Treatment FAQ

systematic desensitization for the treatment of phobias is a type of what therapy

by Irwin Strosin Published 2 years ago Updated 2 years ago
image

Systematic desensitization is a type of exposure therapy based on the principle of classical conditioning. It was developed by Wolpe
Wolpe
Wolpe developed the Subjective Units of Disturbance Scale (SUDS) for assessing the level of subjective discomfort or psychological pain. He also created the Subjective Anxiety Scale (SAS) and the Fear Survey Plan that are used in behavior research and therapy. Wolpe died in 1997 of mesothelioma.
https://en.wikipedia.org › wiki › Joseph_Wolpe
during the 1950s. This therapy aims to remove the fear response of a phobia, and substitute a relaxation response to the conditional stimulus gradually using counter-conditioning
counter-conditioning
Counterconditioning (also called stimulus substitution) is functional analytic principle that is part of behavior analysis, and involves the conditioning of an unwanted behavior or response to a stimulus into a wanted behavior or response by the association of positive actions with the stimulus.
https://en.wikipedia.org › wiki › Counterconditioning
.

Can systematic desensitization be applied to phobias?

The fact that the systematic desensitization technique can be applied in images means that many of the practical disadvantages involved in in vivo exposition with this type of phobia can be eliminated. One weakness of in vitro exposition is that it relies on the client’s ability to be able to imagine the fearful situation.

What is systematic desensitization in cognitive behavioral therapy?

Differences Systematic desensitization is one form of exposure therapy used in cognitive behavioral therapy (CBT). Systematic desensitization aims to reduce anxiety, stress, and avoidance by gradually exposing a person to the source of their discomfort in a thoughtfully planned way.

What is the difference between systematic desensitization and relaxation?

Systematic desensitization is about exposing the individual to whatever it is that they are afraid of. At the same time, however, there is a relaxation exercise used or the individual is engaged in some type of activity that causes them to relax.

Who is the founder of systematic desensitization?

2.3 Systematic Desensitization Systematic desensitization is a form of behavioral therapy based on the classic conditioning theory. It was developed in the 1950s by South African psychiatrist Joseph Wolpe. The “Systematic Desensitization” method is by Joseph Wolpe in the 1950s.

image

What type of therapy is systematic desensitization?

‌Systematic desensitization therapy is a type of behavioral therapy used to treat anxiety disorders, post-traumatic stress disorder (PTSD), phobias, and a fear of things like snakes or spiders.

What is systematic desensitization for phobias?

Systematic desensitization involves exposing phobic individuals to fear-evoking images and thoughts (i.e., imaginal exposure) or to actual phobic stimuli, while pairing the exposure with relaxation (or another response that is incompatible with fear) to decrease the normal fear response.

What type of therapy is used to treat phobias?

Cognitive behavioural therapy (CBT) It can be used to develop practical ways of dealing with your phobia. One part of the CBT treatment process that's often used to treat simple phobias involves gradual exposure to your fear, so you feel less anxious about it.

Is systematic desensitization a form of exposure therapy?

Systematic desensitization is a form of exposure therapy developed by Joseph Wolpe in 1958. Based on reciprocal inhibition, it posits that an individual cannot be relaxed and anxious simultaneously. A hierarchy of the patient's fears is developed.

Which type of psychotherapy uses aversion therapy?

Aversion therapy is a type of behavioral therapy that involves repeat pairing an unwanted behavior with discomfort. 1 For example, a person undergoing aversion therapy to stop smoking might receive an electrical shock every time they view an image of a cigarette.

What is behavioral therapy psychology?

Behavioral therapy is an umbrella term for types of therapy that treat mental health disorders. This form of therapy looks to identify and help change potentially self-destructive or unhealthy behaviors. It's based on the idea that all behaviors are learned and that behaviors can be changed.

What is cognitive behavioral therapy for phobias?

Cognitive Behavioral Therapy for Phobias Cognitive behavioral therapy, or CBT, enables you to manage your fears by helping you gradually change the way you think. It's based on the interconnectedness of thoughts, beliefs, feelings, and behaviors. It may take several CBT sessions to counteract this thought pattern.

What is Humanistic therapy?

Humanistic therapy adopts a holistic approach that focuses on free will, human potential, and self-discovery. It aims to help you develop a strong and healthy sense of self, explore your feelings, find meaning, and focus on your strengths.

