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19-09-2020 | Original Article

Imagery Rescripting of Painful Memories in Social Anxiety Disorder: A Qualitative Analysis of Needs Fulfillment and Memory Updating

Auteurs: Mia Romano, Taylor Hudd, Jonathan D. Huppert, Susanna G. Reimer, David A. Moscovitch

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2021

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Abstract

Background

Imagery rescripting (IR) is an effective intervention for social anxiety disorder (SAD) that targets autobiographical memories of painful past events. IR is thought to promote needs fulfillment and memory updating by guiding patients to change unhelpful schema through addressing the needs of the younger self within the memory.

Methods

Qualitative coding was used to examine the features of clinically relevant strategies enacted during IR to fulfill needs and update memories in 14 individuals with SAD.

Results

Participants typically enacted multiple strategies to address the needs of the younger self during rescripting, with compassionate and assertive strategies used more frequently than avoidance. Most strategies were practically feasible and enacted by the imagined self rather than imagined others, with the majority of patients achieving a strong degree of needs fulfillment, especially when strategies were consistent with identified needs. Participants’ reflections on how their memories have changed are provided from follow-up data collected 6 months post-intervention. Themes of self-reappraisal, self-compassion, and self-distancing are highlighted as potentially important for facilitating needs fulfilment and memory updating.

Conclusions

Findings illuminate the clinical processes through which socially traumatic memories in SAD may be updated in IR by guiding patients to fulfill their needs and promote improved emotional health.
Voetnoten
1
Because the older self is an active agent in the memory and therefore also offers a first person perspective that is brought and conveyed into the scene, it may be the case that phase 2 of IR does not promote pure “objective observer” perspective per se, but rather enables patients to imagine both the younger and adult self within the memory scene from the outside.
 
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Metagegevens
Titel
Imagery Rescripting of Painful Memories in Social Anxiety Disorder: A Qualitative Analysis of Needs Fulfillment and Memory Updating
Auteurs
Mia Romano
Taylor Hudd
Jonathan D. Huppert
Susanna G. Reimer
David A. Moscovitch
Publicatiedatum
19-09-2020
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-020-10149-6

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