Dominant active avoidance: a central characteristic of the behaviour of individuals with neurotic symptoms
Janna D. Van Delden - Van Der Wolf and Bart E.E. Bruins
Regional Institution for Out-patient Mental Health Care MIDDEN-HOLLAND, The Netherlands

The Theory of Dominant Active Avoidance accounts for the development and persistence of symptoms by the absence of specific stimuli controlling successful, i.e. symptom free behaviour.
Analyses in clinical practice (of successful, i.e.) symptom free behaviour have revealed that individuals with symptoms have a specific pattern of behaviour, characterized by a dominance of active avoidance over approach and escape behaviour. Moreover, the controlling stimuli of this active avoidance refer to one particular class of social disqualification, which differs per individual. Active avoidance of this disqualification stimulus resulting in a safety signal gives a feeling of security and is not compatible with having symptoms.
When a situation does not contain at least one discriminative stimulus for that specific active avoidance behaviour, the behaviour regulation fails. The resulting disruption of behaviour evokes a panic state, as we know also from the experimental restriction of avoidance behaviour. By subsequent conditioning, such panic states develop into a variety of symptoms, like phobias, compulsion and mood disorders.

Keywords: active avoidance behaviour, symptoms, successful behaviour



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