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Chapman And Delapp Flashcards

1
Q

What is the aim of the study?

A

To increase insight into ‘active mechanisms of change’ during sessions of Immanuelized applied tension and cognitive behavioral therapy (CUBI)

Focused on an adult male with specific phobia

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2
Q

What type of study design was used?

A

Case study collecting both quantitative and qualitative data

Utilized self-reports and diagnostic interviews

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3
Q

Who was the subject of the case study?

A

A 42-year-old Hispanic male called Mr. T

Had a long history of medical issues and specific phobia

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4
Q

What medical condition did Mr. T have?

A

A tear of medical stations and specific phobia related to medical procedures

Experienced anxiety related to blood tests

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5
Q

What were Mr. T’s physical symptoms of anxiety?

A

Racing heart, hot flashes, cold chills, dizziness, unsteadiness, fainting

Symptoms perceived as dangerous

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6
Q

What emotional responses did Mr. T experience?

A

Guilt and shame

Resulting from his inability to attend regular medical appointments

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7
Q

What assessment tools were used in the study?

A

Self-report questionnaires and a diagnostic interview

Confirmed his specific phobia

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8
Q

What was the reported level of anxiety in Mr. T’s assessment?

A

Low anxiety

Assessed over a 12-month period

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9
Q

Fill in the blank: The study aimed to understand _______ during sessions of Immanuelized applied tension.

A

active mechanisms of change

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10
Q

True or False: Mr. T had a child with autism spectrum disorder.

A

True

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11
Q
A
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12
Q

What does the Beck Anxiety Inventory (BAI) assess?

A

21 items rated from 0-3 for anxiety levels

The BAI is a commonly used self-report questionnaire for measuring anxiety.

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13
Q

How many items are in the Fear Survey Schedule II (FSS-II) and what does it measure?

A

Assesses fear towards 51 objects/situations; items rated on a 7-point scale

The FSS-II evaluates various fears to understand anxiety disorders.

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14
Q

What sensations does the Blood-Injection Symptom Scale (BISS) assess?

A

17 items assessing sensations experienced during situations involving blood or injections

The BISS is used to evaluate specific fears related to blood and injections.

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15
Q

What was T’s baseline score on the Beck Anxiety Inventory?

A

41 (severe anxiety)

This score indicates a high level of anxiety at the start of assessment.

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16
Q

What was T’s score on the Beck Anxiety Inventory at the 12-month follow-up?

A

7 (low anxiety)

This indicates significant improvement in T’s anxiety levels.

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17
Q

What fear scores did T report at baseline for blood and death-related fears?

A

6 (‘terror’) for blood and 5 (‘very much fear’) for death-related fears

These scores reflect extreme fear responses in these areas.

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18
Q

What was T’s reported fear level for the items at the 12-month follow-up?

A

None of the items was scored as ‘very much fear’ or ‘terror’

This indicates a complete reduction in fear responses over time.

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19
Q

How many items did T answer ‘Yes’ to on the BISS at baseline?

A

All 17 items

This suggests T experienced intense sensations related to blood or injections.

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20
Q

At the 12-month follow-up, how many sensations did T experience when exposed to medical-related stimuli?

A

4/17 sensations

The sensations included feeling anxious, heart pounding, feeling nauseous, and sweating.

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21
Q

What type of therapy did T complete and how many sessions?

A

Nine sessions of Cognitive Behavioral Therapy (CBT)

CBT is an evidence-based treatment for anxiety and phobias.

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22
Q

What manual did T use during his therapy sessions?

A

Mastering Your Fears and Phobias (MYFP) manual

This manual provides structured guidance for treating specific phobias.

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23
Q

What homework tasks did T complete between CBT sessions?

A

Reading assignments, practising applied tension, completing graduated exposure tasks

These tasks are designed to reinforce learning and desensitize fear responses.

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24
Q

What is the Phobic Encounter Record (PER) used for?

A

To rate anxiety from 0 to 100 and list thoughts, feelings, and behaviours during exposure

The PER helps track progress and identify patterns in anxiety responses.

