Formulation Working Hypothesis

Mary's relationship history, including a failed marriage, may have fostered her beliefs regarding mistrust of others and her vulnerability to harm. Furthermore, at the time of the robbery, she was under financial strain, which may have further threatened Mary's view of herself and led her to question her own competence. This conflict between her expectation and life circumstances may have led to a heightened general arousal even prior to the robbery. The belief that others are mistrustful and that she was vulnerable to harm, along with the concomitant anxiety, likely predisposed Mary to react in intense fear to the perceived threat during the hostage incident. The hostage taking likely reinforced her beliefs about mistrusting others; thus, post-traumatic stress symptoms emerged, including recurrent thoughts of the incident. To cope with her symptoms, Mary generally has avoided other people and situations where conflict with others might occur, which has resulted in significant isolation. Since the trauma, Mary has also experienced a number of negative life events, including bankruptcy and a decline in her relationship with her children. These failures may have led her to doubt her abilities. To the extent that the core belief that she is a failure exists, it may predispose Mary to depressed mood and feelings of worthlessness and hopelessness. Her pattern of behavioral avoidance has likely led to an unremitting course of depressive and posttraumatic symptoms.

Conquering Fear In The 21th Century

Conquering Fear In The 21th Century

The Ultimate Guide To Overcoming Fear And Getting Breakthroughs. Fear is without doubt among the strongest and most influential emotional responses we have, and it may act as both a protective and destructive force depending upon the situation.

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