7,687 research outputs found
The Velten Mood Induction Procedure and cognitive models of depression: a reply to Riskind and Rholes (1985).
No full textIn a recent article (Clark, 1983), I concluded that it is invalid to use the success of the Velten Mood Induction Procedure as evidence for cognitive theories of depression. Riskind and Rholes (1985) challenge this conclusion. Their arguments are discussed and critically evaluated. © 1985
The relation between social anxiety and audience perception: examining Clark and Wells' (1995) model among adolescents.
No full textBACKGROUND: Clark and Wells' cognitive model of social anxiety proposes that socially anxious individuals have negative expectations of performance prior to a social event, focus their attention predominantly on themselves and on their negative self-evaluations during an event, and use this negative self-processing to infer that other people are judging them harshly. AIMS: The present study tested these propositions. METHOD: The study used a community sample of 161 adolescents aged 14-18 years. The participants gave a speech in front of a pre-recorded audience acting neutrally, and participants were aware that the projected audience was pre-recorded. RESULTS: As expected, participants with higher levels of social anxiety had more negative performance expectations, higher self-focused attention, and more negative perceptions of the audience. Negative performance expectations and self-focused attention were found to mediate the relationship between social anxiety and audience perception. CONCLUSIONS: The findings support Clark and Wells' cognitive model of social anxiety, which poses that socially anxious individuals have distorted perceptions of the responses of other people because their perceptions are coloured by their negative thoughts and feelings
Can Clark and Wells' (1995) cognitive model of social phobia be applied to young people?
No full textSocial phobia is a common and disabling condition for both children and adults. In recent years Clark and Wells' (1995) cognitive model of social phobia has given rise to an effective treatment protocol for the condition in adults (e.g. Clark et al., 2003, 2006). The current study investigates the applicability of this model to younger people. One hundred and seventy-one 11-14 year-old participants completed questionnaires measuring social anxiety, depression, and the variables hypothesized to maintain social phobia in Clark and Wells' (1995) cognitive model: negative social cognitions, safety behaviours, self-focused attention, and pre- and post-event processing. High socially anxious children scored significantly higher than low socially anxious children on all of the variables in Clark and Wells' model. Negative social cognitions, self-focused attention, safety behaviours, and pre- and post-event processing were all significant predictors of social anxiety, accounting for 48% of the variance in social anxiety. Furthermore, these variables showed specificity to social anxiety, predicting significantly more variance in social anxiety than in depression. Findings suggest that although Clark and Wells' (1995) model of social phobia was developed from research on adult populations, it may be equally applicable to younger people with social phobia. © 2008 British Association for Behavioural and Cognitive Psychotherapies
Wissler memo
No full text7 p. transcript of an memorandum from Clark Wissler to D.G. Mandelbaum in 1934. Tape number IH-DM.110, transcript disc 144.A memorandum from Clark Wissler pertaining to listing the names of the Cree bands at the time of settlements on the reservations and other related matters.Othern
Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995)
No full textSocial anxiety disorder is a condition characterised by a marked and persistent fear of being humiliated or scrutinised by others. Age-of-onset data point to adolescence as a developmentally sensitive period for the emergence of the condition, at a time when the peer group becomes increasingly important. Social anxiety in adolescence is associated with considerable impairment that persists through to adulthood. There are clear potential benefits to delivering effective interventions during adolescence. However, there is limited evidence on the specific efficacy of available therapies. This is in contrast to adults, for whom we have interventions with very specific treatment effects. One such treatment is individual cognitive therapy. Cognitive therapy is based on the cognitive model of social anxiety proposed by Clark and Wells (in: Heimberg, Leibowitz, Hope, Scheiber (eds) Social phobia: diagnosis, assessment and treatment, The Guilford Press, New York, 1995). The present review examines the potential application of this adult cognitive model to the understanding of adolescent social anxiety and considers additional adolescent-specific factors that need to be accommodated. It is suggested that a developmentally sensitive adoption of the cognitive model of social anxiety disorder (Clark and Wells 1995) for adolescents may lead to better treatment outcomes
Social phobia: comments on the viability and validity of an analogue research strategy and British norms for the Fear of Negative Evaluation Questionnaire
No full textThis paper discusses the viability of an analogue research design for studying key processes in social phobia by comparing individuals who score high and low on the Fear of Negative Evaluation Scale (FNE: Watson & Friend, 1969). Research indicates remarkable consistency in the processes that distinguish patients with social phobia from controls and high FNE volunteers from low FNE volunteers. Unfortunately, all existing FNE norms are based on North American populations. The present paper presents British student norms and suggests possible cut-off points for defining groups for analogue research. Advantages of the analogue strategy include rapid piloting of new paradigms and the use of more complex experimental designs that require substantial sample sizes. Limitations of analogue research are also highlighted
Transfer of manualized CBT for social phobia into clinical practice (SOPHO-PRAX) : a study protocol for a cluster-randomized controlled trial
No full textBackground: Cognitive-behavioral therapy (CBT) is generally known to be efficacious in the treatment of social phobia when applied in RCT's, namely when the treatment manual is based on the Clark-Wells approach. However, little is known about the efficacy of manualized treatments in routine clinical practice (Phase IV of psychotherapy research). The present study (SOPHO-PRAX) is a continuation of a large multi-centre randomized clinical trial (SOPHO-NET) and analyses the extent to which additional training practitioners in manualized procedures enhances treatment effect.
