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The process of EA is conceptualized as being sustained through negative reinforcement. That is, the form of mental illness matters less than the underlying function of the behavior thought to maintain ones suffering. Although the process of EA is thought to maintain many psychiatric illnesses, not all instances of avoidance are considered pathogenic. When EA is employed chronically, it may become a pervasive pattern of negative reinforcement.
Use of such a strategy thus conceivably limits contact with direct reinforcement contingencies that would otherwise facilitate new learning.