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Systematic Desensitization: Steps, Examples, and Therapy

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Phoebe Reeves

2/21/2023

Psychology

Systematic Desensitisation

Systematic Desensitization: Steps, Examples, and Therapy

Systematic desensitization is a behavioral therapy technique used to treat phobias and anxiety disorders. This approach gradually exposes individuals to their feared stimuli while teaching relaxation techniques to counter anxiety responses.

  • The process involves creating a fear hierarchy and progressively working through it
  • Relaxation techniques are crucial for reciprocal inhibition
  • Both in vivo (real-life) and in vitro (imagined) exposures can be used
  • Counter conditioning is a key component, replacing fear responses with relaxation
  • Effectiveness varies, with success rates around 75-80% for specific phobias
  • Ethical considerations and patient control make it preferable to other methods
...

2/21/2023

133

Behaviourist Approach - systematic desensitisation (SD)
You could learn that your feared thing is not so scary after all BUT you are too
fri

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Effectiveness and Limitations of Systematic Desensitization

Systematic desensitization has shown considerable success in treating learned fears and specific phobias. Research indicates that this approach can significantly reduce both physiological and self-reported fear levels.

Example: Capafons et al. 19981998 found that clients with a fear of flying exhibited fewer physiological signs of fear and reported lower fear levels after a 12-15 week treatment period using both in vivo and in vitro techniques.

Key points on effectiveness:

  • Success rates for systematic desensitization and exposure therapies range from 75-80% McGrathetal.,1990;Marks,1990McGrath et al., 1990; Marks, 1990.
  • In vivo procedures tend to be more effective than in vitro desensitization.
  • The approach is particularly successful for overcoming learned problems and specific phobias.

However, systematic desensitization vs exposure therapy has some limitations:

  • It may not be appropriate for all types of phobias, especially those rooted in ancient fears or involving intangible stimuli e.g.,ghostse.g., ghosts.
  • There is a risk of symptom substitution, where eliminating one symptom may lead to the appearance of others.
  • High dropout rates have been observed in some studies.

Highlight: While systematic desensitization can effectively treat symptoms, it may not address the underlying causes of phobias or anxiety disorders.

Ethical considerations make systematic desensitization preferable to more intense methods like flooding:

  • The gradual approach allows clients to progress at their own pace.
  • Anxiety is controlled throughout the process, making it more ethical.
  • Clients can provide informed consent and have the freedom to withdraw at any point.

Quote: "The progressive structure of SD allows the patient to control the steps they must make until fear is overcome."

Behaviourist Approach - systematic desensitisation (SD)
You could learn that your feared thing is not so scary after all BUT you are too
fri

View

Practical Considerations and Critiques of Systematic Desensitization

While systematic desensitization therapy offers many benefits, there are several practical considerations and critiques to keep in mind:

  1. Time investment: Systematic desensitization is a slow process, typically requiring 6-8 sessions. However, research suggests that longer treatment durations may lead to more effective outcomes.
  2. Accessibility: Some individuals may face barriers to engaging in systematic desensitization, such as: Unwillingness to participate Inability to engage due to severe anxiety or other factors Financial constraints limiting access to therapy
  3. Focus on symptoms: A significant critique of systematic desensitization is that it primarily treats observable and measurable symptoms rather than addressing the underlying causes of phobias or anxiety disorders.

Highlight: Systematic desensitization may not fully address the cognitive and emotional aspects that often motivate anxious behaviors.

  1. Variability in effectiveness: While systematic desensitization has shown success in treating specific phobias, its effectiveness may vary for different types of anxiety disorders or more complex psychological issues.
  2. Need for personalization: The systematic desensitization steps must be tailored to each individual's specific fears and anxiety levels, requiring skilled therapists to implement effectively.

Definition: In vivo desensitization refers to exposure to feared stimuli in real-life situations, while systematic desensitization can include both real and imagined exposures.

  1. Maintenance of results: Long-term follow-up studies are needed to assess the durability of treatment effects and determine if additional "booster" sessions may be necessary for some individuals.

