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A contemporary behavior analysis of anxiety and avoidance

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Abstract

Despite the central status of avoidance in explaining the etiology and maintenance of anxiety disorders, surprisingly little behavioral research has been conducted on human avoidance. In the present paper, first we provide a brief review of the empirical literature on avoidance. Next, we describe the implications of research on derived relational responding and the transformation of functions for a contemporary behavioral account of avoidance, before providing several illustrative research examples of laboratory-based analogues of key clinical treatment processes. Finally, we suggest some challenges and opportunities that lie ahead for behavioral research on anxiety and avoidance.

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References

  • Ader, R., & Tatum, R. (1961). Free-operant avoidance conditioning in human subjects. Journal of the Experimental Analysis of Behavior, 4, 275–276.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ader, R., & Tatum, R. (1963). Free-operant avoidance conditioning in individual and paired human subjects. Journal of the Experimental Analysis of Behavior, 6, 357–359.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

    Google Scholar 

  • Anderson, C. M., Hawkins, R. P., & Scotti, J. R. (1997). Private events in behavior analysis: Conceptual basis and clinical relevance. Behavior Therapy, 28, 157–179.

    Article  Google Scholar 

  • Augustson, E. M., & Dougher, M. J. (1997). The transfer of avoidance evoking functions through stimulus equivalence classes. Journal of Behavior Therapy and Experimental Psychiatry, 3, 181–191.

    Article  Google Scholar 

  • Baer, D. M. (1961). Escape and avoidance response of pre-school children to two schedules of reinforcement withdrawal. Journal of the Experimental Analysis of Behavior, 3, 155–159.

    Article  Google Scholar 

  • Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford.

    Google Scholar 

  • Baron, A., & Kaufman, A. (1966). Human, free-operant avoidance of “time out” from monetary reinforcement. Journal of the Experimental Analysis of Behavior, 9, 557–565.

    Article  PubMed  PubMed Central  Google Scholar 

  • Blackledge, J. T. (2003). An introduction to relational frame theory: Basics and applications. The Behavior Analyst Today, 3, 421–433.

    Article  Google Scholar 

  • Blackledge, J. T. (2007). Disrupting verbal processes: Cognitive defusion in acceptance and commitment therapy and other mind-fulness-based psychotherapies. The Psychological Record, 57, 555–576.

    Google Scholar 

  • Bolles, R. C. (1973). The avoidance learning problem. In G. H. Bower (Ed.), The psychology of learning and motivation (pp. 97–145). New York: Academic Press.

    Google Scholar 

  • Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108, 4–32.

    Article  PubMed  Google Scholar 

  • Bradley, M. M., & Lang, P. J. (1999). International affective digitized sounds (IADS): Stimuli, instruction manual and affective ratings (Tech. Rep. No. B-2). Gainesville: University of Florida, Center for Research in Psychophysiology.

    Google Scholar 

  • Costello, C G (1970). Dissimilarities between conditioned avoidance responses and phobias. Psychological Review, 77, 250–253.

    Article  PubMed  Google Scholar 

  • Costello, C G (1971). Conditioned avoidance and phobias: A reply to Wolpe and to Powell and Lumia. Psychological Review, 78, 348–351.

    Article  PubMed  Google Scholar 

  • Declercq, M., & De Houwer, J. (2008). Evidence for the interchangeability of an avoidance behavior and a negative occasion setter. Learning & Behavior, 36, 290–300.

    Article  Google Scholar 

  • Declercq, M., De Houwer, J., & Baeyens, F. (in press). Evidence for an expectancy-based theory of avoidance behavior. Quarterly Journal of Experimental Psychology.

  • De Houwer, J. (2009). The propositional approach to associative learning as an alternative for association formation models. Learning & Behavior, 37, 1–20.

    Article  Google Scholar 

  • De Houwer, J., Crombez, G., & Baeyens, F. (2005). Avoidance behavior can function as a negative occasion setter. Journal of Experimental Psychology: Animal Behavior Processes, 31, 101–106.

    PubMed  Google Scholar 

  • De Houwer, J., Vandorpe, S., & Beckers, T. (2005). On the role of controlled cognitive processes in human associative learning. In A. J. Wills (Ed.), New directions in human associative learning (pp. 41–63). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Dixon, M. R., & Johnson, T. E. (2007). The Gambling Functional Assessment (GFA): An assessment device for identification of the maintaining variables of pathological gambling. Analysis of Gambling Behavior, 1, 44–49.

