Recurrent images and early memories in social phobia
Abstract
A recent model [Clark, D. M. & Wells, A. (1995). A cognitive model of social phobia. In R. Heimberg, M. Liebowitz, D. A. Hope & F. R. Schneier (Eds.), Social phobia: diagnosis, assessment and treatment (pp. 69-93). New York: Guildford Press] suggests that a distorted image of one's public self lies at the heart of social phobia. A previous study of spontaneous imagery [Hackmann, A., Surawy, C. & Clark, D. M. (1998) Seeing yourself through others' eyes: a study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3-12] confirmed that patients with social phobia frequently report experiencing negative, distorted, observer-perspective images when in anxiety provoking social situations. In the present study, 22 patients with social phobia were given a semistructured interview which aimed to further explore the nature of social phobic imagery. All participants were able to identify negative spontaneous images that were recurrent in the sense that their content appeared to be relatively stable over time and across different feared social situations. Most recurrent images involved several sensory modalities. Most recurrent images were linked to memories of adverse social events that clustered in time around the onset of the disorder. Taken together, the results suggest that in patients with social phobia, early unpleasant experiences may lead to the development of excessively negative images of their social selves that are repeatedly activ…
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In adults with heightened social fears, frequent intrusive social images have been reported that typically contain overly negative self-representations and links to memories of negative social events.
“In adults with heightened social fears, frequent intrusive social images have been reported that typically contain overly negative self-representations and links to memories of negative social events (e.g., Hackmann, Clark, and McManus 2000).”
From Negative Flashforward Imagery in Adolescent Social Anxiety Disorder: A Pilot Study of Imagery Reports and a Short EMDR Intervention. (2024) · cites this paper as Hackmann, Clark, and McManus 2000
The mental imagery reports are consistent with the view that vivid and distressing FF imagery is a common experience in adolescents with SAD.
“The mental imagery reports are consistent with the view that vivid and distressing FF imagery is a common experience in adolescents with SAD”
From Negative Flashforward Imagery in Adolescent Social Anxiety Disorder: A Pilot Study of Imagery Reports and a Short EMDR Intervention. (2024) · cites this paper as Hackmann, Clark, and McManus 2000
Cites
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147 · see citing works
Self-citationA cognitive-behavioral model of anxiety in social phobia
Rapee, R. M., & Heimberg, R. G. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00022-3 · Cited by 2,987 · see citing works
Harvey, A. G., Clark, D. M., Ehlers, A., & Rapee, R. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00148-5 · Cited by 207 · see citing works
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Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010) · Psychological Review · doi:10.1037/a0018113 · Cited by 1,226 · see citing works
Hofmann, S. G. (2007) · Cognitive Behaviour Therapy · doi:10.1080/16506070701421313 · Cited by 1,064 · see citing works
Mental imagery in emotion and emotional disorders
Holmes, E. A., & Mathews, A. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.01.001 · Cited by 976 · see citing works
Nolen-Hoeksema, S., & Watkins, E. R. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691611419672 · Cited by 863 · see citing works
The etiology of social phobia: empirical evidence and an initial model
Rapee, R. M., & Spence, S. H. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.06.004 · Cited by 693 · see citing works
Mental Imagery and Emotion: A Special Relationship?
Holmes, E. A., & Mathews, A. (2005) · Emotion · doi:10.1037/1528-3542.5.4.489 · Cited by 612 · see citing works
Social Anxiety and Social Anxiety Disorder
Morrison, A. S., & Heimberg, R. G. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185631 · Cited by 480 · see citing works
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Holmes, E. A., Brewin, C. R., & Hennessy, R. G. (2004) · Journal of Experimental Psychology: General · doi:10.1037/0096-3445.133.1.3 · Cited by 457 · see citing works
Inducing and modulating intrusive emotional memories: A review of the trauma film paradigm
Holmes, E. A., & Bourne, C. (2008) · Acta Psychologica · doi:10.1016/j.actpsy.2007.11.002 · Cited by 410 · see citing works
Resolving Ambiguity in Emotional Disorders: The Nature and Role of Interpretation Biases
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Moscovitch, D. A. (2009) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2008.04.002 · Cited by 322 · see citing works
James, E. L., Lau-Zhu, A., Clark, I. A., Visser, R. M., Hagenaars, M. A., & Holmes, E. A. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.010 · Cited by 300 · see citing works
Neural mechanisms of cognitive reappraisal of negative self-beliefs in social anxiety disorder.
