Images of the self and self-esteem: do positive self-images improve self-esteem in social anxiety?

Cogn Behav Ther. 2012;41(2):163-73. doi: 10.1080/16506073.2012.664557. Epub 2012 Mar 22.

Abstract

Negative self-images play an important role in maintaining social anxiety disorder. We propose that these images represent the working self in a Self-Memory System that regulates retrieval of self-relevant information in particular situations. Self-esteem, one aspect of the working self, comprises explicit (conscious) and implicit (automatic) components. Implicit self-esteem reflects an automatic evaluative bias towards the self that is normally positive, but is reduced in socially anxious individuals. Forty-four high and 44 low socially anxious participants generated either a positive or a negative self-image and then completed measures of implicit and explicit self-esteem. Participants who held a negative self-image in mind reported lower implicit and explicit positive self-esteem, and higher explicit negative self-esteem than participants holding a positive image in mind, irrespective of social anxiety group. We then tested whether positive self-images protected high and low socially anxious individuals equally well against the threat to explicit self-esteem posed by social exclusion in a virtual ball toss game (Cyberball). We failed to find a predicted interaction between social anxiety and image condition. Instead, all participants holding positive self-images reported higher levels of explicit self-esteem after Cyberball than those holding negative self-images. Deliberate retrieval of positive self-images appears to facilitate access to a healthy positive implicit bias, as well as improving explicit self-esteem, whereas deliberate retrieval of negative self-images does the opposite. This is consistent with the idea that negative self-images may have a causal, as well as a maintaining, role in social anxiety disorder.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Arousal
  • Attention
  • Defense Mechanisms
  • Fear
  • Female
  • Humans
  • Imagination*
  • Internal-External Control
  • Judgment
  • Male
  • Personality Inventory / statistics & numerical data
  • Phobic Disorders / diagnosis
  • Phobic Disorders / psychology*
  • Psychometrics
  • Self Concept*
  • Students / psychology
  • Young Adult