Post-event rumination (PER) has been seen as a key element in the persistence of social anxiety (disorder). Studies on PER-targeted intervention, e.g., cognitive restructuring (CR), has, however, received little attention in adults, not yet in youth. In addition, previous research showed that, compared to interaction, participants reported higher levels of PER after speech task. The main aim of the present study was to investigate the effect of CR targeting PER among socially anxious (Chinese) adolescents and also to compare the intervention effect between speech and interaction situations. The present study recruited a sample of 73 high socially anxious adolescents aged 12–16 years and then randomly assigned them into speech (n = 37) or interaction (n = 36) group, without control group. PER and social anxiety (SA) were measured before and after CR. Analysis of Covariance (ANCOVA) results showed that adolescents’ PER and SA symptoms were significantly improved with intervention with moderate to high effect size. Furthermore, the decrease in PER could significantly predict the improvement of SA. However, the intervention effect showed no difference between groups. Although no control group was included, one-session CR still showed its potential to improve participants’ PER and SA. Limitations and future directions were discussed.

This paper explores the link between the metaphoric structure TIME IS SPACE and time perception in bilinguals. While there appear to be fundamental commonalities in the way humans perceive and experience time regardless of language background, language-specific spatiotemporal metaphors can give rise to differences between populations, under certain conditions. Little is known, however, about how bilinguals experience time, and the specific factors that may modulate bilingual temporal processing. Here, we address this gap by examining L1 Spanish – L2 Swedish bilinguals in a psychophysical task. Results show that duration estimation of dynamic spatial configurations analogous to L2-specific temporal metaphors is modulated by L2 proficiency. In contrast, duration estimation of spatial configurations analogous to the L1 metaphorical expressions appears to be modulated by the age of L2 acquisition. These findings are discussed in terms of associative learning and cognitive restructuring in the bilingual mind.

Belief change is an important element of much CBT, yet very little consideration has been given to the theories of knowledge, the epistemology, which underlie this process. This article argues that understanding the epistemic basis of the techniques therapists use can help guide their choice of interventions. The empirical evidence for cognitive restructuring is considered, the importance of distancing and decentring noted, and three epistemic styles are identified: the rational-empiricist, pragmatist and ‘constructivist’ approaches. Different schools of CBT emphasise one or more of these. The article describes how these epistemes can be used to make decisions about which cognitive interventions to use, particularly when clients may be sceptical about reality testing because of entrenched beliefs or real-life adversity.

Mental health (MH) apps can be used as adjunctive tools in traditional face-to-face therapy to help implement components of evidence-based treatments. However, practitioners interested in using MH apps face a variety of challenges, including knowing which apps would be appropriate to use. Although some resources are available to help practitioners identify apps, granular analyses of how faithfully specific clinical skills are represented in apps are lacking. This study aimed to conduct a review and analysis of MH apps containing a core component of cognitive behaviour therapy (CBT) – cognitive restructuring (CR). A keyword search for apps providing CR functionality on the Apple App and Android Google Play stores yielded 246 apps after removal of duplicates, which was further reduced to 15 apps following verification of a CR component and application of other inclusionary/exclusionary criteria. Apps were coded based on their inclusion of core elements of CR, and general app features including app content, interoperability/data sharing, professional involvement, ethics, and data safeguards. They were also rated on user experience as assessed by the Mobile App Rating Scale (MARS). Whereas a majority of the CR apps include most core CR elements, they vary considerably with respect to more granular sub-elements of CR (e.g. rating the intensity of emotions), other general app features, and user experience (average MARS = 3.53, range from 2.30 to 4.58). Specific apps that fared best with respect to CR fidelity and user experience dimensions are highlighted, and implications of findings for clinicians, researchers and app developers are discussed.

The Socratic method, as an eminently verbal procedure, will be analyzed from a behavioral perspective in order to clarify how verbal conditioning works within. This work compares the verbalizations that expert and inexperienced therapists emit during Socratic method to find out which and why certain therapist verbalizations are most successful in changing client responses. The sample consisted of 113 Socratic method fragments from 18 cases, analyzed by observational methodology. The expert therapists had more than 6 years of experience, the inexperienced less than 2. Experts had fewer failure Socratic method fragments, but there were no differences in successful ones. The way of questioning had a different pattern: Inexperienced therapists suggested more the response, experts used more didactic verbalizations; also, experts used the aversive component more and contingently. The creation of guidelines based on functional description of verbal interaction and the need for novice psychologists training are some implications of these results.

