Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T08:56:33.480Z Has data issue: false hasContentIssue false

Attentional Strategies and Agoraphobic Anxiety

Published online by Cambridge University Press:  16 June 2009

Fraser N. Watts
Affiliation:
MRC Applied Psychology Unit, Cambridge

Abstract

It is argued that the attentional strategies of phobic patients have important consequences for how they cope with anxiety. The literature indicates that focused attention to anxiety cues is important for long-term emotional habituation but that it is made difficult by anxiety. Questionnaire studies of agoraphobics reliably identified factors concerned with attentional strategies of coping with anxiety, and showed that they were distinct from self-talk strategies. The effect of anxiety levels on the use and perceived helpfulness of these strategies was also explored. Finally, the implications of an attentional framework for exposure treatments of phobic anxiety are discussed. It is suggested that the questionnaire may be a useful way of measuring patients' attentional strategies in clinical work.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahles, T. A., Blanchard, E. B. and Leventhal, H. (1983). Cognitive control of pain: Attention to the sensory aspects of the cold pressor stimulus. Cognitive Therapy and Research 7, 159178.CrossRefGoogle Scholar
Beck, A. and Emery, G. (1985). Anxiety Disorders and Phobias: A Cognitive Perspective. New York: Basic Books.Google Scholar
Borkovec, T. (1982). Facilitation and inhibition of functional CS exposure in the treatment of phobias. In Learning Theory Approaches to Psychiatry, Boulougoris, J.C. (Ed.), Chichester, John Wiley.Google Scholar
Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy 24, 461470.CrossRefGoogle ScholarPubMed
Eysenck, M. W. (1982). Attention and Arousal: Cognition and Performance. Berlin: Springer-Verlag.CrossRefGoogle Scholar
Foa, E. G. and Kozak, M. J. (1986). Emotional processing and fear: exposure to corrective information. Psychological Bulletin 99, 2035.CrossRefGoogle ScholarPubMed
Grayson, J. B., Foa, E. B. and Skeketee, G. S. (1982). Habituation during exposure treatment: Distraction vs. attention focusing. Behaviour Research and Therapy, 20, 323328.CrossRefGoogle ScholarPubMed
Grayson, J. B., Foa, E. B. and Skeketee, G. S. (1986). Exposure in-vivo of obsessive-compulsives under distracting and attention-focusing conditions: Replication and extension. Behaviour Research and Therapy 4, 475479.CrossRefGoogle Scholar
Hinde, R. A. (1966). Animal Behaviour: A Synthesis of Ethology and Comparative Psychology. London: McGraw-Hill.Google Scholar
Johnston, M., Johnston, D. W., Wiks, H.Burns, L. E. and Thorne, G. L. (1984). Cumulative scales for the measurement of agoraphobia. British Journal of Clinical Psychology 23, 133143.CrossRefGoogle ScholarPubMed
Leventhal, H., Brown, D., Shacham, S. and Engquist, G. (1979). Effect of preparatory information about sensations, threat of pain and attention on cold pressor distress. Journal of Personality and Social Psychology 37, 688714.CrossRefGoogle ScholarPubMed
Lipowski, Z. J. (1975). Sensory and information inputs overload: behavioural effects. Comprehensive Psychiatry 16, 199221.CrossRefGoogle Scholar
Meichenbaum, D. (1977). Cognitive Behaviour Modification: An lntegrative Approach. New York: Plenum.CrossRefGoogle Scholar
Rachman, S. (1978). Fear and Courage. San Francisco: W. H. Freeman.Google Scholar
Sartory, G., Rachman, S. and Grey, S. J. (1982). Return of fear: the role of rehearsal. Behavior Research and Therapy 20, 123133.CrossRefGoogle ScholarPubMed
Watts, F. N. (1974). The control of spontaneous recovery of anxiety in imaginal desensitization. Behaviour Research and Therapy 12, 5759.CrossRefGoogle ScholarPubMed
Watts, F. N. (1979). Habituation model of systematic desensitization. Psychological Bulletin 86, 627637.CrossRefGoogle ScholarPubMed
Watts, F. N., McKenna, F., Sharrock, R. and Trezise, L. (1986 a). Colouring-naming of phobia-related words. British Journal of Psychology 77, 97108.CrossRefGoogle ScholarPubMed
Watts, F. N., Trezise, L.Sharrock, R. (1986 b). Processing of phobic stimuli. British Journal of Clinical Psychology 25, 253261.CrossRefGoogle ScholarPubMed
Weckowitz, T. (1970). Depersonalization. In Symptoms of Psychopathology: A Hand-book, Costello, C. G. (Ed.) New York: John Wiley.Google Scholar
Wolpe, J. (1969). The Practice of Behaviour Therapy. Oxford, Pergamon.Google Scholar
Submit a response

Comments

No Comments have been published for this article.