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Summary phobias treatment

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treatment of phobias through systematic desensitisation and flooding in bullet points to summarise sequence of steps evaluation in terms of strengths and weaknesses for each treatment key terminology highlighted

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  • January 4, 2024
  • 6
  • 2022/2023
  • Summary
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erikakumar
Dubi et al. (2008): toddlers aged 15-20 months show fear + avoidance bhvs to

“fear-relevant” +”irrelevant” objects after observing -ve reactions from their mothers

=maternal modelling impacted on children’s fear + avoidance bhv

COGNITIVE + PSYCHODYNAMIC APPROACH also may explain phobias

No assumption of internal / biological cause for bhv: ignore mental / physical

causes

SYSTEMATIC DESENSITISATION


Reciprocal inhibition: can’t be anxious and relaxed at same time

Phobias = learned response to stimulus: can unlearn fear by relaxing when in

contact with phobic object

Counter-conditioning: associate fear with smth relaxing / pleasant = learning new

CR (e.g. relaxing, laughing)

Therapist + client agree on target aim

Client taught relaxation techniques then exposed to phobic object until they are

desensitised to it


In vitro: imagine to be in frightening situations


In vivo: exposed to real object

Anxiety hierarchy: each step more fear-provoking than the last

E.g. from brief + remote encounters (photograph, at distance, fo 1sec) to longer,

closer + more immediate encounters




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, By patient:

- knows best what's anxious;

- relaxing to have control of how (fast) therapy proceeds

- Voluntary : can stop at any point + go next step when ready

- Biofeedback: take pulse and measure breathing for their anxiety

Relaxation training: client taught relaxation techniques

Gradual exposure: phobic object slowly introduced according to scenarios agreed

in hierarchy

At each stage of exposure: relaxation techniques used by client; then move to more

intense exposure

Counter-conditioning: associate fear with smth relaxing / pleasant = learning new

CR (e.g. relaxing, laughing) and extinguishing anxiety reaction

1. Participant modelling: role model relaxed + calm with feared object

2. Covert modelling: imagine someone encountering feared object (for severe

phobias that can’t bear to watch someone encounter feared object)

Gilroy et al. (2003): 42 patients with arachnophobia in 3 45-min sessions of sd

Phobia’s strength measured by questionnaire + observing patient with spider

Control group taught relaxation techniques without gradual exposure to spider

After 6 months: treatment group less fearful

=sd reduces power of phobia with long-lasting effects

Strengths


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