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KMID : 0981220100100020001
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Congnitive Behavior Therapy in Korea
2010 Volume.10 No. 2 p.1 ~ p.25
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Image Rescripting Training for Social Anxiety Disorder: A Case Report
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Yun Hae-Young
Kwon Jung-Hye
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Abstract
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According to current research, automatic and distorted images of the self are commonly repeated in social anxiety disorder, and sudden activation of these negative images during the fearful situation plays an important role in developing and maintaining the disorder. Wild, Hackmann, & Clark (2007) suggested that recurrence of these vivid images in social situation are associated with early memories of unpleasant/traumatic social experiences. This article presented the theoretical background and the therapeutic technique of image rescripting training; the exploration of the nature of recurrent imagery in social anxiety disorder, cognitive restructuring followed by an image rescripting procedure was used to contextualize and update the memories. A 29-year-old woman who did not respond well to standard social anxiety disorder Cognitive Behavioral Group Therapy (CBGT) participated in two sessions of imagery rescripting. The addition of two sessions of image rescripting training in the CBGT led to some improvement. After two training sessions of image rescripting, the degree of believability on the distorted core belief, the degree of distressful memories, images and vividness reduced slightly. Also she demonstrated a slight reduction on Brief-Fear of Negative Evaluation Scale (B-FNE). These positive changes persisted during three-months follow-up. Limitations of the current study and implications for future research were discussed.
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KEYWORD
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social anxiety disorder, imagery rescripting, cognitive process, traumatic memory
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