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Classical conditioning and operant conditioning phobias
How do classical and operant conditioning apply to phobias journal article
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“Nearly 3.2 million Americans (ages 18-54) suffer from agoraphobia according to the National Institute Of Mental Health” (A Guide to Agoraphobia- Facts, 2009). Agoraphobia is an irrational fear produced by having to enter a public place or a place that tends to be concurred by a big amount of people at once, leaving them exposed to humiliating themselves in that position. It is very important to specify that agoraphobia is not a fear of people but of the place or location where these tend to gather in massive amounts. For instance, public transportation, learning centers, streets, etc. are places where a person who suffers from agoraphobia could have a panic attack. Such panic attacks can be very traumatizing for the individual since they may …show more content…
The first type of symptom found on agoraphobics is constantly having panic attacks when they are at a public place. Which leads us to the second symptom or fear. This is the need to avoid public places. Agoraphobics tend to avoid finding themselves in situations like this because of their fear of encountering themselves having a panic attack. The panic attack may be caused by the fear of embarrassing themselves in front of a large group of people. This last leads us to the second type of symptom, which explains the need they have for always having an “escape plan”, and this is finding a fortress. The way they avoid this is by locking themselves inside their own “fortress” which is often found to be their house. Being this a place where they feel secure. They avoid such situations as standing in lines, using any type of public transportation, being outdoors or being in crowds or just the fact of being away from home as explained by Edncohen (2009). But they may not only look for a safe place to be but a person they can trust and relay on in any type of situation. The final type of symptom is a fear being alone. An individual with agoraphobia will fear finding himself completely alone, even if he is within his fortress or his comfort zone. The reason why they fear being alone is because they are afraid that if they have a panic attack there will be no …show more content…
In this way, it contrasts with the childhood origin of most simple phobias and the onset in late adolescence of the majority of social phobias” (Marks & Gelder, 1966). Classical conditioning is usually used to explain the way agoraphobia is obtained. In most cases, agoraphobia develops after a panic attack has occurred. After having a panic attack the person creates a fear for this to happen again and embarrass themselves in front of others. Then they begin to avoid the place where the panic attack occurred and later on avoiding places similar to it (generalization). During this panic attacks the individual experiences short breath, numbness, nauseas, and feelings of faintness, dizziness and loss of control. We can see that the symptoms are mental as well as physical. It is vital to remember the article by Cordes (1871) where he makes important observations that anxiety is based on the ideas in the individual’s mind and it is not provoked in a complete automatic way by the stimuli in the environment. For instance, a person who has had a traumatic experience just like a panic attack in a place concurred by a big amount of people such as a train station may create a bond between the panic attack and the train station, hence they will avoid places like the train station believing that a panic attack may occur again although the odds of this happening again are very small. After the first panic attack has occurred most
Agoraphobia is a psychological disorder characterised by panic and anxiety. This particular anxiety disorder involves the fear of experiencing a panic attack in a public place where safety may be unavailable, which causes discomfort (Lilienfeld, 2017). This disorder is commonly recognized in women and often arises during adolescent years. Often times, people develop agoraphobia after a previous panic attacks, which than causes them to worry about having another in the future (Agoraphobia, 2017). This results in avoidant behaviours, such as evading places where an attack may occur. There are many causes, symptoms, effects on both the individual with the disorder and their loved ones, as well as a variety of treatments available.
As with all other phobias, agoraphobia is often acquired through classical conditioning. Classical conditioning is a type of learning in which a stimulus acquires the capacity to evoke a response that was originally evoked by another stimulus (Weiten, 1998). Describing and explaining exactly how agoraphobia is acquired can be achieved by identifying the antecedents of the phobia. Antecedents are the events that precede a particular response. In the case of agoraphobia, this response is a panic attack. Agoraphobia is essentially anxiety of three kinds, phobic anxiety, panic anxiety (the panic attacks), and phobic a...
Characteristics of agoraphobia are a marked fear or anxiety about two or more of the following: "using public transportation" like cars, planes, trains, and buses; "being in open spaces" like a market, a parking lot, a bridge, or ship; "being in enclosed places" like a store, a theater, or an elevator; "standing in line or being in a crowd"; or "being outside of the home alone." (APA, 2013, pg 217) This fear differs from other phobias in that the fear is not the specific place or thing, but the person is afraid that they might not be able to leave or get help if they panic or are incapacitated or have embarrassing symptoms or situations. This might be because of other medical conditions such as vomiting or inflammatory bowel symptoms. Older adults might fear falling. Children might fe...
anxiety and panic attacks, and Obsessive-Compulsive Disorder (1). Many of these symptoms cause people to avoid contact with the outside world, thus thrusting them deeper into their fears.
