AQA · A-Level · Psychology

    Course version: 7182-2025 · Exams from 2027

    The behavioural approach to explaining and treating phobias: the…

    Full specification wording

    Clinical Psychology and Mental Health: The behavioural approach to explaining and treating phobias: the two-process model, including classical and operant conditioning; systematic desensitisation, including relaxation and use of hierarchy; flooding.

    Mowrer's two-process model says a phobia is learned twice.

    Checked against the AQA 7182-2025 specification (opens in a new tab) on .

    • Point 3 of 5

    Study notes

    From the checked teaching notes for this specification point.

    The idea

    Mowrer's two-process model says a phobia is learned twice. Classical conditioning acquires it: Watson and Rayner paired a white rat (neutral stimulus) with a loud noise until Little Albert cried at the rat alone. Operant conditioning maintains it: avoiding the feared object removes anxiety, and that relief is negative reinforcement. Systematic desensitisation counter-conditions it with relaxation training, an anxiety hierarchy and gradual exposure, since fear and relaxation cannot be felt together. Flooding uses immediate full exposure until adrenaline falls and fear extinguishes. Evaluate with Gilroy: 42 spider phobics given SD were less fearful at 33 months, while flooding is cheaper but traumatic with high refusal rates.

    What earns the marks

    • Two-process model: classical conditioning acquires the phobia by association, operant conditioning maintains it through negative reinforcement from avoidance.
    • Correct use of conditioning terms, with the neutral stimulus, unconditioned stimulus and conditioned response identified in an example such as Little Albert.
    • Systematic desensitisation described as relaxation training plus an anxiety hierarchy plus gradual exposure, working through reciprocal inhibition.
    • Flooding described as immediate, prolonged exposure with no hierarchy, ending in extinction when the adrenaline response exhausts itself.

    Common mistakes and how to put them right

    • Explaining only the classical conditioning half, so the answer never says why the phobia persists when the person is never bitten again.

    • Calling avoidance positive reinforcement, when the reinforcement is negative because an unpleasant feeling is removed rather than a reward added.

    • Describing systematic desensitisation as just facing the fear, leaving out the relaxation training and the hierarchy that make it desensitisation rather than flooding.

    • Claiming flooding is unethical and stopping there, when clients give informed consent and the real criticism is the trauma and dropout rate.

    Exam tips

    • When evaluating, ensure you link the evidence back to the specific explanation or treatment, rather than just stating the study findings.
    • For treatment questions, order the stages and say what the therapist does at each one; examiners credit sequence as well as content.
    • Use biological preparedness and the existence of phobias without any traumatic event as a competing explanation, not just as a passing criticism.

    Try the lesson

    The start of the Clinical Psychology and Mental Health: The behavioural approach to explaining and treating phobias: the two-process model, including classical and operant conditioning; systematic desensitisation, including relaxation and use of hierarchy; flooding. lesson, made from checked teaching notes for this specification point.

    Have a go first

    According to Mowrer's two-process model of phobias, how are phobic responses acquired and subsequently maintained?

    Listen

    Mowrer's two-process model says a phobia is learned twice. Classical conditioning acquires it: Watson and Rayner paired a white rat (neutral stimulus) with a loud noise until Little Albert cried at the rat alone. Operant conditioning maintains it: avoiding the feared object removes anxiety, and that relief is negative reinforcement. Systematic desensitisation counter-conditions it with relaxation training, an anxiety hierarchy and gradual exposure, since fear and relaxation cannot be felt together. Flooding uses immediate full exposure until adrenaline falls and fear extinguishes. Evaluate with Gilroy: 42 spider phobics given SD were less fearful at 33 months, while flooding is cheaper but traumatic with high refusal rates. A strong answer earns marks for these points. Two-process model: classical conditioning acquires the phobia by association, operant conditioning maintains it through negative reinforcement from avoidance. Correct use of conditioning terms, with the neutral stimulus, unconditioned stimulus and conditioned response identified in an example such as Little Albert. Systematic desensitisation described as relaxation training plus an anxiety hierarchy plus gradual exposure, working through reciprocal inhibition. Flooding described as immediate, prolonged exposure with no hierarchy, ending in extinction when the adrenaline response exhausts itself. Exam tip: When evaluating, ensure you link the evidence back to the specific explanation or treatment, rather than just stating the study findings.

    See it

    A flowchart running top to bottom. A neutral stimulus paired with a loud noise leads to classical conditioning acquiring the phobia. From there, the feared object is avoided, which removes anxiety, and this negative reinforcement maintains the phobia, with an arrow looping back to avoidance. From the classical conditioning node, two further branches lead to the treatments: systematic desensitisation, described as relaxation training, an anxiety hierarchy and gradual exposure, and flooding, described as immediate full exposure until fear extinguishes.
    It shows how classical conditioning acquires a phobia and negative reinforcement maintains it, alongside the two treatments that counter-condition it.

    Label the diagram

    Some boxes have lost their names. Pick the right name for each number.

    The diagram again, with 3 boxes numbered instead of named. A flowchart running top to bottom. A neutral stimulus paired with a loud noise leads to classical conditioning acquiring the phobia. From there, the feared object is avoided, which removes anxiety, and this negative reinforcement maintains the phobia, with an arrow looping back to avoidance. From the classical conditioning node, two further branches lead to the treatments: systematic desensitisation, described as relaxation training, an anxiety hierarchy and gradual exposure, and flooding, described as immediate full exposure until fear extinguishes.
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    • 2Box 2

    • 3Box 3

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