A New Cognitive Treatment for Social Phobia: A Single-Case Study

1998 ◽  
Vol 12 (4) ◽  
pp. 289-302 ◽  
Author(s):  
Anthony Bates ◽  
David M. Clark
Keyword(s):  
Social Phobia ◽  
Single Case ◽  
Cognitive Model ◽  
Focused Attention ◽  
Safety Behaviors ◽  
Single Case Study ◽  
Negative Beliefs ◽  
Retrieval Strategies ◽  
History Of

A recent cognitive model of social phobia which pays particular attention to the maintenance of the disorder is outlined. Within this model self-focused attention, safety behaviors, and selective retrieval strategies interact to prevent social phobics from disconfirming their negative beliefs about the way they appear to others. The model suggests specific clinical interventions which target each of the maintaining factors and which also address key interpersonal assumptions particular to this disorder. The successful 12-session cognitive application of this model to a 30-year-old woman with a 13-year history of the problem is described.

scholarly journals Emotional Freedom Techniques for Stroke Rehabilitation: A Single Case Study

2021 ◽  
Vol 06 (04) ◽  
pp. 1-1
Author(s):  
Sue Anne Fuller ◽  
◽  
Peta Stapleton ◽  
Keyword(s):  
Stroke Rehabilitation ◽  
Guided Imagery ◽  
Single Case ◽  
Ct Scans ◽  
Anxiety And Depression ◽  
Single Case Study ◽  
History Of ◽  
Emotional Freedom Techniques ◽  
The Right

A 37-year-old female with a history of complex trauma, anxiety and depression was treated with Emotional Freedom Techniques (EFT) supplemented with guided imagery within the first 24 hours of having a stroke that affected the right side. CT scans indicated a haemorrhage and brain clot. Surgery was delayed as another seizure was expected. Interventions occurred during COVID-19 restrictions. The patient then engaged in 90 minutes of EFT every day over the course of a week while in hospital. After seven days she was discharged, and there were significant reductions in depression, anxiety and pain, and mobility returned. Upon discharge the patient had evident improvement in balance and coordination and successfully completed a driving test within the weeks that followed. Subsequent CT scans reveal very little scaring or evidence of the stroke, blood pressure remained stable, and no medication was warranted. This case study presents the practitioner’s perspective of the sessions provided.

Cognitive behavioural therapy in the treatment of social skills deficits and social phobia in a man with an autism spectrum disorder: a single-case study

2016 ◽  
Vol 9 ◽  
Author(s):  
Mark A. Turner ◽  
Neil Hammond
Keyword(s):  
Social Skills ◽  
Social Anxiety ◽  
Social Phobia ◽  
Single Case ◽  
Behavioural Therapy ◽  
Autism Spectrum ◽  
Single Case Study ◽  
Cognitive Behavioural

AbstractAutism spectrum disorders (ASD) including high-functioning types such as Asperger's syndrome (AS) are diagnosed when there is evidence of a triad of qualitative impairments in social interaction, communication, and stereotyped/repetitive behaviours. It is not uncommon for these impairments to be accompanied by social anxiety. The present single-case study investigates the use of cognitive behavioural therapy (CBT) to treat a 47-year-old man who was assessed as having difficulties with social skills and social phobia in the context of a late diagnosis of AS. He received 20 h of CBT adapted for his AS in 15 sessions including a 1-month follow-up. Following a highly individualized formulation, treatment included modelling, role-playing, reinforcement, thought challenging, and behavioural experimentation. Results from five self-report measures showed continued improvements from the start of therapy to follow-up in social anxiety, global distress, depression and self-esteem. The client gave positive feedback about his experience of treatment. The case study is discussed with reference to limitations and some reflections for CBT in ASD.

“Why Am I the Way I Am?” Narrative Work in the Context of Stigmatized Identities

2017 ◽  
Vol 27 (14) ◽  
pp. 2222-2232 ◽  
Author(s):  
Jake Rance ◽  
Rebecca Gray ◽  
Max Hopwood
Keyword(s):  
Narrative Analysis ◽  
Single Case ◽  
Social Stigma ◽  
Qualitative Inquiry ◽  
Narrative Approach ◽  
Single Case Study ◽  
Master Narrative ◽  
History Of ◽  
The Way

There are particular complexities faced by people attempting to tell their stories in the context of social stigma, such as the hostility which often surrounds injecting drug use. In this article, we identify some of the distinct advantages of taking a narrative approach to understanding these complexities by exploring a single case study, across two life-history interviews, with “Jimmy,” a young man with a history of social disadvantage, incarceration, and heroin dependence. Drawing on Miranda Fricker’s notion of “hermeneutical injustice,” we consider the effects of stigmatization on the sociocultural practice of storytelling. We note the way Jimmy appears both constrained and released by his story—how he conforms to but also resists the master narrative of the “drug user.” Narrative analysis, we conclude, honors the complex challenges of the accounting work evident in interviews such as Jimmy’s, providing a valuable counterpoint to other forms of qualitative inquiry in the addictions field.