Jackson would be to undergo Cognitive Behavioral Therapy (CBT). CBT is a method of psychotherapy that looks to treat psychological disorders by implementing modifications that change dysfunctional thoughts, emotions, and behavior. (Zalyte, Neverauskas, & Goodall, 2017) CBT is the most commonly used and most effective treatments for Agoraphobia. (Gloster, Wittchen, et al. 2011) In this case, therapist guided exposure during CBT will prove to be Mrs. Jackson’s best option. Self-exposure to their trigger can be difficult for phobia patients, and they will often activate avoidance behaviors which can interfere with their progress through treatment. The presence of a therapist can help to counteract this. (Hahlweg, Fiegenbaum, Frank, Schroeder, & von Witzleben, 2001).The therapist’s role in this case would be to reassure Mrs. Jackson about her safety, and identify safety behaviors that Mrs. Jackson can utilize to ensure that she is secure, such as carrying a cell phone for emergency purposes. The therapist’s feedback can help guide Ms. Jackson and promote more effective behavior by providing modeling and verbal instructions. I would recommend setting up a daily plan that included gradual exposure to the world outside of the home, with small steps being taken until Mrs. Jackson is more comfortable and can make larger and larger advances into the outside world. The therapist’s presence will help keep her accountable, and ensure that she is
In the general population, less than five percent of people experience panic disorders, and only six percent develop agoraphobia during their lives, (MacNeil 2001). A diagnosis of panic disorder is given when panic attacks turn into a common occurrence, for no apparent reason and the person begins to change their behaviour because of the constant fear of having a panic attack. Someone suffering from agoraphobia has a fear of being somewhere where help will not be provided in case of an emergency; one third to one half of people diagnosed with panic disorders develops agoraphobia, (Hoeksema & Rector, 2011, p. 204). Research has examined two well-known ways a panic disorder with agoraphobia (PDA) can be treated: Cognitive Behavioural Therapy (CBT) (alone and combined with two other medications) and Experimental Cognitive Therapy (ECT). Examining the research allows for a comparison of each treatment, along with a discussion of implications, resulting in determining which treatment is the most effective for someone who suffers from a panic disorder with agoraphobia.
Having anxiety is common and a part of everyday life however; there is a huge difference between a fear and a social phobia or anxiety disorder. The difference and important distinction psychoanalysts make between a fear and a phobia is “a true phobia must be inconsistent with the conscious learning experience of the individual” (Karon 1). Patients with true phobias “do not respond to cognitive therapy but do respond well to psychoanalysis and psychoanalytic therapy” (Karon 2). Social phobia is a serious anxiety disorder that should not be taken lightly or mistaken as a fear you will simply grow out of the older you get. Social phobia has the power to destroy lives and can prevent people from living and enjoying their life to the fullest. Social phobia is a disabling condition that often starts between the ages of early childhood and late adolescence. The origins of social phobia can be linked to “traumatic social experiences and social isolation” (Hudson118-120). Social phobia is treatable however; research and statics show that not many seek help.
According to DSM V, Social Anxiety Disorder (SAD), is defined as a persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. The individual fears that he or she will act in a way (or show anxiety symptoms) that will be embarrassing and humiliating (DSM V, 2014).
A panic attack is an unexpected, strong experience of fear joined with an irresistible feeling of threat, escorted by physical symptoms of anxiety. A person with panic disorder may have frequent panic attacks and feel stern anxiety about having another attack (Rosemary Purcell, Paul Maruff, Michael Kyrios, and Christos Pantelis, Arch Gen Psychiatry 1998). The disorder characteristically begins in young adulthood, but older people and children can be involved. Characteristically, a first panic attack appears to come suddenly, occurring as a person is busy in some normal doings like driving a car or walking to work. Unexpectedly, the person is struck by a barrage of scary and painful symptoms. Initial panic attacks may occur when people are under considerable stress, from an excess of work, for instance, or from the loss of a family member or close friend. The attacks may also follow surgery, a severe accident, sickness, or childbirth. Extreme consumption of caffeine or use of cocaine or other refreshment drugs or medicines can also trigger panic attacks (Jeremy D. Coplan, Raymond Goetz, Donald F. Klein, Laszlo A. Papp, Abby J. Fyer, Michael R. Liebowitz, Sharon O. Davies, and Jack M. Gorman, Gen Psychiatry 1998). In panic disorder, panic attacks persist and the person fears having another attack. As noted earlier, this fear called anticipatory anxiety can be there most of the time and critically obstruct with the person's life even when a panic attack is not in development. People who develop these panic-induced phobias will be likely to keep away from situations that they fear will activate a panic attack, and their lives may be increasingly restricted thus. Many people with panic disorder stay powerfully worried about their...
