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UMass Amherst PSYCH 380 - Phobias

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Psych 380 1nd Edition Lecture 7 Outline of Current Lecture I Classical conditioning II Counterconditioning III Phobias Current Lecture Behavioral and cognitive approaches classical conditioning conditioned responses stimulus generation operant conditioning reinforcement extinction counterconditioning exposure systematic desensitization flooding participant modeling aversion therapy Arthur student of Halgins always sat in the back of the room These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute asked Halgin if he could see him for psychotherapy Halgin said no b c of the rule against teachers helping students but once the kid passed the class he asked again and Halgin accepted I have two weird phobias One is that I am terrified of being alone even in his own apartment when his room mates were only going to be gone for just a few hours and I have a fear of getting my blood pressure taken and I pass out when I see the cuff they use to take it Questions you might ask what was your childhood relationship with parents like were you ever victim of a burglary did you ever have a bad experience at the doctor do you have any siblings maybe never alone as a kid and now is afraid to be alone Classical conditioning condition stimulus adaptions and maladaptions How did Arthur develop these phobias I was 5 years old My parents were going out so they left my grandparents to babysit me One night while they were babysitting me my grandpa collapsed into cardiac arrest My grandma left to go to the neighbors to get up so I was left all alone watching him in fear When the paramedics came they put the cuff to take blood pressure around my grandpa and he ended up dying the fear is clearly a rational one he relates be alone and those cuffs to death So why does this make him fear being alone in his apartment when he knew his room mates would be away and that he d be home alone for the night he d make a reservation and pay to stay at HOJO even though he d still be in a room alone said this was ok because he knew the person who worked at the desk would be up all night making sure things were ok maybe he needs to feel a sense of importance security you could ask him if he possibly had a gf that he could make stay with him he didn t you need to figure out how to help him feel safe being alone Counter conditioning pair aloneness with something good how does halgin help him be alone he gave Arthur his business card with personal number on the back and said for Arthur to call him if he needed to but preferably in the morning and not in the middle of the night wanted to show Arthur he could make it through the night on his own he did called Halgin the next morning and said that although he still didn t sleep at all he did make it through the night slowly he got better and better at being alone halgin actually told Arthur he should expect a relapse like most addicts do Gradual exposure blood pressure cuff how could halgin remove this fear he could bring the cuff into his office because then Arthur might pair the fear of the cuff with the office and then make him too afraid to go to therapy he didn t want to bring him to the doctor and pair himself with the fear of the doctor because then he d be afraid of halgin in vivo in real life exposure at the time Brookstone was selling blood pressure cuffs to halgin to arthurt to take his friends to Brookstone and just fool around with the cuff so that he could pair the cuff with a good experience rather than a bad one and he d see that it wouldn t hurt him then he had a nurse meet them somewhere other than UHS and Halgins office and took arthurs blood pressure systematic desensitization flooding if you have to face it head on you have to overcome it like if someone is afraid to swim you just toss them in a pool so they have to swim in order to survive halgin thinks this is a terrible way to go about it aha participant modeling aversion therapy Cognitive Restructuring views of self world and future learn to think differently about yourself and the world Reaction Severity Assessment Severity of Sitution Reaction Level 10 10 9 9 8 8 7 7 6 6 5 5 4 4 3 3 2 2 1 1 Rate yourself based on these things to show yourself that you shouldn t react so severely to some minor situations that piss you off grade yourself on appropriateness a appropriate b mixed c inappropriate


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