Phobia Eng Sub Free Download: The Ultimate Guide for Horror Fans

The Affect Phobia Test was developed by McCullough and co-workers simultaneously in English and Norwegian (McCullough, Berggraf, & Ulvenes, 2010) as a screening instrument to estimate fear of affects and the capacity for adaptive affective functioning. It was translated into Swedish in 2012. The instrument is structured to measure affect phobia in different affective domains. The first evaluation of the psychometric properties of the Affect Phobia Test, using the Swedish version (Frankl, Philips & Wennberg, submitted), show that the empirical cut-off for adaptive affective functioning should be set at >72 points and that the test should be considered as measuring the degree of adaptive affective functioning as a whole.Chinese translation courtesy of Maple Wong

A phobia is an anxiety disorder defined by a persistent and excessive fear of an object or situation.[1] Phobias typically result in a rapid onset of fear and are usually present for more than six months.[1] Those affected go to great lengths to avoid the situation or object, to a degree greater than the actual danger posed.[1] If the object or situation cannot be avoided, they experience significant distress.[1] Other symptoms can include fainting, which may occur in blood or injury phobia,[1] and panic attacks, often found in agoraphobia and emetophobia.[6] Around 75% of those with phobias have multiple phobias.[1]

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Phobias can be divided into specific phobias, social anxiety disorder, and agoraphobia.[1][2] Specific phobias are further divided to include certain animals, natural environment, blood or injury, and particular situations.[1] The most common are fear of spiders, fear of snakes, and fear of heights.[7] Specific phobias may be caused by a negative experience with the object or situation in early childhood.[1] Social phobia is when a person fears a situation due to worries about others judging them.[1] Agoraphobia is a fear of a situation due to perceived difficulty or inability to escape.[1]

It is recommended that specific phobias be treated with exposure therapy, in which the person is introduced to the situation or object in question until the fear resolves.[2] Medications are not helpful for specific phobias.[2] Social phobia and agoraphobia may be treated with counseling, medications, or a combination of both.[4][5] Medications used include antidepressants, benzodiazepines, or beta-blockers.[4]

The International Classification of Diseases (11th version: ICD-11) is a globally used diagnostic tool for epidemiology, health management and clinical purposes maintained by the World Health Organization (WHO). The ICD classifies phobic disorders under the category of mental, behavioural or neurodevelopmental disorders. The ICD-10 differentiates between Phobic anxiety disorders, such as Agoraphobia, and Other anxiety disorders, such as Generalized anxiety disorder. The ICD-11 merges both groups together as Anxiety or fear-related disorders.[8]

Most phobias are classified into 3 categories. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), such phobias are considered subtypes of anxiety disorder. The categories are:

There are multiple theories about how phobias develop and likely occur due to a combination of environmental and genetic factors. The degree to whether environment or genetic influences have a more significant role varies by condition, with social anxiety disorder and agoraphobia having around a 50% heritability rate.[11]

Rachman proposed three pathways for the development of phobias: direct or classical conditioning (exposure to phobic stimulus), vicarious acquisition (seeing others experience phobic stimulus), and informational/instructional acquisition (learning about phobic stimulus from others).[12][13]

Much of the progress in understanding the acquisition of fear responses in phobias can be attributed to classical conditioning (Pavlovian model).[14] When an aversive stimulus and a neutral one are paired together, for instance, when an electric shock is given in a specific room, the subject can start to fear not only the shock but the room as well. In behavioral terms, the room is a conditioned stimulus (CS). When paired with an aversive unconditioned stimulus (UCS) (the shock), it creates a conditioned response (CR) (fear for the room) (CS+UCS=CR).[14] For example, in case of the fear of heights (acrophobia), the CS is heights. Such as a balcony on the top floors of a high rise building. The UCS can originate from an aversive or traumatizing event in the person's life, such as almost falling from a great height. The original fear of nearly falling is associated with being high, leading to a fear of heights. In other words, the CS (heights) associated with the aversive UCS (almost falling) leads to the CR (fear).Though historically influential in the theory of fear acquisition, this direct conditioning model is not the only proposed way to acquire a phobia. This theory in fact has limitations as not everyone that has experienced a traumatic event develops a phobia and vice versa.[13]