What does cognitive therapy treat?

Cognitive behavioural therapy (CBT) is a talking therapy that can help you manage your problems by changing the way you think and behave. It's most commonly used to treat anxiety and depression, but can be useful for other mental and physical health problems.

Which of these is a type of exposure therapy?

There are two different kinds of Exposure Therapy, including: Flooding — this type of Exposure Therapy involves rapid exposure to feared situations. Systematic Desensitization, also known as Progressive Exposure — this involves gradual exposure coupled with relaxation exercises when anxiety levels become too great.

What are the three types of exposure therapy?

During exposure therapy, a therapist guides you through the process of confronting whatever causes you anxiety. There are three types of exposure therapy: in vivo, imaginal, and flooding.

What is Biomedical therapy?

What Is Biomedical Therapy? Biomedical therapy, or biomedical psychiatry, uses physiological treatments such as medications to treat psychological disorders. Many people who have addiction or substance abuse problems also have another mental health issue, such as depression or anxiety.

What is systematic desensitization therapy?

Systematic desensitization therapy is an evidence-based therapy. When a treatment is evidence-based, it means it's gone through documented scientific testing and extensive research, and has been shown to be successful. Studies point to the effectiveness of systematic desensitization therapy for anxiety disorders, phobias, ...

How to deal with a phobia when you are relaxed?

When you're feeling relaxed, it’s hard to feel tense. Tension is what you feel when you’re experiencing a phobia. Relaxation techniques can help you learn a different way of responding to your phobias. Step 2: Creating a fear hierarchy.

How to get rid of fear?

Last, you’ll start exposing yourself to your fear in stages so you get more and more comfortable dealing with it. ‌. Step 1: Deep muscle relaxation techniques.

What is autogenic relaxation?

Autogenic relaxation. You repeat words, phrases, or suggestions in your mind that create a feeling of relaxation and calm. The repetition in the mind leads to the muscles of your body getting more and more relaxed. ‌Progressive muscle relaxation. You learn to slowly tense and relax each muscle group.

What is the process of exposure?

The process of exposure can be done in two ways: ‌In vitro – the patient imagines being exposed to the object of fear in the mind's eye. ‌In vivo - the patient is actually exposed to the fear. A third type of exposure therapy called virtual reality exposure therapy (VRET) has become popular in recent years.

What is systematic desensitization?

Treats the symptoms not the cause (s) of the phobia. systematic desensitization only treats the observable and measurable symptoms of a phobia. This is a significant weakness because cognitions and emotions are often the motivators of behavior and so the treatment is only dealing with symptoms not the underlying causes.

How did Lang et al. (1963) use systematic desensitization with a group of college

Lang et al. (1963) used systematic desensitization with a group of college students who were all suffering from a snake phobia. They underwent 11 sessions to work through a hierarchy. Hypnosis was used to assist in the maintenance of relaxation. The P’s fear rating fell and improvements were still evident 6 months later.

What is the new response to a patient's learning?

The new response they learn is relaxation instead of fear (being mindful) because fear and relaxation cannot coexist (reciprocal inhibition).

How many sessions for phobia therapy?

The number of sessions required depends on the severity of the phobia. Usually 4-6 sessions, up to 12 for a severe phobia. The therapy is complete once the agreed therapeutic goals are met (not necessarily when the person’s fears have been completely removed). Exposure can be done in two ways:

Who developed the fear response therapy?

It was developed by Wolpe during the 1950s. This therapy aims to remove the fear response of a phobia, and substitute a relaxation response to the conditional stimulus gradually using counterconditioning. The patient is counterconditioned, taught a new association that is to counter the original behaviour learnt.

Can desensitization be applied to images?

The fact that the systematic desensitization technique can be applied in images means that many of the practical disadvantages involved in in vivo exposition with this type of phobia can be eliminated.

Who developed systematic desensitization?

on December 27, 2020. Joerg Steffens/OJO Images/Getty Images. Joseph Wolpe, a pioneer of behavioral therapy, developed a technique called systematic desensitization for the treatment of anxiety-related disorders and phobias.

How to prepare for a feared situation?

Learning to Relax. Before you can begin gradually exposing yourself to your feared situations, you must first learn and practice some relaxation techniques. Some techniques commonly used in relaxation training include:

How to relax mentally?

