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Deep Learning Technology: Sebastian Arnold, Betty van Aken, Paul Grundmann, Felix A. Gers and Alexander Löser. Learning Contextualized Document Representations for Healthcare Answer Retrieval. The Web Conference 2020 (WWW'20)
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There are no documented treatments for trypophobia, but exposure therapy, which has been used to treat phobias, is likely to be effective for treating trypophobia.
Medications can help regulate the apprehension and fear that come from thinking about or being exposed to a particular fearful object or situation. Antidepressant medications such as SSRIs or MAOIs may be helpful in some cases of phobia. SSRIs (antidepressants) act on serotonin, a neurotransmitter in the brain. Since serotonin impacts mood, patients may be prescribed an antidepressant. Sedatives such as benzodiazepines may also be prescribed, which can help patients relax by reducing the amount of anxiety they feel. Benzodiazepines may be useful in acute treatment of severe symptoms, but the risk-benefit ratio is against their long-term use in phobic disorders. This class of medication has recently been shown as effective if used with negative behaviors such as alcohol abuse. Despite this positive finding, benzodiazepines should be used with caution. Beta blockers are another medicinal option as they may stop the stimulating effects of adrenaline, such as sweating, increased heart rate, elevated blood pressure, tremors and the feeling of a pounding heart. By taking beta blockers before a phobic event, these symptoms are decreased, causing the event to be less frightening.
Hypnotherapy can be used alone and in conjunction with systematic desensitization to treatment phobias. Through hypnotherapy, the underlying cause of the phobia may be uncovered. The phobia may be caused by a past event that the patient does not remember, a phenomenon known as repression. The mind represses traumatic memories from the conscious mind until the person is ready to deal with them. Hypnotherapy may also eliminate the conditioned responses that occur during different situations. Patients are first placed into a hypnotic trance, an extremely relaxed state in which the unconscious can be retrieved. This state allows for patients to be open to suggestion, which helps bring about a desired change. Consciously addressing old memories helps individuals understand the event and see it in a less threatening light.
The mental health community does not recognize work aversion as an illness or disease and therefore no medically recognized treatments exist. Those attempting to treat work aversion as an illness may use psychotherapy, counseling, medication, or some more unusual forms of treatment.
In the case where the person has not worked for a while due to a workplace injury, work-hardening can be used to build strength. The person works for a brief period of time in the first week, such as two hours per day and increases the amount of work each week until full-time hours are reached.
Treatment of avoidant personality disorder can employ various techniques, such as social skills training, cognitive therapy, and exposure treatment to gradually increase social contacts, group therapy for practicing social skills, and sometimes drug therapy.
A key issue in treatment is gaining and keeping the patient's trust, since people with avoidant personality disorder will often start to avoid treatment sessions if they distrust the therapist or fear rejection. The primary purpose of both individual therapy and social skills group training is for individuals with avoidant personality disorder to begin challenging their exaggerated negative beliefs about themselves.
Significant improvement in the symptoms of personality disorders is possible, with the help of treatment and individual effort.
Research shows that opposition to attitudinal change can gradually give way to acceptance with the passage of time. Attitudinal change towards acceptance may be a slow and even tedious experience for some teachers.
Flibanserin is the first and only medication approved for women for the treatment of HSDD. It is only slightly effective over placebo, having been found to increase the average number of satisfying sexual events per month by 0.5 to 1. The side effects of dizziness, sleepiness, and nausea occur about three to four times more often. Overall improvement is slight to none.
A few studies suggest that the antidepressant, bupropion, can improve sexual function in women who are not depressed, if they have HSDD. The same is true for the anxiolytic, buspirone, which is a 5-HT receptor agonist similarly to flibanserin.
Testosterone supplementation is effective in the short-term. However, its long-term safety is unclear.
Alternative therapies, such as acupuncture, are used by some practitioners to alleviate the symptoms of drug addiction. In 1997, the American Medical Association (AMA) adopted as policy the following statement after a report on a number of alternative therapies including acupuncture:
There is little evidence to confirm the safety or efficacy of most alternative therapies. Much of the information currently known about these therapies makes it clear that many have not been shown to be efficacious. Well-designed, stringently controlled research should be done to evaluate the efficacy of alternative therapies.
