Abstract
The prevailing model of relaxation posits a generalized state of reduced arousal, a position inconsistent with much relaxation research and clinical practice. This paper proposes an alternative model based on cognitive-behavioral principles. It hypothesizes that relaxation training has three effects: (a) reduced arousal, (b) development of cognitive skills of focusing, passivity, and receptivity, and (c) acquisition of increasingly abstract and differentiated cognitive structures supportive of relaxation. According to this perspective, different approaches to relaxation are not interchangeable but have quite different effects. Clinical implications are discussed.
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References
Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: New American Library
Benson, H. (1975).The relaxation response. New York: Morrow.
Benson, H., & Friedman, R. (1985). A rebuttal to the conclusions of David S. Holmes's article: Meditation and somatic arousal reduction.American Psychologist, 40 725–728.
Bernstein, D., & Borkovec, T. (1973).Progressive relaxation training: A manual for the helping professions. Champaign, IL: Research Press.
Borkovec, T. D., & Bernstein, D. (1989). Foreword. In J. C. Smith,Relaxation dynamics: A cognitive-behavioral approach to relaxation. Champaign, IL: Research Press.
Borkovec, T. D., Johnson, M. C., & Block, D. L. (1984). Evaluating experimental designs in relaxation research. In R. L. Woolfolk & P. M. Lehrer (Eds.),Principles and practice of stress management (pp. 368–403). New York: Guilford Press.
Budzynski, T. H. (1974).Relaxation training program. New York: BMA Audio Cassettes.
Cannon, W. B. (1932).The wisdom of the body (2nd ed.). New York: Norton.
Carrington, P. (1978).Clinical standardized meditation instructor's manual and self-regulating course. Kendall Park, NJ: Pace Systems.
Charlesworth, E. A., & Nathan, R. G. (1982).Stress management. Houston: Biobehavioral Publications.
Corby, J. C., Roth, W. T., Zarcone, V. P., & Kopell, B. S. (1978). Psychophysiological correlates of the practice of Tantric yoga meditation.Archives of General Psychiatry, 35 571–577.
Davidson, R. J., & Schwartz, G. E. (1976). Psychobiology of relaxation and related states: A multiprocess theory. In D. I. Mostofsky (Ed.),Behavior control and the modification of physiological activity. Englewood Cliffs, NJ: Prentice-Hall.
Delongis, A., Coyne, J. C., Dakof, G., Foikman, S., & Lazarus, R. S. (1982). Relationship of daily hassles, uplifts, and major life events to health status.Health Psychology, 1 119–136.
Ellis, A. (1962).Reason and emotion in psychotherapy. New York: Lyle Stuart.
Ellis, A. (1984). The place of meditation in cognitive-behavior therapy and rational-emotive therapy. In D. Shapiro & R. Walsh (Eds.),Meditation: Classic and contemporary perspectives (pp. 761–763). New York: Aldine.
Gendlin, E. (1962).Experiencing and the creation of meaning. New York: Macmillan.
Gendlin, E. (1981).Focusing. New York: Everest House.
Goleman, D. (1971). Meditation as meta-therapy: Hypotheses towards a proposed fifth state of consciousness.Journal of Transpersonal Psychology, 3 1–25.
Heide, F. J., & Borkovec, T. D. (1984). Relaxation-induced anxiety: Mechanisms and theoretical implications.Behaviour Research and Therapy, 22 1–12.
Hess, W. R. (1957).The functional organization of the diencephalon. New York: Grune & Stratton.
Holmes, D. S. (1984). Meditation and somatic arousal reduction: A review of the experimental evidence.American Psychologist, 39 1–10.
Holmes, D. S. (1985a). To meditate or to simply rest, that is the question: A response to the comments of Shapiro.American Psychologist, 40 722–725.
Holmes, D. S. (1985b). To meditate or rest? The answer is rest.American Psychologist, 40 728–731.
Holmes, D. S. (1987). The influence of meditation versus rest on physiological arousal: A second examination. In M. A. West (Ed.),The psychology of meditation (pp. 81–103). London: Oxford.
Ikemi, Y., Ishikawa, H., Goyeche, J. R. M., & Sasaki, Y. (1978). Positive and negative aspects of the altered states of consciousness induced by autogenic training, Zen and yoga.Psychotherapy and Psychosomatics, 30 170–178.
Iyengar, B. K. S. (1965).Light on yoga. New York: Schocken Books.
Jacobson, E. (1929).Progressive relaxation. Chicago: University of Chicago Press.
Kanner, A. D., Coyne, J. C., Schaefer, C., & Lazarus, R. S. (1981). Comparisons of two modes of stress measurement: Daily hassles and uplifts versus major life events.Journal of Behavioral Medicine, 4 1–39.
Kapleau, P. (1965).The three pillars of Zen. Boston: Beacon Press.
Lazarus, R. S., & Folkman, S. (1984).Stress, appraisal, and coping. New York: Springer.
Lehrer, P. M. (1978). Psychophysiological effects of progressive relaxation in anxiety neurotic patients and of progressive relaxation and alpha feedback in nonpatients.Journal of Consulting and Clinical Psychology, 46 389–404.
Lehrer, P. M., & Woolfolk, R. L. (1984). Are stress reduction techniques interchangeable, or do they have specific effects?: A review of the comparative empirical literature. In R. L. Woolfolk & P. M. Lehrer (Eds.),Principles and practice of stress management (pp. 404–477). New York: Guilford Press.