Vocabulary: Symptom substitution - The phenomenon where treating one symptom may lead to the emergence of other psychological symptoms.

Despite these considerations, systematic desensitization remains a valuable tool in the treatment of phobias and anxiety disorders, particularly when combined with other therapeutic approaches that address underlying cognitive and emotional factors.

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Psychology

133

Feb 21, 2023

3 pages

Systematic Desensitization: Steps, Examples, and Therapy

P

Phoebe Reeves

@phoebereeves_udlm

Systematic desensitization is a behavioral therapy technique used to treat phobias and anxiety disorders. This approach gradually exposes individuals to their feared stimuli while teaching relaxation techniques to counter anxiety responses.

  • The process involves creating a fear hierarchy and progressively... Show more

Behaviourist Approach - systematic desensitisation (SD)
You could learn that your feared thing is not so scary after all BUT you are too
fri

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Effectiveness and Limitations of Systematic Desensitization

Systematic desensitization has shown considerable success in treating learned fears and specific phobias. Research indicates that this approach can significantly reduce both physiological and self-reported fear levels.

Example: Capafons et al. 19981998 found that clients with a fear of flying exhibited fewer physiological signs of fear and reported lower fear levels after a 12-15 week treatment period using both in vivo and in vitro techniques.

Key points on effectiveness:

  • Success rates for systematic desensitization and exposure therapies range from 75-80% McGrathetal.,1990;Marks,1990McGrath et al., 1990; Marks, 1990.
  • In vivo procedures tend to be more effective than in vitro desensitization.
  • The approach is particularly successful for overcoming learned problems and specific phobias.

However, systematic desensitization vs exposure therapy has some limitations:

  • It may not be appropriate for all types of phobias, especially those rooted in ancient fears or involving intangible stimuli e.g.,ghostse.g., ghosts.
  • There is a risk of symptom substitution, where eliminating one symptom may lead to the appearance of others.
  • High dropout rates have been observed in some studies.

Highlight: While systematic desensitization can effectively treat symptoms, it may not address the underlying causes of phobias or anxiety disorders.

Ethical considerations make systematic desensitization preferable to more intense methods like flooding:

  • The gradual approach allows clients to progress at their own pace.
  • Anxiety is controlled throughout the process, making it more ethical.
  • Clients can provide informed consent and have the freedom to withdraw at any point.

Quote: "The progressive structure of SD allows the patient to control the steps they must make until fear is overcome."

Behaviourist Approach - systematic desensitisation (SD)
You could learn that your feared thing is not so scary after all BUT you are too
fri

Sign up to see the contentIt's free!

Access to all documents

Improve your grades

Join milions of students

By signing up you accept Terms of Service and Privacy Policy

Practical Considerations and Critiques of Systematic Desensitization

While systematic desensitization therapy offers many benefits, there are several practical considerations and critiques to keep in mind:

  1. Time investment: Systematic desensitization is a slow process, typically requiring 6-8 sessions. However, research suggests that longer treatment durations may lead to more effective outcomes.
  2. Accessibility: Some individuals may face barriers to engaging in systematic desensitization, such as: Unwillingness to participate Inability to engage due to severe anxiety or other factors Financial constraints limiting access to therapy
  3. Focus on symptoms: A significant critique of systematic desensitization is that it primarily treats observable and measurable symptoms rather than addressing the underlying causes of phobias or anxiety disorders.

Highlight: Systematic desensitization may not fully address the cognitive and emotional aspects that often motivate anxious behaviors.

  1. Variability in effectiveness: While systematic desensitization has shown success in treating specific phobias, its effectiveness may vary for different types of anxiety disorders or more complex psychological issues.
  2. Need for personalization: The systematic desensitization steps must be tailored to each individual's specific fears and anxiety levels, requiring skilled therapists to implement effectively.

Definition: In vivo desensitization refers to exposure to feared stimuli in real-life situations, while systematic desensitization can include both real and imagined exposures.

