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An exploratory investigation of schema modes in social anxiety disorder: Empirical findings and case conceptualization
Authors:Alice R. Norton  Erika Penney  Maree J. Abbott
Affiliation:1. Clinical Psychology Unit, School of Psychology, The University of Sydney, Sydney, Australia;2. Graduate School of Health, University of Technology Sydney, Sydney, Australia
Abstract:

Background

Current “gold standard” treatments for social anxiety disorder (SAD) are limited by the limited emphasis of key etiological factors in conceptualization, and many individuals with SAD experience residual symptoms posttreatment. Hence, the novel application of the Schema Therapy Mode Model may provide a helpful framework for extending clinical understanding and treatment options for SAD. This exploratory study aimed to investigate the presence and pattern of schema modes among SAD individuals.

Method

Forty individuals with SAD completed questionnaire measures of symptomatology, social anxiety-relevant cognitions, schema modes, childhood trauma, and parental style.

Results

Key maladaptive schema modes identified in SAD were Vulnerable Child, Punitive Critic, Demanding Critic, Compliant Surrender, and Detached Self-Soother.

Conclusion

Outcomes provide the basis for a proposed schema mode case conceptualization for SAD and are hoped to provide a rationale for testing the applicability of Schema Therapy as a novel treatment for SAD. Key limitations are discussed.
Keywords:case conceptualization  schema modes  schema therapy  social anxiety
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