Professional Documents
Culture Documents
Steven R. Heyman
University of Wyoming
Sport psychology has had an internal debate about whether to conduct research
in the field or in the laboratory. At the same time, concerns have been raised
about interventions (particularly for performance enhancement) being per-
formed without any reasonable evaluation of their outcome. This paper reviews
the issues in consultation with an athlete and a coach, the development and
modification of interventions, and the attempt to develop a single-case experi-
mental design to assess the utility of the intervention. Although some situa-
tions caused the design to be less complete than would be desirable, the data
obtained from behavioral observations and subjective ratings showed good
reliability and validity and provided useful information. It is suggested that
better designs can be developed but that events in the actual sport situation
may require adjustments in the intervention and evaluation processes.
The sport psychology literature has wrestled with the issue of whether to
conduct research in the field (Martens, 1979; Siedentop, 1980) or in the labora-
tory (Thomas, 1980). The consensus likely would be that research should be con-
ducted in both settings, with verification of findings from one setting applied to
the other.
Danish and Hale (1981) and Dishman (1982, 1983) have cautioned that
often interventions geared toward performance enhancement with athletes lack
a scientific basis, while researchers pursue experiments without clear applica-
tions. In the broader field of psychology, a split has occurred between research-
ers and applied psychologists and, as Danish and Hale suggest, this could occur
as well in sport psychology. Certainly many of the books published by leading
sport psychologists have been increasingly oriented toward applications of ap-
proaches from psychology, particularly cognitive-behavioral therapies, without
a great deal of verification of their effectiveness with sport behaviors.
As sport psychology grows and develops, there will be a demand for ser-
vices. It is up to the providers of services to ensure that they have the appropriate
knowledge and training for the interventions they espouse, but it is also the
providers' responsibility to evaluate those interventions. The field of psychotherapy
was stunned by Eysenck's (1952, 1965) allegations that, when checked, the out-
come of the patients exposed to psychotherapy was no better than that of patients
who did not receive psychotherapy. Although research over the last 30 years has
clarified the effectiveness of psychotherapy (e.g., Smith & Glass, 1977), the ab-
sence of a consistent body of evaluative research at the time of Eysenck's
pronouncement opened up psychotherapy to questioning, and justifiably so. Simple
case studies or testimonials will not hold up as evidence in the court of scientific
inquiry, and can even be found wanting in the court of informed public inquiry.
It is up to sport psychologists to prevent this from happening to the field by in-
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sis research project I conducted. The coach assumed the athlete had a psycholog-
ically based performance problem and he hoped it could be addressed quickly
and easily through hypnosis. This presented the first issue: a consultation about
someone who had not yet been involved in the consultation process. The issue
was resolved with the coach's understanding that nothing could or would be done
without "A's" expressed desire for involvement. As it turned out, "A" was
very willing to have help in developing an intervention to end his performance
problems. The second issue, the client's request for a particular type of treat-
ment, was addressed through a discussion of the need to assess the problem ac-
curately and to develop the best approach possible.
Both the coach and "A" wanted an immediate intervention because an
important competition was 2 weeks away. At this point I had little information
about the problem. In the traditional situation, even though we do not observe
the client's behavior outside of the office, we collect a great deal of information
about our clients over a number of sessions. I wanted t;know more about "A."
both as an individual and as an amateur boxer with a problem, before deciding
to proceed with any interventions. I also wanted to develop a method to evaluate
any interventions. This would help not only in evaluating the outcome but also
in yielding information for making the interventions more effective.
I explained to both "A" and the coach that it would not be possible for
me to intervene before the upcoming fight. Rather, at that fight I could collect
the information I would need to develop and evaluate any interventions. Neither
"A" nor the coach wanted to wait. I indicated I could not proceed without these
preconditions. A premature intervention without evaluation could be fruitless,
and in a sense might be unethical. "A" and the coach indicated they would look
for someone who could help them more immediately. We ended the session cor-
dially.