  1. Maintenance of results: Long-term follow-up studies are needed to assess the durability of treatment effects and determine if additional "booster" sessions may be necessary for some individuals.

Vocabulary: Symptom substitution - The phenomenon where treating one symptom may lead to the emergence of other psychological symptoms.

Despite these considerations, systematic desensitization remains a valuable tool in the treatment of phobias and anxiety disorders, particularly when combined with other therapeutic approaches that address underlying cognitive and emotional factors.

Behaviourist Approach - systematic desensitisation (SD)
You could learn that your feared thing is not so scary after all BUT you are too
fri

Sign up to see the contentIt's free!

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Improve your grades

Join milions of students

By signing up you accept Terms of Service and Privacy Policy

Principles and Process of Systematic Desensitization

Systematic desensitization therapy is a structured approach to treating phobias and anxiety disorders. It follows a step-by-step process designed to gradually expose individuals to their fears while maintaining a state of relaxation.

The main principles of systematic desensitization steps include:

  1. Teaching relaxation techniques: Patients learn deep muscle relaxation and breathing exercises to manage anxiety.
  2. Creating a fear hierarchy: A list of fear-inducing stimuli is developed, ranging from least to most anxiety-provoking.
  3. Gradual exposure: Patients work through the hierarchy, applying relaxation techniques at each stage.

Vocabulary: Reciprocal inhibition - A process where one response e.g.,relaxatione.g., relaxation inhibits an incompatible response e.g.,feare.g., fear.

Example: A person with a fear of dogs might start by looking at pictures of dogs, then progress to watching videos, seeing dogs from a distance, and eventually petting a dog.

Counter conditioning is a crucial aspect of systematic desensitization. This process involves teaching a new stimulus-response association, replacing fear with relaxation when encountering the feared object or situation.

Definition: Counter conditioning is the process of replacing an undesirable response to a stimulus with a more desirable one through repeated pairings.

There are two main forms of systematic desensitization:

  1. In vivo: Directly confronting fears in real-life situations.
  2. In vitro: Imagining the presence of the feared stimulus.

Highlight: A combination of both in vivo and in vitro techniques often yields the best results in systematic desensitization therapy.

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This app is really great. There are so many study notes and help [...]. My problem subject is French, for example, and the app has so many options for help. Thanks to this app, I have improved my French. I would recommend it to anyone.

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Wow, I am really amazed. I just tried the app because I've seen it advertised many times and was absolutely stunned. This app is THE HELP you want for school and above all, it offers so many things, such as workouts and fact sheets, which have been VERY helpful to me personally.

Anna

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I think it’s very much worth it and you’ll end up using it a lot once you get the hang of it and even after looking at others notes you can still ask your Artificial intelligence buddy the question and ask to simplify it if you still don’t get it!!! In the end I think it’s worth it 😊👍 ⚠️Also DID I MENTION ITS FREEE YOU DON’T HAVE TO PAY FOR ANYTHING AND STILL GET YOUR GRADES IN PERFECTLY❗️❗️⚠️

Thomas R

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Brad T

Android user

Not only did it help me find the answer but it also showed me alternative ways to solve it. I was horrible in math and science but now I have an a in both subjects. Thanks for the help🤍🤍

David K

iOS user

The app's just great! All I have to do is enter the topic in the search bar and I get the response real fast. I don't have to watch 10 YouTube videos to understand something, so I'm saving my time. Highly recommended!

Sudenaz Ocak

Android user

In school I was really bad at maths but thanks to the app, I am doing better now. I am so grateful that you made the app.

Greenlight Bonnie

Android user

I found this app a couple years ago and it has only gotten better since then. I really love it because it can help with written questions and photo questions. Also, it can find study guides that other people have made as well as flashcard sets and practice tests. The free version is also amazing for students who might not be able to afford it. Would 100% recommend

Aubrey

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Marco B

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This app is phenomenal down to the correct info and the various topics you can study! I greatly recommend it for people who struggle with procrastination and those who need homework help. It has been perfectly accurate for world 1 history as far as I’ve seen! Geometry too!

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