phobias Flashcards

1
Q

what is a phobia?

A

an irrational fear of an object or a situation

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2
Q

what is a clinical phobia?

A

a phobia that is classed as a mental disorder

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3
Q

what phobias does the DSM-5 recognise?

A
  • specific phobias (e.g. of an object or a situation)
  • social anxiety (e.g. fear of social situations like using a public toilet)
  • agoraphobia (being outside or in a public place)
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4
Q

what are the 3 behavioural characteristics of phobias?

A

panic
avoidance
endurance

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5
Q

what is the behavioural characteristic ‘panic’?

A

an individual may panic in response to a phobic stimulus. this is behaviour like running away, crying, screaming, or in a child, being clingy or freezing

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6
Q

what is the behavioural characteristic ‘avoiance’?

A

it is when an individual goes to a lot of effort to avoid coming into contact with the phobic stimulus. this can make it hard to go about daily life.

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7
Q

what is the behavioural characteristic ‘endurance’?

A

it is when a sufferer may remain in the presence of the phobic stimulus but continue to experience high levels of anxiety. this may be unavoidable sometimes.

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8
Q

what is the emotional characteristic ‘anxiety’?

A

phobias are classified as anxiety disorders they involve an emotional response of anxiety and fear. this prevents the sufferer from relaxing and difficult to experience positive emotion. anxiety can be long term, fear is the immediate response to thinking about the phobic stimulus.

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9
Q

what are the cognitive aspects of phobias?

A

this is about the way people process information- phobias involve someone processing information about the phobic stimuli differently from other objects or situations

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10
Q

what are the 3 cognitive characteristics of phobias?

A

selective attention to the phobic stimulus
irrational beliefs
cognitive distortions

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11
Q

what is the cognitive characteristic ‘selective attention to the phobic stimulus’?

A

if a sufferer can see the phobic stimulus, it hard not to look at it. normally, paying attention to a threat or something dangerous is a good thing but not when the fear is irrational

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12
Q

what is the cognitive characteristic ‘irrational beliefs’?

A

a phobic may hold irrational beliefs in relation to phobic stimuli

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13
Q

what is the cognitive characteristic ‘cognitive distortions’?

A

perceptions of the phobic stimulus may be distorted

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14
Q

how does the two process model explain phobias?

A

the two-process model suggests that phobias are acquired but classical conditioning and then continue due to operant conditioning

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15
Q

what is the first part to the two process model ‘acquisition by classical conditioning’?

A

this involves learning to associate something of which we initially have no fear of (neutral stimulus) with something that already triggers a fear response (an unconditioned stimulus)

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16
Q

what is an example of acquisition by classical conditioning (little albert study)?

A
  • the noise is an unconditioned stimulus that creates an unconditioned response of fear
  • when the rat, a neutral stimulus and the unconditioned stimulus (noise) are experienced together, the neutral stimulus is associated with the unconditioned stimulus (noise) and both now produce a fear response
  • the rat now becomes a conditioned stimulus that produces a conditioned response of fear.
17
Q

what is the second part of the two-process model maintinence by operant conditioning?

A
  • responses acquired by classical conditioning tend to decline over time, but phobias are often long lasting (due to operant conditioning).
  • whenever we avoid a phobic stimulus we escape fear/anxiety, and this enforces the avoidant behaviour, so the phobia is maintained.
18
Q

AO3: how is ‘real life application’ a strength to the two-process model?

A

one strength to the two-process model as an explanation of phobias is that is has real life application. this is because this theory has led us to develop behavioural therapies such as systematic desensitisation. this is when individuals are exposed to the phobic stimulus through a hierarchy of the least anxiety inducing to the most anxiety inducing over s range of sessions whilst being taught relaxation techniques to reduce the anxiety. therefore, the two process model has helped us to develop new behavioural therapies that have proven that new emotional responses can be learned by individuals.

19
Q

AO3: how is ‘supporting evidence’ a strength to the two-process model?

A

one strength to the two process model as an explanation for phobias is that there is supportive evidence. for example, De Jong found that 73% of those with a dental phobia had experiences a traumatic experience usually within dentistry. they also found that 21% of people who had low dental anxiety had also experienced a traumatic event. this suggests that people do associate negative experiences with something they never initially had a fear of, and they avoid it to avoid the fear that comes with it. therefore, this supports the idea that phobias can be explained by the two-process model.

20
Q

AO3: how is ‘it has a limited scope’ a limitation to the two process model?

