ABSTRACT

While psycho-social research in this field must give priority to discovering the most efficient and viable means of treating a fear of flying, there are two other factors that require discussion. Firstly, regardless of the scientific merit of the different types of interventions, it is now well established that people affected by a fear of flying can obtain some symptomatic relief through a range of options (Tortella-Feliu and Rivas, 2001; Ost, Brandenberg and Aim, 1997; Bor, Parker and Papadopoulos, 2001; Capafons et al., 1999; Rothbaum and Hodges, 1999; Capafons, Sosa and Avero, 1997; Klein, 1999; Doctor, McVarish and Boone, 1990; Greco, 1989; Muhlberger et al., 2001; Capafons, Sosa and Vina, 1999), including programmes run by professional behavioural therapists of one kind or another as well as lay operators. Such programmes are sometimes sponsored by voluntary organisations or by private entrepreneurs. The responsibility for determining the different components of a programme is not necessarily confined to professionals. This mixture of

lay and professional in organising programmes raises challenges in relation to a duty of care to clients and accountability for the services being provided to the public (Jones, 2000).