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4. Psychopathology
4.3 The Behavioural Approach to Treating Phobias
4.3.1 Systematic Desensitisation
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Phobias are irrational and excessive fears of particular objects, situations, or
activities
What do phobias trigger when exposed to the phobic stimulus?
Anxiety and fear
Systematic desensitisation aims to reduce anxiety responses to
phobic
stimuli.
Steps of systematic desensitisation
1️⃣ Relaxation training
2️⃣ Anxiety hierarchy
3️⃣ Gradual exposure
What is the acquisition phase in classical conditioning?
Association is formed
Generalization in classical conditioning refers to responding similarly to related
stimuli
What is a conditioned stimulus in classical conditioning?
Object of fear
Systematic desensitisation involves creating an anxiety hierarchy of
feared stimuli
.
Match the classical conditioning principle with its description:
Acquisition ↔️ Association is formed
Generalization ↔️ Responding to related stimuli
Extinction ↔️ Fear response weakens
Phases of systematic desensitisation in order
1️⃣ Relaxation training
2️⃣ Anxiety hierarchy
3️⃣ Gradual exposure
Systematic desensitisation helps break the association between the phobic stimulus and the
anxiety
What is the purpose of relaxation training in systematic desensitisation?
Reduce anxiety
What is the primary goal of Systematic Desensitisation as a behavioral therapy?
Reduce anxiety responses
Steps involved in Systematic Desensitisation
1️⃣ Relaxation Training
2️⃣ Anxiety Hierarchy
3️⃣ Gradual Exposure
Systematic Desensitisation reduces anxiety responses by gradual exposure in a controlled
environment
What is an example of a technique used in relaxation training?
Deep breathing exercises
Example of an anxiety hierarchy for a fear of spiders
1️⃣ Seeing a picture of a spider
2️⃣ Viewing a caged spider
3️⃣ Holding a spider
Systematic Desensitisation aims to break the association between
phobic
stimuli and anxiety.
How many key steps are involved in Systematic Desensitisation?
Three
Match each step of Systematic Desensitisation with its purpose:
Relaxation Training ↔️ Reduce anxiety
Anxiety Hierarchy ↔️ Create a list of feared stimuli
Gradual Exposure ↔️ Experience stimuli while relaxed
Creating a list of feared stimuli is part of the
anxiety
hierarchy step.
Gradual exposure involves progressively experiencing feared stimuli while using
relaxation techniques
.
What is an example of a phobia-specific hierarchy for a fear of spiders?
Looking at pictures of spiders
What are the three main categories of phobias?
Specific, Social, Agoraphobia
Match each phobia type with an example:
Specific Phobia ↔️ Fear of spiders
Social Anxiety Disorder ↔️ Fear of public speaking
Agoraphobia ↔️ Fear of open spaces
Phobias trigger high levels of anxiety and
fear
when exposed to the phobic stimulus.
What is the goal of relaxation training in Systematic Desensitisation?
Reduce anxiety
Principles of classical conditioning in phobias
1️⃣ Acquisition
2️⃣ Generalization
3️⃣ Discrimination
4️⃣ Extinction
What is the conditioned stimulus in classical conditioning related to phobias?
Object of fear
What is an example of a conditioned stimulus in a phobia involving dogs?
Dogs
What is Systematic Desensitisation designed to reduce?
Anxiety responses
Deep breathing exercises are used in Systematic Desensitisation as part of
relaxation
Relaxation training involves learning techniques to reduce
anxiety
.
What is the purpose of creating an anxiety hierarchy in Systematic Desensitisation?
Rank feared stimuli
Steps of Systematic Desensitisation
1️⃣ Relaxation Training
2️⃣ Anxiety Hierarchy
3️⃣ Gradual Exposure
During gradual exposure, patients progressively experience stimuli while using relaxation
techniques
Relaxation training helps reduce
anxiety
.
For a fear of spiders, what might be the first step in the anxiety hierarchy?
Looking at pictures
In gradual exposure, the goal is to experience stimuli until anxiety
subsides
What is the overall goal of Systematic Desensitisation?
Reduce fear
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