Reciprocal inhibition is a phenomenon initially recognized via the psychology field whereby reflexes activation in the body prompts one muscle group and simultaneously inhibits an opposite or antagonistic set of muscles. The exercise is essential because it allows ease of motion, and it protects one from injury. However, if unexpected motor neurons develop, starting concurrent contraction of unmatched muscles, a tear might come about (Brown, 2017).
I would facilitate reciprocal inhibition to my client by activating the anterior tibialis muscle through exerting resistance with my hand to the foot top and telling the client to pull his toe to his head. After he actively returns his leg against light-normal resistance, I will ask him to relax and enable the foot to retaliate to the center position and then repeat while telling the client to pull back and relax for more than ten times energetically. Lastly, after the problem seems to be ceasing, I will employ the passive straightening of the gastric with a 20-50 sec clasp.
The development of the fear hierarchy underwent three stages. Firstly, the initial stage involved teaching the patient about deep muscle relaxation skills and breathing activities. The stage is crucial because of reciprocal inhibition, where the patient's response is impeded because it doesn't match with the other. Secondly, the client developed a fear hierarchy beginning at the reaction that creates minimal fear and building up in steps to the most horrifying fear pictures. The list issues a structure that is important for therapy. The last stage is when the client struggled to overcome the fear hierarchy, beginning with minimal unpleasant response and exercising relaxation techniques as they advanced. The scene is only passed when the patient has overcome the fear presented to them. The patient repeated the process until the scenario failed to evoke any terror, showing that the exercise was successful.
Developed by Wolpe in the 1950s, systemic desensitization is a treatment method of specific phobias, anxiety, and fear with the aim of counter conditioning by posing a relaxation response to the conditional stimulus. The patient is gradually exposed to the stimulus, producing anxiety. It takes the following steps;
The patient is taught to have control over his breathing, which results in reciprocal inhibition.
The patient then creates a fear hierarchy starting with that stimulus, which brings the least fear to that which has the highest fear. This list is essential because it forms the basis for the therapy.
The patient starts working up the fear hierarchy, starting from the least stimuli by practicing relaxation techniques to the top. He can only progress to the next after being confident that he has control over the incentives.
The patient will require several sessions to ensure that he has complete control over the phobia. This therapy begets success upon attainment of the objectives. Exposure may either be done in-vivo, where it is imagined or in-vitro, where the patient encounters the fear in real life. Many scholars opine that in-vivo therapy works best. One weakness within in-vitro exposure is that some patients cannot imagine vivid descriptions of the said fears (Hirth, 2019).
As a treatment method, systemic desensitization is limited to specific learned phobias as it cannot be used for severe mental illnesses like depression and schizophrenia. Relaxations and hierarchies are not necessary for therapy. The only effective way is exposure to the feared object or situation. It is purely based on the idea that abnormal behavior is learned, thus makes it difficult to treat the phobias as it only targets the symptoms of the phobia instead of the causes. This method has little to no effect on treating social phobias and agoraphobia. It posits the question of whether there could be other causes for phobias other than classical conditioning. Poor social skills can be addressed by learning practical social skills, among different ways, then systemic desensitization alone.
Conclusion
Methods of treatment vary from one disorder to another. Historical data proves that improved neurotic condition with behavioral therapy has the best results. Those who suffer from obsessive-compulsive disorder can be best rated with aversion therapy, which focuses on their well-detailed narratives, and the patients cooperate fully to obtain the best results. In conclusion, whichever method of treatment is adopted, be it reciprocal inhibition, counterconditioning, or aversion, a reduction in phobic fears is best shown where the patient was exposed minimally to the stimulus and paired with minimal muscle relaxation. This ultimately results in less anxiety experienced in the phobic situation.
References
De Houwer, J. (2020). Revisiting classical conditioning as a model for anxiety disorders: A conceptual analysis and brief review. Behaviour Research and Therapy, 127, 103558.
Kottler, B., Fiore, V. G., Ludlow, Z. N., Buhl, E., Vinatier, G., Faville, R., ... & Brown, S. (2017). A lineage-related reciprocal inhibition circuitry for sensory-motor action selection. BioRxiv, 100420.
Lowmaster, S. E., Hartman, M. J., Zimmermann, J., Baldock, Z. C. & Kurtz, J. E. (2019). Further validation of the Response Inconsistency Scale for the Personality Inventory for DSM-5. Journal of Personality Assessment, 1-8.
Martin, J. J., Strausfeld, N. J., & Hirth, F. (2019). A Lineage-Related Reciprocal Inhibition Circuitry for Sensory-Motor Action Selection.
Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., ... & Marx, B. P. (2018). The Clinician-Administered PTSD Scale for DSM–5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological assessment, 30(3), 383.
Wu, C., Kim, T. W., Guo, T., Li, F., Lee, D. U., & Yang, J. J. (2017). Mimicking classical conditioning based on a single flexible memristor. Advanced Materials, 29(10), 1602890.
Yavuz, U. S., Negro, F., Diedrichs, R., & Farina, D. (2018). Reciprocal inhibition between motor neurons of the tibialis anterior and triceps surae in humans. Journal of Neurophysiology, 119(5), 1699-1706.
Zhang, H., Zeng, H., Priimagi, A., & Ikkala, O. (2020). Pavlovian Materials—Functional Biomimetics Inspired by Classical Conditioning. Advanced Materials, 1906619.
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