In a few days they called back. Although they had found someone who
promised immediate results, neither "A" nor his coach felt comfortable with
this individual. They then agreed that over the next few weeks I should become
more familiar with "A," his boxing problem and the interrelationships, and to
develop both an intervention and an evaluation design.
punches the fighter threw each round were counted, as were other factors related
to the boxer's problems. A number of interventions were tried simultaneously,
and the outcome of treatment (in the only posttreatment fight the individual had)
was uncertain. Apparently the boxer's last fight, neither additional treatment nor
evaluation occurred.
Although boxing is an open as opposed to a closed sport, and filming or
videotaping would not be possible with the subject of this paper, O'Brien's de-
sign suggested observers could count punches, assuming acceptable interrater relia-
bility could be achieved. In addition, it might be possible to have ratings of
performance made both prior to and then following treatment.
Major Consultation Issues
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The coach and most teammates had assumed "A's" problems resulted from the
competitive stress related to more important fights. During initial meetings "A"
speculated about this but more often stated he was unsure of the factors involved
and just found himself "covering up." During a lengthy interview, in which a
great deal about "A's" personal values and attitudes were discussed as well as
what boxing meant to him, "A" indicated in embarrassment that he knew the
source of his problems in boxing. He described an emotionally overpowering,
unpleasant reaction to crowd noise: as crowd noise increased, "A's" anxiety
increased.
He was embarrassed for two reasons. First, he felt this reaction was bizarre,
perhaps crazy, hence his reason for keeping it a secret; he saw his reaction as
unmanly. Second, he was embarrassed at having lied about it. Fortunately,
although phobic in nature, neither the problem nor "A's" overall psychological
pattern indicated any serious pathology. It was possible for him to view the prob-
lem more realistically and to develop the ability to discuss it with his coach, team-
mates, and parents.
Planned Design
The design suggested by these events was a modified A-B-A-B design (Herson
& Barlow, 1976). In the design, baseline data would be collected during the phase
labeled Al, the regional boxing match. In the second phase (tri-team marathon),
B1, the intervention would be implemented in the first fight. It would be with-
drawn in the second fight of the tri-team match of the phase designated A2 to
determine if performance would deteriorate without intervention, which would
enhance the ability of the intervention to explain the behavior change, as opposed
to competing explanations or threats to internal validity (Campbell & Stanley,
1963). If performance again improved when the intervention was reimplemented
in the state competition of the last phase, B2, it would add support to the effec-
tiveness of the intervention.
It is recognized that the baseline observation, as well as observations at
other data collection points, might not be as lengthy as would be desired under
optimal research conditions. This may be a trade-off of data collection with actu-
al competitive sport behavior. Careful scrutiny of the results will be required in
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evaluating the effectiveness of the intervention as well as the utility of the design.
Table 1
Rating Scales Used by Athlete and Coach
rater reliability could be achieved for the punch counting. Of 15possible rounds,
12 were N l y boxed (one fight ended with a knockout in the first round). The
counters were positioned diagonally opposite each other; both counted the same
fighter but alternated fighters after each round (e.g., round 1-blue corner fight-
er, round 2-red comer, round 3-blue comer).
In order to understand how "A's" punching patterns in relation to his
opponents might contrast with those of other boxers, we selected five fights again
by lot in which the counters assessed the number of punches thrown for one op-
ponent each. The counters alternated fighters after each round. In "A's" fights
it was possible to have only two counters. Therefore one assessed the number
of punches thrown by "A" and the other the number of punches thrown by his
opponent. The counters alternated targets after each round.
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Intervention Procedures
Following the collection of baseline data, the first procedure to be used involved
hypnosis, which will be discussed more fully later. Exaggerated claims have been
made for the use of hypnosis with athletes, and many have been reviewed else-
where (Heyman, 1984). Certainly Morgan's research (Morgan & Brown, 1983)
and Dishman's review (1980) add to this caution.
"A" had been in hypnosis research projects, and with a score of 10 on the
Harvard Group Scale of Hypnotic Susceptibility (Shor & Orne, 1962) he was
a good candidate for such an approach. Many simply wouldn't be responsive
enough to hypnosis to make its use worthwhile. Following several sessions in
which hypnosis was achieved with sufficient depth to proceed, a suggestion, de-
veloped by "A," of a mute button was used. "A" could push this button and
silence the crowd noise. Three hypnotic sessions lasting an average of 30 minutes
each were employed to develop and maintain the image. Approximately 6 hours
of training involving shadow boxing and sparring were utilized with this image
until "A" reported he felt it worked perfectly each time for 10 consecutive rounds
of sparring.