Goldin, P. R., Manber-Ball, T., Werner, K., Heimberg, R., & Gross, J. J. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.07.014 · Cited by 305 · see citing works
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Brozovich, F., & Heimberg, R. G. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.01.002 · Cited by 277 · see citing works
Wong, Q. J. J., & Rapee, R. M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.069 · Cited by 277 · see citing works
Self-images play a causal role in social phobia
Hirsch, C. R., Clark, D. M., Mathews, A., & Williams, R. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00103-1 · Cited by 265 · see citing works
Self-citationLeigh, E., & Clark, D. M. (2018) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-018-0258-5 · Cited by 260 · see citing works
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Holmes, E. A., Crane, C., Fennell, M. J. V., & Williams, J. M. G. (2007) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2007.10.004 · Cited by 259 · see citing works
Holmes, E. A., Grey, N., & Young, K. A. D. (2005) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2004.11.002 · Cited by 249 · see citing works
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Schultz, L. T., & Heimberg, R. G. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.04.003 · Cited by 212 · see citing works
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McCabe, R. E., Antony, M. M., Summerfeldt, L. J., Liss, A., & Swinson, R. P. (2003) · Cognitive Behaviour Therapy · doi:10.1080/16506070310005051 · Cited by 182 · see citing works
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Greenberg, D. L., & Knowlton, B. J. (2014) · Memory & Cognition · doi:10.3758/s13421-014-0402-5 · Cited by 153 · see citing works
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Control theory and psychopathology: an integrative approach.
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Ponniah, K., & Hollon, S. D. (2008) · Psychological Medicine · doi:10.1017/s0033291707000918 · Cited by 128 · see citing works
Clark, D. M. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.05.002 · Cited by 123 · see citing works
Self-citationKemps, E., & Tiggemann, M. (2007) · Memory · doi:10.1080/09658210701262017 · Cited by 117 · see citing works
Self-focused cognition in social anxiety: a review of the theoretical and empirical literature
Norton, A. R., & Abbott, M. J. (2016) · Behaviour Change · doi:10.1017/bec.2016.2 · Cited by 105 · see citing works
Traumatic and socially stressful life events among persons with social anxiety disorder
Erwin, B. A., Heimberg, R. G., Marx, B. P., & Franklin, M. E. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2005.05.006 · Cited by 98 · see citing works
Wong, J., Gordon, E. A., & Heimberg, R. G. (2012) · Handbook of Evidence-Based Practice in Clinical Psychology · doi:10.1002/9781118156391.ebcp002027 · Cited by 96 · see citing works
Makkar, S. R., & Grisham, J. R. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.07.004 · Cited by 89 · see citing works
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Vassilopoulos, S. P. (2004) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465804001377 · Cited by 85 · see citing works
Posttraumatic intrusive symptoms across psychiatric disorders
Bryant, R. A., O’Donnell, M. L., Creamer, M., McFarlane, A. C., & Silove, D. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.11.012 · Cited by 85 · see citing works
Images of the self in social anxiety: effects on the retrieval of autobiographical memories
Stopa, L., & Jenkins, A. (2007) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2007.08.006 · Cited by 78 · see citing works
McEvoy, P. M., Erceg-Hurn, D. M., Saulsman, L. M., & Thibodeau, M. A. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.12.011 · Cited by 69 · see citing works
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Autobiographical memory retrieval and appraisal in social anxiety disorder
Moscovitch, D. A., Vidovic, V., Lenton-Brym, A. P., Dupasquier, J. R., Barber, K. C., Hudd, T., Zabara, N., & Romano, M. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.06.008 · Cited by 48 · see citing works
Treating social anxiety disorder remotely with cognitive therapy
Warnock-Parkes, E., Wild, J., Thew, G. R., Kerr, A., Grey, N., Stott, R., Ehlers, A., & Clark, D. M. (2020) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x2000032x · Cited by 45 · see citing works
Self-citationÇili, S., & Stopa, L. (2015) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2015.00103 · Cited by 45 · see citing works
Imagery-enhanced cognitive behavioural group therapy for social anxiety disorder: A pilot study
McEvoy, P. M., & Saulsman, L. M. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.01.006 · Cited by 44 · see citing works
Norton, A. R., & Abbott, M. J. (2017) · Behaviour Change · doi:10.1017/bec.2017.7 · Cited by 39 · see citing works
The role of estrogen in intrusive memories
Cheung, J., Chervonsky, L., Felmingham, K. L., & Bryant, R. A. (2013) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2013.07.005 · Cited by 36 · see citing works
Self and identity in social anxiety disorder
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Thoughts, images, and appraisals associated with acting and not acting on the urge to self-injure.
