Tpo Flashcards

1
Q

Symptoms of phobias

A

▫️Intense and irrational fear of anxiety which could result in a panic attack
▫️Avoidance behaviour- where the person may engage in extreme complicated behaviours just to avoid the object or situaiton
▫️ this could be gradual or rapid

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2
Q

What are the 3 types of phobias?

A

Agoraphobia
Social
Specific

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3
Q

What do psychologists use to diagnose phobias?

A

The Dsm. This is a manual which lists what behaviours must be shown if a person is suffering from a mental disorder.
Eg- marked and persistent fear which is irrational and excessive due to the anticipation of an object or situation

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4
Q

Behaviourist explanation of phobias

A

Classical conditioning States that a fear is learnt through associating one thing which naturally produces a fear and the new thing which the individual had learned to be afraid of. U.S.-NS

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5
Q

How would the behaviourist approach explain how someone has a fear of the sea?

A

Ucs- being bitten by a shark-
Ucr fear
Ucs- being bitten + NS- sea = result of fear

Being in the sea = fear

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6
Q

What is observational learning?

A

This explains why people can get phobias from observing/watching others. They watch the model experiencing pain and upset from a situation and develop a fear themselves. For example a child sees their mother as a role model. Classical condition would operate and say that the slider and a fear reaction of the mother- the daughter will have a phobia too

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7
Q

Operant conditioning- how does this explain phobias?

A

Explains the maintenance of a phobia. If a person receives love and comfort due to their phobia then this is like positive reinforcement- therefore they are ore likely to repeat the behaviour and maintains their fear of phobias.

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8
Q

What study used operate conditioning to condition a fear?

A

Watson and Rayner- little Albert. Tried to condition a fear. They found little Albert- a small child who loved his rat and liked to play with is (NS) Every time he played with is he was hit with the metal bar around his ear (UCS) which produced an UR- fear. Gradually little Albert associated the rat (CS) with fear (CR)

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9
Q

What was mowrers two factor/process model

A

He believed that phobias are initiated through classical conditioning (factor one) but maintained through operant conditioning (factor 2).
Avoidance of the phobic situation and reduction in anxiety from this is negative reinforcement. Reduction in anxiety is positive reinforcement.

For example a phobia could be publicly speaking (CS) and response could be anxiety (CR). The person would phobic behaviour reinforced due to avoidance and this reinforcement would then reduce anxiety

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10
Q

Evaluation of behaviourist approach

A

❌ it is unlikely that in reality, two stimuli would be systematically paired to produce a phobia like they were in Watson and Rayner
❌ people often have unpleasant experiences which don’t result in phobias.
❌ the theory is based on lab experiments which lack ecological validity. This is because they involved animals in experiments and this is difficult to generalise
✅ behaviourist therapy such as flooding and systematic desensitisation have been proved successful
❌ case studies point to a particular event which caused phobias however there isn’t always a specific point where a phobia developed
❌ nomothetic- applied laws to everyone and ignores individual differences. Ignored free will and says that behaviour is determined by environment and learning

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11
Q

Psychodynamic explanation of phobias

A

Phobias are seen as the conflict between Id and ego. The id has unacceptable impulses usually sexual or aggressive and this creates a phobia which is expressed as anxiety. These impulses are therefore repressed. They remain unconscious and are displaced onto an object which is the focus of the phobia

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12
Q

What might a fear of snakes represent in psychodynamic?

A

Genitals- penis. By avoiding the object the person avoids having to face up and deal with the repressed conflict

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13
Q

What would he psychodynamic approach say that agoraphobia is caused by?

A

Resulting from separation anxiety which we experience as a child. The child has irrational thoughts that they will become separated from their parents and this the jeeps the, at home. Unconsciously they feel that staying at home reduced the likelihood of being separated

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14
Q

Evidence of phobias- little hans

A

Boy developed fear of horses after seeing a horse pull a bus and fall over, with its legs in the air. Little hans though the horse was dead. Freud stated that due to the Oedipus complex hans was terrified of his father. He saw the blinkers on the horse as his fathers glasses and the black around the mouth as his beard. Freud believed that the boys ego had displaced his fear into horse. He believed that little hans wanted his father dead like the horse

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15
Q

Evaluation of psychodynamic approach

A

❌unscientific- can’t be priced as it occurs in unconscious so is also unfalsifiable. Can’t be disproved though
❌ culture specific- can’t be generalised to other cultures
❌ only evidence is little hans and Freud never even met little hans- no evidence
❌ no evidence or support that agoraphobia is due to separation in childhood
✅ it is ideographic- treats everyone as individuals
❌ignores free will

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16
Q

OCD definition

A

A disorder which a person has recurrent and unwanted thoughts which creates a need to complete repetitive and rigid actions

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17
Q

What is an obessesion?