For example, imagine yourself sitting near a beautiful, peaceful lake. Focus on the scene for a period. Feel the soft sand on the bottom of your feet . As a gentle breeze sweeps across the water, imagine the warm air on your face as you watch a magnificent sunset on the horizon.

Who developed the systematic desensitization method?

It was developed in the 1950s by South African psychiatrist Joseph Wolpe. The “Systematic Desensitization” method is by Joseph Wolpe in the 1950s.

What is systemic desensitization?

What is Systematic Desensitization. Systematic desensitization is a form of behavioral therapy based on the classic conditioning theory. It was developed in the 1950s by South African psychiatrist Joseph Wolpe. The “Systematic Desensitization” method is by Joseph Wolpe in the 1950s.

What did Wolpe do to help with phobias?

Wolpe developed and perfected an action protocol for the treatment of phobias called Systematic Depersonalization.

What is the next step in a relaxation exercise?

The next and last step is to put the patient’s relaxation exercises learned first and provide complete relaxation. Meanwhile, the clinician will show or re-display different images from the previous step. Starting with a lower level of anxiety. Depending on the patient’s reaction, the patient will switch to the next high-grade image or the process will be repeated until their anxiety levels are reduced.

What is the second stage of anxiety?

At this second stage, the therapist and the patient prepare a list of any form, containing a set of situations or contexts that create a sense of anxiety in the person, then hierarchical or ordered starting from less anxiety or stress levels until the patient has the greatest sense of fear.

Who proposed the muscle relaxation model?

Welcomed the muscle relaxation model proposed by Wolpe Jacobson, changing it to be something shorter and more efficient. At this initial stage, the professional should teach patients relaxation techniques to be performed later in the following stages of treatment.

What are the techniques used in systematic desensitization?

Common techniques involved in systematic desensitization include in vivo, imagination, virtual reality, and interoceptive exposure.

Why is systematic desensitization not the same for two people?

The process of systematic desensitization will never look alike for two people because therapists work to study and understand how each person’s trigger affects them. In general, though, systematic desensitization follows a routine progression that involves defining the fear, rating situations that trigger different fear ratings, exposure, reviewing progress, and repeating the exposure/ review process until the ultimate fear is completed. 4

What is EMDR treatment?

Systematic desensitization and eye movement desensitization and reprocessing (EMDR) are both available treatments for PTSD and other anxious disorders. Both encourage the person to re-experience the trauma through exposure to lessen its impact.

How much does systematic desensitization cost?

Without insurance, systematic desensitization usually costs between $50 and $150 per session, which may be a cheaper option than medications to treat the same conditions. One study found exposure therapy to cost about $1,600 less than medication therapy when used for PTSD treatment. 7.

What is imaginal exposure?

During imaginal exposure, the therapist will prompt the client to imagine being in a situation or setting with their trigger. Through the use of guided imagery techniques, the therapist can encourage a more realistic and vivid mental picture, which helps to better recreate the fearful situation. Imagination exposure is a great option for triggers that are too dangerous or too uncommon to duplicate in an office or home setting. 2

What is the fear hierarchy of OCD?

OCD presents in many forms, but a person who is obsessed with cleanliness and fears contamination and compulses by washing their hands could respond quite well to systematic desensitization. In this case, the fear hierarchy will include a list of things the person finds “dirty, diseased, or gross.”

What is social anxiety disorder?

Social anxiety disorders involve a severe and debilitating level of stress, fear, and worry when faced with other people or social interactions. This condition can significantly impair a person’s ability to work, go to school, and have meaningful relationships, but systematic desensitization can resolve these fears. 6

image

How It Works

  • Systematic desensitization is a type of therapythat focuses on teaching you how to relax in the midst of your fears. Essentially, you’ll learn the skills and tools you need to navigate situations that would have previously felt unmanageable. Developing strategies to help you relax your body during moments of distress is the first step of systematic desensitization. Next, you create a fea…
See more on verywellhealth.com

Tactics

  • Relaxation techniques are helpful for calming physical sensations in the body. These strategies are versatile, in that you can use them on their own or combine them. There are many different types of tactics that can help. Trying a variety of techniques can help you determine what works best for you. It’s also important to note that what works best in one situation may not be as effe…
See more on verywellhealth.com

