Do socially anxious individuals fear embarrassment by close others? Development of the Fear of Embarrassment by Others Scale

Social anxiety disorder is characterized by an intense fear of social or performance situations, and a fear of acting in a way that will be humiliating or embarrassing. However, the extent to which socially anxious individuals fear embarrassment due to the behavior of close others remains unknown. The Fear of Embarrassment by Others Scale (FEOS) was developed to assess the extent to which individuals with social anxiety fear being embarrassed by others. To assess the psychometric properties of this measure, 162 undergraduate students low or high in social anxiety completed the FEOS, along with additional questionnaires. An exploratory factor analysis suggested a single factor. The measure demonstrates high internal consistency, and is correlated with measures of social anxiety, fear of negative evaluation, and anxiety sensitivity. Fear of embarrassment by others was not found to be a significant predictor of social anxiety, as compared to anxiety sensitivity and fear of negative evaluation. The FEOS discriminated among participants high and low in social anxiety, as those high in social anxiety scored significantly higher on the measure than did participants low in social anxiety. The utility of this scale for research and clinical practice is discussed.     

Three‐factor structure and psychometric properties of Witte's Risk Behaviour Diagnosis Scale: A French version adapted to diabetes

The aim of this study was to verify the psychometric properties and the factorial structure of Witte's Risk Behaviour Diagnosis (RBD). This article shows the results of a French version of the RBD adapted to diabetes screening. An exploratory factor analysis was carried out in order to understand the number of underlying factors, a confirmatory factor analysis was performed and the four‐factor model proposed by the author and alternative models were compared. The concurrent validity was tested by a correlational analysis with the Perceived Fear Emotions Scale. The results confirmed a stable factor structure for the 12‐item version, with three factors reflecting total efficacy, severity of and susceptibility to threat. The value of having a psychometrically valid instrument to assess the impact of fear appeal‐based campaigns is linked to the current lack of a comprehensive assessment tool and the importance of preventing health risk behaviours.     

Strategic and Automatic Threat Processing in Chronic Musculoskeletal Pain: A Startle Probe Investigation

Attentional bias research with chronic pain samples has yielded conflicting results. In the present investigation the startle paradigm was used to test the postulate that fear‐based mechanisms play an important role in attentional biases for pain‐related threat in chronic pain. Participants, including 31 individuals with chronic musculoskeletal pain and 20 healthy controls, completed a startle task designed to measure attention to different types of words (neutral vs sensory pain vs affective pain vs health catastrophe) presented at different levels of cognitive processing (strategic vs automatic). Measures of fear‐based individual difference variables, including anxiety sensitivity and fear of pain, were also completed. Startle amplitudes and latencies to acoustic startle probes that followed word presentations were recorded. Data were analyzed with repeated measures ANOVAs and correlational analysis. Significant between‐group differences were found indicating that, relative to chronic pain participants, healthy controls had higher startle amplitude index scores for health catastrophe words. There was also a trend among patients with chronic pain for greater startle amplitude index scores for strategic presentations of sensory pain words. In the automatic condition, all participants demonstrated a lower startle latency index for sensory words relative to both affect and health catastrophe words, suggesting participants had more difficulty disengaging from affect and health catastrophe words or were more avoidant of sensory words. Correlational analyses indicated that startle response indices for words related to health catastrophe became more pronounced for chronic pain patients as anxiety sensitivity and fear of pain increased. Implications and directions for future research are discussed.     

Curse and consequence: King Lear's destructive narcissism

Shock, pain and antipathy are common audience responses to King Lear's violent abuse of Cordelia in Scene 1 of King Lear; however, the play then shifts so rapidly to other dramatic relationships and events that it tends to push these feelings out of mind. This shift is here regarded as a seduction to repress the fear and antipathy aroused by Lear. This effect opens the way to sympathetic identification with him in his subsequent humiliation, suffering and madness. These contrasting responses help build a tragic structure in which a more complex Lear becomes the victim of his curse on Cordelia. The seductive design resembles efforts by analytic patients to induce the analyst into repressively neglecting significant aspects of transference that require analytic attention. And Lear's bearing the consequences of his curse is likened to aspects of the decompensations of severely narcissistic patients. Additionally, to the extent that the audience has unconsciously identified with Lear's violence and participated emotionally in other painful scenes, as is likely to be the case, it has been unconsciously reacting as well with guilt and depressive anxiety. These reactions increase readiness to be diverted from destructive narcissism and responses to it.     

The Role of Fear in Our Love of God: A Lutheran Perspective

Abstract : Lutheran Christians in particular have been taught in the Catechism to “fear and love God.” This article questions the assumption that in a contemporary context, fear and love can helpfully co‐exist, examining the different ways in which “fear of God” is a challenging concept for twenty‐first‐century Christians to understand. The article concludes with suggestions for how “fear of God” might be re‐interpreted and re‐articulated in a constructive way, leading to a more meaningful Christian life in the world today.     

