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3c:Tbdb,- **AO1:** Outlines Systematic Desensitisation (SD) based on classical conditioning and counterconditioning, where a new response (relaxation) replaces anxiety. B1 - **AO1:** Outlines reciprocal inhibition: the theory that anxiety and relaxation cannot occur simultaneously. B1 - **AO1:** Describes the use of an anxiety hierarchy, a graded ladder of fear-inducing situations from least to most scary. B1 - **AO1:** Describes relaxation training, where patients learn techniques like deep breathing or muscle relaxation. B1 - **AO1:** Describes gradual exposure, where the patient moves up the hierarchy, staying at each level until relaxed. B1 - **AO1:** Outlines Flooding, which involves immediate, direct exposure to the maximum phobic stimulus without progression. B1 - **AO1:** Explains that flooding works by preventing avoidance, forcing the patient to face the phobic stimulus. B1 - **AO1:** Explains extinction in flooding: the body's physical adrenaline exhaustion leads to a reduction in anxiety, showing the stimulus is harmless. B1 - **AO3:** Cites research evidence for the effectiveness of SD, such as Gilroy et al., who found SD patients with spider phobia were less fearful than control groups. C1 - **AO3:** Uses the Gilroy et al. study to argue that SD provides long-term benefits in reducing phobic anxiety. C1 - **AO3:** Argues SD is preferred by patients (as it is less traumatic), leading to lower refusal and dropout (attrition) rates. C1 - **AO3:** Notes SD is suitable for a wider range of patients, such as children or people with learning difficulties, who might struggle with flooding. C1 - **AO3:** Highlights that flooding is highly cost-effective and fast, often resolving phobias in a single 2–3 hour session. C1 - **AO3:** Evaluates the trade-off of flooding's speed with its highly traumatic nature, making it difficult for many to complete. C1 - **AO3:** Explains that dropping out of flooding can lead to sensitisation, which actually worsens the phobia. C1 - **AO3:** Notes flooding is less effective for complex phobias (like social phobia) because they have strong cognitive elements better addressed by cognitive therapies. C1 - **AO3:** Introduces the psychodynamic criticism of symptom substitution, where treating only symptoms might lead to another phobia developing. C1 - **AO3:** Evaluates the general behavioural approach for failing to address underlying psychological causes of phobias. C1 - **AO3:** Discusses how behavioural treatments are overall highly ethical when proper informed consent is obtained (particularly for flooding). C1 - **AO3:** Concludes with a balanced comparison of the appropriateness of SD vs flooding depending on patient characteristics and phobia type. C13d:T1084,- Identifies and describes Systematic Desensitisation (SD) as being based on classical conditioning and reciprocal inhibition (that two opposite emotions cannot coexist) B1 - Outlines the first phase of SD: training the patient in deep relaxation techniques (such as progressive muscle relaxation or breathing exercises) B1 - Outlines the second phase of SD: constructing an anxiety hierarchy from least to most feared scenarios involving the phobic stimulus B1 - Outlines the third phase of SD: gradual exposure to the hierarchy while maintaining a state of relaxation, progressing only when calm at the current level B1 - Identifies and describes Flooding as a behavioural treatment involving direct, immediate, and full exposure to the phobic stimulus without gradual buildup B1 - Explains that Flooding is based on the principle of extinction, where the conditioned response (fear) is extinguished when the conditioned stimulus is encountered without the unconditioned stimulus B1 - Explains the biological mechanism of flooding: the physiological fear response (adrenaline) cannot be sustained and must eventually subside, leading to a new association of safety B1 - Mentions the requirement of fully informed consent due to the extreme and traumatic nature of flooding sessions B1 - Applies Systematic Desensitisation to Zara: her fear of flying can be managed by learning relaxation techniques to counteract her flight anxiety M1 - Applies SD phases to Zara: her anxiety hierarchy would progress from looking at photos of planes, to visiting an airport, to sitting in a stationary plane, and finally taking a flight M1 - Applies Flooding to Leo: his phobia of dogs is treated by placing him immediately in a room with a dog, preventing avoidance behaviour M1 - Applies flooding principles to Leo: his panic will peak but eventually, because he cannot escape, his anxiety will drop, and he will learn the dog is not a threat M1 - Discusses the research support for SD, such as Gilroy et al. (2003) who found SD was effective in treating spider phobia at both 3 and 33 months follow-up