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	<title>Comments on: Anxiety Disorders</title>
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	<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/</link>
	<description>An alternative perspective on mental disorders &#124; PHILIP HICKEY, PH.D.</description>
	<lastBuildDate>Wed, 16 May 2012 22:13:00 +0000</lastBuildDate>
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		<title>By: Phil_Hickey</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-1591</link>
		<dc:creator>Phil_Hickey</dc:creator>
		<pubDate>Fri, 09 Mar 2012 16:23:00 +0000</pubDate>
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		<description>Marilyn,

Thanks for your comment.  The commercial exploitation of anxiety is one of the very sad features of twentieth century development.</description>
		<content:encoded><![CDATA[<p>Marilyn,</p>
<p>Thanks for your comment.  The commercial exploitation of anxiety is one of the very sad features of twentieth century development.</p>
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		<title>By: Marylyn</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-1590</link>
		<dc:creator>Marylyn</dc:creator>
		<pubDate>Tue, 06 Mar 2012 23:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://behaviorismandmentalhealth.com/?p=62#comment-1590</guid>
		<description>This was an extraordinary read. Thank You!</description>
		<content:encoded><![CDATA[<p>This was an extraordinary read. Thank You!</p>
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	<item>
		<title>By: Ian Jones</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-1168</link>
		<dc:creator>Ian Jones</dc:creator>
		<pubDate>Mon, 11 Jul 2011 14:07:18 +0000</pubDate>
		<guid isPermaLink="false">http://behaviorismandmentalhealth.com/?p=62#comment-1168</guid>
		<description>Some interesting material here, particularly the concept of the development of fear ‘through imitation or modeling’. I had previously never considered this theory, but now that you point it out, it can be commonly observed in day to day life. There seems no reason other than imitation that many people possess a fear of snakes, or to quote your example, spiders. It’s fascinating to think that anxiety can be seen as a result of social conditioning. It would be interesting to analyse how fears differed in various cultures, and if indeed differences were discernable.</description>
		<content:encoded><![CDATA[<p>Some interesting material here, particularly the concept of the development of fear ‘through imitation or modeling’. I had previously never considered this theory, but now that you point it out, it can be commonly observed in day to day life. There seems no reason other than imitation that many people possess a fear of snakes, or to quote your example, spiders. It’s fascinating to think that anxiety can be seen as a result of social conditioning. It would be interesting to analyse how fears differed in various cultures, and if indeed differences were discernable.</p>
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	<item>
		<title>By: John</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-82</link>
		<dc:creator>John</dc:creator>
		<pubDate>Thu, 15 Apr 2010 02:06:25 +0000</pubDate>
		<guid isPermaLink="false">http://behaviorismandmentalhealth.com/?p=62#comment-82</guid>
		<description>Thank you for your detailed response.</description>
		<content:encoded><![CDATA[<p>Thank you for your detailed response.</p>
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	<item>
		<title>By: Phil</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-80</link>
		<dc:creator>Phil</dc:creator>
		<pubDate>Wed, 14 Apr 2010 21:09:41 +0000</pubDate>
		<guid isPermaLink="false">http://behaviorismandmentalhealth.com/?p=62#comment-80</guid>
		<description>John:  Thanks for your question.  As always, when dealing with human behavior there are multiple paths to any given point.  I can think of at least two ways that people might develop the kind of irrational fears that you mention.  The first stems from the almost universal practice in our culture of showering solicitous attention on a child who expresses a fear.  Parental attention is a powerful secondary reinforcer, and behavior that elicits this kind of attention tends to be very strongly established.  For instance, many years ago I knew a child who at an early age expressed a fear of tunnels.  So whenever the family was driving through a tunnel, a great deal of fuss was made of Jane (not her real name).  She was encouraged to get down on the floor, close her eyes, etc..  Her siblings would even sing songs to her to distract her from the terrors of the tunnel.  She continued to emit this behavior well into adulthood and continued to receive solicitous attention in this regard – not only from family, but now also from adult friends.  It’s tempting, of course, to say that she is not “really” afraid of tunnels, but this gets us into the thorny realm of definitions.  She would certainly have met the DSM criteria for specific phobia.

It’s also easy, in cases of this sort, to “bash” the parents and certainly there are more and less sensible ways of responding when our children express these kinds of fears and concerns.