Methods: N = 36 private practitioners will be included in three treatment centres and randomly designated to either training in manualized CBT or no specific training. The treatment effects of the therapies conducted by both groups of therapists will be compared. A total of 162 patients (N = 116 completers; N = 58 per condition) will be enrolled. Liebowitz Social Anxiety Scale (LSAS) will serve as primary outcome measure. Remission from social phobia is defined as LSAS total [less than or equal to] 30 points. Data will be collected at treatment begin, after 8, 15, and 25 sessions (50 mins. each), at treatment completion, as well at 6 and 12 months post-treatment.
Discussion: The present CBT trial combines elements of randomized-controlled trials and naturalistic studies in an innovative way. It will directly inform about the incremental effects of procedures established in a controlled trial into clinical practice. Study results are relevant to health care decisions and policy. They may serve to improve quality of treatment, and shorten the timeframe between the development and widespread dissemination of effective methods, thereby reducing health cost expenditures. The results of this study will not only inform about the degree to which the new methods lead to an improvement of treatment course and outcome, but also about whether the effects of routine psychotherapeutic treatment are comparable to those of the controlled, strictly manualized treatments of the SOPHO-NET study. Trial Registration: ClinicalTrials.gov identifier: NCT01388231. This study was funded by the German Federal Ministry of Education and Research (SOPHO-NET: BMBF 01GV0607; SOPHO-PRAX: BMBF 01GV1001)
Imagery special issue: underestimation of auditory performance in social phobia and the use of audio feedback.
No full textIndividuals with social phobia often have specific concerns about how they sound, as well as how they look, in social situations. Additionally, clients with social phobia experience negative self-imagery during anxiety provoking social situations. Their negative self-imagery encompasses a range of modalities including auditory aspects of performance [Hackmann, A., Clark, D. M., and McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601-610.]. Other research has shown that clients with social phobia underestimate their social performance, at least in part due to them basing their judgements on negative self-imagery [Hirsch, C. R., Clark, D. M., Mathews, A., and Williams, R. (2003). Self-images play a causal role in social phobia. Behaviour Research and Therapy, 41, 901-921.]. This is the first study to assess underestimation of auditory performance in clients with social phobia and whether auditory feedback (adapted from video feedback) reduces this underestimation. Clients with social phobia and community controls recited a short story onto minidisk and then rated their performance. They then received auditory feedback. An assessor who was not informed about group allocation rated minidisk recordings of performance. Clients with social phobia rated their performance more negatively and underestimated auditory performance (in comparison to the assessor) to a greater extent than controls. Auditory feedback partially corrected this underestimation of auditory performance
Social phobia and interpretation of social events
No full textIt has been suggested that social phobia may be characterized by two interpretation biases. First, a tendency to interpret ambiguous social events in a negative fashion. Second, a tendency to interpret unambiguous but mildly negative social events in a catastrophic fashion. To assess this possibility, patients with generalized social phobia, equally anxious patients with another anxiety disorder, and non-patient controls were presented with ambiguous scenarios depicting social and non-social events, and with unambiguous scenarios depicting mildly negative social events. Interpretations were assessed by participants' answers to open-ended questions and by their rankings and belief ratings for experimenter-provided, alternative explanations. Compared to both control groups, patients with generalized social phobia were more likely to interpret ambiguous social events in a negative fashion and to catastrophize in response to unambiguous, mildly negative social events
A further experimental investigation of thought suppression.
No full textIt has often been suggested that attempts to suppress a thought will lead to an immediate and/or delayed increase in its occurrence. In a recent experiment (Clark, Ball and Pape, Behaviour Research and Therapy, 29, 253-257, 1991) we obtained a delayed (rebound) effect but failed to demonstrate an immediate enhancement effect. Lavey and van den Hout (Behavioural Psychotherapy, 18, 251-258, 1991) have suggested immediate enhancement might be observed only if subjects are instructed not to use distraction while suppressing. The present experiment tested this hypothesis. An immediate enhancement effect was not obtained but the delayed (rebound) effect was twice replicated and an artifactual explanation of this effect was discounted
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