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Using a Semi-Structured Interview to Explore Imagery Experienced During Social Anxiety for Clients with a Diagnosis of Psychosis: An Exploratory Study Conducted Within an Early Intervention for Psychosis Service

  • S. Helen Lockett (a1), Judith Hatton (a2), Ruth Turner (a2), Claire Stubbins (a2), Joanne Hodgekins (a1) and David Fowler (a1)...

Abstract

Background: Social phobia frequently occurs as a comorbid condition, with high rates reported among people with psychosis. Little is known about the nature of social anxiety in this population or whether current psychological theories apply. Aims: This paper aims to develop and pilot a suitable measure to explore imagery experienced by participants with comorbid psychosis and social anxiety and to provide preliminary indications as to its nature. Method: A semi-structured interview exploring imagery was used with seven participants (adapted from Hackmann, Surawy and Clark, 1998) and the results were analysed using qualitative template analysis. Results: Initial indications from this sample suggest that some participants experience typical social anxiety images, as identified by Hackmann et al. (1998). However, some experience images that appear more threatening, and may be related to residual psychotic paranoia. Image perspective was also explored: typical social anxiety images tended to be seen from an observer perspective, while those that may have been more related to psychosis tended to be seen from a field perspective. Conclusions: This exploratory study has facilitated the careful adaptation and development of an imagery interview for use in this population and has suggested areas for further research and raised questions around clinical implications.

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Corresponding author

Reprint requests to Ruth Turner, Norfolk and Waveney Mental Health Foundation Trust, Central Norfolk Early Intervention Team, 80 St Stephens Road, E-mail: ruth.turner@nwmhp.nhs.uk

