Treatments of Dysfunctional Behaviour, D.B, Health

  • Created by: Lily
  • Created on: 31-05-13 13:42
Assumption of behavioural approach to dysfunctional behaviour:
all behaviour is learnt, and therefore dysfunctional behaviour is learnt
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Main behavioural treatment for D.B?
systematic desensitisation
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Main steps of systematic desensitisation? (5)
1) hierarchy of fear created. 2) exposed to stimulus at bottom of hierarchy. 3) build up hierarchy. 4) learn to associate stimuli with relaxation. 5) look for cause of the fear.
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What type of study did McGrath carry out ?
Case study
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McGrath's Participants?
9 year old girl, Lucy with a phobia of sudden noises
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What was included in the fear hierarchy? (McGrath)
balloons popping, party poppers, doors slamming
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Why was Lucy taught relaxation skills?
So she could pair relaxation, with exposure to sudden noises, and learn to associate sudden noises with feeling calm.
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What type of conditioning does systematic desensitisation use?
Classical conditioning (association)
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What were the results after the 5th therapy session? (McGrath)
Lucy was able to pop balloons herself.
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What did participant use to rate their fear of a stimulus? (McGrath)
'Hypothetical fear thermometer' (out of 10)
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By the 10th session, what did they find about participant's fear? (McGrath)
Fear of balloons popping had gone from 7/10 to 3/10. Fear of party poppers had gone from 9/10 to 3/10 also.
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What was one important factor in aiding the success of the systematic desensitisation?
for Lucy to have control over when she was exposed to the sudden noises.
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What was found at the 3 month follow up? (McGrath)
relaxation techniques were maintained.
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An assumption of the biological approach to D.B?
All dysfunctional behaviour has a biological cause.
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What is the main treatment from the biological approach?
drug therapy
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Main 3 drug types used for DB?
Tranquillisers, Anti-depressants and Beta-blockers.
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2 strengths of drug treatment:
Removes symptoms effectively, does this quickly.
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2 weaknesses of drug treatment:
Doesn't cure DB long term (only removes symptoms), may cause side effects.
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Which 2 drugs did Leibowitz investigate?
Phenelzine and Atenolol
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What were the patients used suffering from?
Social phobia
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What measures were used to assess anxiety?
Hamilyton Rating Scale For Anxiety
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When were these done?
before and 8 weeks after
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What were the 4 groups?
Phenelzine, Atenolol, and two matched placebo control groups
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Main finding?
Phenelzine group scored better than the placebo groups and atenolol group.
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What were the finding about atenolol?
There was no significant difference between the placebo scores and the atenolol score
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Cognitive assumption for d.b?
DB is caused by faulty cognitions, therapists aim to replace fault cognitions with more appropriate ones to remove the dysfunctional behaviour
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What are the 4 basic assumptions for Cognitive Behavioural Therapy?
1) event themselves are unimportant, interpretation is important. 2) thoughts, feeling and behaviour are all linked. 3) therapist must help patient rid of any negative biases. 4) patient much change thinking & behaviour.
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What did Clark investigate?
The effectiveness of a new cognitive therapy to treat social phobia, compared with an established behavioural treatment.
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What were the 3 conditions?
CT (cognitive therapy), Behavioural and Waiting list.
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How were phobia levels measures?
Using 7 independent assessor and patient rating scales.
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Main findings of Clark's study?
CT and behavioural treatment showed superior improvement to the WAIT condition. However CT showed more improvement that behavioural.
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After treatment, what % of participants no longer met social phobia criteria in each condition?
84% in CT. 42% in Behavioural. 0% in WAIT.
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On follow up what was found?
Patients who received behavioural treatment were more likely to have sought additional treatment.
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Main behavioural treatment for D.B?


systematic desensitisation

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Main steps of systematic desensitisation? (5)


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What type of study did McGrath carry out ?


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McGrath's Participants?


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