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Systematic Desensitisation and Flooding

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Systematic desensitisation
The main behaviourist treatment for phobias. Developed by Wolpe, it is based on classical conditioning with patients learning in stages to replace fear responses with feelings of calm rather than previous associations between phobic objects/situations and fear. The two opposing emotions of anxiety and relaxation are percieved as incapable of coexisting simultaneously. Systematic desensitisation uses a progressive step by step approach to feared objects and situations and takes about a month to advance through the whole desensitisation hierarchy.
Before treatment begins, a hierarchy is constructed that goes from the least to the most feared types of contact with objects/phobias.
Example
Snake phobics may begin treatment by looking at a picture of snakes in a sealed tank and progressively work towards actually holding one.
Research
Jones used SD to eradicate ‘little peter’s’ fear of white fluffy animals and objects for example rabbits and cotton wool. The rabbit was presented to the patient at closer distances each time his anxiety levels subsided to permit movement onto the next stage and Peter was rewarded with food to develop a positive association towards the rabbit. Eventually he developed affection for the rabbit which then generalised onto similar animals and objects.

Flooding
A behavioural therapy used to remove phobias through direct confrontation of a feared object or situation. The idea is that patients cannot make their usual avoidance responses and anxiety peaks at such high levels it cannot be maintained and therefore eventually subsides.

Research
Wolpe (1960) used flooding to remove a girl’s phobia of being in cars. The girl was forced into a car and driven around for four hours until her hysteria was eradicated demonstrating the effectiveness of the treatment.
Ost (1997) found that flooding is a rapid

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