Psychopathology 3- Behavioural Approach

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The Behavioural Approach To Explaining Phobias The Behavioural Approach To Treating Phobias
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laurenjaynewalte
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Psychopathology 3- Behavioural Approach
  1. The Behavioural Approach To Explaining Phobias
    1. Draws on what is knows as 2-process model to explain origins and maintenance of phobias
      1. Classical Conditioning: Initiation- Phobia acquired when association made between neutral object and fear response
        1. WATSON & RAYNER (1920): Baby Albert and White Rat
          1. Albert had no intentional fear of white rat. Once exposed to rat several times WATSON & RAYNER clanged bars together. Loud noise startled Albert, he learnt to show fear when seeing white rat without bars
            1. Fear Of Dogs Explained: Being Bitten (UCS)--- Creates Fear (UCR)--- Dog (NS) associated with being bitten (UCS)--- Dog (NOW CS) produces fear response (NOW CR)
          2. Operant Conditioning: Maintenance- Serves to maintain phobia.
            1. Likelihood of behaviour increased if outcome is rewarding e.g. avoiding/escaping feared object is rewarding as reduces fear, serves to reinforce phobia
              1. This is negative reinforcement
              2. EVALUATION
                1. Some Evidence To Support- Some acquired phobias through experience and learning as theory suggests
                  1. Reductionist- It overlooks role of cognitive factors
                    1. Research Is Biased On Animal Studies- Human much more complex, we have thoughts and feelings that will affect behaviour
                  2. The Behavioural Approach To Treating Phobias
                    1. Flooding
                      1. Places patient in worst case scenario until they become relaxed
                        1. Patient can't make usual avoidance responses and anxiety peaks so much it eventually can't be maintained so soon subsides
                        2. Systematic Desensitsation
                          1. Aims to help patients unlearn maladaptive responses to feared object/situation and to relearn more adaptive, clam repsonse
                            1. Gradual process, based on principle that we can't be anxious and relaxed at same time
                              1. Clients work with therapist to form hierarchy of fear, detailed from least feared to worst possible scenario. Patients taught relaxation techniques
                                1. Hierarchy for someone scared of spiders may start with hearing word 'spider' and end with holding one. At each stage relaxation techniques used and ONLY when fully relaxed they will progress to next stage
                                  1. Research: GILROY ET AL (2003)- Followed up 42 patients treated for spider phobia in 3, 45 min sessions. Control group treated by relaxation without exposure.
                                    1. At both 3 months and 33 months after treatment systematic desensitisation group less fearful than control group
                                  2. EVALUATION
                                    1. Relatively Quick- Compared with CBT
                                      1. Ethical Concerns- Especially with Flooding, argued that stress caused with treatment worse than phobia itself or may increase patient's fear
                                        1. Supporting Research- WOLPE (1960) treated girl with phobia of cars by flooding. Concrete example that therapy used effectively
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