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3c:T10a1,- Outlines **counterconditioning** as the underlying mechanism of Systematic Desensitisation (SD), where a new response (relaxation) is conditioned to replace the fear response. B1 - Explains the concept of **reciprocal inhibition**—the physiological principle that one cannot experience both fear and deep relaxation at the same time. B1 - Outlines how an **anxiety hierarchy** is constructed, starting from the least anxiety-inducing scenario to the most feared scenario. B1 - Outlines **relaxation training** (such as progressive muscle relaxation, deep breathing exercises, or mental imagery) taught prior to exposure. B1 - Describes **gradual exposure**, where the client works up the hierarchy, mastering relaxation at each stage before proceeding. B1 - Describes **flooding** as immediate, intense exposure to the phobic stimulus without any gradual hierarchy. B1 - Explains the **prevention of avoidance** in flooding, forcing the client to remain in the presence of the feared object or situation. B1 - Explains **extinction** in flooding, where the high-adrenaline fear response peaks and naturally subsides due to exhaustion, helping the patient realise the stimulus is harmless. B1 - Applies SD to Julian's thalassophobia by suggesting a potential anxiety hierarchy (e.g., starting with looking at pictures of deep water, dipping toes in a pool, eventually swimming in deep water). M1 - Applies relaxation techniques to Julian's case, explaining how learning to relax while visualizing or being near deep water counteracts his trauma response. M1 - Applies flooding to Julian's case, explaining that he would be immediately placed in deep open water (under safe supervision) and kept there until his panic subsides. A1 - Applies SD to Elena's motorphobia by suggesting a potential hierarchy (e.g., reading about moths, looking at photos, holding a realistic toy moth, being in a room with a live moth). M1 - Applies flooding to Elena's case, describing a scenario where she is placed in a small closed space with harmless moths until her physiological panic reaction dissipates. M1 - Identifies how Julian's phobia is linked to a highly traumatic event, meaning flooding could be highly risky and potentially trigger post-traumatic panic, making SD a safer, more controlled choice. A1 - Identifies that Elena's phobia affects her immediate ability to work, making the rapid nature of flooding potentially advantageous if she wants a quick resolution. A1 - Evaluates the clinical suitability of both approaches for these specific patients based on their psychological readiness and the nature of their fears. A1 - Evaluates the general **effectiveness** of SD, citing supporting clinical research (e.g., Gilroy et al., 2003, showing long-term benefits for spider phobics). C1 - Discusses the **cost-effectiveness and speed** of flooding, noting it often requires only one long session to resolve a phobia compared to multiple sessions of SD. C1 - Evaluates the **high attrition rates** of flooding, as many patients find the experience too traumatic and withdraw before extinction can occur. C1 - Evaluates the **ethical issues** of flooding, noting that incomplete treatment can actually reinforce and worsen the phobia. C1 - Discusses how SD is generally viewed as much more acceptable and ethical by patients, leading to low dropout rates and higher satisfaction. C1 - Evaluates the suitability of SD for a wider range of patients, such as children or individuals with learning difficulties who may struggle with the intense stress of flooding. C1 - Discusses the theoretical criticism of **symptom substitution**, where behaviorist treatments only address surface symptoms and a new phobia may emerge if the underlying conflict is unresolved. C1 - Reaches a balanced conclusion comparing the ethical/practical trade-offs (e.g., speed vs. comfort) of both behavioural therapies. C13d:Tabe,- Explains that Systematic Desensitisation (SD) is based on classical conditioning and classical counterconditioning B1 - Explains the principle of reciprocal inhibition, where relaxation and anxiety cannot coexist B1 - Outlines the development of an anxiety hierarchy from least to most frightening B1 - Explains that this hierarchy is designed collaboratively by the therapist and client B1 - Outlines relaxation training, such as deep breathing or progressive muscle relaxation B1 - Explains gradual exposure, progressing through the hierarchy only when relaxation is achieved at the current level B1 - Explains that Flooding involves immediate, direct exposure to the extreme phobic stimulus without gradual steps B1 - Explains how prevention of avoidance is key to flooding, as the client cannot escape B1 - Explains extinction, where the fear response naturally subsides due to exhaustion and the phobic stimulus is learned to be harmless B1 - Identifies that SD has strong research support, e.g., Gilroy et al. (2003) showing long-term benefits for spider phobics A1 - Concludes that SD has high clinical effectiveness that is long-lasting C1 - Identifies that Flooding is highly cost-effective and rapid, often requiring only one session A1 - Explains that this makes flooding a highly efficient choice for health services C1 - Discusses ethical issues with flooding, noting that it is highly traumatic A1 - Explains that flooding has high attrition rates, which can worsen the phobia if the patient drops out early A1 - Compares SD's attrition rates, noting they are much lower than flooding because SD is more patient-controlled A1 - Concludes that SD is a more acceptable and ethical treatment option for most patients C1 - Discusses suitability, noting SD is appropriate for patients with learning difficulties A1 - Explains that such patients may struggle with CBT's cognitive demands or flooding's trauma A1 - Evaluates the limitation of symptom substitution suggested by psychodynamic theorists A1 - Explains that behaviorist therapies may only treat outward symptoms rather than root causes A1 - Notes that if the root cause remains unresolved, a new phobia might manifest A1 - Discusses that empirical evidence for symptom substitution is mixed, weakening the criticism C1 - Demonstrates clear, logical, and coherent organization of the overall comparison and evaluation C125:["$","$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 60 – 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/q60\",\"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":59,"initialQuestionWindow":[{"id":"e304dc01-8ff1-4a65-acd8-b5898d3a5ffd","revisionId":"bf12a54d-2f52-4113-b78b-c2de7713a97c","questionNumber":null,"questionType":"LA","specification":"Dr. Harrison is a clinical psychologist who is consulting on two cases of specific phobias:\n\n* **Case A**: Julian, a marine researcher, who developed a debilitating fear of deep open water (thalassophobia) after being trapped under a capsized vessel.\n* **Case B**: Elena, an archivist, who has an intense fear of moths (motorphobia) that prevents her from entering old storage vaults.\n\nDr. Harrison is considering using either systematic desensitisation or flooding to treat these patients.","difficulty":7,"difficultyBand":"hard","totalMarks":24,"sourceTitle":null,"calculatorUse":null,"isCalculation":false,"parts":[{"id":"0726b006-9f4d-44f8-8520-a665ce999405","label":null,"content":"Discuss both systematic desensitisation and flooding as behavioural treatments for phobias. 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Behavioural approach to phobias

Question 13

Behavioural approach to phobias Questions

Behavioural approach to phobias

Question 13

Behavioural approach to phobias Questions