A

one limitation to the two process model as an explanation for phobias is that it has a limited scope. this means that this explanation doesn’t help us to understand why individuals are more likely to develop phobias of some objects and situations than others. it seems that there is some sort of preparedness to develop phobias to some objects and not other objects. for example, Seligman suggested that we have an innate predisposition to acquire certain fears as some objects were more of a threat to us in our evolutionary history. therefore, this explanation has a limited scope as it doesn’t account for possible biological and evolutionary impacts on our behaviours and development.

21
Q

AO3: how is ‘partial explanation’ a limitation to the two process model?

A

one limitation to the two process model as an explanation of phobias is that it is a partial explanation. This is because this explanation doesn’t account for any cognitive aspects of the theory. Research has found that phobias are not simply avoidance responses and instead suggest they have a more significant cognitive component that the two-process model is unable to explain. for example, individuals with phobias tend to hold irrational beliefs about the phobic stimulus or object, which is a cognitive characteristic. therefore, this suggests that there is more to the acquisition and maintinence of phobias than just conditioning of the behaviour.

22
Q

what are the 2 parts of the behavioural approach to treating phobias?

A

systematic desensitisation
flooding

23
Q

what is systematic desensitisation?

A

it is a behavioural therapy designed to reduce an unwanted response such as anxiety, this involves drawing up a hierarchy of anxiety provoking situations related to a persons phobic stimulus, where the person is taught a selection of relaxation techniques to use before they are exposed to the different hierarchy’s of the phobic stimulus whist maintaining relaxation.

24
Q

how does systematic desensitisation use counterconditioning?

A

this is when the individual has to maintain the relaxation whist in the presence of the phobic stimulus as it is impossible to be afraid and relaxed at the same time (reciprocal inhibition)

25
what are the 3 processes involved in systematic desensitisation?
anxiety hierarchy relaxation exposure
26
what is the process ‘anxiety hierarchy’?
it is put together by the patient and therapist and it is a list of situations related to the phobia that provoke anxiety arranged in the order of least frightening to most frightening
27
what is the process ‘relaxation’?
it is when the therapist teaches the patient to relax deeply (e.g. breathing exercises, learning mental imagery techniques, meditation, relax using drugs (valium)
28
what is the process ‘exposure’?
it is when the patient is exposed to the phobic stimulus whilst relaxed
29
how do you know when systematic desensitisation has worked?
the treatment is successful when the patient has made heir way through the anxiety hierarchy whilst being relaxed and that the most feared on the anxiety hierarchy the patient is able to stay relaxed whilst being in the presence of it?
30
what is flooding?
it is a behavioural therapy where a person with a phobia is exposed to an extreme form of the phobic stimulus in order to reduce anxiety triggered by that stimulus, this takes place over a small number of longer therapy sessions
31
how does flooding stop fear?
it stops fear quickly because without avoidance behaviour the patient quickly learns the phobic stimulus is harmless
32
how can flooding be seen as slightly unethical?
it isn’t stated as unethical however it is unpleasant so patients must give fully informed consent
33
AO3: how is ‘effectiveness’ a strength to systematic desensitisation?
one strength to systematic desensitisation as a treatment to phobias is that it is effective. for example, Gilroy compared a group of 42 patients who had 3 45 minute sessions of systematic desensitisation for a spider phobia. they were compared to a control group who had relaxation training but no exposure and found that after 3 and 33 months, the systematic desensitisation groups were less fearful. therefore, this supports the idea that systematic desensitisation is an effective way to treating phobias.
34
AO3: how is ‘practical issues' a limitation to systematic desensitisation?
one limitation to systematic desensitisation as a treatment to phobias is that it has practical issues. this is because critics of systematic desensitisation have said that the key part of the therapy is the end exposure to the phobic stimulus. this means that they believe that the gradual nature of the therapy is unnecessary. therefore, this suggests that flooding may be in fact a more effective treatment for phobias. however, by slowly going through the phobic stimulus, it makes the therapy less stressful and it is seen as more ethical to the participants.
35
AO3: how is ‘effectiveness’ a strength to flooding?
one strength to flooding as a treatment for phobias is that it is seen to be effective. for example, researchers have found that when comparing systematic desensitisation and flooding, it is found that flooding tends to be more effective. this means that it is more cost effective as it is much quicker compared to systematic desensitisation and is highly effective. therefore, this means that patients are free from their symptoms quicker and it is more cost effective on both the patients and the NHS.
36
AO3: how is ‘its less effective for some phobias’ a limitation to flooding?
one limitation to flooding as a treatment for phobias is that it is less effective for certain phobias. for example, flooding is less effective for phobias such as agoraphobia or social phobias. this is because some psychologists suggest that social phobias are caused by irrational thinking and are not caused by unpleasant experiences. therefore, more complex phobias may benefit from and respond better to other forms of treatment such as CBT.