Targeting schema change in social anxiety via autobiographical memory reconstruction.

Negative self-schemas are fundamental to social anxiety disorder and contribute to its persistence, thus understanding how to change schemas is of critical importance. Memory-based interventions and associated theories propose that reconstructing autobiographical memories tethered to schemas with conceptual details that challenge the associated expectations will lead to schema change. Here, we test this proposal in a between-subjects behavioural experiment with undergraduate participants with social anxiety. All participants were asked to recall aversive social memories, evaluated these memories on a series of scales, including estimates of reoccurrence, and provided ratings of negative and positive schema beliefs. Next, half the participants reconstructed (rescripted) these aversive memories with conceptual details that challenged the active schema (conceptual condition) and the other half reconstructed the memories with additional experiential details (perceptual condition). All participants provided again evaluations of the original memory and their schema beliefs. Our analysis revealed that the conceptual condition led to significant reductions in negative self-schemas, increases in positive self-schemas, and decreases in estimates of future negative event reoccurrence. Thus, effective schema-change, both a weakening of negative schemas and a strengthening of more positive, adaptive schemas, is dependent on altering the underlying meaning of associated autobiographical memories.