(Main Lecture): Specific phobia

48 important questions on (Main Lecture): Specific phobia

What are some of the criteria for diagnosing Specific Phobia according to DSM-5?

- Disproportional fear/anxiety about specific object/situation
- Immediate fear/anxiety when exposed
- Avoidance or intense fear/anxiety when enduring
- Symptoms lasting more than 6 months
- Clinically significant distress or impairment

What distinguishes Panic Disorder from Specific Phobia in terms of triggers?

- Panic disorder has more general feared situations
- Specific Phobia has a very clear trigger

How does Post-Traumatic Stress Disorder (PTSD) differ from Specific Phobia in response triggers?

- PTSD triggers are related to past trauma
- Phobia triggers are directly related to the feared object/stimulus
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What is the average number of phobias individuals usually have?

On average, individuals usually have more than one phobia.

What percentage of treatment seekers have Specific Phobia as a primary diagnosis?

Only 6 percent of treatment seekers have Specific Phobia as a primary diagnosis.

How do Obsessive-Compulsive Disorder (OCD) obsessions differ from thoughts in Specific Phobia?

OCD obsessions tend to be more magical and illogical, while Specific Phobia thoughts are rational and related to the feared object.

What characteristic differentiates the negative thoughts between Obsessive-Compulsive Disorder (OCD) and Specific Phobia?

In OCD, negative thoughts tend to be more magical and illogical whereas in Specific Phobia, negative thoughts seem quite logical.

What are the subtypes of Specific Phobia according to the DSM-5?

- Situational
- Natural Environment
- Blood-Injection-Injury
- Animal
- Other

How long must symptoms last to be diagnosed with Specific Phobia?

Symptoms must persist for more than 6 months to be diagnosed with Specific Phobia.

How can specific phobias develop?

- Direct aversive experiences (e.g., being trapped in an elevator)
- Indirect experiences (e.g., watching others act fearful)
- Negative information (e.g., hearing about plane crashes)

What is classical conditioning's role in developing specific phobias?

- CS paired with UCS leads to UCR (e.g., elevator ➞ trapped ➞ panic)

According to the preparedness theory, why are certain fears more common?

- Evolutionary advantage of specific fears (e.g., snakes, spiders)
- Genetic predisposition due to survival benefits

How can vicarious learning contribute to the development of specific phobias?

- Watching significant others act fearful
- Receiving negative information (e.g., about plane crashes)

Explain the difference in fear acquisition and extinction for some stimuli.

- Fear acquisition is the same for all stimuli
- Fear extinction is harder for evolutionary advantageous stimuli

What type of fears are humans predisposed to acquire according to the preparedness theory?

- Fears related to objects that move quickly and unpredictably
- Fears of objects different from humans

How did fears of certain stimuli like snakes and spiders aid in human survival?

- Those who feared these animals survived
- Genes of scared individuals were passed on

Why is it harder to extinguish fear of evolutionary advantageous stimuli?

- Genes favoring fear of certain stimuli persisted
- Fear-related to survival is difficult to eliminate

What is the impact of receiving negative information on fear development?

- Hearing about negative events can lead to fear
- Examples include fear of sharks after hearing about Jaws

How can watching others experience fear contribute to developing specific phobias?

- Model behavior signals danger
- Fear is learned through observation

Describe the role of direct aversive experiences in the development of specific phobias.

- Experiencing negative events firsthand leads to fear
- Example: being trapped in an elevator causing panic

Why did Zara but not Emily develop a dog phobia despite Emily being bitten?

- CONDITIONABILITY: Some acquire phobias more easily due to genes or learning history.
- LATENT INHIBITION: Prior experiences delay fear acquisition, protecting from irrelevant associations.

What factor during the attack influenced the likelihood of developing a phobia?

- LEVEL OF PERCEIVED CONTROL: Certainty reduces unpredictability and aids recovery process.

Explain why prior trauma can make a person more susceptible to developing a phobia.

