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It would be done by graduated exposure or in VR simulation, where exposure is paired w surviving unharmed.
But we should distinguish unconditioned from conditioned response. Some fear of heights is given to us by evolution, unconditioned. What can be conditioned is the magnitude of fear/adrenaline release response in body and amygdala.
Nobody is immune to conditioning per se, and it’s power May challenge people’s assumptions, but it’s real. Like it seems impossible, but it’s really a matter of repetition and motivation.
Phobias are maintained by “negative reinforcement”. That is safety has become associated w avoidance of heights. If you avoid them, the phobia usually gets stronger over time through this negative reinforcement. Thus the longer it’s been maintained, the more difficult it will be to extinguish it.
I am currently help a client w severe phobia to bees/wasps/flying insects in general (he’s even ge remixed the phobia to hummingbirds). We have gradually reduced the distance he can tolerate from about 20 feet to about 4 feet over 2 weeks. He would literally have collapsed in all encompassing panic at 4 feet a few weeks ago.
Obviously, you can choose to refuse to participate in any graduated exposure to avoid any discomfort. It does involve some emotional discomfort, which subsided progressively. Usually, a person needs sufficient motivation, like the phobia disrupting quality of life.