McEvoy, P. M., Hayes, S., Hasking, P. A., & Rees, C. S. (2017) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2017.05.010 · Cited by 34 · see citing works
Malik, A., Goodwin, G. M., Hoppitt, L., & Holmes, E. A. (2014) · Clinical Psychological Science · doi:10.1177/2167702614527433 · Cited by 26 · see citing works
On the malleability of emotional encoding
Mathews, A. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.04.003 · Cited by 25 · see citing works
Brandrick, C., Hooper, N., Roche, B., Kanter, J., & Tyndall, I. (2021) · The Psychological Record · doi:10.1007/s40732-020-00432-z · Cited by 18 · see citing works
O'Toole, M. S., Watson, L. A., Rosenberg, N. K., & Berntsen, D. (2016) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.09.008 · Cited by 18 · see citing works
Nilsson, J.-E., Knutsson, J., Jalamo, B.-S., & Lundh, L.-G. (2019) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2019.101491 · Cited by 13 · see citing works
O'Toole, M. S., Watson, L., Rosenberg, N. K., & Berntsen, D. (2018) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2018.01.007 · Cited by 8 · see citing works
“Although it is recognized that the qualities of negative autobiographical memories also play a key role in the maintenance of anxiety disorders such as SAD (Hackmann et al., 2000; Wild, Hackmann, & Clark, 2008), there have been no investigations into changes in the centrality of anxious autobiographical memories follo…”
BackgroundThunnissen, M. R., de Jong, P. J., Weijermans, J., Vet, L. J. J., Rijkeboer, M. M., & Nauta, M. H. (2024) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.3063 · Cited by 6 · see citing works
Tabrizi, F., & Jansson, B. (2016) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.09.003 · Cited by 5 · see citing works
Robertson, K., Gold, I., Veissière, S., Robillard, R., & Solomonova, E. (2024) · Psychiatry Research Communications · doi:10.1016/j.psycom.2024.100169 · Cited by 4 · see citing works
- Authors
- Hackmann, A., Clark, D. M., & McManus, F.
- Affiliations
- Warneford Hospital (GB)
- Corresponding author
- Hackmann, Ann
- ORCID
- Clark, David M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2000-06
- Volume
- 38
- Issue
- 6
- Pages
- 601-610
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1992748384
- Cited by
- 489
- References
- 3
- Citations by year
- 2026: 12 · 2025: 18 · 2024: 17 · 2023: 26 · 2022: 29 · 2021: 27 · 2020: 17 · 2019: 22 · 2018: 20 · 2017: 23 · 2016: 30 · 2015: 25 · 2014: 27 · 2013: 27 · 2012: 28
- FWCI
- 8.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- social anxiety disorder, spontaneous imagery, early memories, negative self-concept, sensory modalities, memory updating
- MeSH terms
- Adult, Anxiety, Cognition, Conditioning, Psychological, Eidetic Imagery, Female, Fluoxetine, Humans, Male, Memory, Periodicity, Phobic Disorders, Time Factors, Cognitive Behavioral Therapy, Selective Serotonin Reuptake Inhibitors
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