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25
Fill in the blank: T completed _______ sessions of CBT.
nine ## Footnote This reflects T's commitment to the therapeutic process.
26
What does the Beck Anxiety Inventory (BAI) assess?
21 items rated from 0-3 for anxiety levels ## Footnote The BAI is a commonly used self-report questionnaire for measuring anxiety.
27
How many items are in the Fear Survey Schedule II (FSS-II) and what does it measure?
Assesses fear towards 51 objects/situations; items rated on a 7-point scale ## Footnote The FSS-II evaluates various fears to understand anxiety disorders.
28
What sensations does the Blood-Injection Symptom Scale (BISS) assess?
17 items assessing sensations experienced during situations involving blood or injections ## Footnote The BISS is used to evaluate specific fears related to blood and injections.
29
What was T's baseline score on the Beck Anxiety Inventory?
41 (severe anxiety) ## Footnote This score indicates a high level of anxiety at the start of assessment.
30
What was T's score on the Beck Anxiety Inventory at the 12-month follow-up?
7 (low anxiety) ## Footnote This indicates significant improvement in T's anxiety levels.
31
What fear scores did T report at baseline for blood and death-related fears?
6 ('terror') for blood and 5 ('very much fear') for death-related fears ## Footnote These scores reflect extreme fear responses in these areas.
32
What was T's reported fear level for the items at the 12-month follow-up?
None of the items was scored as 'very much fear' or 'terror' ## Footnote This indicates a complete reduction in fear responses over time.
33
How many items did T answer 'Yes' to on the BISS at baseline?
All 17 items ## Footnote This suggests T experienced intense sensations related to blood or injections.
34
At the 12-month follow-up, how many sensations did T experience when exposed to medical-related stimuli?
4/17 sensations ## Footnote The sensations included feeling anxious, heart pounding, feeling nauseous, and sweating.
35
What type of therapy did T complete and how many sessions?
Nine sessions of Cognitive Behavioral Therapy (CBT) ## Footnote CBT is an evidence-based treatment for anxiety and phobias.
36
What manual did T use during his therapy sessions?
Mastering Your Fears and Phobias (MYFP) manual ## Footnote This manual provides structured guidance for treating specific phobias.
37
What homework tasks did T complete between CBT sessions?
Reading assignments, practising applied tension, completing graduated exposure tasks ## Footnote These tasks are designed to reinforce learning and desensitize fear responses.
38
What is the Phobic Encounter Record (PER) used for?
To rate anxiety from 0 to 100 and list thoughts, feelings, and behaviours during exposure ## Footnote The PER helps track progress and identify patterns in anxiety responses.
39
Fill in the blank: T completed _______ sessions of CBT.
nine ## Footnote This reflects T's commitment to the therapeutic process.
40
What is the focus of the psychoeducation session described?
Phobias, vasovagal syncope, self-monitoring, cognitive restructuring, thinking errors, graduated exposure
41
What is the purpose of the fear hierarchy created for T?
To prioritize objects and situations for treatment from greatest to lowest priority
42
How did T feel during his visit to the hairdressers earlier in the week?
Panicky, but remained in the situation and reflected on his thoughts until he felt calm
43
What scale did the therapist use to monitor T's anxiety?
Subjective Units of Discomfort Scale (SUDS)
44
What items did T buy to prepare for phobic encounters?
Blood pressure cuff and heart rate monitor
45
What was the highest rating on the fear hierarchy?
Doctors/hospital
46
What technique did the therapist explain to T to reduce the risk of fainting?
Applied tension (AT)
47
What was T's SUDS rating after watching YouTube videos of blood tests?
Increased from 30 to 35 and then dropped to 20
48
How did T describe his experience after item 1 on the fear hierarchy?
'Immense success'; SUDS was 40 and he said, 'it was fine'
49
Fill in the blank: T created a _______ to rate his level of distress.
ten-item fear hierarchy
50
True or False: T reported experiencing phobic encounters during the session.
False
51
What did T experience while watching the first video related to blood tests?
Slight nausea but not a big deal
52
What was T's SUDS score before the blood sugar test?
45 ## Footnote SUDS stands for Subjective Units of Distress Scale, which measures the level of distress.
53
What was T's SUDS score after pricking his finger for blood sugar testing?
20 ## Footnote This indicates a decrease in distress after the test.
54
How many times did T prick his finger during the blood sugar testing?
Three times ## Footnote He used applied tension (AT) for the first two tests but managed the third without it.
55
What was the SUDS score when T observed people giving blood at the blood bank?
65 before the procedure ## Footnote This score decreased to 30 within ten minutes after observation.
56
What was T's SUDS score after watching a second person give blood?
0 ## Footnote This indicates that he felt no distress after the observation.
57
What did T agree to do after observing blood donation?
Go for his own blood test ## Footnote He stated he would make an appointment for it.
58
What was T's SUDS score when he took his blood pressure for the first time?
55 ## Footnote This score dropped to 20 after he took it again.
59
What did T express about his blood pressure test after it was completed?
It went well; he only used AT at the start ## Footnote His SUDS peaked at 25 in a second test on his other arm.
60
What is the first step in the Applied Tension Procedure?
Find a comfortable chair ## Footnote This is the starting point for the procedure.
61
What should you do with your muscles during the Applied Tension Procedure?
Tense the muscles of your arms, torso, and legs ## Footnote This tension should be held for 10 to 15 seconds.
62
How long should you release the tension in the Applied Tension Procedure?
20 to 30 seconds ## Footnote This is part of the repeated cycle in the procedure.
63
How many times should the tension and release be repeated in the Applied Tension Procedure?
Five times ## Footnote This repetition helps in managing anxiety.
64
How did T feel after his final blood pressure check at the pharmacy?
He described his SUDS as rather low ## Footnote T stated he had 'never felt better in my life' and did not need further treatment.
65
What did T do four months after his treatment?
Thanked the therapist and booked several doctor's appointments ## Footnote This indicates he continued to manage his health positively.
66
What type of questionnaires did T complete twelve months post-treatment?
Follow-up questionnaires ## Footnote These were to allow comparisons between his baseline and follow-up scores.

Anxity And Fear Related Disorders (9 decks)

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