The development of stranger fear in infancy and toddlerhood: normative development,individual differences,antecedents, and outcomes

Despite implications that stranger fear is an important aspect of developing behavioral inhibition, a known risk factor for anxiety, normative and atypical developmental trajectories of stranger fear across infancy and toddlerhood remain understudied. We used a large, longitudinal data set (N = 1285) including multi‐trait, multi‐method assessments of temperament to examine the normative course of development for stranger fear and to explore the possibility that individual differences exist in trajectories of stranger fear development between 6 and 36 months of age. A latent class growth analysis suggested four different trajectories of stranger fear during this period. Stable, high levels of stranger fear over time were associated with poorer RSA suppression at 6 months of age. Rates of concordance in trajectory‐based class membership for identical (monozygotic) and fraternal (dizygotic) twins, along with associations between atypical stranger fear development and greater anxiety‐related maternal characteristics, suggested that individual differences in developmental trajectories of stranger fear may be heritable. Importantly, trajectories of stranger fear during infancy and toddlerhood were linked to individual differences in behavioral inhibition, with chronically high levels of stranger fear and sharp increases in stranger fear over time related to greater levels of inhibition than other developmental trajectories.     

Overcoming Instructor‐Originated Math Anxiety in Philosophy Students: A Consideration of Proven Techniques for Students Taking Formal Logic

Every university student has his or her nemesis. Biology and social science students anticipate with great apprehension their required statistics course, while many philosophy students live in fear of formal logic. Math anxiety is the common thread uniting all of them. This article argues that since formal logic is an algebra requiring similar kinds of symbol‐manipulation skills needed to succeed in a basic mathematics course, then if logic students have math anxiety, this can impede their progress. Further, it argues that math anxiety is primarily caused by and exacerbated by poor instruction. Formal logic instructors who employ effective instructional techniques for reducing it can help their students overcome math anxiety to foster learning. Methods of instruction leading to anxiety reduction and evidence supporting their efficacy are discussed, including co‐operative learning, the mastery goal approach, and self‐paced learning. None of these methods holds back more advanced students.     

Self‐focused attention and social anxiety

Cognitive models propose that self‐focused attention (SFA) interacts with fear of negative evaluation to maintain social anxiety. Thus, the effect of SFA on anxiety would be expected to be specific to those with existing social concerns. However, much research suggests that the effect of SFA on anxiety occurs across anxiety levels. Manipulations of attention focus have been criticised for (1) lack of ecological validity and (2) eliciting fear of negative evaluation directly. The present study examined the role of SFA in social anxiety using an ecologically valid procedure that did not elicit fear of negative evaluation directly. Self‐reported anxiety was assessed among high and low socially anxious individuals under conditions of SFA or external‐focused attention. The manipulation successfully altered focus of attention but did not directly affect fear of negative evaluation or self‐reported anxiety. Taken together with the findings of previous studies, the results suggest that focusing on internal physiological states per se does not increase self‐reported social anxiety, and that self‐focus that does not have an explicitly evaluative dimension does not elicit social anxiety. The findings have implications for approaches to reducing social anxiety through reducing SFA.     

Differences in High and Low Anxiety Sensitive Women's Responses to a Laboratory‐Based Cold Pressor Task

Anxiety sensitivity (AS) has been linked to a variety of disabling chronic health conditions, including pain‐related conditions. A recent study has found that healthy women with high AS reported significantly higher levels of sensory and affective pain on an experimental cold pressor task compared to women with low AS. However, this study found no differences between AS groups for pain tolerance or pain threshold. In the present study, which was designed to replicate and extend these findings, 90 undergraduate university women were selected for inclusion in 1 of 2 AS groups (high or low) based on their screening scores on a 16‐item measure of AS. Participants were tested individually on a lab‐based cold pressor task using a variety of self‐report and observer‐measured variables. Data analyses revealed that, as expected, the high AS participants reported significantly more fear in response to the cold pressor on a relevant item of the McGill Pain Questionnaire – Short Form (SF‐MPQ) than did the low AS participants. Also as expected, the high AS participants reported more pain in response to the cold pressor on the Present Pain Index (PPI) of the SF‐MPQ than did the low AS participants. High AS participants did not differ from low AS participants on other aspects of the cold pressor response (e.g. pain threshold, pain tolerance, pain recovery). These results support the role of pain‐related fear as a mediating variable between AS and increased perceived pain intensity.     

