第五章 綜合討論
第三節 研究限制與未來方向
國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
第三節 研究限制與未來方向 一、研究樣本
本研究的受試者來源為大學在學生為主,雖然受試來源並非侷限於 單一大專院校,另外由於受試者來源皆為大專院校生,並非達到精神科 確診之臨床樣本,因此建議未來可擴大受試者之取樣來源,並且增加臨 床樣本之組別,以增進樣本代表性、增加受試者差異性,進而釐清內在 心像與自我聚焦注意在不同族群上所造成之影響。
二、社交評估威脅作業的限制
本研究中,主要以社交評估作業(Mansell, et al.,1999)作為個體 的社交威脅來源,依照 Mansell 等人(2003)的研究,預期社交評估作業 應可有效區辨高、低社交焦慮者的注意力投注或自我覺察狀態,然而在 本研究中,卻觀察到社交評估作業普遍造成各組在公眾自我覺察與焦慮 情緒的提升,並未能有效增加群組間的差異,違背本實驗原先之預期。
另外,也有少部分受試者表示作業中的講演議題,因近期相關新聞事件 主旨相符故有機會接觸,甚至在課堂上有公開討論,因此在講演上反而 得心應手許多。另外也有少數受試者結束後表示並沒有被評估的感覺,
主要原因在於實驗過程中觀察到主試者並沒有紀錄、評分的動作。
是以日後在進行相關研究作業時,除了應盡量避免議題對受試者的 可接觸性外,並邀請受試者填寫錄影(錄音)同意書,主試者也應透過相 關行為(如增加評分動作等),以增進受試者對作業的相信程度。另外就 作業的形式而言,亦可思考以更生活化的社交作業取代社交評估作業,
以 George 與 Stopa(2008)研究為例,該研究作業即要求受試者與協同研 究者進行人際互動會談,而研究結果可以看出不同組別間在自我覺察與 焦慮的差異,是以日後可以思考以此作業作為社交作業之選擇。
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
三、以攝影機作為自我聚焦注意操弄的限制
本研究以攝影機作為自我聚焦注意操弄之主要方法,成效相當顯著,
與 過 去 研 究 結 果 相 當 一 致 (Alden, Teschuk, & Tee,1992 ; Burgio, Merluzzi, & Pryor,1986;Panayiotou & Vrana,1998;),攝影機能夠有 效提升受試者的自我聚焦注意,針對高社交焦慮的受試者效果尤其顯著。
然而實驗中也發現,極少數受試者對於以攝影機記錄實驗過程感到不適且 難以接受,認為攝影機的存在造成其困擾與情緒,並拒絕接受進一步的實 驗安排,由於受試者退出實驗程序,故無法比對受試者間的差異,因此在 日後實驗流程上,宜於實驗程序上先行清楚說明,並針對拒絕之受試者釐 清原因與動機,以減少個人不必要困擾與實驗偏誤。
四、實驗程序之限制
本研究目的之一,欲藉由實驗設計來探討引發高社交焦慮者形成負向 自 我 心 像 之 機 制 , 並 藉 以 檢 驗 Hackman 等 人 (1998) 以 及 Clark 與 Wells(1995)等學者的理論論述,由實驗結果而言,雖然較支持 Clark 等 學者之理論論述,也就是對於高社交焦慮者來說,自我聚焦注意歷程目前 較傾向為引發負向自我心像之重要關鍵因素,而非社交情境本身所引發的 焦慮情緒進而誘發負向自我心像(Hackmann et al.,1998),然而由於本研 究並未在實驗前針對受試者進行心像內容之調查,故難以合理推論心像內 容確實因為自我聚焦注意而產生改變,因此,建議日後欲探討此一議題之 研究者,應在實驗設計與程序安排上,排除不必要之混淆變項,以期能夠 精確掌握變項間之關聯與影響。
五、未來研究方向
本實驗主要在於探究不同社交焦慮者在自我聚焦注意歷程下,其心像 內容之差異,而近來,除了針對心像的內容進行探討外,部分學者認為高
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
社交焦慮的早期不愉快經驗與心像內容存在相當程度之關聯,並在治療上 取得相當程度之進展(Wild et al.,2008),故日後研究可針對心像與早年 經驗之間的關聯進行進一步的探討。
而本研究中雖針對心像內容之訊息進行負向/非負向之分類,然而並 未進一步針對受試者在自我聚焦注意歷程下,其負向訊息內容之類別進行 分析統計,故建議未來之研究可以在本研究之基礎上,進一步針對負向訊 息內容之種類進行仔細之探究,以釐清自我聚焦注意歷程在高社交焦慮者 中,與心像內容訊息類別之關聯。
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
參考文獻 中文部份
林肇賢和許文耀(民 96)。高社交焦慮者在指示遺忘作業之回憶表現--從遺 忘觀點探討記憶偏誤。國立政治大學心理學研究所碩士論文。
陳麗婉、王文中和吳靜吉(民 79)。自我意識量表之修訂。中國測驗學會測 驗年刊,37,211-226。
梁記雯和許文耀 (民 94) 高社交焦慮者的自傳式記憶特性--關於記憶清 晰度的探討。國立政治大學心理學研究所碩士論文。
曾孟頤和許文耀(民 97)。社交焦慮者對威脅臉的注意力處理歷程--過度警 覺-逃避假設與過度警覺-難以轉移假設的驗證。國立政治大學心理 學研究所碩士論文。
劉瑞楨(民 87)。憂鬱者與社會焦慮者的自我關注特性-偏好性、持續性 與彈性的探討。國立臺灣大學心理學研究所碩士論文。
鍾思嘉和龍長風(民 73)。修定情境與特質焦慮量表之研究。測驗年刊,
31 輯,27-36 頁。
英文部分
Alden,L. E., Teschuk, M., & Tee,K.(1992). Public self-awareness and withdrawal from social interactions. Cognitive Therapy and Research,16, 249-267.
