There is considerable evidence that stage fright, like all other forms of anxiety is multifaceted. I In addition to partially independent somatic, cognitive, and behavioral manifestations, stage fright seems to comprise fear of fear, fear of social disapproval, problems with distraction, and a judgmental attitude. Each form of stage fright may be best treatable by a specific intervention. Relaxation therapies and drug therapy seem to target somatic symptoms, although drug therapies may have greater potential for side effects, including some that are deleterious to performance. Some studies of such interventions do exist, but there is little knowledge of long-term effects of medication, or of interactions between medication and various psychological approaches to managing somatic manifestations of stage fright Several approaches to cognitive intervention for stage fright have been proposed, and two empirical studies suggest that they are effective. Behavioral interventions and frequent performance experience are commonly used and may have considerable beneficial effect on stage fright, but these have not as yet been empirically evaluated.
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References
1.
Appel, S. S. (1976). Modifying solo performance anxiety in adult pianists. Journal of Music Therapy, 13, 3–16.
2.
Alberti, R. E., & Emmons, M. L. (1974). Your perfect rightSan Luis Obispo, CA: Impact
3.
Barlow, W. (1977). The Alexander technique. New York: Knopf.
4.
Basmajian, J. V., & Newton, W. J. (1974). Feedback training of parts ofbuccinator muscle in man. Psychophysiology, 11, 92.
5.
Basmajian, J. V., & White, E. R. (1973). Neuromuscular control of trumpeters' lips. Nature, 241, 70.
6.
Beck, A. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
7.
Brantigan, C. O., Brantigan, T. A., & Joseph N. (1979a). The effect of beta blockade on stage fright. Rocky Mountain Medical Journal, 7, 227–232.
8.
Brantigan, C. O., Brantigan, T. A., & Joseph N. (1979b). Effect of beta blockade and beta stimulation on stage fright. The American Journal of Medicine, 72, 88–94.
9.
Craske, M. G., & Craig, K. D. (1984). Musical performance anxiety: The three-systems model and self-efficacy theory. Behavior Research and Therapy, 22, 267–280.
10.
Davidson, R. J., & Schwartz, G. E. (1976). Psychobiology of relaxation and related states. In Mostofsky, D. (Ed.), Behavior modification and control of physiological activity.Englewood Cliffs, NJ: Prentice-Hall.
11.
Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuart
12.
Ellis, A. (1977). Research data supporting the clinical and personality hypotheses of RET and other cognitive-behavior therapies. In A. Ellis & R. Grieger (Eds.), Handbook of rational-emotional therapy.35–71. New York: Springer.
13.
Evoskevich, P. (1979). Biofeedback and its use in the treatment of musical performance anxiety. Saxophone Symposium, 4, 31–32.
14.
Feldenkrais, M. (1972). Awareness through movement: Health exercises for personal growth. New York: Harper and Row.
15.
Foa, E. B., Jameson, J. S., Turner, R. M., & Payne, L. L. (1980). Massed vs. spaced exposure sessions in the treatment of agoraphobia. Behavior Research and Therapy, 18, 333–338.
16.
Fry, H. (1985). Music making and overuse injuries. Journal of the International Society for the Study of Tension in Performance, 3, 41–51.
17.
Gerig, R. (1974). Famous pianists and their technique. New York: Robert B. Luce.
18.
Goldman, N. S., & Lehrer, P. M. (1986, August). Performance anxiety among musicians: A factor analytic study. Paper presented at the annual meeting of the American Psychological Association, Washington, DC.
19.
Green, B. (1986). The inner game of music. Garden City, NYAnchor Press/Doubleday.
20.
Hamann, D. L. (1982). An assessment of anxiety in instrumental and vocal performances. Journal of Research in Music Education, 30(2), 77–90.
21.
Hamann, D. L. (1985). The other side of stage fright. Music Educators Journal, 71(8), 26–27.
22.
Hamann, D. L., & Sobaje, M. (1983). Anxiety and the college musician: A study of performance conditions and subject variables. Psychology of Music, 11, 37–50.
23.
Harris, R. J. (1975). A primer of multivariate statistics. New York: Academic Press.
24.
Harris, S. R. (in press) Brief cognitive-behavioral group counseling for musical performance anxiety. Journal of the International Society for the Study of Tension in Performance.
25.
Havas, K. (1973). Stage fright: Its causes and cures, with special reference to violin playing. London: Bosworth and Co.
26.
Heinrich, D. L., & Spielberger, C. D. (1982). In H. W. Krohne & L. Laux (Eds.), Achievement, stress, and anxiety.New York: Hemisphere/McGraw-Hill.
27.
Irvine, J. K., & Levine, W. R. (1981). The use of biofeedback to reduce left hand tension for string players. American String Teacher, 31, 10–12.
28.
Jacobson, E. (1938). Progressive relaxation. Chicago: University of Chicago Press.
29.
Jacobson, E. (1967). Modern treatment of tense patients. Springfield, IL: Charles C Thomas.
