Behavioural Approach to TREATING PHOBIAS Flashcards

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1
Q

Properties of systematic desensitiation?

A
  • Counter conditioning
  • Relaxation
  • Desensitisation hierarchy
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2
Q

What is counter conditioning?

A

Patient is taught a new association and runs counter to the original

They are taught through classical conditioning to associate the phobia with a new response

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3
Q

What is relaxation?

A

Taught paitent to focus on breathing and slower breaths

Muscle relaxation

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4
Q

What is desensitisation hierachy

A

Works by introducing the person to the feared situation one at a time so it isn’t overwhleming

At each stage a patient practices relaxation techniques

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5
Q

What is step 1 of systematic desensitisation?

A

Patient is taught to relax their muscles completely

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6
Q

What is step 2 of systematic desensitisation?

A

Therapist and patient together construct a desensitisation hierarchy -

series of imaged scenes each one causing anxiety

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7
Q

What is step 3 of systematic desensitisation?

A

Patient gradually works its way with desensitisation hierarchy , using anxiety situation with relaxation

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8
Q

What is step 4 of systematic desensitisation?

A

Once patient is mastered one by one they can be relaxed

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9
Q

What is step 5 of systematic desensitisation?

A

Patient eventually mastered fear situation

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10
Q

The strength of systematic desensitisation

Effectiveness supported by research

A

Research found that SD is successful for the range of phobic disorders

e.g Mc Grath et al reported 75% of paitents with phobias respond to SD

Key to success appears to lie with actual contact with feared stimulus , invito techniques are more successful than using imagnary phobic stimulus

Often a number of different exposure techniques are involved

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11
Q

The strength of systematic desensitisation?

Patient chooses to undertake the treatment

A

Self -administered , proving it is a successful method

Demonstrated in randomised contact trial is a standard for clinical research

RCT individuals are allocating to receive one of the treatments under study

Also prove effective as therapist-guided therapy which makes it cheaper

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12
Q

Limitation of systematic desensitisation?

Not treating the cause

A

Not be reliable and appreiciate for all phobias

Demonstrated in Ohman et al as phobias have an underlying evolutionary survival context

Compared to developing phobias as a result of personal experience

Links back to different factors of the causes of phobias

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13
Q

What is the aim of flooding?

A

Try and level out anxiety when coming in terms with a phobia by using relaxation techniques learnt

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14
Q

What is procedure of flooding?

A
  1. Patient is taught how to relax their muscles completely
  2. Paitent masters the feared situation that is caused them to seek help in the first place
  3. Accomplished in a long session
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15
Q

Explain how would you use flooding for a phobia of cats

A
  • They are taught how to relax their muscles completely
  • Masters relaxation techniques caused thme to seek help in the first place
  • Putting in a room of cats
  • Fight of flight response kicks in and levels stress response soon - reduce irrational thoughts
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16
Q

What is strength of flooding?

A

Effective treatment and relatively quick (compared to CBT) - one session

e.g Choy et al reported both flooding and SD is effective but flooding is more effective treating phobias

17
Q

What is weakness of flooding?

A

Due to invidiual differences of peole

Appears to be highly traumatic procedure - psychological harm

May increase people to quit during the treatment

Reduces effectiveness

HOWEVER , people have been given INFORMED CONSENT - know exactly what is going to harm them

18
Q

Similarities of flooding and systematic desensitisation?

A

Relaxation techniques

Informed consent

19
Q

Differences between flooding and systematic desensitisation

A
  • SD: desensitisation hierachy - gradually works through each anxiety evolving event - can start all over again
  • Flooding: One relaxation technique , huge anxiety -evoking event
20
Q

Describe and evaulate behavioural approach to treatment of phobias

A
  • SD
  • Flooding
  • AO3 relative