“…An alternative approach to systematic desensitization used a technique termed “flooding,” in which stimuli that evoke intense fear responses are presented to the client immediately, without progression up a hierarchy and without pairing an incompatible response (Marks, 1972; Morganstern, 1973). The literature on the effectiveness of flooding techniques is more mixed than that of systematic desensitization, partly due to the confounding of flooding with implosive therapy, which involves imaginal exposure to extreme and unrealistic stimuli (Morganstern, 1973; Smith, Dickson, & Sheppard, 1973). Some studies have demonstrated the relative effectiveness of flooding over systematic desensitization (Boulougouris, Marks, & Marset, 1971; Marks, Boulougouris, & Marset, 1971; Marshall, Gauthier, Christie, Currie, & Gordon, 1977; see Smith, Dickson, & Sheppard, 1973 for a review), while others have reported mixed results and raised ethical concerns over the use of flooding in anxious clients (Morganstern, 1973).…”