    Google Scholar 

  • Dougher, M. J., Augustson, E. M., Markham, M. R., Greenway, D. E., & Wulfert, E. (1994). The transfer of respondent eliciting and extinction functions through stimulus equivalence classes. Journal of the Experimental Analysis of Behavior, 62, 331–351.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dougher, M. J., & Hackbert, L. (2000). Establishing operations, cognition, and emotion. The Behavior Analyst, 23, 11–24.

    PubMed  PubMed Central  Google Scholar 

  • Dougher, M. J., Hamilton, D. A., Fink, B. C., & Harrington, J. (2007). Transformation of the discriminative and eliciting functions of generalized relational stimuli. Journal of the Experimental Analysis of Behavior, 88, 179–197.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dymond, S., & Barnes, D. (1995). A transformation of self-discrimination response functions in accordance with the arbitrarily applicable relations of sameness, more than, and less than. Journal of the Experimental Analysis of Behavior, 64, 163–184.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dymond, S., & Barnes, D. (1996). A transformation of self-discrimination response functions in accordance with the arbitrarily applicable relations of sameness and opposition. The Psychological Record, 46, 271–300.

    Google Scholar 

  • Dymond, S., & Rehfeldt, R. (2000). Understanding complex behavior: The transformation of stimulus functions. The Behavior Analyst, 23, 239–254.

    PubMed  PubMed Central  Google Scholar 

  • Dymond, S., Roche, B., & Barnes-Holmes, D. (2003). The continuity strategy, human behavior, and behavior analysis. The Psychological Record, 53, 333–347.

    Google Scholar 

  • Dymond, S., Roche, B., Forsyth, J. P., Whelan, R., & Rhoden, J. (2007). Transformation of avoidance response functions in accordance with the relational frames of same and opposite. Journal of the Experimental Analysis of Behavior, 88, 249–262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dymond, S., Roche, B., Forsyth, J. P., Whelan, R., & Rhoden, J. (2008). Derived avoidance learning: Transformation of avoidance response functions in accordance with the relational frames of same and opposite. The Psychological Record, 58, 271–288.

    Google Scholar 

  • Eifert, G H, & Forsyth, J. P. (2007). From normal anxiety to anxiety disorders: An experiential avoidance perspective. In D. W. Woods & J. W. Kanter (Eds.), Understanding behavior disorders: A contemporary behavioral perspective (pp. 81–116). Reno, NV: Context Press.

    Google Scholar 

  • Epstein, S., & Fenz, W. D. (1962). Theory and experiment on the measurement of approach-avoidance conflict. Journal of Abnormal and Social Psychology, 64, 97–112.

    Article  PubMed  Google Scholar 

  • Fannes, S., Van Diest, I., Meulders, A., De Peuter, S., Vansteenwegen, D., & Van den Bergh, O. (2008). To inhale or not to inhale: Conditioned avoidance in breathing behavior in an odor—20% CO2 paradigm. Biological Psychology, 78, 87–92.

    Article  PubMed  Google Scholar 

  • Fenz, W. D., & Epstein, S. (1967). Gradients of physiological arousal of experienced and novice parachutists as a function of an approaching jump. Psychosomatic Medicine, 29, 33–51.

    Article  PubMed  Google Scholar 

  • Field, A. P. (2006). Is conditioning a useful framework for understanding the development and treatment of phobias? Clinical Psychology Review, 26, 857–875.

    Article  PubMed  Google Scholar 

  • Follette, W. C., Naugle, A. E., & Callaghan, G. M. (1996). A radical behavioral understanding of the therapeutic relationship in effecting change. Behavior Therapy, 27, 623–641.

    Article  Google Scholar 

  • Forsyth, J. P., & Eifert, G. H. (1996). The language of feeling and the feeling of anxiety: Contributions of the behaviorisms toward understanding the function-altering effects of language. The Psychological Record, 46, 607–649.