Ley, R., & Walker, H. (1973). Effects of carbon dioxide-oxygen inhalation on heart rate, blood pressure, and subjective anxiety.Journal of Behavior Therapy and Experimental Psychiatry, 4 223–228.
Lichstein, K. L. (1988).Clinical relaxation strategies. New York: Wiley.
Linton, H. (1983). Behavioral remediation of chronic pain: A status report.Pain, 24 124–141.
Luthe, W. (1977).Stress and self-regulation: Introduction to the methods of autogenic therapy. Pointe-Claire, Quebec: International Institute of Stress.
Markus, H. (1977). Self-schemata and processing information about the self.Journal of Personality and Social Psychology, 35 63–78.
Marzuk, P. (1985). Biofeedback for hypertension: A position paper of the Health and Public Policy Committee, American College of Physicians.Annals of Internal Medicine, 102 709–715.
Meichenbaum, D. (1977).Cognitive-behavior modification: An integrative approach. New York: Plenum Press.
Ornstein, R. (1972).The psychology of consciousness. San Francisco: W. H. Freeman.
Patel, C. (1984). Yogic therapy. In R. L. Woolfolk & P. M. Lehrer (Eds.),Principles and practice of stress management (pp. 70–107). New York: Guilford Press.
Rama, Ballentine, R., & Ajaya, (1976).Yoga and psychotherapy: The evolution of consciousness. Glenview, IL: Himalayan Institute.
Reed, S. D., Katkin, E. S., & Goldband, S. (1987). Biofeedback and behavioral medicine. In F. H. Kanfer & A. P. Goldstein (Eds.),Helping people change (pp. 381–436). New York: Pergamon Press.
Reyher, J. (1964). Brain mechanisms, intrapsychic processes and behavior: A theory of hypnosis and psychopathology.American Journal of Clinical Hypnosis, 1 107–119.
Roberts, A. (1985). Biofeedback: Research, training, and clinical roles.American Psychologist, 40 938–941.
Samuels, M., & Samuels, N. (1975).Seeing with the mind's eye: History, techniques, and uses of visualization. New York: Random House.
Schneider, C. J. (1987). Cost-effectiveness of biofeedback and behavioral medicine treatments: A review of the literature.Biofeedback and Self-Regulation, 12 71–92.
Schultz, J. H., & Luthe, W. (1969).Autogenic methods (Vol. 1). In W. Luthe (Ed.),Autogenic therapy. New York: Grune & Stratton.
Selye, H. (1976).The stress of life (2nd ed.). New York: McGraw-Hill.
Shapiro, D. H. (1980).Meditation. Chicago: Aldine.
Shapiro, D. H. (1984). Classic perspectives of meditation: Toward an empirical understanding of meditation as an altered state of consciousness. In D. H. Shapiro & R. N. Walsh (Eds.),Meditation: Classic and contemporary approaches (pp. 12–23). New York: Aldine.
Shapiro, D. H. (1985). Clinical use of meditation as a self-regulation strategy: Comments on Holmes's conclusion and implications.American Psychologist, 40 719–722.
Shapiro, D. H., & Walsh, R. N. (Eds.). (1984).Meditation: Classic and contemporary approaches. New York: Aldine.
Silver, B., & Blanchard, E. (1978). Biofeedback or relaxation training in the treatment of psychophysiologic disorders: Or, are the machines really necessary?Journal of Behavioral Medicine, 1 217–239.
Smith, J. C. (1986a).Meditation: A sensible guide to a timeless discipline. Champaign, IL: Research Press.
Smith, J. C. (1986b). Meditation, biofeedback, and the relaxation controversy: A cognitive-behavioral perspective.American Psychologist, 41 1007–1009.
Smith, J. C. (1987). Meditation as psychotherapy: A new look at the evidence. In M. A. West (Ed.),Psychology of meditation (pp. 136–149). London: Oxford.
Smith, J. C. (1989a).Relaxation dynamics: A cognitive-behavioral approach to relaxation. Champaign, IL: Research Press.
Smith, J. C. (1989b).Cognitive-behavioral relaxation training: Theory and practice. New York: Springer.
Smith, J. C., & Seidel, J. M. (1982). The factor structure of self-reported physical stress reactions.Biofeedback and Self-Regulation, 7 35–47.
Stroebel, C. E. (1983).Quieting reflex training for adults. New York: BMA Audio Cassettes.
Suler, J. R. (1985). Meditation and somatic arousal: A comment on Holmes's review.American Psychologist, 40 717.
Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility.Journal of Abnormal Psychology, 83 268–277.
West, M. A. (1985). Meditation and somatic arousal reduction.American Psychologist, 40 717–719.
West, M. A. (1987).The psychology of meditation. London: Oxford.
Wolff, H. G. (1953).Stress and disease. Springfield, IL: Thomas.
Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford: Stanford University Press.
Woolfolk, R. L. (1975). Psychophysiological correlates of meditation.Archives of General Psychiatry, 32 1326–1333.
Woolfolk, R. L., & Lehrer, P. M. (1984).Principles and practice of stress management. New York: Guilford Press.
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This article is based on a chapter that appears in Smith (1989b).
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Smith, J.C. Steps toward a cognitive-behavioral model of relaxation. Biofeedback and Self-Regulation 13, 307–329 (1988). https://doi.org/10.1007/BF00999087
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DOI: https://doi.org/10.1007/BF00999087