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Saavedra & Silverman
Cambridge International Saavedra details
Term | Definition |
---|---|
What is the psychology being investigated in this study? | Evaluative learning; operant conditioning; classical conditioning; phobias |
What is evaluative learning? | The presentation of a previously neutral/nonthreatening object or event associated with a potentially threatening negative outcome increases the individual’s expectation of coming into contact with that object or event |
What is operant conditioning? | Learning by consequences, such as positive and negative reinforcement and punishments |
What is classical conditioning? | Learning by association between stimulus and response |
What is a phobia? | A marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation |
What was the aim of this study? | Given that disgust and evaluative learning are insufficiently covered in the child psychiatric literature, the purpose of this article is to bring these issues to the forefront |
What method was used in this study? | Case study |
Who was the participant in this study? | A 9 year old Hispanic American boy with a phobia of buttons |
What was used to diagnose the boy's phobia? | DSM-IV, specifically the Anxiety Disorders Interview Schedule for DSMIV–Child and Parent versions [ADIS-C/P] |
How did the boy develop his phobia? | When he was 5, he reached for a bowl of buttons but his hand slipped and all the buttons fell on him |
In what ways did the boy's phobia affect his daily life? | Difficulties dressing himself, excessive preoccupation with not touching his school uniform, and avoiding contact with buttons |
Why did his phobia not meet the criteria for the DSM-IV criteria for obsessive-compulsive disorder? | His symptoms did not include recurrent and persistent thoughts, impulses or images that may be intrusive |
Briefly describe the behavioural exposure treatment method used in this study | His mother would positively reinforce his successful completion of gradual exposure to buttons |
What is the Disgust/Fear Hierarchy? | The boy is asked to rate a series of scenarios for how much distress they caused him, using the Feelings Thermometer |
What is the Feelings Thermometer? | A 9-point scale used to indicate how much distress the boy was feeling, from 0-8 |
List the most distressing types of buttons (score of 8) | 8 - Small plastic buttons (clear); 8 - Small plastic buttons (coloured) |
List the least distressing types of buttons (score of 1-3) | 2 - Large denim jean buttons; 3 - Small denim jean buttons; 3 - Clip-on denim jean buttons |
What happened to the boy's subjective ratings of distress by session 4? | They increased, believed to be because of evaluative learning |
What two aspects of the buttons made him feel the most disgusted? | Contact with his body; smelling them |
What is cognitive restructuring and how was it used in this study? | Understanding how the boy thinks about buttons, and trying to alter these thoughts |
Describe the long-term outcome of the treatment in this study | 6 and 12 month post-treatment analysis found that the boy no longer met the DSM-IV criteria for a phobia, reporting minimal distress |
What was the conclusion of this study? | Focus on disgust-related imagery was more successful than focusing on fear-related exposure without addressing the emotions |