Wild Jennifer, Hackmann Ann, Clark David M
Department of Psychology, Institute of Psychiatry at King's College London, London, England.
Behav Ther. 2008 Mar;39(1):47-56. doi: 10.1016/j.beth.2007.04.003. Epub 2007 Oct 22.
Negative self-images are a maintaining factor in social phobia. A retrospective study (Hackmann, A., Clark, D.M., McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601-610) suggested that the images may be linked to early memories of unpleasant social experiences. This preliminary study assessed the therapeutic impact of rescripting such memories. Patients with social phobia (N=11) attended 2 sessions, 1 week apart. The first was a control session in which their images and memories were discussed but not modified. The second was an experimental session in which cognitive restructuring followed by an imagery with rescripting procedure was used to contextualize and update the memories. No change was observed after the control session. The experimental session led to significant improvement in negative beliefs, image and memory distress and vividness, fear of negative evaluation, and anxiety in feared social situations. The results suggest that rescripting unpleasant memories linked to negative self-images may be a useful adjunct in the treatment of social phobia.
消极的自我形象是社交恐惧症的一个维持因素。一项回顾性研究（哈克曼，A.，克拉克，D.M.，麦克马纳斯，F.（2000年）。社交恐惧症中的反复出现的意象和早期记忆。《行为研究与治疗》，38卷，601 - 610页）表明，这些意象可能与不愉快社交经历的早期记忆有关。这项初步研究评估了重新编写此类记忆的治疗效果。社交恐惧症患者（N = 11）参加了两次治疗，间隔一周。第一次是对照治疗，在这次治疗中讨论了他们的意象和记忆，但未进行修改。第二次是实验性治疗，在这次治疗中，采用认知重构，随后是带有重新编写程序的意象，以将记忆情境化并更新。对照治疗后未观察到变化。实验性治疗使消极信念、意象和记忆困扰及生动程度、对消极评价的恐惧以及在恐惧社交情境中的焦虑有了显著改善。结果表明，重新编写与消极自我形象相关的不愉快记忆可能是社交恐惧症治疗中的一种有用辅助手段。
