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Related Experiment Videos

Construction and constriction in agoraphobia.

D Winter1, K Gournay

  • 1Psychology Department, Napsbury Hospital, Hertfordshire, UK.

The British Journal of Medical Psychology
|September 1, 1987
PubMed
Summary
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This study explores agoraphobia through personal construct theory, finding that cognitive patterns in patients and spouses predict therapy outcomes. Improved therapy is linked to changes in these cognitive constructions.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Cognitive Psychology

Background:

  • Agoraphobia is a complex anxiety disorder often involving avoidance behaviors.
  • Personal construct theory offers a framework for understanding individual subjective experiences.

Purpose of the Study:

  • To examine the cognitive construing patterns of agoraphobics and their spouses using personal construct theory.
  • To investigate the relationship between these construing patterns and treatment outcomes for agoraphobia.

Main Methods:

  • A repertory grid study was conducted comparing agoraphobics, non-agoraphobic neurotics, their spouses, and normal subjects.
  • Cognitive awareness, interpersonal conflict constructs, self-esteem, and dilemmas were assessed.

Main Results:

Related Experiment Videos

  • Agoraphobics exhibited low cognitive awareness of interpersonal conflict and tenderness constructs.
  • Dilemmas linking going out with infidelity and low self-esteem in agoraphobics were identified.
  • Spouses of agoraphobics often displayed high self-esteem.
  • Construing features predicted treatment response, and improvement correlated with cognitive reconstruction.

Conclusions:

  • Cognitive patterns in agoraphobics and their spouses play a significant role in the maintenance of agoraphobia.
  • Therapeutic interventions should consider addressing and reconstructing these maladaptive cognitive patterns.
  • Mutual validation of constructions between agoraphobic individuals and their spouses may perpetuate the disorder.