Classification & Diagnosis of phobias

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Mindmap for AQA-A psychology unit 4 classification & diagnosis of phobias
Brendan Williams
Mind Map by Brendan Williams, updated more than 1 year ago
Brendan Williams
Created by Brendan Williams over 10 years ago
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Resource summary

Classification & Diagnosis of phobias
  1. Clinical characteristics
    1. Diagnosis
      1. Fear persistent & excessive
        1. Phobic stimulus causes an immediate response
          1. Individual is aware their fear is irrational
            1. Phobia interferes with daily life
              1. Phobia has existed for more than 6 months
              2. DSM & ICD used for classification
                1. 3 types of phobia
                  1. Specific phobia - fear of an object
                    1. Social phobia - fear of a social situation
                      1. Agoraphobia - fear of situations where escape may be difficult/open spaces
                  2. Reliability
                    1. Reliability - the consistency of a measuring instrument
                      1. Inter-rater reliability - how consistent different clinicians diagnosis is
                        1. Skyre et al - three clinicians assessed 54 patients using the Structured Clinical Interview (SCID-I) Inter-rater agreement +.72
                          1. semi-structured interview - extensive training
                          2. Kendler et al - low retest reliability due to poor recall or exaggeration of fears
                            1. May also be due to different clinicians seeing different things as significant
                          3. Test-retest reliability - used to check external reliability. Same test given on different occasions
                            1. Hiller et al - satisfactory - exellent diagnosis agreement in test-retest using Munich Diagnostic Checklist (MDC)
                          4. Validity
                            1. Validity - extent that a diagnosis represents something real & distinct
                              1. Research requires high validity assessment methods else the findings will have low validity
                              2. Comorbidity decreases usefulness of diagnostic categories
                                1. Kendler et al - high comorbidity between social phobias & animal phobias
                                  1. Eyesenk - up to 66% diagnosed with one anxiety disorder have another
                                  2. Concurrent validity - measures the validity of a classification method comparing it to an existing one
                                    1. Taijn-kyofusho (TKS) Japanese phobia of embarrassing someone in public. Not a British phobia. Cultural differences
                                    2. Construct validity - sees if individuals with key behaviours are diagnosed as phobic
                                      1. Someone with social phobia underestimates their social ability
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