A second way that a person might acquire an irrational fear is through a process known as classical conditioning.  The paradigm example of this was an experiment conducted by Watson and Rayner in 1920.  It was known by then that a sudden loud noise elicited a natural fear response from newborn babies.  In other words, they didn’t have to learn this fear, it was built in, so to speak, in the newborn’s physical apparatus.  What Watson and Rayner did was they took an 11-month-old baby named Albert.  They established that he did produce a fear response to a loud noise, but did not show any fear response when presented with a white rat.  They then presented the rat followed immediately by a loud sudden noise.  They did this seven times.  By that stage, the rat – by itself – elicited a fear response from the child.  In ordinary language, the child developed a fear of the rat because it had been paired with a “natural” fear response.  We don’t know what became of little Albert, but it is conceivable that he remained fearful of white rats indefinitely.  The point is that people do develop irrational fears through accidental associations with “genuinely” fearful objects.

A third way that irrational fears can develop is through imitation or modeling.  A good many people in our culture – especially females – express a fear of spiders.  (I have actually heard Freudians say that it is a reaction against their fathers because both spiders and fathers have hairy legs!)  My own position is that this particular fear is almost always modeled from the mother.  The small baby encounters a spider and begins to approach curiously.  Mother reacts strongly – “No, no” etc.. So the child develops a fear response towards the spider.

Another aspect of this whole matter is the question of individual differences.  Several years ago I was in St. Louis, Missouri and I took the little train ride to the top of the St. Louis Arch.  &lt;img src=&quot;http://www.nps.gov/jeff/images/gateway_arch2.jpg&quot; alt=&quot;St. Louis Arch&quot; /&gt;This is truly a technological wonder – over 600 feet high.  From the observation windows at the top the view is spectacular.  However, I could feel the structure swaying beneath my feet, and whilst I did not emit a full-blown fear response, I was definitely disconcerted and was happy to be back on terra firma.  Other people in the arch at the time displayed no concern.  Similar considerations apply to air travel, road traffic, etc.. Some people feel nervous, fearful, etc., others don’t.  Undoubtedly there are genetic differences in native fearfulness, but most of the variability derives from our experience.  If, for instance, I got a job as a guide on the St. Louis Arch, I would become desensitized to the movement and it would cease to be a source of concern for me.  The reality, however, is that most of us shun the sources of our fear, and so the opportunities for desensitization are denied. In this way fears acquired in childhood can remain strong throughout life.

An additional factor in this area is the movies.  Movies need a good story line, and they often show scenarios such as elevators falling, bridges collapsing, etc., to heighten the suspense value of the film.  These stories then enter our collective consciousness and reinforce the normal anxieties and concerns that have developed in us over the years.  In Victorian England there was a great deal of fear of premature burial.  Various devices (bells, etc.) were patented and marketed to enable a revitalized “corpse” to signal his plight, and sitters were hired to stay by the grave for a number of weeks after burial to respond to the buried person’s signals.  Today a morbid preoccupation with matters of this sort would undoubtedly qualify one for a DSM diagnosis.

The central theme of this blog is that these various phenomena are not illnesses.  They are manifestations of normal human life unfolding in all its complexity and beauty.  

