Career
Her treatment model focused on the learned fears of experiencing certain emotions, or what she called affect phobias. This is an exceptionally clear and useful reformulation of psychodynamic conflicts in behavioral terms. Foreign example, in case of a psychodynamic conflict between anger (or sexual desire, or grief, or closeness) and anxiety (or guilt, or shame).
McCullough framed anger as an (internal) object that has learned (phobically) to activate anxiety.
Thus in McCullough"s reformulation, anger and anxiety do not stand against each other, as in an interpersonal conflict, but rather: anger activates anxiety, which then activates some defence mechanisms to avoid or inhibit the activation of anger. In terms of Freud"s Id, ego and super-ego, the Id (anger) activates the super-ego (anxiety), which then activates the ego defences against the idem (the same)
McCullough"s reformulation of psychodynamic conflicts in terms of phobia both clarifies the therapeutic focus and suggests the intrapsychical change mechanism. Treatment of affect phobias progresses similarly to the exposure technique of behavioral therapies, with the difference that affects could be viewed as an internal phobia instead of external phobias such as fear of spiders or heights.
Thus therapy should expose the patient to the activation of her anger (or sexual desire, or grief, or closeness), and the change mechanism is desensitization (or habituation) of anger activation.
In neuronal terms, the activation of anger neurons not followed by feared (or shameful) consequences results in a weakening (desensitization/habituation) of synaptic connections from anger neurons to anxiety neurons, allowing anger to be freely activated without the automatic activation of anxiety (and thereby defenses against anger). Neither "Anger Neurons" nor "Anxiety Neurons" are accepted terminology in the contemporary neurosciences. Doctor McCullough was on the editorial board of the journal Psychotherapy Research and of the Journal of Brief Therapy, and conducted training seminars in the Affect Phobia model worldwide.
Leigh McCullough was diagnosed with Amyotrophic Lateral Sclerosis in 2010 and died on June 7, 2012.