References

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Bermanzohn, P. C., Porto, L., Arlow, P. B., Pollack, S., Stronger, R. and Siris, S. G. (2000). Hierarchical diagnosis in chronic schizophrenia: a clinical study of co-occurring syndromes. Schizophrenia Bulletin, 26, 517525.
Birchwood, M. (2003). Pathways to emotional dysfunction in first-episode psychosis. British Journal of Clinical Psychology, 36, 467488.
Braga, R. J., Mendlowicz, M. V., Marrocos, R. P. and Figueira, I. L. (2004). Anxiety disorders in outpatients with schizophrenia: prevalence and impact on the subjective quality of life. Journal of Psychiatric Research, 39, 409414.
Cassano, G. B., Pini, S., Saettoni, M. and Dell'Osso, L. (1999). Multiple anxiety disorder comorbidity in patients with mood spectrum disorders with psychotic features. American Journal of Psychiatry, 156, 474476.
Clark, D. M. and Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R. G., Liebowitz, M. R., Hope, D. A. and Schneir, F. R. (Eds.), Social Phobia: diagnosis, assessment and treatment (pp. 6993). London: Guilford Press.
Coles, M. E., Turk, C. L., Heimberg, R. G. and Fresco, D. M. (2001). Effects of varying levels of anxiety within social situations: relationship to memory perspective and attributions in social phobia. Behaviour Research and Therapy, 39, 651665.
Cosoff, S. J. and Hafner, R. J. (1998). The prevalence of comorbid anxiety in schizophrenia, schizoaffective disorder and bipolar disorder. Australian and New Zealand Journal of Psychiatry, 32, 6772.
Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., et al. . (2005). Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychiatry, 186, 427435.
Hackmann, A., Clark, D. M. and McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601610.
Hackmann, A. and Holmes, E. A. (2004). Reflecting on imagery: a clinical perspective and overview of the special issue of Memory on mental imagery and memory in psychopathology. Memory, 12, 389402.
Hackmann, A., Surawy, C. and Clark, D. M. (1998). Seeing yourself through others' eyes: a study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 312.
Halperin, S., Nathan, P., Drummond, P. and Castle, D. (2000). A cognitive–behavioural, group-based intervention for social anxiety in schizophrenia. Australian and New Zealand Journal of Psychiatry, 34, 809813.
Holmes, E. A., Arntz, A. and Smucker, M. R. (2007). Imagery rescripting in cognitive behaviour therapy: images, treatment techniques and outcomes. Journal of Behaviour Therapy, 38, 297305.
Holmes, E. A., Geddes, J. R., Colom, F. and Goodwin, G. M. (2008). Mental imagery as an emotional amplifier: application to bipolar disorder. Behaviour Research and Therapy, 46, 12511258.
Kendler, K. S., Gallagher, T. J., Abelson, J. M. and Kessler, R. C. (1996). Lifetime prevalence, demographic risk factors, and diagnostic validity of nonaffective psychosis as assessed in a US community sample. Archives of General Psychiatry, 53, 10221031.
Kimbrel, N. A. (2008). A model of the development and maintenance of generalized social phobia. Clinical Psychology Review, 28, 592612.
King, N. (2008). Template analysis. Retrieved from http://www.hud.ac.uk/hhs/research/template_analysis/index.htm 23rd October 2008.
Kingsep, P., Nathan, P. and Castle, D. (2003). Cognitive behavioural group treatment for social anxiety in schizophrenia. Schizophrenia Research, 63, 121129.
Mattick, R. P. and Clarke, J. C. (1989). Development and Validation of Measures of Social Phobia Scrutiny Fear and Social Interaction Anxiety. Unpublished manuscript.
Morrison, A. P., Beck, A. T., Glentworth, D., Dunn, H., Reid, G. S., Larkin, W. and Williams, S. (2002). Imagery and psychotic symptoms: a preliminary investigation. Behaviour Research and Therapy, 40, 10531062.
Pallanti, S., Quercioli, L. and Hollander, E. (2004). Social anxiety in outpatients with schizophrenia: a relevant cause of disability. American Journal of Psychiatry, 161, 5358.
Rapee, R. M. and Heimberg, R. G. (1997). A cognitive-behavioural model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741756.
Tarrier, N. (2005). Co-morbidity and associated clinical problems in schizophrenia: their nature and implications for comprehensive cognitive-behavioural treatment. Behaviour Change, 22, 125142.
Wells, A. (2001). The maintenance and treatment of social phobia: a cognitive approach. Tidsskrift for Norsk Psykologforening Norway: Norsk Psykologforening, 38, 717724.
Wells, A., Clark, D. M. and Ahmad, S. (1998). How do I look in my minds eye: perspective taking in social phobic imagery. Behaviour Research and Therapy, 36, 631634.
Wells, A. and McMillan, D. (2004). Psychological treatment of social phobia. Psychiatry, 3, 5660. Retrieved on 12 December 2008, from www.sciencedirect.com.
Wells, A. and Papageorgiou, C. (1999). The observer perspective: biased imagery in social phobia, agoraphobia and blood/injury phobia. Behaviour Research and Therapy, 37, 653658.
Wild, J., Hackmann, A. and Clark, D. M. (2008). Rescripting early memories linked to negative images in social phobia: a pilot study. Behavior Therapy, 3, 4756.

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Using a Semi-Structured Interview to Explore Imagery Experienced During Social Anxiety for Clients with a Diagnosis of Psychosis: An Exploratory Study Conducted Within an Early Intervention for Psychosis Service

  • S. Helen Lockett (a1), Judith Hatton (a2), Ruth Turner (a2), Claire Stubbins (a2), Joanne Hodgekins (a1) and David Fowler (a1)...

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Using a Semi-Structured Interview to Explore Imagery Experienced During Social Anxiety for Clients with a Diagnosis of Psychosis: An Exploratory Study Conducted Within an Early Intervention for Psychosis Service

  • S. Helen Lockett (a1), Judith Hatton (a2), Ruth Turner (a2), Claire Stubbins (a2), Joanne Hodgekins (a1) and David Fowler (a1)...
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