Skip to main content
×
Home
    • Aa
    • Aa

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

  • Naoki Yoshinaga (a1), Osamu Kobori (a2), Masaomi Iyo (a3) and Eiji Shimizu (a1)
Abstract
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.

Copyright
Corresponding author
*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).
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

JG Draguns , J Tanaka-Matsumi (2003). Assessment of psychopathology across and within cultures: issues and findings. Behaviour Research and Therapy 41, 755776.

SG Hofmann , A Asnaani , DE Hinton (2010). Cultural aspects in social anxiety and social anxiety disorder. Depression and Anxiety 27, 11171127.

SG Hofmann , JAJ Smits (2008). Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry 69, 621632.

RA Kleinknecht , DL Dinnel , EE Kleinknecht , N Hiruma , N Harada (1997). Cultural factors in social anxiety: a comparison of social phobia symptoms and Taijin kyofusho. Journal of Anxiety Disorders 11, 157177.

DW Klopf , RE Cambra (1979). Communication apprehension among college students in America, Australia, Japan, and Korea. Journal of Psychology 102, 2731. doi:10.1080/00223980.1979.9915091

MR Liebowitz (1987). Social phobia. Modern Problems of Pharmacopsychiatry 22, 141173.

Y Ono , TA Furukawa , E Shimizu , Y Okamoto , A Nakagawa , D Fujisawa , A Nakagawa , T Ishii , S Nakajima (2011). Current status of research on cognitive therapy/cognitive behavior therapy in Japan. Psychiatry and Clinical Neurosciences 65, 121129.

MK Shear , TA Brown , DH Barlow , R Money , DE Sholomskas , SW Woods , JM Gorman , LA Papp (1997). Multicenter collaborative panic disorder severity scale. American Journal of Psychiatry 154, 15711575.

N Watanabe , TA Furukawa , J Chen , Y Kinoshita , Y Nakano , S Ogawa , T Funayama , T Ietsugu , Y Noda (2010). Change in quality of life and their predictors in the long-term follow-up after group cognitive behavioral therapy for social anxiety disorder: a prospective cohort study. BMC Psychiatry 10, 81.

N Yoshinaga , F Ohshima , S Matsuki , M Tanaka , T Kobayashi , H Ibuki , K Asano , O Kobori , T Shiraishi , E Ito , M Nakazato , A Nakagawa , M Iyo , E Shimizu (2013). A preliminary study of individual cognitive behavior therapy for social anxiety disorder in Japanese clinical settings: a single-arm, uncontrolled trial. BMC Research Notes 6, 74.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

the Cognitive Behaviour Therapist
  • ISSN: -
  • EISSN: 1754-470X
  • URL: /core/journals/the-cognitive-behaviour-therapist
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 31
Total number of PDF views: 85 *
Loading metrics...

Abstract views

Total abstract views: 691 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 23rd September 2017. This data will be updated every 24 hours.