By Stefan G. Hofmann, Michael W. Otto
Social phobia, or social nervousness illness, is without doubt one of the most typical (and debilitating) of the anxiousness problems, and at any given time it results someplace among three and five% of the united states inhabitants, with comparable data present in international locations worldwide. Cognitive-Behavioral treatment (CBT) has been verified to be the best type of therapy for social phobia, yet learn has proven that traditional CBT ideas and basic interventions fall wanting the mark. With this in brain, Hofmann and Otto have composed an geared up therapy method that comes with in particular designed interventions to bolster the correct CBT suggestions. This quantity builds upon empirical study to deal with the psychopathology and heterogeneity of social phobia, making a sequence of particular interventions with a number of case examples.
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Additional info for Cognitive Behavioral Therapy for Social Anxiety Disorder: Evidence-Based and Disorder-Specific Treatment Techniques (Practical Clinical Guidebooks)
Indb 19 3/21/08 12:00:22 PM 20 Cognitive Behavioral Therapy for Anxiety Disorder as well as distinction among subtypes. For example, the SIAS was consistently related to negative and positive self-reported thoughts in a speech and conversation test, whereas the SPS showed a significant negative relationship with time spent during the impromptu speech. The SIAS and the SPAI were most sensitive to treatment change and for distinguishing the diagnostic subtypes of SAD. Although reliable and valid, these measures are somewhat limited for research purposes because they provide only an overall score as a general indicator of distress and avoidance in social situations.
This model also includes important mediators of treatment change. Briefly stated, the treatment model indicates that social apprehension is associated with unrealistic expectations regarding social standards and a deficiency for selecting specific and attainable social goals. When confronted with challenging social situations, people with SAD typically shift their attention toward the negative aspects of themselves and their social performance. Depending on the individual patient, this then leads to an overestimation of the negative consequences of a social encounter, perception of low emotional control, negative selfperception as a social being, and/or perception of poor social skills.
Video feedback can be an effective way of correcting distorted self-perception and manipulating the effect of self-focused attention on subjective anxiety. , as if they were watching a stranger). This technique can be an important tool to challenge distorted self-perception by creating dissonance between perceived and actual performance. Audio feedback. It is our experience that patients primarily focus on the visual information during the video feedback. Furthermore, the sound quality of the videotapes can be poor.
Cognitive Behavioral Therapy for Social Anxiety Disorder: Evidence-Based and Disorder-Specific Treatment Techniques (Practical Clinical Guidebooks) by Stefan G. Hofmann, Michael W. Otto