A

A persistent thought, idea or image which is experienced repeatedly which is intrusive and causes anxiety. They cannot be controlled by the individual and constantly occur

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18
Q

What is a compulsion?

A

A repetitive and rigid behaviour which an individual feels they have to produce in order to reduce anxiety.
Eg hand washing

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19
Q

How do obsessions and compulsions differ?

A

An obsession is something’s such an irrational fear of germs and how they can give aids

The individual then Carries out a compulsion in order to put these worries at bay for a period of time- washed their hands and sterilises things

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20
Q

What does the Dsm class as traits of OCD?

A

Recurrent obsessions and compulsions
Recognition that these are abnormal/unreasonable
Their daily life is interrupted by these obsessions

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21
Q

What is the biological approach to OCD? What are genetics?

A

Evidence from family and adoption studies show that there could be a genetic component which contributed to OCD

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22
Q

What did McKeon and Murray study?

A

Relationship between OCD and family members. Go,Alfred families with seine who had OCD with families who had no one. They found that the person who had family members with OCD were 2xs as likely have other family members with the disorder. Could be genetic influence

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23
Q

Evaluation of McKeon and Murray

A

❌small sample

❌ results could be down to socialisation and learning OCD from other family members

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24
Q

Serotonin and link to OCD

A

Lack of serotonin is seen to cause OCD. It is known that the brain deactivates neurotransmitters once they have passed on the message to the next neuron this is by a chemical called monoamine oxidase. This then breaks down the chemical and prepare for the next firing. OR the neurotransmitter is reabsorbed by the firing neuron once the message has been passed along (reuptake).

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25
Q

What is OCD caused by (serotonin)

A

The uptake being too good- so. It enough neurotransmitters are passed accross. Or to much monoamine oxidase is produced- so not enough neurotransmitter is passed across. Either way the process isn’t completed properly

26
Q

Which drugs are prescribed to help with OCD and serotonin?

A

SSRI- selective serotonin reuptake inhibitors or Prozac MAOI- monoamino oxidase inhibitors. These drugs increase serotonin levels- same theory as what is proposed to happen In Depression

27
Q

Evaluation of serotonin- OCD

A

✅serotonin research is done in labs which highly scientific and controlled
❌ many people with OCD don’t respond to medication which increases serotonin. Almost 1/3 don’t respond at all
❌ evidence shows that dopamine is also involved which could affect OCD

28
Q

How is the orbital frontal cortex involved in OCD?

A

PET scans show that people with OCD have unusually high levels of activity I the left frontal correct of the brain- the orbital frontal cortex. High levels of glucose metabolism and blood flow are found here. The orbital frontal cortex is responsible for higher level though processing. This area is responsible for converting information from the senses to the thoughts.

29
Q

Evaluation of the orbital frontal cortex and OCD

A

❌difficult to determine wether the high activity levels here are a cause or effect of OCD
✅there is scientific evidence as brain imaging shows high activity levels
❌ may explain obsessional thinking cut dos t explain compulsions

30
Q

What is the definition of a phobia?

A

A persistent and unacceptable fear of a particular object activity or situation

31
Q

What would the cognitive explanation of OCD be? 4 Characteristics?

A

▫️ more likely to suffer from depression
▫️ high level of moral standards
▫️believe their thoughts are harmful to others
▫️ they believe they should have complete control over thoughts

32
Q

What are neutralizing thoughts?

A

Where a compulsion has a neutralizing effect over the obsession. Cognitive psychologists say that a person wants to eliminate these unwanted thoughts so act or behaves in a way which out matters right internally. The neutralizing behavior makes the person feel better and therefore becomes a compulsion

33
Q

What are Rachmans catastrophic thoughts? 4 steps…

A
  1. Presence of obsessional thought etc and fear of harming someone
  2. Catastrophic misinterpretation of the thought “I am a bad person”
  3. Fear and high anxiety levels
  4. Attempts to resist and avoid the thoughts
34
Q

What is hypervigilance?