American Psychiatric Association (2000). Diagnostic and
statistical manual of mental disorders, fourth edition, text revision. Washington, DC: American Psychiatric Association.
Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97, 90-113
Beck, A. T., Laude, R., & Bohnert, M. (1974). Ideational components
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
of anxiety neurosis. Archives of General Psychiatry, 31, 319–325.
Bögels, S. M., Alberts, M., & De Jong, P. J.(1996).
Self-consciousness, self-focused attention, blushing
propensity and fear of blushing. Personality and Individual Differences, 21, 573–581.
Bögels S. M.,& Lamers, C. T. J.(2002).The casual role of self-awareness in blushing-anxious, socially-anxious and social phobics individuals. Behaviour Research and Therapy,40, 1367-1384.
Bögels, S. M., & Mansell, W. (2004). Attention processes in the maintenance and treatment of social phobia: Hypervigilance, avoidance and self-focused attention. Clinical Psychology Review, 24, 827–856.
Bögels , S. M., Rijsemus, W., & De Jong, P. J.(2002). Self-focused attention and social anxiety:The effects of experimentally heightened self-awareness on fear, blushing, congnitions, and social skills. Cognitive Therapy and Research,26, 461-472.
Breitholtz, E., Westling, B. E., & Öst, L.-G. (1998). Cognitions in generalized anxiety disorder and panic disorder patients.
Journal of Anxiety Disorders, 12, 567–577.
Brewin, C. R. (2003). Posttraumatic stress disorder: Malady or myth?
New Haven, CT: Yale University Press.
Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010).
Intrusive images in psychological disorders: Characteristics, neural mechanisms, and treatment implications. Psychological
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
Review, 117, 210–232.
Burgio,K. L., Merluzzi, T. V., & Pryor, J. B.(1986). Effects of performance expectancy and self-focus attention on social interaction. Journal of Personality and Social Psychology, 250, 1216-1221.
Burnkrant, R. E., & Page, T. J., Jr. (1984). A modification of the Fenigstein, Scheier, and Buss Self-Consciousness Scales.
Journal of Personality Assessment, 48, 629-637.
Buss, A. H. (1980). Self-consciousness and social anxiety. San Francisco: Freeman.
Buzan, T ., & Buzan, B. (1997). The mindmap book. London: BBC Books.
Carver, C.S., & Glass, D.C. (1976). The self-consciousness scale:
A discriminant validity study. Journal of Personality Assessment, 40, 169-172.
Carver, C. S., Peterson, L. M.,Follansbee, D J., & Schneier M. E (1983). Effects of self-directed attention and resistance among persons high and low in test anxiety. Cognitive Therapy and Research,7, 333-354.
Carver, C. S., & Scheier, M. E (1981). Attention and
self-regulation: A control-theory approach to human behavior.
New York: Springer-Verlag.
Carver, C. S., & Scheier, M. F. (1982). Control theory: A useful conceptual framework for personality-social, clinical, and health psychology. Psychological Bulletin, 92, 111-135.
Carver, C. S. & Scheier, M. F. (1990). Origins and functions of positive and negative affect: A control-process view.
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
Psychological Review, 97, 19-35.
.Clark, D. M. & Wells, A. (1995) A cognitive model of social phobia.
In Social Phobia – Diagnosis, Assessment, and Treatment,pp.
69–93.New York: Guilford.
Coles, M. E., Turk, C. L., Heimberg, R. G., & Fresco, D. M. (2001).
Effects of varying levels of anxiety within social situations:
Relationship to memory perspective and attributions in social phobia. Behaviour Research and Therapy, 39, 651–665.
