From its beginnings, behavior therapy stood apart from all other psych
otherapies in one important respect-its methods were derived from expe
rimentally established paradigms. Behavior therapy's most direct influ
ence was in the area of the anxiety disorders, where its most powerful
impact was the weakening of anxiety by the simultaneous evocation of
a competing response. Practical success depends greatly on systematic
attenuation of anxiety based on hierarchical presentation of stimuli.
Success can be widened if advantage is taken of a range of implementat
ions of a paradigm. Yet, we need to keep in mind that not all behavior
ally based paradigms are useful, and that some useful methods, such as
Beck's cognitive approach, are not based on experimental paradigms.