Thanks for your comment and very insightful question.  If I can be of further help, don’t hesitate to come back.</description>
		<content:encoded><![CDATA[<p>John:  Thanks for your question.  As always, when dealing with human behavior there are multiple paths to any given point.  I can think of at least two ways that people might develop the kind of irrational fears that you mention.  The first stems from the almost universal practice in our culture of showering solicitous attention on a child who expresses a fear.  Parental attention is a powerful secondary reinforcer, and behavior that elicits this kind of attention tends to be very strongly established.  For instance, many years ago I knew a child who at an early age expressed a fear of tunnels.  So whenever the family was driving through a tunnel, a great deal of fuss was made of Jane (not her real name).  She was encouraged to get down on the floor, close her eyes, etc..  Her siblings would even sing songs to her to distract her from the terrors of the tunnel.  She continued to emit this behavior well into adulthood and continued to receive solicitous attention in this regard – not only from family, but now also from adult friends.  It’s tempting, of course, to say that she is not “really” afraid of tunnels, but this gets us into the thorny realm of definitions.  She would certainly have met the DSM criteria for specific phobia.</p>
<p>It’s also easy, in cases of this sort, to “bash” the parents and certainly there are more and less sensible ways of responding when our children express these kinds of fears and concerns.</p>
<p>A second way that a person might acquire an irrational fear is through a process known as classical conditioning.  The paradigm example of this was an experiment conducted by Watson and Rayner in 1920.  It was known by then that a sudden loud noise elicited a natural fear response from newborn babies.  In other words, they didn’t have to learn this fear, it was built in, so to speak, in the newborn’s physical apparatus.  What Watson and Rayner did was they took an 11-month-old baby named Albert.  They established that he did produce a fear response to a loud noise, but did not show any fear response when presented with a white rat.  They then presented the rat followed immediately by a loud sudden noise.  They did this seven times.  By that stage, the rat – by itself – elicited a fear response from the child.  In ordinary language, the child developed a fear of the rat because it had been paired with a “natural” fear response.  We don’t know what became of little Albert, but it is conceivable that he remained fearful of white rats indefinitely.  The point is that people do develop irrational fears through accidental associations with “genuinely” fearful objects.</p>
<p>A third way that irrational fears can develop is through imitation or modeling.  A good many people in our culture – especially females – express a fear of spiders.  (I have actually heard Freudians say that it is a reaction against their fathers because both spiders and fathers have hairy legs!)  My own position is that this particular fear is almost always modeled from the mother.  The small baby encounters a spider and begins to approach curiously.  Mother reacts strongly – “No, no” etc.. So the child develops a fear response towards the spider.</p>
<p>Another aspect of this whole matter is the question of individual differences.  Several years ago I was in St. Louis, Missouri and I took the little train ride to the top of the St. Louis Arch.  <img src="http://www.nps.gov/jeff/images/gateway_arch2.jpg" alt="St. Louis Arch" />This is truly a technological wonder – over 600 feet high.  From the observation windows at the top the view is spectacular.  However, I could feel the structure swaying beneath my feet, and whilst I did not emit a full-blown fear response, I was definitely disconcerted and was happy to be back on terra firma.  Other people in the arch at the time displayed no concern.  Similar considerations apply to air travel, road traffic, etc.. Some people feel nervous, fearful, etc., others don’t.  Undoubtedly there are genetic differences in native fearfulness, but most of the variability derives from our experience.  If, for instance, I got a job as a guide on the St. Louis Arch, I would become desensitized to the movement and it would cease to be a source of concern for me.  The reality, however, is that most of us shun the sources of our fear, and so the opportunities for desensitization are denied. In this way fears acquired in childhood can remain strong throughout life.</p>
<p>An additional factor in this area is the movies.  Movies need a good story line, and they often show scenarios such as elevators falling, bridges collapsing, etc., to heighten the suspense value of the film.  These stories then enter our collective consciousness and reinforce the normal anxieties and concerns that have developed in us over the years.  In Victorian England there was a great deal of fear of premature burial.  Various devices (bells, etc.) were patented and marketed to enable a revitalized “corpse” to signal his plight, and sitters were hired to stay by the grave for a number of weeks after burial to respond to the buried person’s signals.  Today a morbid preoccupation with matters of this sort would undoubtedly qualify one for a DSM diagnosis.</p>
<p>The central theme of this blog is that these various phenomena are not illnesses.  They are manifestations of normal human life unfolding in all its complexity and beauty.  </p>
<p>Thanks for your comment and very insightful question.  If I can be of further help, don’t hesitate to come back.</p>
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	<item>
		<title>By: John</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-79</link>
		<dc:creator>John</dc:creator>
		<pubDate>Mon, 12 Apr 2010 06:11:53 +0000</pubDate>
		<guid isPermaLink="false">http://behaviorismandmentalhealth.com/?p=62#comment-79</guid>
		<description>Hi Phil,

I agree with your post for the most part but I had one question for you. How would you explain the more irrational type of phobias that people have? Let&#039;s say something like the fear of elevators. I guess you could say that it is a fear of an enclosed space which can be evolutionarily rational in some circumstances. Regardless, what do you have to say about a fear that someone has no rational basis  for? 

Thanks,
John</description>
		<content:encoded><![CDATA[<p>Hi Phil,</p>
<p>I agree with your post for the most part but I had one question for you. How would you explain the more irrational type of phobias that people have? Let&#8217;s say something like the fear of elevators. I guess you could say that it is a fear of an enclosed space which can be evolutionarily rational in some circumstances. Regardless, what do you have to say about a fear that someone has no rational basis  for? </p>
<p>Thanks,<br />
John</p>
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		<title>By: Grand Rounds: Diversity &#124; Health Blogs Observatory</title>
		<link>http://behaviorismandmentalhealth.com/2009/05/07/anxiety-disorders/#comment-15</link>
		<dc:creator>Grand Rounds: Diversity &#124; Health Blogs Observatory</dc:creator>
		<pubDate>Tue, 12 May 2009 10:06:01 +0000</pubDate>
		<guid isPermaLink="false">http://behaviorismandmentalhealth.com/?p=62#comment-15</guid>
		<description>[...] Hickey, a retired psychologist writes an extensive and informative article about anxiety disorders. Here is just a little taste of it: &#8220;The APA and the pharmaceutical companies have jointly [...]</description>
		<content:encoded><![CDATA[<p>[...] Hickey, a retired psychologist writes an extensive and informative article about anxiety disorders. Here is just a little taste of it: &#8220;The APA and the pharmaceutical companies have jointly [...]</p>
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