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Changes in picturing of ‘self’ in social anxiety disorder: a case report

Published online by Cambridge University Press:  23 February 2015

Yasuko Tanaka ,
Osamu Kobori  and
Michko Nakazato
Yasuko Tanaka*
Affiliation:
Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba University, Chiba, Japan Minami Fujisawa Clinic, Fujisawa, Japan
Osamu Kobori
Affiliation:
Department of Psychology, Swansea University, Swansea, UK
Michko Nakazato
Affiliation:
Research Center for Child Mental Development Chiba University Graduate School of Medicine, Chiba University, Japan
*
*Author for correspondence: Y. Tanaka, Department of Cognitive Behavioral Physiology, PO Box 260-8670, Chiba University Graduate School of Medicine 1-8-1 Inohana Chuouku, Chiba, Japan (email: [email protected]).
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Abstract

Social anxiety disorder (SAD) is characterized by significant distress regarding social performance situations. Patients experience strong embarrassment about how they are perceived by others due to increased self-focused attention. This case report presents two cases of SAD and the effects of cognitive behavioural therapy (CBT) on ‘picturing of self’ (e.g. self-picturing and self-projection). The goal was to demonstrate the changes in ‘picturing of self’ using brief video feedback (VF) as a treatment and projective drawing as an assessment method of CBT, especially with SAD. The CBT consisted of psychoeducation and case formulation, cognitive restructuring, and behavioural experiments. In one case VF was used to provide additional means by showing the patient's own actual moving figure, the self-picture. For the other case, the patient was instructed to ‘draw a person’ and the changes in drawing style were assessed. Through the course of CBT, Liebowitz Social Anxiety Scale scores reduced significantly in both cases. ‘Picturing of self’ changed as a result of the use of CBT. Brief VF and projective drawing would be useful for individuals to see the change in themselves.

Keywords

Cognitive behavioural therapyself-picturingsocial anxiety disorder
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e1
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading

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