    Google Scholar 

  • Forsyth, J. P., & Eifert, G. H. (2008). The mindfulness and acceptance workbook for anxiety: A guide to breaking free from anxiety, phobias, and worry using acceptance and commitment therapy. New York: New Harbinger.

    Google Scholar 

  • Forsyth, J. P., Eifert, G H., & Barrios, V. (2006). Fear conditioning research as a clinical analog: What makes fear learning disordered? In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: From basic processes to clinical implications (pp. 133–156). Washington, DC: American Psychological Association.

    Google Scholar 

  • Friman, P. C, Hayes, S. C., & Wilson, K. G (1998). Why behavior analysts should study emotion: The example of anxiety. Journal of Applied Behavior Analysis, 31, 137–156.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gray, J. A. (1975). Elements of a two-process theory of learning. New York: Academic Press.

    Google Scholar 

  • Hall, G. (1996). Learning about associatively activated stimulus representations: Implications for acquired equivalence and perceptual learning. Animal Learning & Behavior, 24, 233–255.

    Article  Google Scholar 

  • Hayes, S. C. (1976). The role of approach contingencies in phobic behavior. Behavior Therapy, 7, 28–36.

    Article  Google Scholar 

  • Hayes, S. C (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639–665.

    Article  Google Scholar 

  • Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. New York: Kluwer Academic/Plenum.

    Google Scholar 

  • Hayes, S. C., & Brownstein, A. J. (1986). Mentalism, behavior-behavior relations and a behavior analytic view of the purposes of science. The Behavior Analyst, 9, 175–190.

    PubMed  PubMed Central  Google Scholar 

  • Hayes, S. C., Fox, E., Gifford, E. V., Wilson, K. G., Barnes-Holmes, D., & Healy, O. (2001). Derived relational responding as learned behavior. In S. C Hayes, D. Barnes-Holmes, & B. Roche (Eds.), Relational frame theory: A post-Skinnerian account of human language and cognition (pp. 21–49). New York: Kluwer Academic/Plenum.

    Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.

  • Hayes, S. C., & Wilson, K. G (1994). Acceptance and commitment therapy: Altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289–304.

    PubMed  PubMed Central  Google Scholar 

  • Hayes, S. C., Wilson, K. G, Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.

    Article  PubMed  Google Scholar 

  • Herrnstein, R. J. (1969). Method and theory in the study of avoidance. Psychological Review, 76, 49–69.

    Article  PubMed  Google Scholar 

  • Herrnstein, R. J., & Hineline, P. N. (1966). Negative reinforcement as shock-frequency reduction. Journal of the Experimental Analysis of Behavior, 9, 421–430.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hineline, P. N. (1981). The several roles of stimuli in negative reinforcement. In P. Harzem & M. D. Zeiler (Eds.), Predictability, correlation, and contiguity (pp. 203–246). New York: Wiley.

    Google Scholar 

  • Kanter, J. W., Landes, S. J., Busch, A. M., Rusch, L. C, Baruch, D. E., & Manos, R. C. (2007). An integrative model of depression using modern behavioral principles. In D. W. Woods & J. W. Kanter (Eds.), Understanding behavior disorders: A contemporary behavioral perspective (pp. 181–216). Reno, NV: Context Press.

    Google Scholar 

  • Kessler, R. C, Berglund, P., Demler, O., Jin, R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602.

    Article  PubMed  Google Scholar 

  • Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York: Plenum.

    Book  Google Scholar 

  • Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International affective picture system (IAPS): Affective ratings of pictures and instruction manual (Tech. Rep. No. A-6). Gainesville: University of Florida, Center for Research in Psychophysiology.

  • Lejuez, C. W., O’Donnell, J., Wirth, O., Zvolensky, M. J., & Eifert, G H. (1998). Avoidance of 20% carbon dioxide-enriched air with humans. Journal of the Experimental Analysis of Behavior, 70, 79–86.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lerman, D. C (2003). From laboratory to community application: Translational research in behavior analysis. Journal of Applied Behavior Analysis, 36, 415–419.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lovibond, P. F. (2006). Fear and avoidance: An integrated expectancy model. In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: Basic science to clinical application (pp. 117–132). Washington, DC: American Psychological Association.

    Google Scholar 

  • Lovibond, P. F., Davis, N. R., & O’Flaherty, A. S. (2000). Protection from extinction in human fear conditioning. Behaviour Research & Therapy, 38, 967–983.

