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Cognitive behaviour therapy using the Clark & Wells model: a case study of a Japanese social anxiety disorder patient

Published online by Cambridge University Press:  07 June 2013

Naoki Yoshinaga*
Affiliation:
Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba, Japan
Osamu Kobori
Affiliation:
Center for Forensic Mental Health, Chiba University, Chiba, Japan
Masaomi Iyo
Affiliation:
Department of Psychiatry, Chiba University Graduate School of Medicine, Chiba, Japan
Eiji Shimizu
Affiliation:
Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba, Japan
*
*Author for correspondence: Dr N. Yoshinaga, Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuouku, Chiba, Japan (email: nao@chiba-u.jp).

Abstract

Cognitive behaviour therapy (CBT) is widely regarded as an effective treatment for social anxiety disorder (SAD) in Europe and North America. The theoretical orientations underlying CBT models and treatment interventions developed in Western cultures were typically constrained by Western conceptualizations of SAD. This case study reports on the use of CBT for Japanese SAD, demonstrating the successful implementation of cognitive techniques grounded in the Clark & Wells model. The patient was a Japanese female with excessively high standards for workplace social performance. Therapy mainly comprised case formulation, behavioural experiments, and opinion surveying based on the Clark & Wells model. These techniques allowed the patient to reduce the strength of maladaptive cognitions and lower her excessively high standards for social performance. CBT treatment using the Clark & Wells model was effective and suitable for Japanese SAD, at least in the present case. We also discuss the cross-cultural differences of SAD and adaptation of CBT.

Type
Practice article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Recommended follow-up reading

Hofmann, SG, Anu Asnaani, MA, Hinton, DE (2010). Cultural aspects in social anxiety and social anxiety disorder. Depression and Anxiety 27, 11171127.Google Scholar
Stein, DJ (2009). Social anxiety disorder in the West and in the East. Annals of Clinical Psychiatry 21, 109117.Google Scholar

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