1-3🍎Phobias- Psychopathology PAPER1 Flashcards

1
Q

Phobia Definition

A

persistent, excessive or unreasonable fear of something to the point of impairment

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2
Q

Specific or simple phobia

A

-centre around particular object, animal, situation or activity
-often start during childhood or adolescence and may become less severe as you get older

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3
Q

Specific or simple phobia example

A

-Animal: dogs, spiders, snakes
-Environmental: heights, deep water, small spaces
-Situational: visiting dentist, flying
-Bodily: blood, vomit, injections

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4
Q

Complex phobias

A

-tend to be more disabling than simple phobias
-usually develop during adulthood often associated with deep rooted fear or anxiety about a particular situation or circumstance

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5
Q

Most common complex phobia

A

-agoraphobia
-fear of open spaces, much more complex
-may feel anxious about being in a place or situation where escaping may be difficult if they have a panic attack
-they avoid being alone, being in crowded places, travelling on public transport

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6
Q

Characteristics of phobia (or OCD or Depression)

A

Behavioural
Emotional
Cognitive

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7
Q

Behavioural characteristics

A

-things somebody does, observable
-e.g avoiding going places where they might be faced with stimulus they have phobia of

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8
Q

Emotional characteristics

A

-things somebody feels
-e.g feeling extremely nervous and scared

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9
Q

Cognitive characteristics

A

-things somebody thinks or cognitive process
-e.g not being able to pay attention to anything other than the phobic stimulus

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10
Q

symptoms of P.H.O.B.I.A.S

A

Panic
High levels of anxiety
Out of proportional fear
Beliefs which are irrational
Irrational and immediate fear
Avoidance
Selective attention

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11
Q

Panic

A

-behavioural characteristic
-sometimes when people come face to face with their fear, they panic, stress, sometimes so intense they freeze, part of fight or flight

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12
Q

High levels on anxiety

A

-emotional characteristic
-severe panic, people may feel confused, afraid, withdrawn

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13
Q

Out of proportional fear

A

-emotional characteristic
-response is excessive in relation to danger actually posed

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14
Q

Beliefs which are irrational

A

-cognitive characteristic
-phobia defined by their irrational beliefs towards object or situation
-eg person with arachnophobia may think all spiders deadly even tho no deadly spiders in UK

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15
Q

Irrational and immediate fear

A

-emotional characteristic
-emotional response triggered by presence or anticipation of specific object or situation

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16
Q

Avoidance

A

-behavioural characteristic
-if person with phobia presented with object or situation they fear, immediate response is to avoid it

17
Q

Selective attention

A

-cognitive characteristic
-if person with phobia is presented with object of situation they fear, they will find it difficult to direct attention elsewhere
-become fixated on the object because of irrational beliefs about the danger posed

18
Q

Mowrers two process model (1947)

A

-suggested how we might both learn and maintain a phobia using two forms of conditioning put forward by behaviourists

19
Q

Initiation of phobia

A

-phobia caused by classical conditioning
-phobias can be learnt by association, often involving a traumatic event

20
Q

Maintenance of phobia

A

-maintained through operant conditioning
-the ongoing avoidance prevents unpleasant physical response and reinforces association

21
Q

Phobia of sea initiated by classical conditioning

A

BEFORE
neutral stimulus: sea = no response
unconditioned stimulus: drowning = unconditioned response: fear
DURING
neutral stimulus: sea + unconditioned stimulus: drowning = unconditioned response: fear
AFTER
conditioned stimulus: sea = conditioned response: fear

22
Q

what does classical conditioning struggle to explain

A

-struggles to explain why our phobias do not decay over time
-eg it is unlikely that you will be bitten or barked at by every dog you encounter therefore it would be reasonable to assume that our phobia should weaken eith every friendly dog we come across
-however most phobias are long term

23
Q

CASE STUDY- Little Albert

A

-Watson (1920) wanted to build on Pavlovs classical conditioning research to show emotional reactions could be conditioned in people
-Watson and Rayner exposed little albert to series of stimuli, including a rat, rabbit, monkey mask
-initially albert showed no fear
-next time exposed to the stimuli, Watson made loud noise by hitting metal pipe, naturally the little boy started to cry and be scared
-after repeating this multiple times, little albert was conditioned to associate the white rat with the fear caused by the loud noise

