Psychopathology 2: Phobias Flashcards

1
Q

What three questions about phobias could be asked in an exam?

A

-Characteristics
-Behavioural explanation
-Behavioural treatments

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2
Q

A phobia is described as what?

A

An anxiety disorder

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3
Q

Whilst some fears are normal, a phobia is…

A

an irrational and extreme fear of an object,situation or activity, which is disproportionate to the danger

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4
Q

Which percentage of people suffer from a phobia at some point?

A

10%

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5
Q

What are the three main categories of phobias?

A

-Specific phobia
-Social Phobia
-Agoraphobia

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6
Q

What is a specific phobia?

A

Any kind of anxiety disorder that amounts to unreasonable or irrational fear related to exposure to specific objects or situations

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7
Q

What is a social phobia?

A

A long-lasting and overwhelming fear of social situations

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8
Q

What is agoraphobia?

A

A fear of being in situations where escape might be difficult

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9
Q

What are the three main types of symptoms of a phobia?

A

-Behavioural
-Emotional
-Cognitive

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10
Q

What are two behavioural symptoms?

A

-Panic
-Avoidance

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11
Q

What are two emotional symptoms?

A

-Emotional responses are unreasonable
-Anxiety and fear

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12
Q

What are two Cognitive symptoms?

A

-Irrational beliefs about the phobic object
-Cognitive distortions

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13
Q

Behavioural symptoms refer to the way people…

A

act

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14
Q

Emotional symptoms refer to the way people…

A

feel

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15
Q

Cognitive symptoms refer to the ways in which people…

A

think

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16
Q

What is the main overall assumption of the behavioural approach?

A

That abnormality is learnt like normal behaviour, so we learn to have a phobia

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17
Q

What is the behavioural explanation of phobias known as?

A

The two-process model

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18
Q

Who suggest the two-process model?

19
Q

What does the two-process model suggest?

A

That we acquire through classical conditioning and the phobia is maintained through operant conditioning

20
Q

Which study can we use to explain step 1 of the two-process model?

A

Watson and Rayner study: Little Albert

21
Q

What does the second stage of the two-process model involve?

A

Maintaining a phobia

22
Q

What does the second stage of the two-process model suggest?

A

Classical conditioning effects decline over time- however, a phobia is long lasting

23
Q

How is operant conditiong used in the second stage of the two-process model?

A

Negative reinforcement occurs because a person avoids the phobic object, which reduces their anxiety making them feel better.

24
Q

What are the 5 evaluations of the behavioural explanation of phobias?

A

😍It is scientific
😍Led to development of systematic desensitisation
😞Evidence which contradicts
😞Reductionist
😞Better explanation takes into account both biology and environmental factors

25
Which study contradicts behavioural explanation of phobias?
Menzies and Clarke - Only 2% of children who have a phobia of water actually had a frightening experience with water in the past
26
What would be a better model for the behavioural explanation rather than the two-process model?
The diathesis stress model, which states that while biology may be pre-dispose someone to phobias, environmental factors must also be present.
27
What analogy is used for the diathesis stress model?
Biology loads the gun but the environment pulls the trigger, so a combo of nature and nurture
28
The behavioural approach believes that phobias are learnt, therefore can be...
Unlearnt
29
How does systematic desensitisation work?
By gradually introducing the patient to phobic content, by replacing fear and anxiety with relaxation.
30
What does the behavioural approach believe about anxiety and relaxation?
you cannot feel both at the same time, hence systematic desensitisation replaces anxiety with relaxation
31
How many stages are in systematic desensitisation?
3
32
What are the three steps of systematic desensitisation? (simplified)
-Consutruction of fear/anxiety hierarchy -Relaxation training -Gradually introduced to phobic object
33
What happens in the first step of systematic desensitization?
-The fear/anxiety hierarchy is made by the patient and therapist. -At the bottom of this hierarchy is what the patient would feel most comfortable with -At the top of this hierarchy is what would create the most fear -Inner stages gradually build fear
34
What happens in the second step of systematic desensitization?
-Client is provided with relaxation training -Learn to engage in deep muscle relaxation -Achieved through deep breathing
35
What happens in third stage of systematic desensitisation?
-Patient gradually explosed to phobic object/situation -Uses relaxation techniques -Cannot move up hierarchy until completely relaxed -Once top of hierarchy is reached treatment is complete
36
What are the evaluations of systematic desensitisation?
😍There is evidence to show effectiveness as a treatment 😍Systematic desensitisation requires little effort comparatively 😍Not as unethical as flooding 😞Treats symptoms but not cause
37
What does flooding involve?
Exposing the patient to the phobic object without a gradual build up
38
What does: In-vitro or In-vivo mean?
In-vitro: imagined exposure In-vivo: Actual exposure
39
Flooding leads to the prevention of...
avoidance
40
When is flooding done until?
The patient is calm and anxiety is receded
41
What lasts longer? flooding or SD?
Sessions last longer in flooding but flooding is only one session
42
How does flooding work?
It proves that the phobic object is harmless, or they become calm and relaxed around the object due to not being able to feel fear for prolonged periods of time
43
Flooding involves overcoming phobias through...
Counter-conditioning
44
What are the evaluations of flooding?
😍Cost effective 😞Not effective for all phobias 😞Traumatic for patients