For purposes of brevity, only a basic overview of the use of hypnosis
described above is presented. As this was not a standardized experimental design
across subjects but an individualized approach for a particular individual, it could
not be replicated with another individual. (One purpose of this paper is to indi-
cate possibilities for the evaluation of such individualized approaches. I will be
happy to provide additional details on request.)
At the same time, in discussing hypnosis it is important to note that virtual-
ly all responsible professional organizations concerned with the use of hypnosis
(e.g., the Society for Clinical and Experimental Hypnosis, the Division of Psy-
chological Hypnosis [Division 301 of the American Psychological Association)
require professional backgrounds for training in the use of hypnosis, both for
research and applications. There exists a possibility of paradoxical reactions in
subjects, that is, unexpected, adverse reactions to hypnosis (e.g., MacHovec,
1986), as well as unethical uses of hypnosis (e.g., Kline, 1972). This report is
not meant to slight these and other serious considerations in the use of hypnosis,
or to suggest its use to untrained individuals.
Finally, it should be noted that as the tri-team competition approached, "A"
became increasingly uncomfortable with first using and then discontinuing the
intervention. He wanted to use it during both fights. After much discussion, "A"
agreed to use it in the second fight but not the first. This would help us both
understand how effective in fact the intervention would be.
amateur boxing, where points are awarded for the number of cleanly landed
punches, the aggressiveness of one fighter in terms of the number of punches
thrown seems likely to force the other fighter to escalate his own aggressiveness.
The baseline data collected on "A" and his opponents for the regional
tournament showed that during the elimination fights, when the crowd was mini-
mal and the noise level was relatively low, "A" won both contexts, with punch-
ing patterns similar to those in the previously described fights (see Figure 1).
In the quarterfinal fight the auditorium was approximately half full and relatively
noisy. "A" expected to lose the fight as his punching was inhibited. His oppo-
nent became quite confident and, during the third round, he consistently dropped
his guard. "A" was able to stun him with one punch, and a follow-up punch
dazed him sufficiently for the fight to be stopped (see Figure 2). Such a fortui-
tous situation did not occur for "A" in the semifinal fight. The crowd nearly
filled the auditorium, and the noise was often a roar. "A's" punches declined
dramatically and he lost by a wide and unanimous decision (see Figure 2).
In the tri-team competition "A" lost a unanimous decision in the first bout
(see Figure 3). The auditorium was small but crowded, and the noise echoed loud-
ly. "A's" pattern was similar to that of the noisy fights in the regional competi-
tion. When the hypnotic suggestion intervention was activated on the second day
for the second fight, "A's" performance was notably better during the first two
rounds. After the second round, however, "A" reported to his coach, "the but-
ton stopped working" (see Figure 3). His performance declined in the third round.
Round
opponent subject
first elimination - subject won
unanimous decision
Final Evaluations
For the state competitions following the systematic desensitization, the first two
of "A's" elimination fights were relatively quiet as there were few attendees
in a large auditorium. He won both by decision. Punches thrown were consistent
with his previous patterns in quiet fights. The quarter and semifinal fights had
considerably larger crowds, and more noise, comparable to the noise at previ-
ously described noisy fights. Although the subject won one and lost one fight
by decision, his punching pattern now closely matched that of his opponent, and
unlike preintervention noisy fights, his punched increased across rounds.
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I
0I I I
I 2 3
Round
opponent subject
quarterfinal - subject won in 3rd
by knockout
semifinal ---- -,- subject lost
unanimous decision
Figure 4 shows the average number of punches per round1 for pre- and
posttreatment noisy and quiet fights, while Table 2 contains descriptive statistics
on the mean number of punches thrown in pre- and posttreatment quiet and noisy
rounds. While a modest improvement is made for quiet fights, a far more dra-
matic improvement is noted in noisy fights.
It was also possible to analyze these patterns statistically. Pretreatment
observations revealed that the subject threw significantly more punches in quiet
(M = 61.O) as opposed to noisy (M = 53.87) fights, t (12) = 2.34, p < .05.
