budget cutbacks and resigning from the other. He and his wife appear to be estranged but living under the same roof.
Article
This article reviews studies relating relaxation treatments to motor performance and attempts to explain these treatments from a psychological perspective. The inverted-U hypothesis is evaluated for this purpose and found deficient for several reasons. It is based on arousal which has serious construct validation problems and is essentially a physiological, rather than a psychological, construct. As such, arousal cannot distinguish among fear, anger, sexuality, and other psychobiological states. Predictive validity is consequently low in the area of motor performance, where it appears that debilitating anxiety can occur at the same arousal level as the state optimal/or performance, being “psyched up.” The inverted-U hypothesis is effectively refutable in current usage, and empirically supported in only a weak and psychologically trivial fashion. Relaxation treatments are reconceptualized as relatively nonspecific psychological therapies, potentially useful in alleviating dysphoric, debilitating psychobiological states. These treatments are particularly apt for athletics, where performance anxiety is a pervasive problem. Additionally, sports psychology seems an ideal proving ground for wider clinical application of these techniques.
Article
Objectives. To investigate equivocal findings within the literature addressing the relationship between competitive anxiety responses and psychological skills. Intensity (i.e. level) and direction (i.e. interpretation of intensity as facilitative or debilitative) dimensions of competitive state anxiety and self-confidence were examined in performers with different levels of psychological skills usage.Design. Cross-sectional design assessing psychological constructs during competition. The independent variable was psychological skill usage (“high” and “low” groups) and dependent variables were competitive anxiety responses.Method. Non-elite competitive swimmers (N=114) completed a modified version of the Competitive State Anxiety Inventory-2 (CSAI-2) which examined both intensity and direction dimensions prior to racing. Following the event these participants completed the Test of Performance Strategies (TOPS) which measures psychological skills usage. Based on the TOPS scores the swimmers were dichotomised using post-hoc median-split into high and low usage groups for certain psychological skills.Results. MANOVAs revealed significant differences in the CSAI-2 scores between the high and low usage groups for the skills of relaxation, self-talk and imagery. ANOVAs indicated significant differences on all CSAI-2 subscales for relaxation groups, and differences on cognitive intensity, somatic direction and self-confidence for self-talk groups, and self-confidence for the imagery groups.Conclusions. Non-elite swimmers, in contrast with previous research examining elite swimmers (Hanton, S. & Jones, G. (1999a). The acquisition and development of cognitive skills and strategies: I. Making the butterflies fly in formation. The Sport Psychologist, 13, 1–21), primarily use relaxation strategies to reduce and interpret their anxiety intensity levels as facilitative, relying minimally on other psychological skills.
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Sporcunun performansını arttırmak amacıyla kullanılan yöntemlerden birisi olan zihinsel antrenmana olan ilgi giderek artmaktadır. Bu çerçevede, zihinsel antrenman, sporcunun performansına olumlu katkıda bulunması ve fiziksel antrenmanlarla birlikte uygulamaya dâhil edilmesi açısından son zamanlarda en çok araştırılan psikolojik kavramlar arasında yer almaktadır. Bu derlemenin amacı; sporcunun performansını yükseltmek amacıyla kullanılan zihinsel antrenman metodunun tarihsel gelişimi hakkında bilgi vermek, sporcunun performansına olan olumlu etkilerini yazılı kaynaklarda yer alan çalışmalar çerçevesinde özetlemek ve daha çok yurt dışında kullanılan bu yöntemin ülkemiz sporunda da daha kapsamlı bir şekilde ele alınması için önerilerde bulunmaktır.
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A procedure is described for teaching patients the use of relaxation as a coping skill. The procedure, called Stress Management Training, combines Progressive Relaxation and Clinical Meditation into a standardized but flexible seven-session protocol. The technique has been used to treat a variety of stress-related medical and psychological problems. The training consists of three components. The first is giving the patient a cognitive understanding of stress and relaxation. The second, teaching the patient to relax by controlling the muscle tension and sympathetic nervous system activity. The third, teaching the patient to generalize the relaxation skill to real-life stress situations. Patients are also instructed in the relationship between stress, basic health practices, and physical health status.
Article
A procedure is described for teaching elderly persons the use of relaxation as a coping skill. The procedure, called Stress Management Training, seeks to provide the client with: 1) a cognitive understanding of stress and relaxation, 2) the ability to relax by controlling muscle tension and sympathetic-nervous-system activity, and 3) the ability to extend the relaxation skill to real-life stress situations. A case report demonstrates the process, which is an educational model rather than a medical model. The role of the psychotherapist as an educator and the potential usefulness of the social learning theory as a basis for conceptualizing mental health problems are discussed.
Article
Systematic desensitization has been used almost solely for the purpose of overeoming emotional responses blocking adaptive behavior.I, ~, 6,11 There have been extremely few studies attempting to use desensitization to establish new adaptive behaviors directly. Suinn and Richardson 9 relied upon desensitization procedures to cl~ssically condition alertnes~s in a client who frequently fell asleep driving. Morgax~stern and Ratliff 4 had clients visualize smoking scenes until they lo.st their urge to smoke. Lazarus 3 and Suinn' applied a combination of imagination and rehearsal for therapeutic purposes, but none of these dealt with clients, with the level of obses~sivenes,s and the par.anoid overtones of the case study reported in this paper. The c~se reported here involved desensitization to achieve (1) the reduction of anxiety in interpers, onal situatior~s, and (2) the establishraent of feelings of self-confidence and social competency. CASE STUDY Background Data The client, a 35-yecg.old mathematician with a doctoral degree from a major university, has held two responsible positions, losing one through budget cutbacks and resigning from the other. He and his wife appear to be estranged but living under the same roof.