- INFLATION EFFECT: Past trauma increases phobia risk, but not all negative experiences cause phobias.
- REEVALUATION: Post-event information influences how one associates with conditioned stimulus.
- MENTAL REHEARSAL: Rumination strengthens memory, contributing to phobia development.

What can influence how easily someone acquires a phobia?

- CONDITIONABILITY: Genetics or learning history can affect how easily one acquires phobias.

What role does the level of perceived control play in the development of a phobia?

- Certainty in outcomes reduces unpredictability and aids in moving on from events.

What impact does mental rehearsal have on the development of a phobia?

- MENTAL REHEARSAL: Rumination on events can strengthen memories and contribute to phobias.

How can prior trauma affect one's susceptibility to phobias?

- INFLATION EFFECT: Previous traumatic experiences can increase the likelihood of developing phobias.

What is latent inhibition and how does it relate to fear acquisition?

- LATENT INHIBITION: Delayed association of familiar stimuli with fear can protect from irrelevant fears.

How does the level of perceived control affect responses to traumatic events?

- LEVEL OF PERCEIVED CONTROL: Certainty in outcomes assists in managing unpredictability during events.

How is specific phobia maintained?

- Operant conditioning
- Decrease anxiety through avoidance
- Reinforces avoidance behavior
- Fear does not go away due to assumptions correction

What is the most effective treatment for specific phobia?

- Exposure in vivo
- Confront feared object in real life
- Learn object of fear is not as scary

How is specific phobia initiated according to Mowrer’s two-stage model?

- Classical conditioning

Why is cognitive therapy not as effective in treating specific phobia?

- Not necessarily cognitions linked to fear
- Need behavioral aspect to show opposite of fear
- Cognitions often modified via exposure

Why is medical treatment not preferred for treating specific phobia?

- Symptoms reduced, but phobia remains
- No unlearning of fear associations
- Side-effects need to be considered

How can avoidance behavior be reinforced in specific phobia?

- Decrease in anxiety through avoidance
- Anxious feeling goes away when avoiding

What does the maintenance of a specific phobia involve according to operant conditioning?

- Being rewarded increases behavior
- Avoidance reduces anxiety, seen as reward

What processes related to information processing bias might contribute to maintaining specific phobia?

- Attention, interpretation, covariation
- Being alert and scanning for feared object

How can attention play a role in maintaining specific phobia?

- Being very alert, always scanning for feared object
- Maintains fear, increases likelihood of finding feared object

In what way does interpretation contribute to maintaining specific phobia?

- Seeing something similar to feared object and interpreting it as such
- E.g., interpreting an energetic dog as a dangerous one

How does covariation influence the maintenance of specific phobia?

- Frequency of stimulus and feared outcome occurring together
- Phobia results in expecting feared outcome much more often than it happens

What is a key aspect of confronting feared objects in exposure in vivo therapy for specific phobia?

- Learning that the feared object is not as terrifying as perceived

Why do people with phobia not experience a decrease in fear over time?

- Avoidance of the feared situation prevents the natural decrease of fear.
- Anxiety can decrease with exposure during treatment.

What effect does more exposure have on the fear peak in people with phobia?

- Increased exposure leads to a lower fear peak.

What is shown by the graph regarding predictions versus actual experiences of anxiety over time?

- Predictions of anxiety are higher compared to the actual experience.
- Anxiety decreases over time after exposure.

What is the goal of exposure therapy for phobias, according to the note provided?

- Goal is to make fear manageable, not to completely eliminate it.

In Craske's model, what approach does she use in exposure in vivo compared to the traditional method?

- Random and variable exposure
- Not hierarchical exposure

What practical factors should be considered to motivate individuals during exposure in vivo according to Craske?

- Multiple sessions versus one long session
- Incorporate psychoeducation
- Use a hierarchy
- Include rehearsal

What did Craske suggest therapists should focus on instead of reducing fear levels in exposure in vivo therapy?

- Focus on inhibitory learning
- Enhance inhibitory learning through repetition and variation
- Emphasize fear toleration

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