University of East Anglia, UK.
Behav Cogn Psychother. 2012 Jan;40(1):55-68. doi: 10.1017/S1352465811000439. Epub 2011 Jul 5.
Social phobia frequently occurs as a comorbid condition, with high rates reported among people with psychosis. Little is known about the nature of social anxiety in this population or whether current psychological theories apply.
This paper aims to develop and pilot a suitable measure to explore imagery experienced by participants with comorbid psychosis and social anxiety and to provide preliminary indications as to its nature.
A semi-structured interview exploring imagery was used with seven participants (adapted from Hackmann, Surawy and Clark, 1998) and the results were analysed using qualitative template analysis.
Initial indications from this sample suggest that some participants experience typical social anxiety images, as identified by Hackmann et al. (1998). However, some experience images that appear more threatening, and may be related to residual psychotic paranoia. Image perspective was also explored: typical social anxiety images tended to be seen from an observer perspective, while those that may have been more related to psychosis tended to be seen from a field perspective.
This exploratory study has facilitated the careful adaptation and development of an imagery interview for use in this population and has suggested areas for further research and raised questions around clinical implications.
社交恐惧症常作为共病出现，在精神病患者中发病率较高。对于这一人群的社交焦虑本质，以及当前的心理理论是否适用，人们知之甚少。
本研究旨在开发并初步试用一种合适的测量工具，以探索共病精神病和社交焦虑患者的想象体验，并初步了解其本质。
采用半结构化访谈法（改编自 Hackmann、Surawy 和 Clark，1998）来探索想象，对 7 名参与者进行访谈，使用定性模板分析对结果进行分析。
本样本的初步结果表明，一些参与者体验到了 Hackmann 等人（1998）所确定的典型社交焦虑图像。然而，一些参与者体验到的图像似乎更具威胁性，可能与残留的精神病性偏执有关。还探讨了图像视角：典型的社交焦虑图像往往从观察者的角度来看，而那些可能与精神病更相关的图像往往从现场的角度来看。
这项探索性研究促进了对该人群使用的想象访谈的仔细改编和发展，并提出了进一步研究的领域，并围绕临床意义提出了一些问题。
