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Tuesday, March 12, 2013

Origin and maintenance


specific phobia
Origin and maintenance

Sword, Olivares and Mendez (2005), tells us that the origin of specific phobias can be understood through the interaction of a number of biological and psychological factors. Some of them could be: lack of coping resources, lack of social skills, educational style too overprotective, negative life experiences direct or indirect, genetic endowment, etc..
Through these factors can be explained as the individual becomes anxious expectation to the feared object or situation that will result in an anticipatory somatic arousal, expectations and interpretations of anxiety and danger, and a sentimental and negative emotional state. At the same time develop an overestimation of the aversiveness and probability of exposure to phobic stimuli.
The avoidance behavior of feared situations happen when there is an imbalance in the balance of anxious expectation and perceived lack of resources to cope and irrational fear.
When there is the avoidance phobia is reinforced negatively to lessen or prevent anxiety and prevent the presumed occurrence of the aversive effects. In certain cases, the phobia can be positively reinforced through the support and care of others, and so on.
The increase in patient anxiety when the feared situations, making stimulus can not be avoided. Then it will increase expectations of anxiety and distress, and somatic anticipatory activation. All these elements will drive the expression of defensive behaviors, such as: escape the situation, carrying objects reassuring, taking medication, smoking, drinking or alcohol, etc.. These behaviors produce immediate relief but will contribute to the maintenance of the disorder.
The intensity of the anxiety that is experienced with the feared situation will depend on various factors conditioning. Among the mostrelevant are: the characteristics of the phobic stimulus type, the existence of safety signs, the emotional and sentimental person, the level of impairment of escape, etc.
As danger expectations, it will be maintained through the avoidance defensive behaviors.
Also important to note is that maintaining these specific phobic behavior may be due to new and negative experiences (direct or indirect) with the feared stimulus and unexpected stressful events.
Moreover, clinical research and academic anxiety before exams as situational specific phobia has revealed a number of triggers that can facilitate the development of the disorder. Among all of them stand out for their importance as follows:
- The separation of parents (mostly mothers).
- The disease of parents.
- The death of parents.
- The separation of a brother / sister.
- The overestimation of potential hazards and parents.
- The tendency to avoid negative emotions and situations by parents.
- The overprotective parents.
- Perfectionism parent.
- The family educational style.
- The genetic endowment.
- Temperament.
- The personality.
- The change of school or college.
- The change of academic level.
- The fear of failing academically.
- The absence from school due to illness or convalescence.
- The teaching style of teachers.
- Fear of a teacher too demanding.
- The fear of threats with peers.
- Fear fights with peers.
- Bullying (bullyng).
- Social anxiety disorder (social phobia).
- The lack of coping skills, social skills and problem solving.
- Stress for other special events.
- Etc.
The model explaining the origin and maintenance of academic anxiety before exams as situational specific phobia could explain briefly as follows:
A student is in a situation of fear. He's afraid to attend school and face the exams. Several of their biological and psychological factors have facilitated the emergence of precipitation and phobic state.
Among these factors that make you vulnerable to anxiety include: stress experience motivated by changing schools, separation of parents, lack of coping resources in social skills and problem solving (eg poor school level).
It has acquired an expectation of anxiety about the situation you fear. This will generate an intense anxiety state which manifest:
- Expectations and interpretations of anxiety and danger, which will be evidenced through cognitive expressions as: "I will stay the course," "You're going to laugh at me at school," "It is very difficult", etc..
- An anticipatory somatic arousal (psychophysiological responses), reflecting through: discomfort, tension, dry mouth, headache, etc..
- A negative emotional state and sentimental, which is expressed by: insecurity, discouragement, failure, sadness, etc..
- An overstatement aversive when exposed to external stimuli phobic.
The avoidance of the feared situation happen when there is a mismatch between the perception that students have of the requirements that poses the feared situation (anxious expectation) and coping resources available.
When there is avoidance behavior will be reinforced phobia negatively. This is because the pupil lessens or prevents anxiety, preventing the occurrence of the presumed aversive effects. Phobia may also be positively reinforced (eg through the deferral of homework and go to school, facilitated and supported by their parents).
Anxiety will increase the student when the situations they fear can not be avoided. Experience an increase in anticipatory somatic activation, and expectations of anxiety and danger. These elements will favor the expression of defensive behaviors in the situation. Example of these are: avoid attending school, refusing to get dressed and eat breakfast, do not take the exam, accompanied by a trusted person (parents, friends), interrupting homework, go to class, leaving the exam before have done, to avoid being asked in class, mourn, angry, eat something, postponing the study, carried tranquilizers objects (ie blessed religious medal, etc.). All of them produce immediate relief, but reinforce the maintenance of phobic disorder. Expressions cognitive expressed in these circumstances could be: "I am locked", "I can not concentrate or study," "I'm no good", "I'll stay safe", etc..
The intensity level of anxiety that the student experience to the feared situation, will always depend on the following factors: the characteristics of the phobic stimulus (situation: academic, examination, teaching and learning), the emotional and sentimental student, degree of impairment of escape, etc.
Anxiety can also interfere negatively on student attention and concentration of upsetting their implementation and school performance. This deterioration will facilitate the response increases anxiety in him.
Furthermore, the danger will be kept expectations through defensive behaviors and avoidance.
It is also important to consider that the maintenance of this school phobic disorder may be due to new experiences and negative, direct or indirect with the feared stimulus (eg testing situation), and stressful life events (eg change of school, the mother dies ). Figure 1 provides a schematic explanatory model origin and maintenance of this disorder.

 SOCIAL ANXIETY DISORDER TEST



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