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A Case Study Of Arachnophobia

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A Case Study with Arachnophobia
A sixteen year old female, Amy (pseudonym), was brought for consultation by her parents after she was found 'huddled in a corner' and 'shivering' upon seeing pictures of spiders in an animal book.
'Fear is a basic human emotion usually defined as a normal response to objects or situations' (Marks 1969 cited in Reuterskiöld 2009). 'Fear-related' behaviours involve a fight or flight response which encourages avoidance, escape and survival and has an evolutionary importance (Ohman and Mineka 2001: 483; Fowles 2002: 91). Initially Amy exhibited fear towards an existing known threat and fear related behaviour in escaping the spider. According to Matthews (2010: 3), 'fear is a natural part of child development' and …show more content…

At times anxiety can be motivating for certain activities. Excessive anxiety may become disabling and disruptive of regular functioning leading to an anxiety disorder (Getzfeld 2006: 16,17). Phobia, a type of anxiety disorder, involves an involuntary 'excessive fear' which is disproportionate to the posed threat, and avoidance of the phobic stimulus (Marks 1969 cited in Reuterskiöld 2009). Amy, an 'animal lover', had no other known avoidance or distress to other animals, objects or situations, but developed intense fear towards spiders. This report traces the diagnosis using Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria, evaluates causes, treatment techniques, and the treatment methods …show more content…

In DSM5, OCD and PTSD were shifted, panic disorder and agoraphobia were separated, and separation anxiety disorder and selective mutism were added. A period of 6 months is required for diagnosis across all ages for many disorders including specific phobia (Kupfer 2015). The diagnosis differs based on the type of stimuli and the differing response behaviours.
Amy's fear response was in-voluntary, and excessive towards a specific object - spiders. According to the DSM, Amy's symptoms were characteristic of specific phobia which involves 'clinically significant' fear or anxiety resulting from 'exposure to a specific feared object or situation, often leading to avoidance behaviour' (APA 1994: 393). The criteria for specific phobias 'remain unchanged' in DSM5, except that for adults the anxiety or fear need not be 'excessive or unreasonable' for diagnosis, and a period of 6 months of symptoms is required across all ages (Grohol

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