When the Problem is Beneath the Surface in OCD: The Cognitive Treatment of a Case of Pure Mental Contamination

2012 ◽  
Vol 40 (4) ◽  
pp. 383-399 ◽  
Author(s):  
Emma Warnock-Parkes ◽  
Paul M. Salkovskis ◽  
Jack Rachman
Keyword(s):  
Cognitive Therapy ◽  
Single Case ◽  
Single Case Study ◽  
Treatment Resistant ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Mental Contamination ◽  
Cognitive Behavioural ◽  
History Of

Background: Mental contamination is a phenomenon whereby people experience feelings of contamination from a non-physical contaminant. Rachman (2006) proposes that standard cognitive behavioural treatments (CBT) need to be adapted here and there is a developing empirical grounding supporting the concept, although suggestions on adapting treatment have yet to be tested. Method: A single case study is presented of a man with a 20-year history of severe treatment resistant Obsessive Compulsive Disorder (OCD) characterized by mental contamination following the experience of “betrayal”. He was offered two consecutive treatments: standard CBT and then (following disengagement with this) a cognitive therapy variant adapted for mental contamination. Clinician and patient rated OCD severity was measured at baseline and the start and end of both interventions. Results: Six sessions of high quality CBT were initially attended before refusal to engage with further sessions. There were no changes in OCD severity ratings across these sessions. A second course of cognitive therapy adapted for mental contamination was then offered and all 14 sessions and follow-ups were attended. OCD severity fell from the severe to non-clinical range across these sessions. Conclusions: The need to consider adapting standard treatments for mental contamination is suggested. Limitations and implications are discussed.

The Meaning of Poisoning to a Person Diagnosed as a Psychopath

1978 ◽  
Vol 18 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Kevin Howells
Keyword(s):  
Single Case ◽  
Repertory Grid ◽  
Social Perceptions ◽  
Single Case Study ◽  
Repertory Grid Technique ◽  
Deviant Behaviour ◽  
History Of ◽  
Grid Technique

A single case study is presented of a person with a history of interest in poisoning. Repertory grid technique is used to map features of the person's social perceptions. It is suggested that, in some cases, deviant behaviour may need to be viewed in the context of possible ‘alternative definitions’ of reality by the person.

scholarly journals The economic power of women in early South Asian Buddhism

2019 ◽  
Vol 56 (1) ◽  
pp. 53-76
Author(s):  
Matthew D. Milligan
Keyword(s):  
South Asia ◽  
South Asian ◽  
Single Case ◽  
Central India ◽  
First Century ◽  
Economic Power ◽  
Single Case Study ◽  
History Of ◽  
Formative Years

This article serves as a contribution to the financial primacy of Buddhist women in early historic South Asia. Presented here is a single case study from the first century bce monastic stūpa site from Central India called Sanchi whereby gender demographics are analysed over two subsequent stages of funding. Investments by women not only fuelled the construction of the built landscape but, as time went on, female donors were crucial to the economic solvency of the monastic institution at Sanchi. Such a micro-history of Buddhist women from classical India illustrates the agency of women during Buddhism’s formative years.

THE EFFECT OF TREATMENT OF A COMORBID ANXIETY DISORDER ON PSYCHOTIC SYMPTOMS IN A PATIENT WITH A DIAGNOSIS OF SCHIZOPHRENIA: A CASE STUDY

2002 ◽  
Vol 30 (3) ◽  
pp. 347-350 ◽  
Author(s):  
John Good
Keyword(s):  
Anxiety Disorder ◽  
Social Phobia ◽  
Single Case ◽  
Psychotic Symptoms ◽  
Single Case Study ◽  
Comorbid Anxiety ◽  
Stress Vulnerability ◽  
Clinical Level ◽  
Effect Of Treatment

This case study deals with the effect of treatment of social phobia on psychotic symptoms in a patient with a diagnosis of schizophrenia. Stress vulnerability models were used to provide a rationale for treatment. The phobia was treated using standard CBT techniques while the therapist avoided any direct treatment of the psychotic symptoms. Scores for social phobia reduced to a sub clinical level over the course of treatment and the psychotic symptoms rapidly abated. Although only a single case study and therefore impossible to generalize to a wider patient group the study would seem to suggest that treatment of comorbid anxiety disorders can effect psychotic symptoms. Some thoughts are presented as to why this might be the case.

‘If you have good skin, you are god. If you have bad skin, you are a piece of rubbish’. Mastery of shame and anger in treatment-resistant body dysmorphic disorder: a single case study

2016 ◽  
Vol 9 ◽  
Author(s):  
Oliver Sündermann ◽  
Jonathan Wheatley ◽  
David Veale
Keyword(s):  
Body Dysmorphic Disorder ◽  
Single Case ◽  
Behavioural Therapy ◽  
Post Treatment ◽  
Self Report ◽  
Single Case Study ◽  
Treatment Resistant ◽  
Compassion Focused Therapy ◽  
History Of

AbstractBody dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived flaw in one's appearance, and is often emotionally linked with early adverse experiences. Cognitive behavioural therapy (CBT) is effective but may not resolve shame and anger that can be at the emotional root of BDD. This paper presents a single-case study of a 25-year-old man with a history of treatment-resistant BDD characterized by a preoccupation with facial skin linked to a developmental history of sexual abuse and bullying. He was treated at a national residential specialist unit for 16 weeks during which time he received three individual 1-hour weekly CBT sessions (42 sessions overall), and participated in the residential group programme and therapeutic community. CBT was enhanced using imagery rescripting, compassion-focused therapy and family work to specifically target shame and anger-based past experiences. Severity of BDD was assessed with the BDD-Yale–Brown Obsessive Compulsive Scale (BDD-YBOCS) at pre-, mid-, post-, 3-month and 18-month follow-ups; a weekly self-report measure (Appearance Anxiety Inventory), and a client-drawn self-portrait of his perceived skin flaws at pre- and post-treatment. Treatment outcome was positive. The BDD-YBOCS dropped 94% from the extremely severe range pre-treatment to the sub-clinical range post-treatment. BDD symptoms improved progressively throughout treatment, and when the emotions of anger and shame were resolved (as reported by the client) fell to the non-clinical range. Gains were maintained at 18-month follow-up. We conclude that enhancing CBT for BDD using emotion-focused techniques is to be recommended, particularly when emotional memories continue to affect body shame.

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