Benefits

  • Systematic desensitization is a form of exposure therapy, which aids patients by breaking cycles of avoidance, fear, and anxiety.2Through therapy, patients can tackle their fears in a safe environment with a mental health professional who can help them develop relaxation and coping strategies. Exposure therapy is effective in treating a range of me...
See more on verywellhealth.com

Efficacy

  • One study that examined virtual reality exposure strategies for anxiety treatment showed these interventions were effective in addressing a range of specific phobias.3 Some of these phobias included flying, fear of animals, heights, getting an injection, or the sight of blood.4 Another study showed that a certain type of exposure therapy is effective for the treatment of post-traumatic s…
See more on verywellhealth.com

How to Do It on Your Own

  • You can gradually expose yourself to fearful situations. But before starting that process, it’s important to make sure that you feel comfortable using relaxation techniques and have a few in your reserve that reduce your anxiety. Once you feel confident in using relaxation strategies, you can start exposing yourself to situations that bring up lower levels of fear. Take your time as yo…
See more on verywellhealth.com

Working with A Therapist

  • Because systematic desensitization involves exposure to fears, you may experience distressing emotions, anxiety, or even panic during the process. Working with a therapist to help you identify coping skills, list and rank your fears, and determine a plan for the best way to begin gradual exposure. Being able to communicate any problems, goals, and hopes for therapy is beneficial i…
See more on verywellhealth.com

Summary

  • Systematic desensitization is an effective and evidence-based treatment method to gradually expose yourself to phobias or situations that create extreme fear or anxiety. With the support of a therapist, you can learn relaxation strategies, pinpoint your fears, and begin exposing yourself to distressing situations while using techniques to cope with strong emotions. When seeking help, …
See more on verywellhealth.com

A Word from Verywell

  • Depending on the trigger, intense anxiety, fear, or phobias can make it difficult to function in your daily life. Systematic desensitization can help you gain a sense of confidence in your ability to encounter situations that induce fear. With the support of an experienced therapist, you can learn to manage your thoughts and feelings when facing your fears.
See more on verywellhealth.com

There Are Three Phases to The Treatment

Image
First, the patient is taught a deep muscle relaxation technique and breathing exercises. E.g. control over breathing, muscle detensioning or meditation. This step is very important because of reciprocal inhibition, where once response is inhibited because it is incompatible with another. In the case of phobias, fears involves ten…
See more on simplypsychology.org

Practical Issues

  • The fact that the systematic desensitization technique can be applied in images means that many of the practical disadvantages involved inin vivo exposition with this type of phobia can be eliminated. One weakness of in vitro exposition is that it relies on the client’s ability to be able to imagine the fearful situation. Some people cannot create a vivid image and thus systematic des…
See more on simplypsychology.org

Theoretical Issues

  • Systematic desensitization is highly effective where the problem is a learned anxiety of specific objects/situations, e.g. phobias (McGrath et al., 1990). However, systematic desensitization is not effective in treating serious mental disorders like depression and schizophrenia. Studies have shown that neither relaxation nor hierarchies are necessa...
See more on simplypsychology.org

Empirical Evidence

  • Lang et al. (1963) used systematic desensitization with a group of college students who were all suffering from a snake phobia. They underwent 11 sessions to work through a hierarchy. Hypnosis was used to assist in the maintenance of relaxation. The P’s fear rating fell and improvements were still evident 6 months later. Rothbaum et al. (2000) used systematic desens…
See more on simplypsychology.org

Ethical Issues

  • Systematic desensitization is a treatment method that increases the feelingof self-control; that is, the therapist suggests, guidesor helps, but does not represent the nucleus of the treatment. The risk of dependence upon the therapistor of perceiving improvements as being external tothe patient are thus minimised in this technique.
See more on simplypsychology.org

Apa Style References

  • Lang, P. J., & Lazovik, A. D. (1963). Experimental desensitization of phobia. The Journal of Abnormal and Social Psychology, 66(6), 519. McGrath, T., Tsui, E., Humphries, S., & Yule, W. (1990). Successful Treatment of a Noise Phobia in a Nine‐year‐old Girl with Systematic Desensitisation in vivo. Educational Psychology, 10(1), 79-83. Menzies, R. G., & Clarke, J. C. (199…
See more on simplypsychology.org

How to Reference This Article

  • McLeod, S. A. (2015). Systematic desensitization as a counter conditioning process. Simply Psychology. www.simplypsychology.org/Systematic-Desensitisation.html
See more on simplypsychology.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9