Evidence Base for Social Phobia Treatment

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What is social phobia?
Fear of social situations (extreme shyness). Individuals avoid these situations or endure them with considerable distress.
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What other disorders can social phobia have comorbidity with (3)?
Other anxiety disorders, depression and substance abuse.
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What is Mowrer's two factor model?
Traumatic or embarrassing social interaction means individual acquires conditioned response of anxiety to similar situations. Reinforces avoidance behaviour for future situations.
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What other explanations are there for the acquisition of social phobia (3)?
Genetics, biological preparedness of social fear, vicarious learning.
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What is Clark & Well's model of social phobia?
Social situation activates assumption about perceived social danger. Individual processes themselves as a social object, by facing safety behaviours and somatic/ cognitive symptoms brought about by perceived danger.
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How is Clark & Well's model different from Rapee & Heimberg's model?
R & H add in notion of attentional bias for external threat cues (e.g. laughing). It's a comparison of mental representation of self as seen by others versus expected audience standard.
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What are the features of Clark's CBT treatment for social phobia (8)?
Assessment of problem (development & maintenance), manipulate key aspects of model (attention and safety behaviours) and test, show self focus and safety behaviours increae anxiety, shift focus of attention to external world in social interactions...
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*CONTINUED*
Test out other beliefs about social world using surveys, try to minimise unhelpful anticipatory and post-event processing, carefully attend to therapeutic relationship, record sessions so client can listen back.
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What is Clark's cognitive cause of social phobia?
People with social phobia interpret social events excessively negatively, and show enhanced self-focused attention and reduced processing of social cues when anxious in social situations.
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What are the core predictions from Clark's model?
People with social phobia use interoceptive information to make erroneous inferences about how they appear to others. Safety behaviours impair social threat.
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What is the evidence base for social phobia?
Good evidence that CBT works, supporting the core predictions of the cognitive model of social phobia. Preliminary evidence that CBT works by changing the content of socially phobic cognitions. CBT is the treatment of choice.
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Card 2

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What other disorders can social phobia have comorbidity with (3)?

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Other anxiety disorders, depression and substance abuse.

Card 3

Front

What is Mowrer's two factor model?

Back

Preview of the front of card 3

Card 4

Front

What other explanations are there for the acquisition of social phobia (3)?

Back

Preview of the front of card 4

Card 5

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What is Clark & Well's model of social phobia?

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