Acupuncture has been shown to be no more effective than control treatments in the treatment of opiate dependence. Acupuncture, acupressure, laser therapy and electrostimulation have no demonstrated efficacy for smoking cessation.
Important phases in treating substance dependence include establishing coping mechanisms to deal with the hardships of withdrawal symptoms. With the correct approaches, the patient can live a healthier life.
Some online resources have served as aids to those working to overcome addictions. These websites allow struggling addicts, family members of addicts, and people who are in the recovery stage to seek or offer advice or support. Such sites provide an alternative, anonymized means for people impacted by addiction to seek help, social support, and information through chat rooms, forums, and blogs.
Hedonophobia is an excessive fear or aversion to obtaining pleasure. The purported background of some such associated feelings may be due to an egalitarian-related sentiment, whereby one feels a sense of solidarity with individuals in the lowest Human Development Index countries. For others, a recurring thought that some things are too good to be true has resulted in an ingrainedness that they are not entitled to feel too good. The condition is relatively rare. Sometimes, it can be triggered by a religious upbringing wherein asceticism is propounded.
Hedonophobia is formally defined as the fear of experiencing pleasure. 'Hedon' or 'hedone' comes from ancient Greek, meaning 'pleasure' + fear: 'phobia'. Hedonophobia is the inability to enjoy pleasurable experiences, and is often a persistent malady. Diagnosis of the condition is usually related to the age of 'maturity' in each country where the syndrome exists. For instance, in the US a person must be 18 years old to be considered an adult, whereas in Canada he or she must be 18 or 19 years old, depending on the province of residence. Globally, the ages range from (+/-) 12 to 24 years and are mainly determined by traditional ethical practices from previous societies. High anxiety, panic attacks, and extreme fear are symptoms that can result from anticipating pleasure of any kind. Expecting or anticipating pleasure at some point in the future can also trigger an attack.
Hedonophobics have a type of guilt about feeling pleasure or experiencing pleasurable sensations, due to a cultural background or training (either religious or cultural) that eschews pleasurable pursuits as frivolous or inappropriate. Oftentimes, social guilt is connected to having fun while others are suffering, and is common for those who feel undeserving or have self-worth issues to work through. Also, there is a sense that they shouldn't be given pleasures due to their lack of performance in life, and because they have done things that are deemed "wrong" or "undeserving."
To determine the depth of the diagnosis for those who suffer from hedonophobia, background is crucial. For example, when a child is taught that a strong work ethic is all that makes them worthy of the good things in life, guilt becomes a motivator to move away from pleasure when they begin to experience it. The individual learns that pleasures are bad, and feeling good is not as sanctified as being empathetic towards those who suffer.
C.B.T. (Cognitive Behavioral Therapy) is an effective approach to the resolution of past beliefs that infiltrate and affect the sufferer's current responses to various situations. Medication is only necessary when there is an interference in the person's normal daily functioning. Various techniques are used by those afflicted with the condition to hide, camouflage or mask their aversion to pleasure.
Any relationship that includes things that are pleasurable is re-established when the sufferer learns that he is not worthy of anything pleasurable, or that he only deserves the opposite of those things which are pleasurable. A disconnect is necessary to determine the sufferer's lack of ability to intervene in the overall process.
Work aversion (or aversion to work) is the state of avoiding or not wanting to work or be employed, or the extreme preference of leisure as opposed to work. It can be attributed to laziness, boredom or burnout. Work aversion is not a recognized psychological disorder in the DSM-IV.
Behavioral programming is considered critical in helping those with addictions achieve abstinence. From the applied behavior analysis literature and the behavioral psychology literature, several evidence based intervention programs have emerged: (1) behavioral marital therapy; (2) community reinforcement approach; (3) cue exposure therapy; and (4) contingency management strategies. In addition, the same author suggest that Social skills training adjunctive to inpatient treatment of alcohol dependence is probably efficacious. Community reinforcement has both efficacy and effectiveness data. In addition, behavioral treatment such as community reinforcement and family training (CRAFT) have helped family members to get their loved ones into treatment. Motivational Intervention has also shown to be an effective treatment for substance dependence.
The treatment of tube dependency is tube weaning. The best time to make the transition from exclusive tube feeding to oral feeding is between the ages of 6–12 months.
The earlier the tube is removed and the younger the child, the easier the transition. At the same time, the intended nutritional goals of ENS (enteral nutrition support) must be defined and assessed critically and individually.
