phobias

Question 1

stages of systematic desensisation
stage 1

Answer 1

Functional analysis

Question 2

what does stage 1 do

Answer 2

the therapist and the patient discuss the phobia and identify the triggers for the anxiety

Question 3

stage 2

Answer 3

construction of anxiety heirarchy

Question 4

what does stage 2 do

Answer 4

the therapist works with the patient to construct a hierarchy of fear involving the conditioned stimulus that are ranked from least fearful to most fearful

Question 5

whats stage 3

Answer 5

training in relaxation techniques

Question 6

what happens in stage 3

Answer 6

the patient is given training in techniques such as control over breathing, muscle relaxation or meditation.

Question 7

whats a key throught in SD

Answer 7

It’s thought that it’s not possible to be anxious and relaxed at the same time.

Question 8

whats stage 4

Answer 8

gradual exposure

Question 9

what happens in stage 5

Answer 9

the patient progress is along the fate of hierarchy while simultaneously using relaxation techniques. the client works their way up starting at the least unpleasant and practising their relaxation technique as they go.

Question 10

when do they move on to each stage

Answer 10

When they feel comfortable with this they move on to the next stage in the hierarchy

Question 11

whats the name of the triangle used

Answer 11

anxiety heirarchy

Question 12

how long does SD normally take

Answer 12

4-6 sessions up to 12 for severe

Question 13

look at a and d for SD and flooding

Answer 13

.

Question 14

what is flooding

Answer 14

overcoming phobias by exposure

Question 15

whats different in flooding comared to SD

Answer 15

start right at top of heirarchy

Question 16

rationale behind flooding 2 pts

Answer 16

• the patients anxiety is maintiained at such a high level that eventually some process of exhaustion takes place
• if the patient is prevented from avoidance extinction will occur

Question 17

what are the 3 types of exposure

Answer 17

imaginal, virtual reality, vivo

Question 18

what does flooding involve

Answer 18

forced, prolongued exposure to actual stimulus that provoked phobia

Question 19

what is the biological element to flooding

Answer 19

fight or flight response providing us with adrenaline which can only be experienced for a certain length of time

Question 20

what part of body is responsible for this reaction

Answer 20

sympathetic nerveous system

Question 21

what part of body is responsible for the calm

Answer 21

parasympathetic nerveous system

Question 22

how does this link to flooding

Answer 22

patient should learn that the calmer response links to the previous feared object or situation

Question 23

who made the’ implosion theory’

Answer 23

thomas stampfl

Question 24

what did he do

Answer 24

bombarded patients with detailed descriptions of situations they feared for 6-9 hours

Question 25

who built upon this

Answer 25

zev wanderer

Question 26

what did he do

Answer 26

he shortened the exposure time to about 2 hours and patients returned for further sessions

Question 27

who else did something similar

Answer 27

wolpe

Question 28

what did he do1

Answer 28

1960 he put a girl in a boot of a car who had a phobia of enclosed spaces and drove around until she stopped panancking - this worked

Question 29

what did he do 2

Answer 29

1969 - he did a similar peocedure using flooding but the clients anxiety intensified and they became hospitalised

Question 30

how does flooding work

Answer 30

by combining exposure with relaxation

Question 31

example

Answer 31

person whos in extreme anxiety eventually will become exhausted. they cannot avoid the situation and have no choice but to confront it and when panic subsides the fear is extinguished

Question 32

whats different about the therapist conpared to SD

Answer 32

they give very little assistance other than teaching them relaxation techniques

Question 33

examples of relaxation techniques

Answer 33

progressive muscle relaxation

Question 34

what is the aim of capafons SD

Answer 34

to test whether SD is effective as a technique for treating a fear of flying

Question 35

how many people were used

Answer 35

41

Question 36

how many in each group

Answer 36

21 in the control group 20 in the treatment group

Question 37

how were they assingned

Answer 37

randomly

Question 38

what were the groups balenced into

Answer 38

age gender and self reported level of fear

Question 39

treatment group stats

Answer 39

8 males 12 females mean age 29.65

Question 40

control groups stats

Answer 40

9 males 12 females mean age 34.05

Question 41

what questions were asked

Answer 41

how afraid do you travel by plane when there is no alternative way to travel whilst flying have you ever had any of the following symptoms

Question 42

what was also measured during video clip of plane trip

Answer 42

heart rate palm temp muscular tension

Question 43

what was controlled in procedure

Answer 43

Tested individually in the same room at the same temperature and the same distance from the screen and they were all given time to habituate to the environment before shown the video

Question 44

what was the video about

Answer 44

A traveller taking a plane journey beginning with them packing their case and ending with him touching down at the destination

Question 45

how long did the treatment take place across

Answer 45

8 weeks

Question 46

what happened during this time period

Answer 46

2 1 hour sessions of SD programme a week minimum of 12 maximum of 15 sessions

Question 47

what were the 3 phases 1

Answer 47

The first consisted of four sessions in relaxation and imagination training

Question 48

2

Answer 48

The second phase had three sessions focusing on the elaboration of the phobic stimulus - travelling on a plane

Question 49

3

Answer 49

The third with a minimum of 5 and a maximum of eight sessions dealing with the application of the systematic desensitisation together with stop thinking

Question 50

when was the flight taken

Answer 50

7 days following the treatment

Question 51

what recordings took place during simulation take off

Answer 51

heart rate muscular tension palm temperature

Question 52

what recordings took place on the actual flight

Answer 52

self reported fear

Question 53

results

Answer 53

90% improved in treatment group and 1 person in control group