A

Were people with OCD have a ‘cognitive bias” when attending to certain environmental stimuli. Evidence that memory processes in OCD suffered is impaired

35
Q

What was rachmans case study?

A

Where a female patient had a severe fear of disease and particularly, blood. She has catastrophic thoughts that she will contract aids and scans the environment around her for any evidence of cuts, bandages or blood. She even misperceived red spots as blood.

36
Q

Evaluation of cognitive explanation

A

✅the 4 steps process does help with the understanding of the processes In OCD, the creation and the maintenance
❌ however, the process doesn’t explain how ocd occurs in the first place
❌lack of evidence to support the theory as it all occurs in the Mind which scientifically hard to test
❌ nomothetic- treats everyone as the same and sees behaviours resulting from internal factors
❌ignores the role of free will and how people can choose not to act on their OCD

37
Q

Treatment of phobias-

Behaviourist treatment

A

Systematic desensitisation
Based on The idea that two competing emotions cannot appear at the same time and that anxiety can be replaced by relaxation

38
Q

What is the process of systematic desensitisation?

A

Patient is trained in how to relax quickly.
A patients fears are placed on a anxiety hierarchy. Where their most fear situation is ranked highest to lowest eg. Holding a snake- seeing a picture of a snake.
It goes through stages building up to the main fear and

39
Q

Systematic desensitisation can be used for OCD as well as phobias?

A

True- work through looking at observable compulsions and working towards stopping them

See a picture of dirty hands- have dirty hands

40
Q

Evaluation of systematic desensitisation

A

✅quick and cost effective
✅can be used on children and the elderly as the individuals is in control - no ethical issues
❌only suitable for a specific phobia such as snakes. Cannot be used for social phobias.
❌ cannot help those that have OCD without compulsions
❌ patient may not generalise what they learnt from the treatment in every day life- don’t generalise

41
Q

What was Jones study? Treatment of phobias

A

Little boy who was frightened of many things, including rabbits. The boy was eating lunch one day when the rabbit was brought into the room and out in a cage. Over 16 steps the rabbit was brought closer to the child and eventually able to Roam free and even sit on his lunch tray- shows how classical conditioning can be used to treat phobias

42
Q

What is flooding?

A

Overwhelming and individual with the phobia and increasing anxiety but showing the individual that no harm can come from the object- there should be no fear. The patient may be initially overwhelmed but this should subside. The person. It ices the anxiety levels have dropped and association between feared item and anxiety breaks down

43
Q

Evaluation of flooding?

A

❌ethical issues- highly traumatic and causes the individual significant stress
❌ not very successful for treating OCD- combination of drugs and behavioural therapy Re more successful
❌ cannot be used in children or the elderly as it is too stressful

44
Q

Psychodynamic treatments of phobias

A

Wants to see what is unconsciously causing the phobia and requires the patient to confront their fears. Ego defence mechanisms need to be lifted to explode unconscious. Most of the conflicts appear through the Oedipus and Electra conflict where the patient develops a phobia. Once this is realised they can works to curing it

45
Q

What is free association?

A

Where the patient relaxes and says everything which comes to their mind. The idea is that the ego carries out its checking of the unconscious and the conflict will be brought to the conscious. Here once verbalised it can be explained

46
Q

What does the psychoanalyst do to cure phobias?

A

Helps the client to consciously talk about the phobias- reporting everything which comes to their mind. Then a pattern in the thoughts are looked and interpreted in terms of unconscious thoughts and conflicts

47
Q

What is dream analysis?

A

Freud believed that dreams are the way to the unconscious. Repressed ideas which cause anxiety are more likely to be in dreams. Freud believes that the dream has to contents- the manifest content- plot (actions images and details) and the the latent content- real meaning.
Therefore by sifting thought the manefest- plot, you can find buried significance.

48
Q

What was alstroms study?