The current study explores how multilingual speakers with three typologically different languages (satellite-framed, verb-framed and equipollent-framed) encode and gauge event similarity in the domain of caused motion. Specifically, it addresses whether, and to what extent, the acquisition of an L2-English and an L3-Japanese reconstructs the lexicalization and conceptualization patterns established in the L1-Cantonese when the target language is actively involved in the decision-making process. Results show that multilingual speakers demonstrated an ongoing process of cognitive restructuring towards the target language (L3) in both linguistic encoding (event structures and semantic representations) and non-linguistic conceptualization (reaction time). And the degree of the restructuring is modulated by the amount of language contact with the L2 and L3. The study suggests that learning a language means internalizing a new way of thinking and provides positive evidence for L3-biased cognitive restructuring within the framework of thinking-for-speaking.

Languages differ typologically in motion event encoding (Talmy, 2000). Furthermore, the cross-linguistic variations in lexicalization modulate cognition in a dynamic and task-dependent manner (Slobin, 1996a). This study aims to investigate whether early Cantonese–English bilinguals behave differently from monolinguals in each language when lexicalizing and categorizing voluntary motion in different language contexts. Specifically, monolinguals were instructed and narrated in their native languages. We assigned bilinguals to a monolingual and a bilingual context by manipulating immediate language use in their oral descriptions. Results from monolinguals suggested an effect of language on event conceptualization. However, results from bilinguals showed that their performances patterned with English monolinguals in both event lexicalization and conceptualization regardless of the language context. These findings indicate that early exposure to a second language has motivated speakers to converge to a single lexicalization pattern compatible for both languages. And the degree of convergence is modulated by the amount of language contact with each language. The study demonstrates that participants draw on their linguistic knowledge during the non-verbal task and provides evidence for L2-biased cognitive restructuring within the framework of thinking-for-speaking.

This paper investigates the extent of second language (L2) use in four cognitive domains including mental calculation, planning (action plans), note-taking, and shopping lists. Participants include 149 highly educated L2-competent sequential Polish–English bilinguals who relocated to the UK1 in early adulthood, and underwent processes of acculturation. The independent variables in this study include acculturation level, social network profile, predicted future domicile, and length of residence. The study employed both quantitative and qualitative approaches. Participants completed an online questionnaire and 14 were interviewed by the researcher. The study included the Complementarity Principle (CP) into the operationalisation and measurement of language use in bilinguals (Grosjean, 2010). The results show that acculturation level, social network profile, and predicted future domicile are strong predictors of the extent of L2 use in cognitive domains. Effects of context-specificity and language-dependence were also found, the latter specifically in the domain of mental calculation.

Background: One of the primary differences between Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) for anxiety is the approach to managing negative thoughts. CBT focuses on challenging the accuracy of dysfunctional thoughts through cognitive restructuring exercises, whereas ACT attempts to foster acceptance of such thoughts through cognitive defusion exercises. Previous research suggests that both techniques reduce the distress associated with negative thoughts, though questions remain regarding the benefit of these techniques above and beyond exposure to feared stimuli. Aims: In the present study, we conducted a brief experimental intervention to examine the utility of cognitive defusion + in-vivo exposure, cognitive restructuring + in-vivo exposure, and in-vivo exposure alone in reducing the impact of negative thoughts in patients with social anxiety disorder. Method: All participants completed a brief public speaking exposure and those in the cognitive conditions received training in the assigned cognitive technique. Participants returned a week later to complete a second exposure task and self-report measures. Results: All three conditions resulted in similar decreases in discomfort related to negative thoughts. ANOVA models failed to find an interaction between change in accuracy or importance and assignment to condition in predicting decreased distress of negative thoughts. Conclusions: These preliminary results suggest that changes in perceived importance and accuracy of negative thoughts may not be the mechanisms by which cognitive defusion and cognitive restructuring affect distress in the short-term.

Although cognitive behavior therapy (CBT) has been shown to be generally effective in the treatment of social anxiety disorder (SAD), not all individuals respond to treatment, and among those who do respond the degree of improvement is sometimes far from optimal. Little research has examined the impact of variations in the format of treatment delivery in this area. Participants were randomly assigned to either a standard, 12-session CBT program for generalized SAD in which treatment was delivered in successive weekly sessions (standard treatment) or a similar program in which the 12 sessions were delivered over 18 weeks (extended treatment). Intent-to-treat analyses revealed that the standard treatment program resulted in superior outcome in terms of self-rated symptom and impairment levels, categorical ratings of responder status, and lower dropout rates. Analyses of treatment completers only revealed comparable gains between the two conditions by post-treatment. However, the standard treatment condition revealed a more rapid improvement in magnitude initially. These findings suggest no benefit from extending the course of CBT treatment over a greater length of time, and suggest that such extension may in fact substantially increase the likelihood of premature termination.