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条件作用是理解恐惧症的发展和治疗的有用框架吗?

Is conditioning a useful framework for understanding the development and treatment of phobias?

作者信息

Field Andy P

机构信息

Department of Psychology, University of Sussex, Falmer, Brighton, East Sussex, BN1 9QH, UK.

出版信息

Clin Psychol Rev. 2006 Nov;26(7):857-75. doi: 10.1016/j.cpr.2005.05.010. Epub 2006 Feb 9.

Abstract

Despite the prevalence of therapeutic interventions based on conditioning models of fear acquisition, conditioning has been seen by many as a poor explanation of how fears develop: partly because research on conditioning has become less mainstream and models of learning have become increasingly more complex. This article reviews some of what is now known about conditioning/associative learning and describes how these findings account for some early criticisms of conditioning models of fear acquisition. It also describes how pathways to fear such as vicarious learning and fear information can be conceptualised as forms of associative learning that obey the same learning rules. Some popular models of conditioning are then described with a view to highlighting the important components in learning. Finally, suggestions are made about how what we know about conditioning can be applied to improve therapeutic interventions and prevention programs for child anxiety.

摘要

尽管基于恐惧习得条件作用模型的治疗干预颇为普遍,但许多人认为条件作用难以很好地解释恐惧是如何形成的:部分原因在于条件作用的研究已不再那么主流,且学习模型日益复杂。本文回顾了目前关于条件作用/联想学习的一些已知内容,并描述了这些发现如何回应了对恐惧习得条件作用模型的一些早期批评。文章还阐述了诸如替代性学习和恐惧信息等恐惧形成途径如何被概念化为遵循相同学习规则的联想学习形式。随后介绍了一些流行的条件作用模型,以突出学习中的重要组成部分。最后,就如何将我们对条件作用的了解应用于改进针对儿童焦虑的治疗干预和预防项目提出了建议。

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