Cramer, K. M. (2000). Comparing the relative fit of various factor models of the Self-Consciousness Scale in two independent samples. Journal of Personality Assessment, 75, 295–307.
Darvill, T. J., Johnson, R. C., & Danko, G. P. (1992). Personality correlates of public and private selfconsciousness.
Personality and Individual Differences, 13, 383–384.
Day, S. J., Holmes, E. A., & Hackmann, A. (2004). Occurrence of imagery and its link with early memories in agoraphobia. Memory, 12, 416–427.
Duval, S., & Wicklund, R.A. (1972). A theory of objective self awareness. Oxford, England: Academic Press.
Farber, B. A. (1989). Psychological-mindedness: can there be too much of a good thing? Psychotherapy, 26, 210-217.
Fenigstein, A., Scheier, M. E, & Buss, A. H. (1975). Public and private self-consciousness: Assessment and theory. Journal of Consulting and Clinical Psychology, 43, 522-527.
Franzoi, S. L., & Brewer, L. C. (1984). The experience of
self-awareness and its relation to level of selfconsciousness:
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
An experiential sampling study. Journal of Research in Personality, 18, 522–540.
Froming, W. J., Walker, G. R., & Lopyan, K. J. (1982). Public and private self-awareness: When personal attitudes conflict with societal expectations. Journal of Experimental Social
Psychology, 18,476–487.
George, L., & Stopa, L. (2008). Private and public self-awareness in social anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 39, 57-72.
Gibbons, F. X.(1990). Self-focused attention and self-report validity: The "veridicality"hypothesis. Journal of Personality,51, 517-542.
Govern, J. M., & Marsch, L. A. (2001). Development and validation of the Situational Self-Awareness Scale. Consciousness and Cognition: An International Journal, 10, 366–378.
Hackmann, A., Surawy, C., & Clark, D. M. (1998). Seeing yourself through others'eyes: A study of spontaneously occurring images in spontaneously occurring images in social phobia.
Behavioural and Cognitive Psychotherapy, 26, 3–12
Hackmann, A., Clark, D. M. & McManus, F. (2000) Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601–610.
Harvey, A. G., Clark, D. M., Ehlers, A., & Rapee, R. M. (2000). Social anxiety and self-impression: Cognitive preparation enhances the beneficial effects of video feedback following a stressful social task. Behaviour Research and Therapy, 38, 1183–1192.
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
Hass, R. G.(1979). A test of bidirectional focus of attention assumption. Papar presented at the annual meeting of the Eastern Psychological Association,Philadelphia.
Hass, R. G., & Eisenstadt, D. (1991). The effects of self-focused attention on perspective taking and anxiety. The Netherlands:
Harwood Academic.
Heimberg, R. G., Hope, D. A., Rapee, R. M., & Bruch, M. A. (1988).
The validity of the social avoidance and distress scale and the fear of negative evaluation scale with social phobic patients.
Behaviour Research and Therapy, 26(5), 407-410.
Heinemann, W. (1979). The assessment of pri vate and public self-consciousness: A German replication. European Journal of Social Psychology, 9, 331-337.
Hirsch, C. R., & Clark, D. M. (2004). Informationprocessing bias in social phobia. Clinical Psychology Review, 24, 799_825.
Hirsch, C. R., & Mathews, A.(1997). Interpretive inferences when reading about emotional events. Behaviour Research and Therapy, 35, 1123-1132.
Hirsch, C. R., & Mathews, A.(2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology,109, 705-712.
Hirsch, C. R., Clark, D. M., & Mathews, A. (2006). Imagery and interpretation bias in social phobia: Support for the combined cognitive biases hypothesis. Behavior Therapy, 37, 223–236.
Hirsch, C. R., Clark, D. M., Mathews, A., & Williams, R. (2003).
Selfimages play a causal role in social phobia. Behaviour
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
Research and Therapy, 41, 909–921.
Hirsch, C., Meynen, T., & Clark, D. M. (2004). Negative self-imagery in social anxiety contaminates social interactions. Memory, 12, 496–506.
Hofmann, S. G. (2000). Self-focused attention before and after treatment of social phobia. Behaviour Research and Therapy, 38, 1123–1132.
Holmes, E. A., Brewin, C. R., & Hennessy, R. G. (2004). Trauma films, information processing, and intrusive memory development.
Journal of Experimental Psychology: General, 133, 3–22.
Holmes, E. A., & Hackmann, A. (2004). A healthy imagination? Memory, 12, 387–388.
Holmes, E. A., & Mathews, A. (2005). Mental imagery and emotion:
A special relationship? Emotion, 5, 489–497.
Holmes, E. A., Mathews, A., Mackintosh, B., & Dalgleish, T. (2008).
The causal effect of mental imagery on emotion assessed using picture-word cues. Emotion, 8, 395–409.
