Biomedical subjects

C R Hirsch

Publications and source records attributed to C R Hirsch.

3 recordsLinked to original sources

PubMed2003

Negative self-imagery blocks inferences.

Previous research has shown that, unlike non-anxious individuals, people with social phobia fail to generate non-threatening inferences when ambiguous social information is first encountered (i.e. 'on-line'; Hirsch and Mathews Journal of Abnormal Psychology, 109 (2000) 705-712). Patients with social phobia also report negative self-imagery in social situations, while individuals without high social anxiety do not. The negative self-imagery in social phobia may prevent the generation of non-threatening inferences. If so, then training non-anxious individuals to hold in mind a negative self-image should remove the 'on-line' non-threat inferential bias normally evident in this population. In the present study, low anxious volunteers were allocated to negative image training or a control task that did not manipulate self-imagery. Following negative image training, or the control task, volunteers read descriptions of job interviews and at certain points during the text performed lexical decisions. Some decisions were made after ambiguous text that could have been interpreted in both a threatening and a non-threatening manner. In a baseline condition, decisions were made following the text for which there was only one possible inference (either threat or non-threat). The results for the control group replicated earlier findings of a non-threat inferential bias for non-anxious individuals. In contrast, and as predicted, non-anxious volunteers who were trained to hold a negative image in mind lacked any non-threatening inferential bias, and also experienced higher levels of state anxiety.

Adult↗

PubMed2000

Impaired positive inferential bias in social phobia.

People with social phobia report anticipatory and retrospective judgments about social situations that appear consistent with a negative interpretative bias. However, it is not at all clear that biased interpretative inferences are made "on-line;" that is, at the time that ambiguous information is first encountered. In a previous study, volunteers who were anxious about interviews were found to lack the positive on-line inferential bias that was characteristic of nonanxious controls but also failed to show a bias favoring threatening inferences (C. R. Hirsch & A. Mathews, 1997). This finding was confirmed in the present study, in which social phobic patients showed no evidence of making on-line emotional inferences, in contrast with socially nonanxious controls who were again clearly biased in favor of positive inferences. The authors concluded that nonanxious individuals are characterized by a benign on-line inferential bias, but that this is impaired in people with social phobia.

Adult↗

PubMed1999

Life review of an older adult with memory difficulties.

The natural life review process involves emotional processing of events from the individual's past. Life review therapy (LRT) addresses issues regarding unresolved conflicts, guilt and resentment which the client has particular difficulty in reviewing independently. People with memory problems may have difficulty mentally manipulating a number of pieces of information at the same time. Since LRT involves recollection of past experiences (events, emotions and relationships) which need to be processed and integrated with the person's current understanding, individuals with memory problems may find this process difficult, though not impossible. This article is written in order to demonstrate that LRT can be useful for people with memory difficulties, provided that individual sessions are tailored to their particular cognitive abilities. A case is presented of an older adult, with above-average intellectual abilities, who became distressed when recollecting her childhood. LRT was conducted in a manner that took account of the memory difficulties and utilized a variety of therapeutic techniques. LRT was beneficial for this client despite her memory difficulties, since, following therapy, she was no longer distressed when thinking about her childhood.

Aged↗