Anxiety Disorders 295
Given the neurological vulnerability, this set of events sets the stage for subsequent
false alarms and anxious apprehension when the person is confronted with the
stimulus (Antony & Barlow, 2002). And, of course, once the person begins to
avoid the stimulus, the avoidance behavior is negatively reinforced. This behavior
in turn affects not only the individual’s beliefs but also his or her social interactions
(social factors). These factors and feedback loops are illustrated in Figure 7.12.
7.12 • Feedback Loops in Action: Specifi c Phobia
Figure 7.12g 7
Mental Processes and
Mental Contents
Distorted thinking
Faulty estimation
Anxious apprehension
Perceptual distortions
Affect
Anxiety
Fear
Behavior
Classical conditioning
Negative reinforcement
that maintains avoidance
Stressful Life Events
Problematic relationships
Work problems
Gender/Culture
Model cultural norms
Family
Model relatives
Genetics
Inherited
tendency for
specific phobia
and for specific
type of phobia
Neural Communication
NeuroPsychoSocial
GABA
Serotonin
Acetylcholine
Norepinephrine
Brain Systems
Amygdala
Somatosensory cortex
NeuroPsychoSocial NeuroPsychoSocial