Small studies of children undergoing cardiac surgery have shown that they have the easiest transition and highest success rate (n=20) and it has been postulated that this is due to them being able to maintain oral intake throughout the feeding period.
There are a few techniques that are used to aid tube weaning when initial attempts have failed.
- A single paper report of an approach uses analgesic medication based on the theory that children experience pain with oral intake. A study in 2009 showed a 82% (n=9) success rate.
- Behavioral treatment has been used in small samples. A randomised control trial in 2000 showed a 47% (n=32) success rate.
- The Graz approach uses a combination of multiple theories and therapeutic inputs and Play Picnics and has a 92% (n=221) success rate.
Cyberphobia is a concept introduced in 1980, described as a specific phobia expressed as "an irrational fear of or aversion to computers" or more generally, a fear and/or inability to learn about new technologies.
Some forms of cyberphobia may range from the more passive forms of technophobia of those who are indifferent toward cyberspace to the responses of those who see digital technology as a medium of intrusive surveillance; more extreme responses may involve anti-technological paranoia expressed by social movements that radically oppose ‘technological society’ and ‘the New World Order’.
There are different ways that someone could experience cyberphobia. Teachers may experience a form of cyberphobia if they are forced to change their way of teaching. Another way people may experience cyberphobia is if they feel that they are incompetent, or that the new technology is not needed to advance in life, or that they feel that they lack skills for the new age of technology. Another way people may experience cyberphobia is if they feel like they are going to lose control, or the new technology will affect their status in life.
The decision to begin enteral feeding is made in most cases by a specialized medical team with a clear plan of treatment goals, the existence of some existing tube maintenance strategies and nutritional counselling and some idea of exit strategies.
During the phase of ENS (enteral nutrition support), patients are recommended to receive regular input from speech and language therapists, occupational therapy, physiotherapy and physicians with the aim of preserving oral functions, exposure to taste and texture preferences and supporting the patient and family to maintain some oral intake unless contraindicated.
Aversion to happiness, also called cherophobia or fear of happiness, is an attitude towards happiness in which individuals may deliberately avoid experiences that invoke positive emotions or happiness.
One of several reasons that cherophobia may develop is the belief that when one becomes happy, a negative event will soon occur that will taint their happiness, as if that individual is being punished for satisfaction. This belief is thought to be more prevalent in non-Western cultures. In Western cultures, such as American culture, "it is almost taken for granted that happiness is one of the most important values guiding people’s lives." Western cultures are more driven by an urge to maximize happiness and minimize sadness. Failing to appear happy is often a cause for concern. Its value is echoed through Western positive psychology and research on subjective well-being.. Fear of happiness is associated with fragility of happiness beliefs, suggesting that one of the causes of aversion to happiness may be the belief that happiness is unstable and fragile . Fear of happiness has also been linked to avoidant and anxious attachment styles.
Treatment for pica may vary by patient and suspected cause (e.g., child, developmentally disabled, pregnant or psychogenic) and may emphasize psychosocial, environmental and family-guidance approaches, (iron deficiency) may be treatable though iron supplement through dietary changes. An initial approach often involves screening for and, if necessary, treating any mineral deficiencies or other comorbid conditions. For pica that appears to be of psychogenic cause, therapy and medication such as SSRIs have been used successfully. However, previous reports have cautioned against the use of medication until all non-psychogenic causes have been ruled out.
Looking back at the different causes of pica related to assessment, the clinician will try to develop a treatment. First, there is pica as a result of social attention. A strategy might be used of ignoring the person’s behavior or giving them the least possible attention. If their pica is a result of obtaining a favorite item, a strategy may be used where the person is able to receive the item or activity without eating inedible items. The individual’s communication skills should increase so that they can relate what they want to another person without engaging in this behavior. If pica is a way for a person to escape an activity or situation, the reason why the person wants to escape the activity should be examined and the person should be moved to a new situation. If pica is motivated by sensory feedback, an alternative method of feeling that sensation should be provided. Other non-medication techniques might include other ways for oral stimulation such as gum. Foods such as popcorn have also been found helpful. These things can be placed in a “Pica Box” that should be easily accessible to the individual when they feel like engaging in pica.