No significant difference was found for the posttreatment comparison of quiet
versus noisy fights, t (13) = 1.43, p < .15. Following the treatment interven-
tion, the subject was also found to throw significantly more punches both in quiet
fights (M pretreatment = 61.0; M posttreatment = 72.3), t (10) = 2.92, p <
Working With an Amateur Boxer 217
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I 2 3
Round
1st bout
no intervent~on
2 nd bout
opponent
-
after intervention '-'-
-
subject
-,-
subject lost
unanimous decision
sub'ect won
splil decision
1 2 3
Round
Table 2
Mean Number of Pre- and Posttreatment Punches Thrown
in Quiet and Noisy Rounds
Table 3
Comparisons of Pre- and Posttreatment Noisy Fight Ratings
Coach's3
offense 8 4.37 1.18 9 7.88 1.26 5.87 <.001
Coach's
defense 8 5.25 .88 9 8.44 .72 8.17 <.001
Subject's
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ln refers to number of rounds; 2alldf = 15; 3offenseand defense ratings range from 0 =
nonexistentto 10 = extremely good; anxiety ratings range from 0 = none to 10 = unbearable
(can't move).
Table 4
lntercorrelations of Assessed Variables
nificant for offense, z = 4.69, p < .0 1, and for defense, z = 5.00, p < .01.
Discussion
This paper presents a number of issues concerning the development and evalua-
tion of interventions relating to performance enhancement. The consultation
process provided several problematic issues. Initially a coach approached, want-
ing an athlete's behavior changed without first having consulted with the athlete.
The coach also attempted to specify an intervention. These were easy to deal with
in this case. In separate interviews with the athlete it was obvious he was eager
for help. Explanations of the need for an accurate assessment of the situation and
of the possibilities involved in the utilization of interventions resolved the second
problem.
Only after a lengthy interview did the athlete disclose the true nature of the
problem. This is not uncommon in counseling situations. Perhaps more often,
in sport psychology, the real problem may not be known by coach or athlete and
it may take considerable time to discover the situation. Prepackaged strategies
such as relaxation and visual imagery may not address the real issues.
Neither the coach nor the athlete were aversed to the use of an evaluation
strategy; in fact, the ability of this approach to provide meaningful information
was valued by them both. However, the collection of baseline data conflicted
with the speed at which they wanted to proceed. It presented a critical situation.
Initially our positions could not be reconciled, and if they had found another in-
dividual with whom they felt comfortable and who could have met their needs,
I likely would not have seen them again. I clearly wanted to work on this intrigu-
ing problem, but not without the opportunity to evaluate the intervention.
The last of the issues relating to conflicts between the intervention and
the evaluation was the most difficult to resolve. A research design was planned
to approximate an A-B-A-B design. The issue of treatment withdrawal in such
designs has been and remains controversial (Hersen & Barlow, 1976). It became
clear that the athlete in this case, had he used and found the intervention effec-
tive, would have been reluctant to discontinue its use. It would have been im-
possible to convince him to do otherwise. His agreement not to use the intervention
in the first of his two tri-team matches was fortuitous. "A" was motivated in
part by his curiosity to see the comparative effectiveness of the intervention. He
also sensed the importance of the research design to me, and as we had devel-
oped a good rapport he agreed partly for personal reasons.
Working With an Amateur Boxer 221
(the state competition). It seems clear from the figures, the ratings, and the inter-
relationships that improvements in "A's" performance most likely came about
as a result of the interventions, not alternative factors (Campbell & Stanley, 1963).
The intervention could not have been a packaged design. It had to be specifically
developed and adjusted for this athlete as necessary.
Perhaps the most critical information was provided by the collection of
data at the tri-team bouts. The differences in "A's" punching patterns between
fights, in the face of fairly constant noise and similarly qualified opponents, pointed
to the effectiveness of the interventions. The change in the third round of the
second fight pointed to the need for additional interventions. The attributions "A"
had developed for hypnosis motivated a second type of intervention. It may be
asked if in fact a systematic desensitization program would have been more ef-
fective than the hypnosis, or if the combination of the two interventionswas nec-
essary for the final result. Given its imperfections, this design cannot answer these
questions.
