National Institute for Health and Care Research

Imagery and Interpretations in Social Phobia: Support for the Combined Cognitive Biases Hypothesis

Hirsch, Clark and Mathews (2006) examine how negative self-imagery and interpretation biases interact to maintain social anxiety.

The authors argue that cognitive biases do not operate independently but instead influence and reinforce one another in the maintenance of psychological disorders. Focusing on social anxiety, they present evidence that negative self-imagery can promote more negative interpretations of social situations, while negative interpretations can strengthen distressing self-images. These interacting biases appear to have a greater impact on anxiety than either bias alone. Overall, the paper provides important support for the combined cognitive biases hypothesis and highlights the value of targeting multiple cognitive processes within psychological interventions.

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