Psychological medicine
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Specific Phobia
- Persistent and irrational fear and avoidance of a specific object or situation
- Leads to avoidance or intense anxiety on exposure to feared stimulus
- Fear recognised as excessive
- Disruptive to functioning (important – who cares about a snake phobia in NZ)
- Can also be anxious about fear reaction
- Usually related to animals (mice, snakes, spiders), natural environment (earthquakes), blood, injection or injury; specific situations (eg claustrophobia)
· Develop due to:
- Direct conditioning through personal experience
- Verbal or vicarious transmission (eg develop shark phobia after watching Jaws)
· Treatment:
- Graded exposure
- Cognitive restructuring
- Physiological control: relaxation and medication (short-term only)
Social Phobia
- Fear of negative evaluation of performance in social situations. Fear they will do or say something embarrassing or humiliating. Fear visible anxiety symptoms
- Probability and cost of negative evaluation is over-estimated
- Early onset
- Leads to avoidance of social gatherings, public travel, etc
- Epidemiology: 6 month prevalence is 2 per 100, more females, onset in teens through to 35 ® social isolation
- Aetiology: ?conditioned response, genetics