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Each item that causes anxiety is given a subjective ranking on the severity of induced anxiety. If the individual is experiencing great anxiety to many different triggers, each item is dealt with separately. For each trigger or stimulus, a list is created to rank the events from least anxiety-provoking to most anxiety-provoking.
Counterconditioning is the behavioral equivalent of reciprocal inhibition which is understood as a neurological process. [13] Wolpe (1958) used this mechanism to explain the long-term effects of systematic desensitization as it reduces avoidance responses and therefore excessive avoidance behaviors contributing to anxiety disorders. [13]
Obsessional defences refer to mental techniques that individuals utilize to cope with anxiety by exerting control over their thoughts, emotions, or behaviors. People may rely on strict routines, a desire for perfection, or a strong need for order to maintain a sense of control and avoid facing uncertainty or undesirable impulses.
Avoidance coping is measured via a self-reported questionnaire. Initially, the Multidimensional Experiential Avoidance Questionnaire (MEAQ) was used, which is a 62-item questionnaire that assesses experiential avoidance, and thus avoidance coping, by measuring how many avoidant behaviors a person exhibits and how strongly they agree with each statement on a scale of 1–6. [1]
Example Behaviors Target of Avoidance Major depressive disorder: Isolation/suicide: Feelings of sadness, guilt, low self-worth Posttraumatic stress disorder: Avoiding trauma reminders, hypervigilance: Memories, anxiety, concerns of safety Social phobia: Avoiding social situations: Anxiety, concerns of judgment from others Panic disorder
People without social anxiety tend to use behaviors that are designed to gain approval from others, while people with social anxiety prefer to use behaviors that help to avoid disapproval from others. [24] [25] [26] Safety behaviors seem to reduce the chances of obtaining criticism by drawing less attention to the affected person. [11]
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