Specific and differential prediction of health anxiety by disgust sensitivity and propensity

Current models of health anxiety suggest that fear resulting from false alarms to perceived threats to one's health results in the development of hypochondriasis and related disorders. Disgust has been proposed as an affective response that may function as an etiological and maintenance mechanism in health anxiety. Moreover, the way in which an individual perceives the disgust response (disgust sensitivity) may affect health anxiety, separately from their likelihood of experiencing disgust (disgust propensity). The present study utilized multiple hierarchical regression analysis to investigate the degree to which self-reported disgust sensitivity and disgust propensity differentially predict elevated health anxiety in a sample of 620 non-treatment-seeking undergraduates. Further, this effect is tested in comparison to that of anxiety sensitivity, a construct demonstrated to be strongly related to health anxiety. Analyses indicate that disgust sensitivity, rather than disgust propensity, is primarily responsible for this relation. An additional analysis tested the specificity of disgust sensitivity relative to anxiety sensitivity. Disgust sensitivity was no longer significant after including anxiety sensitivity in the model. Suggestions for further evaluation of this relation are provided. These results suggest that although disgust sensitivity may appear related to health anxiety, this relation may be confounded by anxiety sensitivity.     

ERNEST BECKER'S PSYCHOLOGY OF RELIGION FORTY YEARS ON: A VIEW FROM SOCIAL COGNITIVE PSYCHOLOGY

This article distinguishes between three projects in Ernest Becker's (1924–1974) later work: his psychology of “religion,” his psychology of religion, and his psychology of Religion (with a capital R). The first is an analysis of culture and civilization as immortality projects, means by which to deny death. The second, which overlaps with the first, is a characterization of religion‐as‐practiced (e.g., by adherents of the world religions) as a particularly effective immortality project vis‐à‐vis death anxiety. The third is less social scientific and more theological; Becker argues for a view of God that is in the tradition of Søren Kierkegaard and Paul Tillich (and, arguably, Pseudo‐Dionysius, Augustine, and Thomas Aquinas). Focusing on the second of these projects—as much has already been written on the first, and little can be said about the third—this article evaluates Becker's claims about religion‐as‐practiced in light of recent developments in social cognitive psychology.     

The incidence of Freudian self‐analysis in the construction of the psychoanalytic theory of anxiety

The value and function of self‐analysis has been a contentious issue in several studies dedicated to the Freudian legacy. For some writers, Freud's experience of self‐analysis is rightly considered to be the master key to an understanding of the origins of the fundamentals of psychoanalysis. For others, the exaggerated importance attributed to the process merely led to the construction of a foundational myth. Nevertheless, if it is recognized to be a process in which Freud, in collaboration with Fliess, analysed personal aspects, working hypotheses and psychopathological debates, a reconsideration of self‐analysis may contribute new elements to our understanding of the paths that were taken in the elaboration of the theory and practice of pyschoanalysis. Starting from this premise, the present work will consider the systematic examination that Freud conducted of his own phobia in the course of his self‐analysis to be a process of great relevance to the elaboration of the early psychoanlytic conceptualizations of anxiety, in that in the course of this process the possible role of sexuality, fantasy, memory and unconscious determinism in the etiology of anxiety became part of the discussion.     

Emotional disrupt‐then‐reframe technique of social influence

Davis and Knowles proposed a social influence technique, which they named disrupt‐then‐reframe (DTR). In a series of four experiments, they demonstrated that compliance could be increased by a subtle disruption to the sales request, followed immediately by a reframing that provided additional reasons for purchasing the goods. The DTR technique is strictly cognitive in nature: The person, hearing simple argumentation during the short state of her or his cognitive disorganization, becomes more inclined to fulfill the requests made of her or him. In three experiments presented in this article, it is shown that a similar effect can be obtained when the fear‐then‐relief state, which could be seen as an emotional disruption, is followed by an argument.     

Fear of the drunk driver: Analysis of an emergent social problem

This paper analyzes public perceptions of drunk driving with respect to risk of being victimized, seriousness of the offense, and fear of being victimized. This is based on a state‐wide survey of Louisiana driver's license holders. Compared to other crimes, even murder and rape, it was found that drunk driving ranked highest in its fear invoking quality. An argument is made that this phenomenon should be interpreted from a theoretical standpoint viewing the crimi‐nalization process as a form of collective behavior. Implications for understanding fear of crime as a function of perceived risk and seriousness are discussed, and the implications of the findings for understanding of further legislation and policy action against drunk driving is examined.     