Behavior-based treatment options can be useful for developmentally disabled and mentally ill individuals with pica. Behavioral treatments for pica have been shown to reduce pica severity by 80% in people with intellectual disabilities. These may involve using positive reinforcement normal behavior. Many use aversion therapy, where the patient learns through positive reinforcement which foods are good and which ones they should not eat. Often treatment is similar to the treatment of obsessive compulsive or addictive disorders (such as exposure therapy). In some cases treatment is as simple as addressing the fact they have this disorder and why they may have it. A recent study classified nine such classes of behavioral intervention: Success with treatment is generally high and generally fades with age, but it varies depending on the cause of the disorder. Developmental causes tend to have a lower success rate.
Treatment techniques include:
Travel aversion, not to be confused with "hodophobia", is a condition experienced by people that dislike or disapprove traveling. People who abstain from travel may see traveling more as a chore than as a leisure.
Travel-averse people feel well enough at home, and do not see the point in traveling. The reason may be that the effort required to organize a trip is too demanding to them, especially since they are not prepared, and the stress included in traveling and orienting oneself in an unknown environment may prevent any enjoyment during the travel. A travel aversive will typically not enjoy his staying abroad, especially if he is traveling alone for a short period.
Most of the reasons motivating people to travel seems futile to travel aversives. Their main considerations include the high resource consumption induced by traveling, which entails that traveling should be reserved to necessary cases, and should be avoided otherwise. Traveling is advanced as a non-ecological lifestyle, and such people enjoy simple living, in which one individual seeks to satisfy only its needs, and heavily considers the reasons for satisfying his wants. Traveling appears to them as another facet of consumerism.
Travel aversives do not experience post-vacation blues. They feel rather happy about being back into their usual habits. Travel aversives tend to look for a stable lifestyle devoid of any unforeseen events, so as to feel comfortable about the near future. Traveling does not fit in this lifestyle, since many contingencies can happen, with sometimes highly displeasing consequences.
There are numerous ways in which individuals can reduce emotional distress without engaging in emotional eating. The most salient choice is to minimize maladaptive coping strategies and to maximize adaptive strategies. A study conducted by Corstorphine et al. in 2007 investigated the relationship between distress tolerance and disordered eating. These researchers specifically focused on how different coping strategies impact distress tolerance and disordered eating. They found that individuals who engage in disordered eating often employ emotional avoidance strategies. If an individual is faced with strong negative emotions, they may choose to avoid the situation by distracting themselves through overeating. Discouraging emotional avoidance is thus an important facet to emotional eating treatment. The most obvious way to limit emotional avoidance is to confront the issue through techniques like problem solving. Corstorphine et al. showed that individuals who engaged in problem solving strategies enhance one's ability to tolerate emotional distress. Since emotional distress is correlated to emotional eating, the ability to better manage one's negative affect should allow an individual to cope with a situation without resorting to overeating.
One way to combat emotional eating is to employ mindfulness techniques. For example, approaching cravings with a nonjudgmental inquisitiveness can help differentiate between hunger and emotionally-driven cravings. An individual may ask his or herself if the craving developed rapidly, as emotional eating tends to be triggered spontaneously. An individual may also take the time to note his or her bodily sensations, such as hunger pangs, and coinciding emotions, like guilt or shame, in order to make conscious decisions to avoid emotional eating.
Emotional eating disorder predisposes individuals to more serious eating disorders and physiological complications. Therefore, combatting disordered eating before such progression takes place has become the focus of many clinical psychologists.
The standard approach to treatment is the same as with other phobias - cognitive-behavioral therapy, desensitization, and possibly medications to help with the anxiety and discomfort. In recent years, the technique known as "applied tension", applying tension to the muscles in an effort to increase blood pressure, has increasingly gained favor as an often effective treatment for blood phobia associated with drops in blood pressure and fainting.
Because the fear of blood is extremely common, it is frequently exploited in popular culture. Horror movies and Halloween events prey on our natural aversion to blood, often featuring large quantities of fake blood.
Geoff Cole and Arnold Wilkins of the University of Essex's Centre for Brain Science were the first scientists to publish on the phenomenon. They believe the reaction is based on a biological revulsion, rather than a learned cultural fear. In a 2013 article in "Psychological Science", Cole and Wilkins write that the reaction is based on "the primitive portion of the brain" that associates the shapes with danger, and that it is an "unconscious reflex reaction". Imagery of various poisonous animals (for example, certain types of snakes, insects, and spiders) have the same visual characteristics. Because of this, Cole and Wilkins hypothesized that trypophobia has an evolutionary basis meant to alert humans of dangerous organisms. They believed this to be an evolutionary advantage, although it also causes people to fear harmless objects.
