Systematic Desensitization

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Describe the case of little albert
Fear of mice caused by loud noises. Fear then generalized to cotton balls, santa mask, and other small white furry things
How can you describe a phobia
A fear that causes sever anxiety-dizziness, nausea, or hyperventilation., avoidance of that feared stimulus/situation, impairment in functioning
What are the treatments available for phobias
Flooding or systematic desensitization
What is different about systematic desensitization
Does not rely on extinction, relies on counter conditioning. You train an individual to relax in the presence of a feared stimulus
What are the steps to systematic desensitization
1. Relaxation training - deep muscle relaxation in which you alternatively tense and relax specific muscles
2. Construction of fear/anxiety hierarchy - least anxiety provoking to top intense fear, make sure the jump between the steps aren't too big.
3. Implementation of program in one of three ways
What are the three ways to implement a systematic desensitization
1. Imagery (most common) - subject lies down and starts with first item and is told to vividly imagine themselves in this scenario while simultaneously practicing relaxation. If subject feels any anxiety then he/she lifts a finger and the doctor goes back a step
2. Virtual reality - used successfully with flights, animals, heights, and public speaking
3. In vivo - patient jumps into real situation

All of the above are effective
Describe koshner 1965
Teen with fear of driving after a car accident used only imagery, fear was gone after only 6 sessions with no relapse (typically takes 10-20 sessions with 90% effectiveness)
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