A1 - Discusses the high suitability of SD for a diverse range of patients, including children or those with learning difficulties who may not tolerate flooding A1 - Evaluates the patient preference for SD, noting lower refusal and attrition (drop-out) rates compared to more intense therapies like flooding A1 - Discusses the key advantage of flooding: it is highly cost-effective and rapid, often requiring only a single long session to be fully effective A1 - Critically evaluates the traumatic nature of flooding, noting that high levels of stress cause many patients to drop out before completion A1 - Explains that premature termination of flooding can backfire, resulting in sensitisation (strengthening of the phobia) A1 - Evaluates the limitation of behavioural treatments regarding cognitive aspects: they are less effective for complex phobias (like social phobia) which have strong cognitive components A1 - Discusses the theoretical issue of symptom substitution: psychodynamic theorists argue that treating only behaviour ignores the underlying psychological cause, leading to new symptoms A1 - Discusses how behavioural therapies focus solely on symptoms, which is a strength in terms of immediate symptom relief but a limitation if the phobia has a non-behavioural origin A1 - Contrasts the passive nature of flooding with the active control given to the patient in SD, enhancing ethical acceptability and client autonomy A1 - Explores generalisability of treatment effects: in vitro (imagined) exposure versus in vivo (real-life) exposure and how this impacts real-world recovery A1 - Concludes by comparing the overall clinical utility of both methods, highlighting that the choice depends heavily on individual patient characteristics and ethical tolerance A125:["$","$L36",null,{"bundle":{"topicIds":["799d188c-d787-53e9-8c9d-65d80bf99b45"],"paperIds":[],"stageIds":[],"stageTopicIds":[],"stageAssessmentIds":[],"topicNoteIds":["4abede7b-8886-4028-8636-b0137a7fe1d4"]},"children":[["$","$L37",null,{"feature":"question-bank"}],"$L38",["$","$L39",null,{"subjectCode":"a_level_psychology__aqa","subjectName":"Psychology","topicSlug":"behavioural-approach-to-phobias","topicTitle":"Behavioural approach to phobias","sectionTitle":null,"activity":"worksheet","resourceTitle":"Behavioural approach to phobias Questions","resourceHref":"/a-level/psychology/aqa/behavioural-approach-to-phobias/questions/q1","saveTrail":false}],["$","$L3a",null,{"href":"/a-level/psychology/aqa/behavioural-approach-to-phobias/questions/q1","label":"Behavioural approach to phobias","subjectCode":"a_level_psychology__aqa","surface":"questions"}],["$","script",null,{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"LearningResource\",\"name\":\"Question 51 – Behavioural approach to phobias - Questions\",\"description\":\"Practise Behavioural approach to phobias A Level Psychology exam-style questions with worked solutions on MathsGenie.\",\"learningResourceType\":\"Practice questions\",\"educationalLevel\":\"A Level\",\"about\":{\"@type\":\"Thing\",\"name\":\"Behavioural approach to phobias\"},\"url\":\"https://mathsgenie.co.uk/a-level/psychology/aqa/behavioural-approach-to-phobias/questions/q51\",\"inLanguage\":\"en-GB\",\"provider\":{\"@id\":\"https://mathsgenie.co.uk/#organization\"}}"}}],["$","div",null,{"className":"min-h-0 w-full flex-1 overflow-hidden bg-background","children":["$","$L3b",null,{"backHref":"/a-level/psychology/aqa/questions","basePath":"/a-level/psychology/aqa/behavioural-approach-to-phobias/questions","formulaUrl":null,"initialIndex":50,"initialQuestionWindow":[{"id":"cab55c93-7dcd-4f8c-963d-e05a5ea84f7b","revisionId":"43f30ca5-8d76-42f2-92b7-511f75c36e26","questionNumber":null,"questionType":"LA","specification":"","difficulty":4,"difficultyBand":"hard","totalMarks":20,"sourceTitle":null,"calculatorUse":null,"isCalculation":true,"parts":[{"id":"99e5c02c-815d-446f-9c7d-8f8d967bcf69","label":null,"content":"Outline and evaluate one or more behavioural treatments for phobias.","markscheme":"$3c","marks":20,"order":0,"markingRubric":null,"tableImages":[],"explanation":null,"options":[]}],"options":[],"explanation":null,"firstAttemptFullMarks":null,"walkthroughVideo":null},{"id":"d57fbb0f-7dce-480f-86e0-1f2469bad191","revisionId":"aa72a0ec-1acd-4e61-9206-6e85165d5f70","questionNumber":null,"questionType":"LA","specification":"","difficulty":5,"difficultyBand":"hard","totalMarks":24,"sourceTitle":null,"calculatorUse":null,"isCalculation":false,"parts":[{"id":"28f94a6d-b261-4b4b-9da3-6b9ec0e2de11","label":null,"content":"Zara is terrified of flying, and avoiding flights is starting to impact her career. 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Behavioural approach to phobias

Question 9

Behavioural approach to phobias Questions

Behavioural approach to phobias

Question 9

Behavioural approach to phobias Questions