    Article  Google Scholar 

  • Lovibond, P. F., Saunders, J. C, Weidemann, G., & Mitchell, C. J. (2008). Evidence for expectancy as a mediator of avoidance and anxiety in a laboratory model of human avoidance learning. Quarterly Journal of Experimental Psychology, 61, 1199–1216.

    Article  Google Scholar 

  • Lovibond, P. F., & Shanks, D. R. (2002). The role of awareness in Pavlovian conditioning: Empirical evidence and theoretical implications. Journal of Experimental Psychology: Animal Behavior Processes, 28, 3–31.

    PubMed  Google Scholar 

  • Marks, I. M. (1981). Behavioral concepts and treatments of neuroses. Behavioral Psychotherapy, 9, 137–154.

    Article  Google Scholar 

  • Masuda, A., Hayes, S. C., Sackett, C. F., & Twohig, M. P. (2004). Cognitive defusion and self-relevant negative thoughts: Examining the impact of a ninety-year-old technique. Behaviour Research & Therapy, 42, 477–485.

    Article  Google Scholar 

  • McAllister, D. E., & McAllister, W. R. (1991). Fear theory and aversively motivated behavior: Some controversial issues. In M. R. Denny (Ed.), Fear, avoidance and phobias (pp. 135–163). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Mineka, S. (1979). The role of fear in theories of avoidance learning, flooding, and extinction. Psychological Bulletin, 86, 985–1010.

    Article  Google Scholar 

  • Mineka, S., & Oehlberg, K. (2008). The relevance of recent developments in classical conditioning to understanding the etiology and maintenance of anxiety disorders. Acta Psychologica, 127, 567–580.

    Article  PubMed  Google Scholar 

  • Mineka, S., & Zinbarg, R. (2006). A contemporary learning theory perspective on anxiety disorders: It’s not what you thought it was. American Psychologist, 61, 10–26.

    Article  PubMed  Google Scholar 

  • Mowrer, O. H. (1947). On the dual nature of learning: A reinterpretation of “conditioning” and “problem solving.” Harvard Educational Review, 17, 102–148.

    Google Scholar 

  • Pavlov, I. P. (1927). Conditioned reflexes. Oxford: University Press.

    Google Scholar 

  • Perone, M., & Galizio, M. (1987). Variable-interval schedules of timeout from avoidance. Journal of the Experimental Analysis of Behavior, 47, 97–113.

    Article  PubMed  PubMed Central  Google Scholar 

  • Powell, A., & Lumia, A. R. (1971). Avoidance conditioning and behaviour therapies: A reply to Costello. Psychological Review, 78, 344–347.

    Article  PubMed  Google Scholar 

  • Rachman, S. J. (1977). The conditioning theory of fear acquisition: A critical examination. Behaviour Research & Therapy, 15, 375–387.

    Article  Google Scholar 

  • Rachman, S. J. (1991). Neo-conditioning and the classical theory of fear acquisition. Clinical Psychology Review, 11, 155–173.

    Article  Google Scholar 

  • Roche, B., & Barnes, D. (1997). A transformation of respondently conditioned stimulus function in accordance with arbitrarily applicable relations. Journal of the Experimental Analysis of Behavior, 67, 275–301.

    Article  PubMed  PubMed Central  Google Scholar 

  • Roche, B., Barnes, D., & Smeets, P. (1997). Incongruous stimulus pairing and conditional discrimination training: Effects on relational responding. Journal of the Experimental Analysis of Behavior, 68, 143–160.

    Article  PubMed  PubMed Central  Google Scholar 

  • Roche, B., Barnes-Holmes, D., Smeets, P. M., Barnes-Holmes, Y., & McGeady, S. (2000). Contextual control over the derived transformation of discriminative and sexual arousal functions. The Psychological Record, 50, 267–291.

    Google Scholar 

  • Roche, B., Kanter, J. W., Brown, K. R., Dymond, S., & Fogarty, C. C (2008). A comparison of “direct” versus “derived” extinction of avoidance. The Psychological Record, 58, 443–464.

    Google Scholar 

  • Schoenfeld, W. N. (1950). An experimental approach to anxiety, escape, and avoidance behavior. In P. H. Hock & J. Zubin (Eds.), Anxiety (pp. 70–99). New York: Grune & Stratton.

