Seeing Is Believing: Using Video Feedback in Cognitive Therapy for Social Anxiety Disorder

Distorted negative self-images and impressions appear to play a key role in maintaining Social Anxiety Disorder (SAD). In previous research, McManus et al. (2009) found that video feedback can help people undergoing cognitive therapy for SAD (CT-SAD) to develop a more realistic impression of how they appear to others, and this was associated with significant improvement in their social anxiety. In this paper we first present new data from 47 patients that confirms the value of video feedback. Ninety-eighty percent of the patients indicated that they came across more favorably than they had predicted after viewing a video of their social interactions. Significant reductions in social anxiety were observed during the following week and these reductions were larger than those observed after control periods. Comparison with our earlier data (McManus et al., 2009) suggests we may have improved the effectiveness of video feedback by refining and developing our procedures over time. The second part of the paper outlines our current strategies for maximizing the impact of video feedback. The strategies have evolved in order to help patients with SAD overcome a range of processing biases that could otherwise make it difficult for them to spot discrepancies between their negative self-imagery and the way they appear on video.     

Factor Structure of the Difficulties in Emotion Regulation Scale (DERS) in Adult Outpatients Receiving Dialectical Behavior Therapy (DBT)

The Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer in Journal of Psychopathology and Behavioral Assessment, 26, 41–54, 2004) is a widely used measure of emotion regulation, however, few studies have examined the scale’s psychometric properties in clinical samples. The current study examined the latent factor structure of the scale, in addition to other psychometric properties, in a naturalistic sample of adult outpatients (n = 344) receiving dialectical behavior therapy (DBT). A number of models were fitted, including a bifactor model, which has not previously been examined with the DERS, but which may be more appropriate for addressing the study’s two primary aims. These aims were to: (1) investigate some of the prior concerns raised about the Awareness subscale items; and (2) evaluate the appropriateness of using DERS total vs. subscale scores. Results indicated that a modified bifactor model which excluded the Awareness items from the general factor fit the data best. Additional findings suggested that the DERS total score (excluding Awareness items) was reliable and had good criterion-related validity in this sample. However, the findings related to the DERS subscales were mixed. This study extends prior research on the DERS by demonstrating the utility of the scale with individuals receiving DBT for problems with emotion regulation, as well as by clarifying some of the prior questions about the scale’s latent structure.     

Determining the number of factors to retain: Q windows-based FORTRAN-IMSL program for parallel analysis

Parallel analysis (PA; Horn, 1965) is a technique for determining the number of factors to retain in exploratory factor analysis that has been shown to be superior to more widely known methods (Zwick & Velicer, 1986). Despite its merits, PA is not widely used in the psychological literature, probably because the method is unfamiliar and because modern, Windows-compatible software to perform PA is unavailable. We provide a FORTRAN-IMSL program for PA that runs on a PC under Windows; it is interactive and designed to suit the range of problems encountered in most psychological research. Furthermore, we provide sample output from the PA program in the form of tabled values that can be used to verify the program operation; or, they can be used either directly or with interpolation to meet specific needs of the researcher.     

The role of expectation and memory‐retrieval techniques in the construction of beliefs about past events

This study assessed social factors affecting the elicitation of false reports for events occurring the day after birth. High, medium and low hypnotizable participants (N=170) were randomly assigned to hypnotic, guided imagery (non‐hypnotic), expectancy or control conditions. Participants were led to believe that they had experienced a specific event on the day after birth. Hypnotic and guided imagery participants were age regressed, while participants in the expectancy condition were provided with cues suggesting access to this memory was feasible. Relative to controls, these participants recalled higher levels of day‐after‐birth reports, although age‐regressed participants reported significantly more event specific details than expectancy participants. Furthermore, high and medium hypnotizables were more likely than low hypnotizables to recall events occurring the day after birth. Implications of this study within the therapeutic setting are discussed. Copyright © 2000 John Wiley & Sons, Ltd.     

Why are familiar-only experiences more frequent for voices than for faces?

Hanley,Smith, and Hadfield (1998) showed that when participants were asked to recognize famous people from hearing their voice , there was a relatively large number of trials in which the celebrity's voice was felt to be familiar but biographical information about the person could not be retrieved. When a face was found familiar, however, the celebrity's occupation was significantly more likely to be recalled. This finding is consistent with the view that it is much more difficult to associate biographical information with voices than with faces. Nevertheless, recognition level was much lower for voices than for faces in Hanleyet al.'s study,and participants made significantly more false alarms in the voice condition. In the present study, recognition performance in the face condition was brought down to the same level as recognition in the voice condition by presenting the faces out of focus. Under these circumstances, it proved just as difficult to recall the occupations of faces found familiar as it was to recall the occupations of voices found familiar. In other words, there was an equally large number of familiar-only responses when faces were presented out of focus as in the voice condition. It is argued that these results provide no support for the view that it is relatively difficult to associate biographical information with a person's voice. It is suggested instead that associative connections between processing units at different levels in the voice-processing system are much weaker than is the case with the corresponding units in the face-processing system. This will reduce the recall of occupations from voices even when the voice has been found familiar. A simulation was performed using the latest version of the IAC model of person recognition (Burton, Bruce, & Hancock, 1999) which demonstrated that the model can readily accommodate the pattern of results obtained in this study.