behavioural approach treating phobias Flashcards

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1
Q

what are the two treatments for phobias

A
  • systematic desensitisation
  • flooding
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2
Q

what is systematic desensitisation

A
  • designed to reduce phobic anxiety through gradual exposure to phobic stimulus
  • relies upon principle of counterconditioning
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3
Q

whats the process of systematic desensitisation

A
  1. anxiety hierarchy = patient and therapist draw up anxiety hierarchy together ordered from least to most nerve-wracking
  2. relaxation techniques = breathing techniques or mental imagery techniques to practice relaxation, works on principle of reciprocal inhibition meaning you can’t be relaxed and anxious at the same time
  3. working through hierarchy = they work their way up each level of the hierarchy using the relaxation techniques, not moving up to the next level until fully ok with the current level
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4
Q

what is flooding

A
  • immediate exposure to highly phobic stimulus
  • works on the idea that without the option of avoidance behaviour, extinction occurs, OR anxiety cannot be maintained and so you are no longer fearful
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5
Q

evaluate systematic desensitisation

A
  • suitable for many patients = some people may not be able to make the full cognitive commitment associated with CBT
  • Gilroy = at both 3 and 33 months systematic desensitisation group of 42 patients showed reduction in symptoms compared to control group of 50 who used just relaxation techniques
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6
Q

evaluate flooding

A
  • less time and money commitment = in some cases one session may be enough to eradicate symptoms or if not it may only take a few session meaning it takes less time and less money
  • may not work for all phobias = social phobias include a cognitive aspect rather than just anxiety response and therefore CBT may be a more suitable treatment for this
  • traumatic = can be traumatic for patients and they may leave before the end of the session or avoid the session all together
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