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The article reports on a self-directed approach to the treatment of a complex neurosis with implosive therapy (IT). It demonstrates or investigates the effectiveness of IT in the treatment of psychological disorders typically have dealt with relatively simple, identifiable fears. This paper describes the self-directed treatment of a "complex" and debilitating neurosis, in which identification of the conditioned stimuli was based upon dynamic inferences. The results of the study support the use of dynamic formulations to develop a behaviorally oriented treatment program.

The article presents a note on an experimental scoring system for the inside test. The author several years ago, wherein the subject's productions were scored as to interpretation, approach, solution and effect, presented an experimental scoring system for Sargent's Insight Test. Reliabilities as high as being shown, the present study was done in order to investigate validity. Two groups of 30 subjects each were given the test in the usual written form. The experimental group consisted of hospitalized mental patients, with diagnoses in neurotic or psychotic categories; the comparison group, applicants for attendant positions in a different mental hospital. All such applicants were being routinely screened by the hospital with interviews and some projective testing. The obtained results show no differences significant at the 5% level or better.