    Google Scholar 

  • Seligman, M. E. P., & Johnston, J. C. (1973). A cognitive theory of avoidance learning. In F. J. McGuigan & D. B. Lumsden (Eds.), Contemporary approaches to conditioning and learning (pp. 69–110). Washington, DC: Winston.

    Google Scholar 

  • Sidman, M. (1953). Avoidance conditioning with brief shock and exteroceptive warning signal. Science, 118, 157–158.

    Article  PubMed  Google Scholar 

  • Sidman, M. (1962). Classical avoidance without a warning stimulus. Journal of the Experimental Analysis of Behavior, 5, 97–104.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sidman, M. (1994). Equivalence relations and behavior: A research story. Boston: Authors Cooperative.

    Google Scholar 

  • Skinner, B. F. (1945). The operational analysis of psychological terms. Psychological Review, 52, 270–277, 291–294.

  • Skinner, B. F. (1953). Science and human behavior. New York: Free Press.

    Google Scholar 

  • Skinner, B. F. (1974). About behaviorism. London: Penguin.

    Google Scholar 

  • Smyth, S., Barnes-Holmes, D., & Barnes-Holmes, Y. (2008). Acquired equivalence in human discrimination learning: The role of propositional knowledge. Journal of Experimental Psychology: Animal Behavior Processes, 34, 167–177.

    PubMed  Google Scholar 

  • Solomon, R. L., & Wynne, L. C (1953). Traumatic avoidance learning: Acquisition in normal dogs. Psychological Monographs, 67 (Whole No. 354)

  • Sommers, J. M., Goldner, E. M., Waraich, P., & Hsu, L. (2006). Prevalence and incidence studies of anxiety disorders: A systematic review of the literature. Canadian Journal of Psychiatry, 51, 100–113.

    Article  Google Scholar 

  • Tyndall, I., Roche, B., & James, J. E. (2004). The relationship between stimulus function and stimulus equivalence: A systematic investigation. Journal of the Experimental Analysis of Behavior, 81, 257–266.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weiner, H. (1969). Conditioning history and the control of human avoidance and escape responding. Journal of the Experimental Analysis of Behavior, 12, 1039–1043.

    Article  PubMed  PubMed Central  Google Scholar 

  • Whelan, R., & Barnes-Holmes, D. (2004). The transformation of consequential functions in accordance with the relational frames of same and opposite. Journal of the Experimental Analysis of Behavior, 82, 177–195.

    Article  PubMed  PubMed Central  Google Scholar 

  • Whelan, R., Barnes-Holmes, D., & Dymond, S. (2006). The transformation of consequential functions in accordance with the relational frames of more-than and less-than. Journal of the Experimental Analysis of Behavior, 86, 317–335.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wilson, K. G., & Hayes, S. C. (1996). Resurgence of derived stimulus relations. Journal of the Experimental Analysis of Behavior, 66, 267–281.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wilson, K. G., & Hayes, S. C. (2000). Why it is crucial to understand thinking and feeling: An analysis and application to drug abuse. The Behavior Analyst, 23, 25–44.

    PubMed  PubMed Central  Google Scholar 

  • Wolpe, J. (1971). The behavioristic conception of neurosis: A reply to two critics. Psychological Review, 78, 341–343.

    Article  PubMed  Google Scholar 

  • Wolpe, J., & Rachman, S. (1960). Psychoanalytic “evidence”: A critique based on Freud’s case of Little Hans. Journal of Nervous and Mental Disease, 131, 135–148.

    Article  PubMed  Google Scholar 

  • Woods, D. W., Miltenberger, R. G, & Carr, J. E. (2006). Introduction to the special section on clinical behavior analysis. Journal of Applied Behavior Analysis, 39, 407–412.

    Article  PubMed Central  Google Scholar 

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Correspondence to Simon Dymond or Bryan Roche.

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We thank Jennifer L. Austin and Matilda Rodriguez for helpful comments.

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Dymond, S., Roche, B. A contemporary behavior analysis of anxiety and avoidance. BEHAV ANALYST 32, 7–27 (2009). https://doi.org/10.1007/BF03392173

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