A

Assigned 42 phobias to three types of therapy.
1. Psychotherapy - free association
2. Relaxation techniques
3. Drug medication.
Found that the most significant changes were in psychotherapy- shows that psychodynamic therapy is effective In the treatment of phobias but the follow up shoes that more sessions are needed for the effectiveness to be prolonged

49
Q

Evaluation of psychodynamic treatment

A

❌ rarely used- found to ineffective with anxiety disorders
❌ expensive and time consuming- often takes years
❌ very traumatic for the person as ego defence mechanisms are broken down and guilt and fear are also released
❌ not scientifically proven- we don’t know if there is an ego so it’s unfalsifiable
❌only evidence which Freud has is case studies- little hands is the only case study used I phobias so hard to generalise

50
Q

Biological teatment for OCD

A

Drug therapy
Neurotransmitters are associated with OCD and drugs a re used to change these levels in the brain

Ssri- selective sera toning reuptake inhibitors drugs are used to increases serotonin levels and prevent reabsorbtion. Can also be used for phobias - agoraphobia and general phobias

51
Q

OCD how is it treated with drugs?

A

Treated with serotonin- gives drugs to increase serotonin levels and also causes orbital frontal cortex to operate at a normal level

Very last resort for very serious OCD is neurosurgery. In 1991 33 people had surgery for their OCD and 1/3 improved significantly- last resort as very radical

52
Q

What was riddles study? (Biological treatment for OCD?)

A

Wanted to determine the safety and efficiency of fluvoaximine with children and adolescents with OCD compared to using a placebo drug. Children age 8-17 were used according to Dsm criteria and were randomly allocated fluvoxamine for 10 weeks at different levels.
42% reduction In OCD with fluvoxamine after 10 weeks however this happened early on In the treatment. 26% reduction with placebo.

Shoes that fluvoxamine has a rapid onset with treatment and is a short term treatment for paediatric OCD

53
Q

Evaluation of biological treatments

A

✅ssri’s are not addictive and a very very safe even for older patients
✅ drug treatments are quicker and easier than psychotherapy
❌ drugs don’t rest the chase of OCD so if the patient stops the drugs they could see symptoms again
❌there are side effects if the medication is stopped and they take 4-12 weeks to work
❌ psychotherapy and drugs are usually the best combination rather than just drugs

54
Q

Cognitive treatments for OCD

What is the aim

A

Replace unrealistic thoughts with realistic thoughts. Teaches the patient to identify with their thoughts and challenge them. The counterproductive thoughts are:

Over estimating
Catastrophic thoughts
Undress imaging ability to cope

55
Q

How do cognitive psychologist aim to treat OCD?

A

Concentrate on negative thoughts process of someone with high anxiety and challenge the catastrophic thoughts

56
Q

What are the two steps to making people change their thought processes? Cognitive

A
  1. Helping people. To understand that they are
    Misinterpreting their thoughts
  2. Making people aware that they need to neutralize their thoughts by attempting to make amends

Once these are relapsed the cognitive therapist helps the person change their distorted cognitive processes and stopping catastrophic misinterpretation- changing their thought process

57
Q

Changing obsessive thinking- how does this help an individual?

A

Cognitive reconstructive therapy will change an individual’s belief about their thoughts and inner feelings. For example- someone with ocd thinks that if they don’t complete their compulsion bad things will happen- the therapy changes this belief

58
Q

What does cognitive therapy mainly focus on?

A

The catastrophic thoughts and exaggerated sense of responsibly that the person feels. They want to teach and help find effective ways of preventing this so the individual doesn’t resort to the compulsive behaviour.

59
Q

What is Schwartz four steps to dealing with ocd?

A

▫️Re-label- recognise the intrusive thought of cod
▫️re-attribute- realize the thought is caused by ocd and there is a bio-chemical imbalance in the brain
▫️re-focus- work around this by putting your attention somewhere else
▫️re-value- don’t take the ocd at face value

60
Q

What is habituation training? Cognitive

A

Patient thinks repeatedly about their obsessive thoughts. The deliberate thinking should cause less anxiety and therefore compulsions aren’t required

61
Q

What was rufers study? Cognitive ocd

A

Followed 30 inpatients with severe ocd between 6-8 years. He looked at different patients on all different therapies and interviewed doctors and patients. He found that cognitive treatment was the most successful especially when combined with behavioural therapy

62
Q

Evaluation of cognitive treatment for OCD?

A

✅ strategies such as reconstructing and habituation therapies can be practiced by a person at any time outside the therapy- helps individual maintain their ability to cope
✅ follow up studies show cognitive therapy is very useful in decreasing OCD
✅ lots of evidence to support cognitive therapy- especially when combined with behavioural therapy
❌ patient has to be prepared to do homework tasks and keep the therapy up to date at home
❌ not suited to all people as they have to be prepared to challenge the psychologist