30.
James, I. M., Borgoyne, W., & Savage, I. T. (1983). Effect of pindolol on stress-related disturbances of music performance. Journal of the Royal Society of Medicine, 76, 194–196.
31.
James, I. M., Pearson, R. M., Griffith, D. N. W., & Newbury, P. (1977). Effect of ox-prenolol on stage-fright in musicians. The Lancet, 592–593.
32.
James, L. M., & Savage, I. (1984). Beneficial effect of nadolol on anxiety-induced disurbances of performance in musicians: A comparison with diazepam and placebo. American Heart Journal, 108, 1150–1155.
33.
Lang, P. J. (1971). The application of psychophysiological methods to the study of psychotherapy and behavior change. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change: An empirical analysis.New York: Wiley.
34.
Lazarus, R. S. & Folkman, S. (1984). Stress appraisal and coping. New York: Springer.
35.
Lavallée, Y. J., Lamontagne, G., Pinard, G., Annable, L., & Tetreault, L. (1977). Effects of EMG biofeedback, diazepam and their combination on chronic anxiety. Journal of Psychosomatic Research, 21, 65–71.
36.
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. Wolfolk & P. M. Lehrer (Eds.) Principles and practices of stress managementNew York: Guilfold.
37.
Lehrer, P. M. (1982). How to relax and how not to relax: A re-evaluation of the work of Edmund Jacobson. Behavior Research and Therapy20, 417–428.
38.
Lehrer, P. M., Rosen, R. G., Kostis, J. B., & Greenfield, D. (1987). Treating stage fright in musicians: The use of beta blockers. New Jersey Medicine, 84, 27–34.
39.
Lehrer, S. (1983). Letter to the editor. Piano Quarterly, 31, 3–4.
40.
Levee, J. R., Cohen, M. J., & Rickles, W. H. (1976). Electromyographic biofeedback for relief of tension in the facial and throat muscles of a woodwind musician. Biofeedback and Self-Regulation, 1, 113–120.
41.
LeVine, W. R., & Irvine, J. K. (1984). In vivo EMG biofeedback in violin and viola pedagogy. Biofeedback and Self-Regulation, 9, 161–168.
42.
Lidèn, S., & Gottfries, C. (1974). Beta-blocking agents in the treatment of cate-cholamine-induced symptoms in musicians. The Lancet, 529.
43.
Man-ching, C., & Smith, R. W. (1967). Tai-chi: The “supreme ultimate” exercise for health, sport, and self-defense. Rutland, VT: Charles E. Tuttle.
44.
Marks, I. M. (1978). Behavioral psychotherapy of adult neurosis. In A. E. Bergin and S. Garfield (Eds.), Handbook of psychotherapy and behavior change.New York: Wiley.
45.
Mathews, A. M., Gelder, M. G., & Johnson, D. W. (1981). Agoraphobia: Nature and treatmentNew York: Guilford.
46.
McAllister, D. E., & McAllister, W. R. (1967). Incubation of fear: An examination of the concept. Journal of Experimental Research in Personality2, 180–190.
47.
Morasky, R. L., Reynolds, C., & Clarke, G. (1981). Using biofeedback to reduce left arm extensor EMG of string players during musical performance. Biofeedback and Self-Regulation, 6, 565–572.
48.
Morasky, R. L., Reynolds, C., & Sowell, L. E. (1983). Generalization of lowered EMG levels during musical performance following EMG training. Biofeedback and Self-Regulation, 8, 207–216.
49.
Norton, G. R., MacLean, L., & Wachna, E. (1978). The use of cognitive desensitization and self-directed mastery training for treating stage fright. Cognitive Therapy and Research, 2, 61–64.
50.
O'Brien, G. T., & Barlow, D. H. (1984). Agoraphobia. In S. M. Turner (Ed.), Behavioral theories and treatment of anxiety.New York: Plenum.
51.
Patal, C. (1984) Yogic therapy. In R. L. Woolfolk & P. M. Lehrer (Eds.), Principles and practice of stress managementNew York: Guilford.
52.
Reynolds, G., & Morasky, R. L. (1981). Intensity without tension: Biofeedback. Music Educators Journal, 67(9), 52–55.
53.
Ristad, E. (1982). Soprano on her head. Right-side-up reflections on life and other performances. Moab, UT: Real People Press.
54.
Schultz, J., & Luthe, W. (1969) Autogenic methods. Vol. 1 from Luthe, W. (Ed.), Autogenic therapy.New York: Grune and Stratton.
55.
Spielberger, C. D. (1971). Trait-state anxiety and motor behavior. Journal of Motor Behavior, 3, 256–279.
56.
Triplett, R. (1983). Stage fright: Letting it work for you. Chicago: Nelson-Hall.
57.
Whitaker, C. S. (1984). The modification of psychophysiological responses to stress in piano performance. Unpublished doctoral dissertation, Texas Tech University, Lubbock.
58.
Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.
