Hofmann Stefan G, Scepkowski Lisa A
Boston University.
J Cogn Psychother. 2006;20(1):45-57. doi: 10.1891/jcop.20.1.45.
The recent psychopathology literature suggests that individuals with social phobia overestimate social standards and are deficient in setting and attaining social goals, have a negative perception of themselves as social objects and show heightened self-focused attention when confronted with social threat. They further overestimate the potential cost of a social encounter, experience their anxiety as uncontrollable and visible to others, view their social skills as inadequate, rely on safety behaviors and avoidance strategies to control their anxiety, and engage in post-event rumination. Traditional cognitive-behavior therapy does not adequately address all of these features of social phobia during treatment. We discuss here an enhanced version of cognitive-behavioral treatment for social phobia, which is specifically designed to address these factors. The results of an uncontrolled pilot study suggest that this new treatment may be more effective than traditional cognitive-behavioral therapy for social phobia.
近期的精神病理学文献表明，社交恐惧症患者高估社会标准，在设定和实现社会目标方面存在缺陷，对自身作为社会对象有负面认知，在面对社会威胁时会表现出高度的自我关注。他们还进一步高估社交互动的潜在代价，将自己的焦虑体验为无法控制且他人可见的，认为自己社交技能不足，依靠安全行为和回避策略来控制焦虑，并在事后进行反复思考。传统的认知行为疗法在治疗过程中未能充分解决社交恐惧症的所有这些特征。我们在此讨论一种社交恐惧症认知行为治疗的强化版本，它是专门为解决这些因素而设计的。一项非对照性初步研究的结果表明，这种新疗法可能比传统的社交恐惧症认知行为疗法更有效。
