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Interpersoonlijke processen in sociale angststoornis
Samenvatting
Patiënten met een sociale angststoornis vrezen het negatieve oordeel van anderen. Het blijkt dat deze patiënten om zichzelf te beschermen voor dit negatieve oordeel zich in een sociale situatie zo gaan gedragen dat zij dit het gevreesde negatieve oordeel ook oproepen. Zo worden hun negatieve gedachten over zichzelf gevoed. Het lijkt dat verminderd open zijn, dat wil zeggen het delen van persoonlijke informatie met anderen, belangrijk is in het uitlokken van dit negatieve oordeel van anderen. Dit gedrag kan vanuit het cognitieve gedragsmodel goed begrepen worden als een vorm van veiligheidsgedrag. Gedragsexperimenten waarbij expliciet open gedrag gestimuleerd wordt zouden deze groep patiënten kunnen helpen de negatieve interpersoonlijke processen die de angst in stand houden te doorbreken.
Summary
Interpersonal processes in social anxiety disorder
Patients with social anxiety disorder fear negative evaluation by others. It appears that these patients, in order to protect themselves against this negative evaluation, behave in a way that ultimately evokes this feared negative evaluation. This process feeds their negative beliefs about themselves. It seems that reduced self-disclosure, i.e., sharing personal information with others, is important in eliciting this negative judgment in others. From the cognitive behavioral view this reduced self-disclosure is part of their safety behavior repertoire. Behavioral experiments in which self-disclosure is explicitly stimulated can help these patients to change the negative interpersonal processes that maintain their anxiety.
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