Decoding negative treatment of self : comprehensive measurement and diverse presentations in socially anxious clients

Student thesis: Doctoral Thesis

Abstract

Navigating the landscape of self and emotion, and bridging the experience of self in relation to others, emotion-focused therapy (EFT) is a humanistic-experiential psychotherapy that has demonstrated efficacy in treating depression (Greenberg et al., 1990; 1998) and social anxiety (SA; Elliott et al., 2013). At the heart of social anxiety lie numerous conflicting self-identities, rooted in enduring feelings of inadequacy and shame. Adopting a deleterious self-critical stance, the array and complexity of inimical self-actions underscores the debilitating nature and therapeutic challenges of SA. While existing literature on the self-relationship has examined the global self-concept and constructs such as perfectionism and self-criticism, there remains a significant gap in comprehensively understanding and effectively measuring negative treatment of self (NTS). Drawing on archival data from SA clients undergoing EFT, this three-part mixedmethod study aimed to achieve several objectives: (a) evaluating the reliability and validity of the Self-Relationship Questionnaire (SRQ; Faur & Elliott, 2007); (b) comprehensively mapping the manifestations of NTS within-therapy discourse; (c) testing and validating the rational-empirical model of NTS proposed by Capaldi and Elliott (2023); and (d) exploring the amelioration of NTS observed by the conclusion of therapy. The findings confirmed the SRQ as a reliable and valid instrument for assessing the self-relationship. The analysis extended beyond mapping the nuances of NTS therapy discourse, exploring its multifaceted dimensions, including self-dislike, detrimental self-actions, and their emotional effects, providing comprehensive insights into NTS. The empirical validation of the rational-empirical model of NTS was supported and expanded upon. The observed decrease in NTS by therapy's end further enhanced the model, highlighting significant improvements in client discourse about the self-relationship.
Date of Award6 Jan 2025
Original languageEnglish
Awarding Institution
  • University Of Strathclyde
SupervisorRobert Elliott (Supervisor) & Stephen Kelly (Supervisor)

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