Cole and Wilkins analyzed videos and images containing clusters of holes, with the images presented in an arrangement that was considered to rank the likelihood they will induce fear. Early images in the series include fruits such as oranges and pomegranates. Then, clusters of holes with a possible association with danger are presented, such as honeycombs, frogs, and insects and arachnids. Finally, images feature wounds and diseases. Using this data, Cole and Wilkins analyzed example images and believe that the images had "unique characteristics". In another research article, An Trong Dinh Le, Cole and Wilkins developed a symptom questionnaire that they say can be used to identify trypophobia.
Cole and Wilkins also stated that "given the large number of images associated with trypophobia, some of which do not contain clusters of holes but clusters of other objects, these results suggest that holes alone are unlikely to be the only cause for this condition" and they "consider that the fear of holes does not accurately reflect the condition."
Other researches have speculated that the images could be perceived as cues to infectious disease (similar to reactions to images of leprosy, smallpox and measles, which manifest as small bumps and clusters on the skin) or parasites, which could be alerts that give one a survival advantage. That the images invoke thoughts of decay, which is why mold on bread or vegetables have certain visual cues and characteristics similar to trypophobic stimuli, has also been theorized. Conversely, psychiatrist Carol Mathews believes that trypophobic responses are more likely from priming and conditioning.
Wilkins and Le also considered that the discomfort from trypophobic images is due to the geometry of the holes making excessive demands on the brain; they stated that these excessive demands may cause visual discomfort, eyestrain or headache, adding that these images have mathematical properties that cannot be processed efficiently by the brain and therefore require more brain oxygenation. Wilkins and researcher Paul Hibbard proposed that the discomfort occurs when people avoid looking at the images because they require excessive brain oxygenation, adding that the brain uses about 20 per cent of the body's energy, and its energy usage needs to be kept to a minimum. They stated that mold and skin diseases can provoke disgust in most people, regardless of whether or not the people have trypophobia, and that they are investigating why some people and not others experience an emotional response in these cases.
A pseudophobia is a purported irrational aversion or fear whose existence is as yet unproven. Examples of this type of condition include schoolphobia and separation anxiety. The term has also been applied to first time fathers and mothers who have an exorbitant fear of hurting their own infant child due to an exaggerated perception of their fragility. John Bowlby has described the agoraphobic condition as a pseudophobia. These features may in actuality encompass a reaction to a lack of a secure refuge or other underlying pathological processes. Its origin typically derives from some dreaded memory.
Numerous medications have been investigated for use in cocaine dependence, but , none of them were considered to be effective. Anticonvulsants, such as carbamazepine, gabapentin, lamotrigine, and topiramate, do not appear to be effective as treatment. Limited evidence suggests that antipsychotics are also ineffective for treatment of cocaine dependence. Few studies have examined bupropion (a novel antidepressant) for cocaine dependence; however, trials performed thus far have not shown it to be an effective form of treatment for this purpose.
The National Institute on Drug Abuse (NIDA) of the U.S. National Institutes of Health is researching modafinil, a narcolepsy drug and mild stimulant, as a potential cocaine treatment. Ibogaine has been under investigation as a treatment for cocaine dependency and is used in clinics in Mexico, the Netherlands and Canada, but cannot be used legally in the United States. Other medications that have been investigated for this purpose include acetylcysteine, baclofen, and vanoxerine. Medications, such as phenelzine, have been used to cause an "aversion reaction" when administered with cocaine.
Bibliomania is not to be confused with bibliophilia, which is the usual love of books and is not considered a clinical psychological disorder.
Other abnormal behaviours involving books include book-eating (bibliophagy), compulsive book-stealing (bibliokleptomania), and book-burying (bibliotaphy).
Hoplophobia is a political neologism coined by retired American military officer Jeff Cooper as a pejorative to describe an "irrational aversion to weapons." It is also used to describe the "fear of firearms" or the "fear of armed citizens." Hoplophobia is a political term and not a recognized medical phobia.