A conditioned fear response to an object or situation is not always a phobia. There must also be symptoms of impairment and avoidance. Impairment is defined as an inability to complete routine tasks, whether occupational, academic, or social. For example, an occupational impairment can result from acrophobia, from not taking a job solely because of its location on the top floor of a building, or socially not participating in an event at a theme park. The avoidance aspect is defined as behaviour that results in the omission of an aversive event that would otherwise occur, intending to prevent anxiety.[18]

With the completion of the Human Genome Project in 2003, much research has been completed looking at specific genes that may cause or contribute to medical conditions.[19] Candidate genes were the focus of most of these studies until the past decade, when the cost and ability to perform genome-wide analyses became more available. The GLRB gene was identified as a possible target for agoraphobia.[20] An area still in development is reviewing epigenetic components or the interaction of the environment on genes through methylation. A number of genes are being examined through this epigenetic lens which may be linked with social anxiety disorder, including MAOA, CRHR1, and OXTR.[11] Each phobia related disorder has some degree of genetic susceptibility. Those with specific phobias are more likely to have first degree relatives with the same specific phobia. Similarly, social anxiety disorder is found two to six times more frequently in those with first degree relatives that have it versus those that do not. Agoraphobia is believed to have the strongest genetic association.[6][11]

In the frontal lobes, other cortices involved with phobia and fear are the anterior cingulate cortex and the medial prefrontal cortex. In the processing of emotional stimuli, studies on phobic reactions to facial expressions have indicated that these areas are involved in the processing and responding to negative stimuli.[25] The ventromedial prefrontal cortex has been said to influence the amygdala by monitoring its reaction to emotional stimuli or even fearful memories.[22] Most specifically, the medial prefrontal cortex is active during the extinction of fear and is responsible for long-term extinction. Stimulation of this area decreases conditioned fear responses, so its role may be in inhibiting the amygdala and its reaction to fearful stimuli.[26]

The amygdala is an almond-shaped mass of nuclei located deep in the brain's medial temporal lobe. It processes the events associated with fear and is linked to social phobia and other anxiety disorders. The amygdala's ability to respond to fearful stimuli occurs through fear conditioning. Like classical conditioning, the amygdala learns to associate a conditioned stimulus with a negative or avoidant stimulus, creating a conditioned fear response often seen in phobic individuals. The amygdala is responsible for recognizing certain stimuli or cues as dangerous and plays a role in the storage of threatening stimuli to memory. The basolateral nuclei (or basolateral amygdala) and the hippocampus interact with the amygdala in-memory storage. This connection suggests why memories are often remembered more vividly if they have emotional significance.[27]

Studies on mice engineered to have high concentrations of CRH showed higher levels of anxiety, while those engineered to have no or low amounts of CRH receptors were less anxious. In people with phobias, therefore, high amounts of cortisol may be present, or there may be low levels of glucocorticoid receptors or even serotonin (5-HT).[23]

A specific phobia is a marked and persistent fear of an object or situation. Specific phobias may also include fear of losing control, panicking, and fainting from an encounter with the phobia.[1] Specific phobias are defined concerning objects or situations, whereas social phobias emphasize social fear and the evaluations that might accompany them.

The DSM breaks specific phobias into five subtypes: animal, natural environment, blood-injection-injury, situational and other.[1] In children, blood-injection-injury phobia, animal phobias, and natural environment phobias usually develop between the ages of 7 and 9 reflective of normal development. Additionally, specific phobias are most prevalent in children between the ages 10 and 13.[30] Situational phobias are typically found in older children and adults.[1]

There are various methods used to treat phobias. These methods include systematic desensitization, progressive relaxation, virtual reality, modeling, medication, and hypnotherapy. Over the past several decades, psychologists and other researchers have developed effective behavioral, pharmacological, and technological interventions for the treatment of phobia.[31]

Evidence supports that eye movement desensitization and reprocessing (EMDR) is effective in treating some phobias.[36] Its effectiveness in treating complex or trauma-related phobias has not been empirically established.[37] Primarily used to treat post-traumatic stress disorder, EMDR has been demonstrated to ease phobia symptoms following a specific trauma, such as a fear of dogs following a dog bite.[38][39] 2ff7e9595c