treating phobias Flashcards Preview

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Flashcards in treating phobias Deck (12):
1

Systematic desensitisation -def

└a behavioural therapy designed to reduce an unwanted response (anxiety) to a stimulus. Involved drawing up a hierarchy of anxiety-provoking situations related to the phobic stimulus and teaching the patient to relax whilst working up the hierarchy

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steps SD

1. anxiety hierarchy 2. relaxation 3. exposure

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1. anxiety hierarchy

└made my patient and therapist
└list of phobic situations- least to most frightening

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2. relaxation

└e.g. breaking, mental imagery techniques
└e.g. drugs- Valium

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3. exposure

└exposed to phobic stimulus in a relaxed state
└several sessions
└work up hierarchy

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Strengths SD

Effective
└for specific phobias
└Gilroy et al (2003)
└spiders- systematic desensitisation better than relaxation only
└long lasting effects

Suitable for diverse range of patients
└leaning difficulties- easier to understand and engage

Acceptable to patients
└doesn’t cause trauma
└low refusal and attrition (drop out) rates

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Limitations SD

Symptom substitution
└one phobia disappears- another in its place
└might not happen at all

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Flooding def

└behavioural therapy in which a phobic patient is exposed to an extreme form of the phobic stimulus in order to reduce anxiety triggered by the stimulus. This takes place over a small number of long therapy sessions

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How it works F

└without avoidance patient learns stimulus is harmless
└classical conditioning- extinction
└conditioned stimulus encountered without the unconditioned stimulus

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Ethical safeguards F

└patients must give full informed consent to the traumatic procedure
└patients normally given choice between therapies

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Strengths F

Cost effective
└quicker= cheaper

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Limitations F

Less effective for some types of phobia
└effective for treating simple phobias
└less effective for complex phobias
└e.g. social phobias
└as cognitive aspects

Traumatic
└patients often unwilling to see through till end
└time and money wasted