The Effects of Repeated Imagery Practice on Self-Concept, Anxiety and Performance in Socially Anxious Participants

Abstract

Current cognitive models of social phobia, all stress the importance of negative self-perceptions in maintaining social anxiety (Moscovitch, 2009, Hofmann, 2007; Rapee & Heimberg, 1997; Clark & Wells, 1995). In some models, (Clark & Wells, 1995) negative self-perceptions are embodied in the form of a visual image. In this study, 58 socially anxious participants were assigned to either a positive (n =19) or a negative (n =19) self-imagery condition and we tested the impact of repeated imagery practice on self-concept (self-esteem and self-concept clarity), and on anxiety and performance in a conversation with a stooge. Participants in each condition practiced holding either a positive or a negative self-image in mind over eight days while at the same time imagining themselves in a series of increasingly challenging social situations. After the final imagery practice, participants took part in a conversation with a stooge. We hypothesised that repeated practice with a positive image would produce higher levels of self-esteem, more self-concept clarity, and would lead to less anxiety and better ratings of performance than holding a negative image. The hypotheses were partially supported. Positive self- imagery practice led to higher self-esteem ratings and higher self-concept clarity on a computerised measure of self-concept clarity, but not on a self-report measure. Positive self-imagery practice also produced better performance ratings in the social test (in both subjective and objective assessments of performance) and a trend towards reduced anxiety. The results are discussed in relation to Conway and Pleydell-Pearce's (2000) self-memory model and the clinical implications are considered.