Emotion in an alliance rupture and resolution sequence: A theory‐building case study

Aims: Alliance rupture and resolution processes are occasions for the client to have his or her core interpersonal patterns activated in the here and now of the therapy and to negotiate them with the therapist. So far, no studies have been conducted on emotional processing, from a sequential perspective using distinct emotion categories, in alliance rupture and resolution therapy sessions. This is the objective of this theory‐building case study. Method: This client underwent a 34‐session long, psychodynamic psychotherapy within the context of an open trial. An alliance rupture‐resolution sequence of two subsequent sessions, along with a third control session, was selected from this case and these sessions were rated using the Classification of Affective‐Meaning States (CAMS), an observer‐rated method to classify distinct emotions, according to current emotion‐focused models. Results: The results indicate that the rupture session was associated, above all, with core maladaptive fear, evoked in the actual here and now of the therapeutic relationship, whereas the resolution session was associated with the expression and experience of adaptive hurt as regards biographical issues of the client. Discussion: These results are discussed with regard to the alliance rupture and resolution model and the exploration of integrating client's emotional processing in the model.     

The role of fear of anxiety and intolerance of uncertainty in worry: An experimental manipulation

The tendency to fear emotional experiences, such as anxiety, may be an important factor in the maintenance of excessive worry, which is the central feature of generalized anxiety disorder (GAD). The goal of the present study was to clarify the role of fear of anxiety in worry by assessing whether the experimental manipulation of fear of anxiety affects worry level. The study also assessed the combined effects of fear of anxious responding and intolerance of uncertainty (a factor already linked to pathological worry) on level of worry by grouping participants according to their tolerance for uncertainty. The results indicated that participants whose fear of anxiety was increased showed higher levels of worry compared to participants whose fear of anxiety was decreased. This finding provides preliminary support for the causal role of fear of anxiety in worry. Moreover, the results showed that increased fear of anxiety in combination with an intolerance for uncertainty led to the highest levels of worry, which suggests that these constructs have an additive effect on worry. The findings lend support to the integration of new conceptualizations of psychopathology with existing models of excessive worry, which could ultimately increase treatment efficacy for GAD.     

Temperament moderates the effect of the verbal threat information pathway on children's heart rate responses to novel animals

Temperamental variables such as trait anxiety are risk factors in children for the development of anxiety disorders. This experiment aimed to test whether temperament moderates the effect of verbal threat information on the physiological component of the fear emotion. An experiment is reported in which 6-10 year old children's (N = 54) fear beliefs about novel animals were measured. They were then given threat, positive or no verbal information about these animals following which their heart rate was recorded while they placed their hands in boxes that they believed these animals inhabited. Children also completed a questionnaire measure of trait anxiety. Child-reported temperament moderated the effect that threat information has on the physiological component of the fear emotion. Fear information is, therefore, a possible mechanism through which temperament leads children to acquire animal fears.     

Anxiety sensitivity and retaliatory aggressive behavior in research volunteers

An important focus of recent aggression research has been to identify personality variables that influence the expression of aggression. One such variable may be anxiety sensitivity (AS). Individuals high in AS fear unpleasant anxiety-related physiological sensations and perhaps physiological arousal in general. Accordingly, people high in AS are motivated to avoid situations that produce these sensations. With respect to aggressive encounters, an intense attack by an opponent involves significant physiological arousal. High anxiety-sensitive individuals may therefore attempt to decrease the intensity of the interaction by responding in a non-aggressive or conciliatory manner. To test this possibility, 112 community volunteers completed a measure of AS and a well-validated laboratory task designed to assess aggressive behavior. As predicted, an inverse relation between AS and extreme aggressive responding was found. Specifically, as AS increases, retaliatory aggression is less likely after intense attack by an opponent.     

Lacan1

Jacques Lacan belonged to the second generation of French psychoanalysts which, thanks to the arrival in France of Rudolf Loewenstein, was the first to benefit from a training analysis of sufficient quality and duration. Lacan left the Société Psychanalytique de Paris and the International Psychoanalytic Association in 1953, following a controversy over the short sessions he gave his patients. For Lacan, the anxiety of being absorbed by the object is the principal anxiety from which the anxieties of separation, castration or fragmentation are derived, which may explain why he did not keep his patients for a sufficient length of time. Lacan transformed his difficulty into an advocated technique, which he justified by making a critique of the classical technique. He founded his own international psychoanalytic association, in which selection only occurs when the analyst is already at a very advanced stage in his career (‘the authorization of an analyst can only come from himself’). We are indebted to Lacan for having drawn the attention of analysts to the role of language, and especially of words with a double meaning, in the genesis of interpretation, but his theory of language, founded on the assimilation of psychoanalysis to structural linguistics and anthropology, has collapsed. Many of Lacan's other theoretical contributions, such as the renewed interest in the après‐coup, the place of mirror relations in narcissism, the distinction between what he calls jouissance and the orgasm, or between the ‘real’ and reality, have been gradually integrated by analysts who accept neither his technique nor his laxity in training.