Everyone at some point have experience fear due to a situation that overwhelms us. This is an essential response of our bodies that can help us survive. However, when these fears are constant, they can disable an individual. Panic disorder (PD) it’s a mental illness that leads a person to have recurring panic attacks, (Strickland, 2001). Panic attacks in people with PD arise unexpectedly, situationally predisposed and / or by situations that remind them experienced dreadful events. PD can be categorized under two types: PD with or without agoraphobia. Agoraphobia is the fear of being in a situation or place in which the person thinks that would be difficult or embarrassing to escape. Some individuals develop agoraphobia after the first episodes of panic attacks; others acquire it years later, (Key, 2012).
Severe anxiety, which can be described as an episode of terror, is referred to as a panic attack. Panic attacks can be extremely frightening. People who experience panic attacks over a prolonged time period may become victims of agoraphobia, which is a psychiatric disorder that is closely associated with the panic disorder. Patients with Agoraphobia avoid certain places or situations such as airplanes, crowded theaters, a grocery store or anyplace from which escape might be difficult. It is said that Agoraphobia can be so severe that it has made certain individuals housebound.
...6. Generalization from the original phobic stimulus to stimuli of a similar nature will occur; 7. Noxious experiences which occur under conditions of excessive confinement are more likely to produce phobic reactions; 8. Neutral stimuli which are associated with a noxious experience, may develop motivating properties. This acquired drive is termed the fear drive; 9. Responses (such as avoidance) which reduce the fear drive are reinforced; 10. Phobic reactions can be acquired vicariously (Rachman 31). These theories are used to identify how people obtain phobias and other situations that may occur with phobias.
In order to treat the fear you must treat it with relaxation while in the presence of the feared situation. The first step in Wolpe’s study was to focus on relaxing your body. He recommended a process that involves tensing and relaxing various groups of muscles until a deep state of relaxation is achieved (Wolpe,264). The second stage was to develop a list of anxiety-producing situations that are associated with the phobia. The list would descend with from the least uncomfortable situation to the most anxiety producing event you can imagine. The number of events can vary from 5 to 20 or more. The final step is to desensitize, which is the actual “unlearning” of the phobia. Wolpe told his patients that no actual contact with the fear is necessary, and that the same effectiveness can be accomplished through descriptions and visualizations(Wolpe,265). Wolpe’s participants are told to put themselves in a state of relaxation which they are taught. Then, the therapist begins reading the first situation on the hierarchy they have made up. If the patient stays relaxed through the first situation the therapist continues to the next until the state of relaxation is broken. If they feel a slight moment of anxiety they are to raise their index finger until the state of relaxation is restored. The average number
This is for instance the case when one develops a panic attack simply because they find themselves in an elevator or other enclosed space especially if they have a fear of heights or are claustrophobic. For the former, if an individual is in an elevator and realizes that they are in the fiftieth floor of a building, then they can easily get terrified and even develop panic attacks fearing that the building might just collapse leading to their demise. In such a case, one can begin trembling and holding on to solid items in the room in a bid to ensure that a solid structure is protecting them, and not simply the glass on the walls. Another symptom is the use of all efforts to ensure that one does not encounter the item or situation that causes phobia (American Psychiatric Association, 2015). This can for instance be in the form of avoiding an airport at all costs where an individual suffers from aviophobia. Where one suffers from agrizoophobia, then they will try as much as they can to avoid contact with an environment that has animals. Such an individual will always come up with strong excuses on the reasons why it is a hundred times better to go swimming in a pool as opposed to visiting a zoo. This is all in a bid to ensure that one is as far away as
Main Point 1: There are three main categories of phobias. The first category is Specific Phobias which are known as simple phobias. Specific phobias or simple phobias are usually fears about specific situations, living creatures, places, activities, or things. Examples of simple phobias is dentophobia (dentists), aerophobia (flying), claustrophobia (small spaces), and acrophobia (heights). The other two categories are Social Phobia and Agoraphobia. These two are known as complex phobias. The article “What is a Phobia?”, describes them as complex phobias because “they are linked to deep-rooted fear or anxiety about certain situations, incidents or circumstances, which make them more disabling than simple phobias.” Social phobia is also referred to as social anxiety disorder. Social phobia may be defined in which a person has an excessive and unreasonable fear of social situations. (Webmd.com) A person with social phobia finds being in social situations very difficult to handle with because of the lack of social skills or experiences that person may have. Going out to social events such as parties or functions may cause anxiety to a person with social phobia. There is that fear a person has of being embarrassed in public. People with this phobia may be afraid of a specific situation such as public speaking. Medicinenet.com defines “agoraphobia” as “a fear of being outside or otherwise being in a situation from which one either cannot escape or from which escaping would be difficult or humiliating.” The results of agoraphobia are anxiety and panic attacks. People with agoraphobia sometimes confine themselves inside their own home when symptoms are