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Interesting video: http://www.youtube.com/watch?v=VtUatMghbHg
Follow up 25 years later: http://www.youtube.com/watch?v=TjjCzhrYJDQ&feature=related
I suspect the efficacy of this method depends a lot on the subject's ability to really bring forth the internal representations of the phobia (ie mental images, feelings, etc) so that they can be changed.