Social skill training for severe social withdrawl

Journal title QUADERNI DI PSICOTERAPIA COGNITIVA
Author/s Giovanni Pellecchia, Michele Procacci, Livia Colle
Publishing Year 2013 Issue 2013/33 Language Italian
Pages 12 P. 53-64 File size 121 KB
DOI 10.3280/QPC2013-033004
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The paper describes the psychopathological features of different forms of social withdrawal, from social phobia to avoidant personality disorder (APD), highlighting the qualitative and functional differences between disorders and, therefore, the necessity of diversified interventions according to the specific form of social withdrawal. In particular, the paper aims to make a survey of the different protocols of social skills training (SST) currently available for social withdrawal, pointing out the limits of such interventions for patients with APD. Subsequently, a new SST protocol specially designed for patients with severe withdrawal is presented. The protocol is based on the APD psychopathological model proposed by the Third Center (Procacci et al., 2011), and it is focused on the specific cognitive and metacognitive dysfunctions at the base of severe social withdrawal.

Keywords: Interpersonal skills, metacognition, emotional recognition, social withdrawal, avoidant personality disorder.

  1. Dimaggio G., Procacci M., Semerari A. (1999). Deficit di condivisione e di appartenenza. In: Semerari A., a cura di, Psicoterapia cognitiva del paziente grave. Metacognizione e relazione terapeutica. Milano: Raffaello Cortina, pp. 231-280. DOI: 10.1521/pedi.2005.19.6.69
  2. Espada J.P., Quiles M.J., Mendez F.X. (2002). Terapia cognitiva y exposiciónmixta en uncaso de fobia social. Análisis y Modificación de Conducta, 28, 117: 129-160.
  3. Grabe H.J., Spitzer C., Freyberger H.J. (2004). The relationship between alexithymia, personality and psychopathology. American Journal of Psychiatry, 161: 1299-1301. DOI: 10.1176/appi.ajp.161.7.129
  4. Herbert J.D., Hope D.A., Bellack A S. (1992). Validity of the distinction between generalized social phobia and avoidant personality disorder. Journal of Abnormal Psychology, 101: 332 e 339. DOI: 10.1192/bjp.179.3.19
  5. Jacob G.J., Arntz A. (2013). Schema Therapy for Personality Disorders – A Review. International Journal of Cognitive Therapy. Innovations and Advances in the Cognitive-Behavioral Therapies, 6: 171-185. DOI: 10.1521/ijct.2013.6.2.17
  6. Kessler R.C. (2003). The impairments cause by social phobia in the general population:implications for intervention. Acta Psychiatrica Scandinavica, 108 (Suppl. 417): 19-27. DOI: 10.1034/j.1600-0447.108.s417.
  7. Nicolò G., Semerari A., Lysaker P.L., Dimaggio G., Conti L., D’Angerio S., Procacci M., Popolo R., Carcione A. (2011). Alexithymia in personality disorders: Correlations with symptoms and interpersonal functioning. Psychiatry Research, 190: 37-42. DOI: 10.1016/j.psychres.2010.07.04
  8. Ollson I., Dahl A. (2012). Avoidant personality problems-their association with somatic and mental health, lifestyle, and social network. A community-basedstudy. Comprehensive Psychiatry, 53: 813-821. DOI: 10.1016/j.comppsych.2011.10.00
  9. Pellecchia G. (2012). Senso di non appartenenza e vergogna: il caso di Remo. Psicoterapeuti in Formazione, 9: 59-74.
  10. Procacci M., Semerari A. (1998). Il senso di non appartenenza e di non condivisione in alcuni disturbi di personalità: modello clinic ed intervento terapeutico. Psicoterapia, 12: 39-49.
  11. Procacci M., Popolo R. (2003). Il disturbo evitante di personalità: il dolore di non appartenere.
  12. In: Semerari A., Dimaggio G., a cura di, I disturbi di personalità: modelli trattamento. Roma-Bari: Laterza.
  13. Procacci M., Popolo R., Dimaggio G. (2011). Il trattamento del disturbo evitante di personalità. In: Procacci M., Popolo R., Marsigli N., a cura di, Ansia e ritiro sociale. Milano:
  14. Raffaello Cortina, pp. 307-334. DOI: 10.1007/s10802-011
  15. Skodol A.E, Gunderson J.G, McGlashan T.H, Dyck I.R., Stout R.L, Bender D.S. et al. (2002). Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. American Journal of Psychiatry, 159: 276-283. DOI: 10.1037/a001647
  16. Skodol A.E., Pagano M.E., Bender D.S., Shea M.T., Gunderson J.G., Yen S. et al. (2005). Stability of functional impairment in patients with schizotypal,borderline, avoidant, or obsessive-compulsive personality disorderover two years. Psychological Medicine, 35: 443-4 51. DOI: 10.1521/pedi.2005.19.5.48
  17. Van Veltzen C., Emmelkamp P.M.G., Scholing A. (2000). Generalized Social Phobia Versus Avoidant Personality Disorder: Differences in Psychopathology, Personality Traits, and Social an Occupational Functioning. Journal of Anxiety Disorders, 14, 4: 395-411. DOI: 10.1016/S0887-6185(00)0003
  18. Young J.E., Klosko J., Weishaar M. (2007). Schema Therapy. Firenze: Eclipsi.
  19. Alden L., Laposa J.M., Taylor C.T., Rider A.G. (2002). Avoidant personality disorder: current status and future directions. Journal of Personality Disorder, 16: 1-29. DOI: 10.1521/pedi.16.1.1.2255
  20. Angélico A.P., Crippa J.A.S., Loureiro S.R. (2013). Social Anxiety Disorder and Social Skills: A Critical Review of the Literature. International Journal of Behavioral Consultation nd Therapy, 7, 4: 16-23. DOI: 10.1590/S0102-7972201200030000
  21. Beidel D.C., Rao P.A., Scharfstein L., Wong N., Alfano C.A. (2010). Social skills and social phobia: An investigation of DSM-IV subtypes. Behaviour Research and Therapy, 48: 992-1001. DOI: 10.1016/j.brat.2010.06.00
  22. Beidel D. (2011). Social Skills Training. In: Procacci M., Popolo R., Marsigli N., a cura di, Ansia e ritiro sociale. Milano: Raffaello Cortina. DOI: 10.1007/s10802-01
  23. Bellack A.S., Mueser K.T., Gingerich S., Agresta J. (2004). Social skills training for schizophrenia: a step-by-step guide, 2a ed. New York: Guilford Press. DOI: 10.1093/schbul/sbl06
  24. Bogels S.M., Rijsemus W., De Jong P.J. (2002). Self focused attention and social anxiety: the effect of experimentally heightened self-awarness on fear, blushing, cognitions, social skills. Cognitive Therapy and Research, 26 (4): 461-472. DOI: 10.1023/a:101627570020
  25. Bruch M.A., Fallon M., Heimberg R.G. (2003). Social phobia and difficulties inoccupational adjustment. Journal of CounselingPsychology, 50: 109-117. DOI: 10.1037/0022-0167.50.1.109DelPretteA.,DelPretteZ.A.P.(2001).Psicologiadasrelaçõesinterpessoais:Vivênciasparaotrabalhoemgrupo.RiodeJaneiro:Vozes

Giovanni Pellecchia, Michele Procacci, Livia Colle, Social skill training per il ritiro sociale grave in "QUADERNI DI PSICOTERAPIA COGNITIVA" 33/2013, pp 53-64, DOI: 10.3280/QPC2013-033004