Imagery rescripting and negative self-imagery in social anxiety disorder: a systematic literature review

Lloyd, J. J.; Marczak, Magda

doi:10.1017/s135246582200008x

Cited by 11 publications

(4 citation statements)

References 51 publications

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“…In this respect, a powerful technique that seems particularly adequate to reprogram attachment dimensions -and somaticity, in particular -is imagery rescripting, consisting of evoking in one's mind an unresolved problematic autobiographical event and rescripting it by substituting the original helplessness experience with a new empowered one (Young et al, 2003;Arntz, 2012). The technique has been proven effective in reducing symptoms in a wide range of disorders, including SAD and EDs (Morina et al, 2017;Lloyd and Marczak, 2022).…”

Section: Later Imprintingmentioning

confidence: 99%

The role of developmental caregiving programming in modulating our affiliation tendency and the vulnerability to social anxiety and eating disorders

Gagliardi

2024

Front. Psychol.

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Attachment is the evolutionarily-established process through which humans create bonds with others to receive care from them. The phenomenon is as essential to our physical survival as it is to our psychological development. An increasing number of studies demonstrates that in sensitive periods during the early years of life, our brain circuitry is programmed in the interactions with our caregivers, with the imprinting of information over multiple attachment dimensions. Adopting a basic brain-computer analogy, we can think of this knowledge as the psycho-social firmware of our mind. According to a recently proposed extension of the classical three-dimensional view, one attachment dimension – somaticity – concerns the caregiver’s task of reflecting and confirming the child’s (internal) states – such as sensations, emotions, and representations – to support the child’s ability to identify and define those entities autonomously. Relying on multidisciplinary evidence – from neuroscientific, developmental, evolutionary, and clinical sources – we suggest that somaticity (H1) has the adaptive function to modulate our tendency to comply and affiliate with a reference group but also (H2) increases the vulnerability to developing Social Anxiety (SA) and Eating Disorders (EDs). We evaluate H1-H2, (1) indicating the evolutionary role of somaticity in modulating our affiliation tendency to optimize the ancestral threat-opportunity balance coming from infectious diseases and (2) showing the deep connection between SA-EDs and the features most closely related to somaticity – interoception and parenting style. Finally, we discuss three relevant implications of H1-H2: (A) Bringing into research focus the adaptive role of our firmware knowledge system versus the hardware (neural substrate) and software (higher cognition) ones. (B) Complementing the well-grounded Objectification and Allocentric Lock Theories, allowing us to integrate multiple levels of explanation on the etiology of psychopathology. (C) Suggesting the design of new psychological treatments. While not aiming to prove H1-H2, our analysis supports them and encourages their direct testing.

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Section: Later Imprintingmentioning

confidence: 99%

The role of developmental caregiving programming in modulating our affiliation tendency and the vulnerability to social anxiety and eating disorders

Gagliardi

2024

Front. Psychol.

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“…By means of imagery rescripting (ImRs), key scenes can first be imaginatively relived and then imaginatively rewritten in a way that means both self-empowering and -soothing and thus coping for the younger self [Arntz and Weertman, 1999;Valente, 2021]. Overall, ImRs has been shown to be able to reduce both the distress associated with mental images and the dysfunctional beliefs they contain [Lloyd and Marczak, 2022].…”

Section: Schema Therapymentioning

confidence: 99%

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2024

Verhaltenstherapie

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Background: Perfectionism represents an important transdiagnostic predisposing and maintaining factor in a number of psychological disorders. Moreover, perfectionism can complicate the treatment of psychological disorders and contribute to treatment resistance. In the present article, cognitive behavioral therapy (CBT) interventions to reduce perfectionistic patterns are explained. In addition, specifics of the therapeutic relationship with perfectionists as well as the etiology and possible functionalities of perfectionistic patterns are discussed. Summary: The effectiveness of classical CBT interventions for reducing perfectionism has been demonstrated in a number of studies. Recent research furthermore points to the (potential) benefit of interventions that fall into the third wave of CBT (such as mindfulnessbased, schema therapeutic or self-compassion-based approaches) -however, there is still a lack of studies with sufficient methodological quality. Key Messages: While a number of different CBT approaches are available for the treatment of perfectionism, future studies should increasingly examine which interventions are particularly indicated for which patient characteristics.

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“…Imagery rescripting (Arntz, 2012) involves altering the meaning of an image, which also changes associated emotions (Paulik et al, 2021). It appears effective across clinical presentations (Lloyd & Marczak, 2022; Maloney et al, 2019), though initially developed for posttraumatic stress disorder (PTSD; Smucker et al, 1995). Within psychosis, prevalence of PTSD is an estimated 30% (Hardy & Mueser, 2017).…”

Section: Introductionmentioning

confidence: 99%

Assessing the delivering of iMAgery‐focused therapy for PSychosis (iMAPS) via telehealth

2023

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ObjectivesTo examine the feasibility and acceptability of a novel telehealth (video‐conferencing software and telephone calls) imagery‐based therapeutic intervention for people experiencing persecutory delusions. Utilising a multiple baseline case series design and exploring imagery‐focused therapy for psychosis (iMAPS).DesignA non‐concurrent A‐B multiple baseline design was used.MethodsParticipants experiencing persecutory delusions and self‐reporting a psychosis or schizophrenia‐spectrum diagnosis were recruited through online adverts. On completion of assessments, participants were randomly assigned to multiple baseline assessments, of between three and five sessions. Six therapy sessions followed, consisting of imagery formulation, safe‐place imagery creation, compassionate imagery, imagery manipulation and rescripting. Participants completed pre‐ and post‐measures and sessional measures via an online survey software or in semi‐structured interviews. Two weeks post‐intervention, a final measure was completed exploring any potential adverse effects of psychotherapy.ResultsFive female participants completed all baseline and therapeutic sessions, suggesting the therapy was and mode of delivery was feasible and acceptable. Results indicate strong effect sizes across PANSS positive subscale and mood, as well as participants reporting a clinically significant change in at least one measure, for example, PSYRATS. All participants reported a reduction in the realness and compelling nature of distressing imagery.ConclusionsResults suggest delivering a telehealth imagery‐focused therapy is acceptable and feasibly delivered via telehealth. A control group and blinding of assessments would strengthen the methodological limitations present.

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Imagery rescripting and negative self-imagery in social anxiety disorder: a systematic literature review

Cited by 11 publications

References 51 publications

The role of developmental caregiving programming in modulating our affiliation tendency and the vulnerability to social anxiety and eating disorders

The role of developmental caregiving programming in modulating our affiliation tendency and the vulnerability to social anxiety and eating disorders

Zum Titelbild

Assessing the delivering of iMAgery‐focused therapy for PSychosis (iMAPS) via telehealth

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