Hope, D. A., & Heimberg, R. G. (1988). Public and private
self-consciousness and social phobia. Journal of Personality Assessment, 52, 626-639.
Hope, D. A., Heimberg, R.G., & Klein,J. F.(1990). Social anxiety and the recall of interpersonal information. Journal of Cognitive Psychology,4, 185-195.
Horowitz, M. J.(1970). Image formation and cognition. New York:
Appletion Century Crofts.
Ingram, R.E. (Ed.). (1990). Contemporary psychological approaches todepression: Theory, research, and treatment. New York: Plenum
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
Press.
Ingram, R.E., & Smith, T. W.(1984). Depression and internal versus external focus of attention. Cognitive Therapy and Research, 8,139-152.
Kimble, C. E., Hirt, E. R., & Arnold, E. M. (1985).
Self-consciousness, public and private self-awareness, and memory in a social setting. Journal of Psychology, 119, 59–
69.
Kosslyn, S. M. (1994). Image and brain: The resolution of the imagery debate. Cambridge, MA: MIT Press.
Layden,M. A., Newman,C. F., Freeman, A.,& Byers-Morse,S.(1993).
Cognitive therapy of borderline personality disorder. Boston:
Allyn & Bacon.
Leary, M.R., Kowalski, R.M., & Cambell, C.D. (1988).
Self-presentational concerns and social anxiety: The role of generalized impression expectations. Journal of Research in Personality, 22, 308-321.
Lyubomirsky, S., & Nolen-Hoeksema, S. (1995). Effects of
self-focused rumination on negative thinking and interpersonal problem solving. Journal of Personality and Social Psychology, 69, 176–190.
Mansell, W., Clark, D. M., & Ehlers, A. (2003). Internal versus external attention in social anxiety: an investigation using a novel paradigm. Behaviour Research and Therapy, 41, 555-572.
Mansell, W., Clark, D. M., Ehlers, A., & Chen, Y. P. (1999). Social anxiety and attention away from emotional faces. Cognition and
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
Emotion, 13(6), 673-690.
Mellings, T. M. B., & Alden, L. E. (2000). Cognitive processes in social anxiety: The effects of self-focus,rumination and anticipatory processing. Behaviour Research and Therapy, 38, 243–257.
McEwan, K. L., & Devins, G. M. (1983). Is increased arousal in social anxiety noticed by others? Journal of Abnormal Psychology, 92, 417–421.
Mittal, B., & Balasubramanian, S. K. (1987). Testing the
dimensionality of the Self-Consciousness Scales. Journal of Personality Assessment, 51, 53-68.
Monfries, M. M., & Kafer, N. F. (1994). Private self-consciousness and fear of negative evaluation. Journal of Psychology, 128, 447–454.
Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: a meta-analysis. Psychological Bulletin, 128, 638-662 Murphy, R., Hirsch, C. R., Mathews, A., Smith, K., & Clark, D. M.
(2007). Facilitating a benign interpretation bias in a high socially anxious population. Behaviour Research and Therapy, 45, 1517–1529.
Nyenhuis, D. L., Yamamoto, C., Stern, R. A., Luchetta, T., & Arruda, J. E. (1997). Standardization and validation of the visual analog mood scales. The Clinical Neuropsychologist, 11(4), 407-415.
Nystedt, L., & Ljungberg, A. (2002). Facets of private and public self-consciousness: construct and discriminant validity.
‧ 國
立 政 治 大 學
‧
N a tio na
l C h engchi U ni ve rs it y
European Journal of Personality, 16, 143-159.
Nystedt, L., & Smari, J. (1989). Assessment of the Fenigstein, Scheier, and Buss Self-Consciousness Scale: a Swedish
translation. Journal of Personality Assessment, 53, 342-352.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582.
Nolen-Hoeksema, S., Parker, L., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of
Personality and Social Psychology, 67, 92–104.
Osman,S., Cooper, M., Hackmann, A., & Veale,D.(2004) Spontaneously occurring images and early memories in people with body dysmorphic disorder. Memory,4, 428-436.
Panayiotou, G., & Kokkinos, C. M. (2006). Self-consciousness and psychological distress: a study using the Greek SCS.
Personality and Individual Differences, 41, 83-93.
Panayiotou, G., & Vrana, R. S.(1998). Effects of self-focus attention on the startle reflex, heart rate and memory performance among anxious and nonanxious individuals.
Psychophysiology,35, 1-9.
Papageorgiou, C., & Wells, A.(2002). Effects of Heart Rate
Information on Anxiety, Perspective Taking, and Performance in High and Low Social-Evaluative Anxiety. Behaviour Therapy,33, 181-199.
Patel, T., Brewin, C. R., Wheatley, J., Wells, A., Fisher, P., & Myers, S. (2007). Intrusive images and memories in major