24
Q

Operant conditioning in phobias

A

-phobias csn be negatively reinforced, behaviour strengthened because an unpleasant consequence is removed
1. If a person with a phobia of dogs sees one, the might cross the road to avoid the dog
2. this avoidance reduces feelings of anxiety and negatively reinforces their behaviour
3. anxiety reduction reinforces irrational belief that makes the person more likely to repeat this behaviour (avoidance)
4. as a result a person will continue to avoid dogs and maintain their phobia
-phobia is maintained

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Stimulus generalisation in little albert experiment
-in addition to demonstrating that emotional responses coukd be conditioned to humans, also observed that stimulus generalisation had occurred -after conditioning, albert not only scared of white rat, but developed phobia of variety of small white furry objects such as fur coat
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Criticisms of little albert experiment
-experimental design not carefully constructed, did not develop object means to evaluate albert’s reactions, just relied on own subjective interpretations -unethical, no informed consent, no protection from harm
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Two process model STRENGTH- explanatory power
-good explanatory power which has remained valid since proposal in 1960 and went beyond awarding concept of classical conditioning to provide fuller explanation of phobias -Mowrer explained how phobias coukd be maintained over time and this had important implications for therapies identifying need for exposure -once patient prevented from practising their avoidance behaviour the behaviour ceases to be reinforced and so phobia improved -the application to therapy is a strength of the two process model -
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Two process model LIMITATION- incomplete explanation of phobias
-even if we accept classical and operant conditioning are involved in initiation and maintenance of phobias, some aspects require further explanation -Bouton (2007) points out evolutionary factors have important part in phobias but two process theory does not mention this -eg we easily acquire phobias of things thag have been a source of danger in our evolutionary past such as fears of snakes or dark, adaptive to acquire such fears -Seligman (1971) called this biological preparedness- innate predisposition to acquire certain fears -however more rare to acquire phobia of cars or guns which are more dangerous to us than snakes and dark, mostly because these are modern inventions we are not yet biologically prepared to learn fear responses towards them -problems of evolution and preparedness serious problem for two factor theory because shows more to acquiring phobias than simple conditioning
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Two process model LIMITATION- reductionist
-two process model is reductionist in its approach -behavioural explanations in general oriented towards explaining behaviour rather than cognition -fails to explain the role of cognition in phobic behaviours -two process model explains maintence of phobias in terms of avoidance -however we know that phobias also have cognitive element -some psychologist say social phobias caused by irrational thinking rather than unpleasant experience (classical conditioning)
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Systematic desensitisation
-uses counter conditioning to unlearn maladaptive response to situation or object by electing another response (relaxation) COMPONENTS 1. Anxiety hierarchy 2. Relaxation training 3. Exposure
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Anxiety hierarchy
first component -client and therapist work together to develop it -patient ranks phobic situation from least to most terrifying -might start with artificial stimuli and work up to live stimuli
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Relaxation training
-patient taught relaxation techniques such as: breathing techniques muscle relaxation strategies mental imagery techniques -as it is impossible to be both relaxed and afraid at the same time as one emotion prevent other, this is called reciprocal inhibition
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Exposure
final component -involves exposing patient to phobic situation while relaxed -patient starts at bottom of anxiety hierarchy -when patient can remain remain relaxed in presence of stimulus, they gradually progress onto next level -eventually they are completely relaxed in most feared situation; systematic desensitisation successful
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Flooding
-more extreme behavioural therapy -rather than exposing person to phobic stimulus gradually, exposed to most feared situation immediately -still taught relaxation techniques -person unable to avoid (negatively reinforce) their phobia -without option of avoidance, patient quickly learns thag phobic stimulus is harmless, extinctions occurs -techniques are applied to most feared situation through direct or imagine exposure such as virtual reality
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Flooding LIMITATION less effecting complex phobias
-flooding effecting for simple phobias such as arachnophobia, less effective for complex phobias such as agoraphobia -some psychologists suggest social phobias are caused by irrational thinking and not caused by unpleasant experience (classical conditioning) -therefore more complex phobias cannot be treated by behavioural treatments and msg be more responsive to other forms of treatment such as CBT which treats irrational thinking
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Flooding STRENGTH cost
-cost effective treatment phobias -research suggested flooding is equally effective as other treatments including systematic desensitisation and cognition therapies, but takes much less time to achieve positive results -strength because patients cure their phobias more quickly and therefore more cost effective for health service providers who do not have to fund longer options
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Flooding and systematic desensitisation LIMITATION symptom
-behavioural therapies is symptom substitution -although one phobia may be successfully removed through counter conditioning, another msg appear in its place -if symptoms treated and removed, underlying cause such as irrational thinking, may remain and simply resurface under new guise -research in this area is mixed however heavily disputed by behaviourists
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