phobias Flashcards

1
Q

what is the DSM-5 classification of phobias?

A

phobias are classified by excessive fear and anxiety triggered by a object, place or situation, the fear is out of proportion to any real danger caused by the stimulus

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2
Q

what are specific phobias?

A

when a phobia is specific to a object or situation

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3
Q

what is social anxiety?

A

phobia of social situations

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4
Q

what is agoraphobia?

A

fear of being outside or being in public spaces

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5
Q

what are the behavioural characteristics?

A

panic, avoidance, endurance

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6
Q

give examples of panicked behaviour

A

crying, screaming, running away, freezing, clinging, tantrum

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7
Q

give examples of avoidant behaviour

A

avoiding contact with stimulus making it hard to live a normal life

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8
Q

give a example of endurance as a behaviour

A

a person remains in the presence of the stimulus but experiences high levels of anxiety

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9
Q

what are the emotional characteristics?

A

anxiety that is irrational to the stimulus

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10
Q

what are the cognitive characteristics?

A

selective attention to the stimulus, irrational beliefs, cognitive distortion

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11
Q

what are irrational belief s and what are their effects?

A

a persons beliefs in response to the stimulus are unreasonable and increase the pressure on the suffers to preform a behaviour

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12
Q

what is cognitive distortion?

A

when a persons perception of a stimulus is distorted

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13
Q

what behavioural explanation for phobias does Mowrer propose?

A

the two-process model, where phobias are learnt through classical conditioning and continue due to operant conditioning

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14
Q

who conducted the little Albert experiment?

A

Watson and Rayner

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15
Q

what was the control in the little Albert experiment?

A

at the start of the experiment at 9 months old Albert showed no unusual anxiety

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16
Q

what was the procedure of the little Albert experiment?

A

a white rat was shown to Albert and when it was shown a iron bar was banged behind Albert ear

17
Q

what were the findings of the little Albert experiment?

A

Albert developed a phobia of the white rat but also to other things such as small furry animals, fur coats, a santa clause beard, cotton balls

18
Q

how does negative reinforcement work to reinforce a phobia?

A

the desirable consequence due to the reduction in anxiety when moving away from the phobia making it more likely to be repeated

19
Q

what are the strengths of the two-process explanation?

A

it explains why phobias are maintained

important in therapy to stop reinforcement so as to cause a extinction of a phobia

20
Q

what are the weaknesses of the two process-explanation?

A

alternative explanation for avoidance- not motivated by anxiety but instead feelings of safety

21
Q

what does Bouton suggest evolutionary factors contribute to phobia and what does it support?

A

he suggests it has a important role in phobias due to biological preparedness where we have a innate disposition to acquire fears
phobias are not normally due to trauma
doesn’t explain cognitive factors
doesn’t include the SLT explanation for learning phobias

22
Q

what is systematic desensitisation?

A

a behavioural therapy that gradually reduces phobia anxiety thought he use of classical conditioning, where a new response is learned to a stimulus thus counterconditioning and reciprocally inhibiting the phobia

23
Q

what are the three processes of systematic desensitisation?

A

1) the anxiety hierarchy is identified
2) relaxation techniques are taught to the patient using breathing exercises, drugs, and mediation
3) the patient is exposed to the phobia stimulus whilst in a relaxed state starting at the anxiety hierarchy

24
Q

what are the strengths of systematic desensitisation?

A

it can be generalised to people with learning disabilities who may not be able to withstand flooding or CBT
less traumatic the flooding due to its use of relaxation so has a lower refusal and drop out rate

25
Q

what is the supporting evidence for systematic desensitisation?

A

Gilroy et al followed up 43 patients which were treated for arachnophobia who had 3 45min sessions of systematic desensitisation and assessed for levels of phobias using questionnaires, the control group was just taught relaxation, they found at both 3 and 33 months the treated group were less fearful

26
Q

what is a weakness of both systematic desensitisation and flooding?

A

phobia substitution

27
Q

what is flooding?

A

the immediate expose to a very frightening situation for a long period of time, stoping the phobic response quickly by stopping avoidance helping the patient to realise the stimulus is harmless therefore causing the extinction of behaviour

28
Q

what are the ethical safe guards used in flooding?

A

fully informed consent
right to withdraw
given the option of systematic desensitisation

29
Q

what are the strengths of flooding?

A

quicker and cost-effective

30
Q

what are the weaknesses of flooding?

A

less effective for some types of phobias which are more complex (social anxiety)
traumatic, high refusal and attrition rate