If an intervention had been attempted without data collection, the pattern
of relationships for the athlete's behavior, his opponents' behaviors, and the sub-
jective ratings would never have been known. Less systematic evaluations would
not have provided as clear a picture of the patterns. This project suggests that
similar designs can be implemented not only for boxers but for other sports as well.
This particular intervention had associated issues not discussed here. For
example, helping to improve a boxer's performance could expose him to greater
risk or help him to hurt someone else. These ethical issues have been discussed
elsewhere (Heyman, 1985).
Although not directly related to the major focus of this paper, some suggested
relationships within the sport of boxing emerge as well. It would appear that with
equally matched opponents, as one individual escalates his attack by throwing
more punches, the opponent will likely respond in a similar way. It also appears
that offensive and defensive skills may be related to each other.
This paper should conclude by returning to its initial theme. Sport psy-
chology must find ways to bridge a perceived gap between research and applica-
tions. Developing successful interventions will depend on the assessment of the
problem situation and the needs of the athlete. Evaluations of such interventions
may have to be given a higher priority by those developing the interventions,
and yet reflect realistic considerations of sport situations. The ability of sport
psychology to develop a solid base for itself as a useful adjunct to the sport situa-
tion may well depend on how viably these issues can be addressed.
Certainly initial attempts such as the one presented in this paper will only
point toward possibilities. Over time, it is to be hoped the intervenor/evaluator
will develop better and more comprehensive approaches.
References
Allison, M.G., & Ayllon, T. (1980). Behavioral coaching in the development of skills
in football, gymnastics, and tennis. Journal of Applied Behavior Analysis, 13,
297-314.
Campbell, D.T., & Stanley, J.C. (1963). Experimental and quasi-experimental designs
for research. Chicago: Rand McNally.
Danish, S.J., & Hale, B.D. (1981). Toward an understanding of the practice of sport
Downloaded by R B Draughon Library on 09/17/16, Volume 1, Article Number 3
Shor, R.E., & Orne, E.C. (1962). Harvard Group Scale of Hypnotic Susceptibility. Palo
Alto, CA: Consulting Psychologists' Press.
Siedentop, D. (1980). Two cheers for Rainer. Journal of Sport Psychology, 2, 2-4.
Silva, J.M. (1982). Performance enhancement through cognitive intervention. Behavior
Modification, 6 , 443-463.
Smith, M.L., & Glass, G.V. (1977). Meta-analysis of psychotherapy outcome studies.
American Psychologist, 32, 752-760.
Thomas, J.R. (1980). Half a cheer for Rainer and Daryl. Journal of Sport Psychology,
2, 266-267.
Webb, E.J., Campbell, D.T., Schwartz, R.D., Sechrest, L., & Grove, J.B. (1981). Non-
reactive measures in the social sciences. Boston: Houghton Mifflin.
Wolpe, J., & Lazarus, A.A. (1966). Behavior therapy techniques. New York: Pergamon.
Downloaded by R B Draughon Library on 09/17/16, Volume 1, Article Number 3
Wysocki, T., Hall, G., Iwata, B., & Riordan, M. (1979). Behavioral management of
exercise: Contracting for aerobic points. Journal of Applied Behavior Analysis, 12,
55-64.
Zaichowsky, L.D. (1980). Single case experimental designs and sport psychology research.
In C.H. Nadeau, W.R. Halliwell, K.M. Newell, & G.C. Roberts (Eds.), Psychol-
ogy of motor behavior and sport-1979 (pp. 171-179). Champaign, IL:Human Ki-
netics.
Notes
Portions of this paper were presented at the 1983 meeting of the North American
Society for the Psychology of Sport and Physical Activity, East Lansing, Michigan, May,
1983.
'Separate figures are available for each competition. For the purpose of brevity,
only some of the figures are presented. The others can be obtained by writing the author.
=It should be noted that the same pattern of significant relationships emerges if
the data from the regional competition are not included. Further, if the data are treated
nonparametrically, with median splits for numbers of punches and ratings related to pre-
and posttreatment performance, tested by Fisher's Exact Test, the same pattern of sig-
nificance emerges, with significant associations between better performance, better rat-
ings, and lower anxiety posttreatment.