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 7Mental Processes and
Mental Contents
Distorted thinking
Faulty estimation
Anxious apprehension
Perceptual distortionsAffect
Anxiety
FearBehavior
Classical conditioning
Negative reinforcement
that maintains avoidanceStressful Life Events
Problematic relationships
Work problemsGender/Culture
Model cultural normsFamily
Model relativesGenetics
Inherited
tendency for
specific phobia
and for specific
type of phobiaNeural CommunicationNeuroPsychoSocial
GABA
Serotonin
Acetylcholine
NorepinephrineBrain Systems
Amygdala
Somatosensory cortexNeuroPsychoSocial NeuroPsychoSocial