Phobias Flashcards
Behavioural characteristics of phobias
Panic
Avoidance
Endurance
Emotional characteristics of phobias
Fear
Anxiety
Cognitive characteristics of phobias
Irrational beliefs
Selective attention
Two process model
Phobia is initiated through classical conditioning
Phobia is maintained through operant conditioning
Classical conditioning
Learning through association.
Stimulus produces same response as another stimulus because they have been constantly presented at the same time.
Operant conditioning
Learning through the consequences of one’s behaviour
Positive reinforcement
Behaviour leads to a reward
Negative reinforcement
The behaviour stops something unpleasant.
Punishment
The behaviour leads to something unpleasant.
Two-process model evaluation + (stigma)
The model does not label; people with the stigma of being mentally ill. These labels can be damaging as they’re difficult to remove. Model is positive, perceiving phobias as incorrect responses that can be corrected.
Two-process model evaluation + King(1998)
Reviewed several case studies and found children acquire phobias after traumatic experiences with phobic object. Supports initiation of phobias through classical conditioning.
Two-process model evaluation -
Many people who have a traumatic experience, don’t develop a phobia. Classical conditioning does not explain all phobias.
Two-process model evaluation -
Some people are scared of an object but haven’t had a negative experience or encountered the object before.
Two-process model evaluation - biological
This model focuses on learning and the environment but does not take into account biological factors. Some people could have a genetic vulnerability to phobias.
Systematic Desensitisation
A behavioural therapy developed by Wolpe (1958) to reduce phobias by using classical conditioning. A person shows fear and anxiety to phobic object, SD replaces it with relaxed responses.
Central idea of SD
It is impossible to experience two opposite emotions at the same time- reciprocal inhibition. If patient can learn to remain relaxed in presence of phobia, they ca be cured. Called counter-conditioning.
Stages of SD
- Anxiety hierarchy is created
- Relaxation training- Patients are taught deep muscle relaxation techniques
- Gradual exposure - Work their way up anxiety hierarchy and use relaxation techniques. When comfortable with one stage, proceed to next. Eventually through repeated exposure with relaxation, phobia is eliminated.
Strengths of SD
- Jones (1942) supports use of SD to eradicate ‘Little Peter’s’ phobia. White rabbit, gradually closer, anxiety decreased each time. Developed affection eventually.
- Klosko et al (1990) supports use of SD. 87% of patients panic free after SD compared to 50% meds, 36% placebo abdominal 33% no treatment.
Weaknesses of SD
- time consuming as training and gradual exposure can take many sessions,
-not appropriate for more generalised phobias where there is no obvious target behaviour and so difficult to devise hierarchy
-Progress may not generalise outside of clinical setting without support of therapist
Flooding
Directly exposing patient to phobic object.
Patient is taught relaxation techniques beforehand.
No gradual buildup using hierarchy.
Immediate exposure to very frightening and extreme situation.
Flooding results
Stops phobic responses quickly because no option of avoidance, and quickly learn object is harmless thus extinction occurs.
Patients might achieve relaxation because they are so exhausted by their own fear response. Ethical but requires informed consent as causes psychological harm.
Evaluation of flooding +
Wolpe (1960) used flooding to remove a patient’s phobia of being in cars. She was forced into a car and driven around for four hours until her hysteria was eradicated. Demonstrates effectiveness of flooding.
Disadvantage of flooding
Highly traumatic experience, many patients might be unwilling to continue with therapy until the end. Time and money might be wasted preparing patients and then they can change their mind and phobia remains uncured.
Unsuitable for children bc trauma.
Behavioural treatments address symptoms of phobias.
Some critics believe symptoms are tip of the iceberg, claim that underlying causes of phobia will remain. In the future symptoms will return or symptom substitution will occur - where other abnormal behaviours replace ones that have been removed.