(2021) Science and education, 4, 5-17. Odessa.
Oleksandra Kuzo,
PhD (Candidate of Psychological Sciences), Assistant Professor,
Lviv State University of Internal Affairs,
26, Horodotska Str., Lviv, Ukraine,
Liubov Kuzo,
PhD (Candidate of Psychological Sciences), Associate Professor,
Lviv State University of Internal Affairs,
26, Horodotska Str., Lviv, Ukraine
COGNITIVE ASPECT OF PSYCHOSEMANTIC RECONSTRUCTION
OF GENERALIZED ANXIETY DISORDER
SUMMARY:
The basic aspects of the importance of personal and semantic factors in the formation of generalized anxiety disorder are highlighted in the article. The model of understanding and psychotherapy of excessive worries, based on the reconstruction of the value system is proposed. Such reconstruction is possible due to the "rewriting" of the personal narrative, which in external manifestation functions as the equivalent of a speech act. It is through the psychosemantic aspect that the way to the field of meanings and understanding of "excessive worries" is opened and the access to the subjective world of a person in his/her own system of semantic and linguistic coordinates is provided. The cognitivebehavioral methodology of recognition of generalized anxiety disorder, Penn State Worry Questionnaire (PSWQ), WWS-II (worry scale), author's questionnaire and psychotherapeutic interventions were used, which stand for the main tool for reconstruction of semantic spaces and individual value system. The study involved 150 people aged 19-24. The results show that significant aspects of personal and semantic factors in the formation of generalized anxiety disorder can be considered as follows: client perception of worries as those that help to solve problems, motivate to action and can prevent negative results. Such positive beliefs about the worries can significantly affect the dynamics of psychotherapeutic work. The article presents a clinical case and demonstrates the effectiveness of psychotherapeutic interventions. An algorithm for dealing with clients is suggested, which is grounded on a current technique for the cure of generalized anxiety disorder and includes: qualified examination; reevaluation of the effectiveness of the worries; assistance in a realistic perception of ambiguous situations that are not necessarily threatening; reconsidering of attitudes to situations of uncertainty; use of exposures technique aimed at profound coping with the stimulus in a nonverbal way; skills of overcoming negative emotions without escaping from them. Such psychotherapy is also based on the provisions of psychosemantic analysis on the possibility of reconstructing the semantic space of algorithms of emotional-cognitive response. The article attempts to combine the clinical paradigm and the scientific position, the cognitive-behavioral model of psychotherapy and the position of psycholinguistics on cognitive processing of information on the basis of mental representations formed by the individual. The applied psycholinguistics has meaningful prospects for applied cognitive research.
KEYWORDS:
generalized anxiety disorder, significance of worries, psychosemantic space, mental representations, narrative, psychotherapeutic care.
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REFERENCES:
1. Artemeva, Yu.(1999). Osnovy psikhologii subekt ivnoy semantiki [Fundamentals of the psychology of subjective semantics]. Moscow: Nauka; Smysl [in Russian].
2. Auxemery, Y.; Gayraud, F. (2020). Traumatic Psycholinguistic Syndrome (SPLIT). L'Évolution Psychiatrique, 4 (85), 509- 528. DOI:https://doi.org/10.1016/j.evopsy.2020.05.002 [in Eng lish].
3. Borkovec, T. D. & Costello, E. (1993). Efficacy of applied relaxation and cognitive behavioral th erapy in the treatment of generalised anxiety disorder. Journal of Consulting and Clinical Psychology, 61, 611- 619 [in English].
4. Borkovec, T. D & Inz, J. (1990) The effect ofworry on cardiovascular response to phobic imag ery. Beahaviour Research and Therapy, 28, 69- 73 [in English].
5. Borkovec, T. D., Robinson, E., Pruzinsky, T. & Depree, J. (1983) Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy, 21, 9-16 [in English].
6. Braun, A., O’Lyry, A., Barlou, Kh. (2008). Heneralyzovannoe trevozhnoe rasstroistvo [Generalized Anxiety Disorder]. Klynycheskoe rukovodstv o po psykhycheskym rasstroistvam – Clinical Manual of Mental Disorders. (pp. 236-307). Saint Petersburg: Piter [in Russian].
7. Butler, G., Fennell, M., Robson, P., & Gelder, M. (1991). Comparison of behavior therapy and cognitive behavior t herapy in the treatment of generalized anxiety disorder. Jo urnal of Consulting and Clinical Psychology, 59(1), 167– 175. DOI:https://doi.org/10.1037/0022- 006X.59.1.167 [in English].
8. Castro, Nichol; Stella, Massimo; Siew, Cynthia S. Q. (2020). Quantifying the Interplay of Semantics and Phonology During Failures of Word Retrieval by People With Aphasia Using a Multiplex Lexical Network. Cognitive science, 4(9). DOI: https://doi.org/10.1111/cogs.12881 [in English].
9. Costa, A. (2016). Psycholinguistics and cognitive science MANUAL DE LINGUISTICA PORTUGUESA. Book. Series: Manuals of Romance Linguistics Volume: 16 . P. 3–336 68[in English].
10. Craske, Barlow & O’Leary (1992). Mastery of your anxiety and worry. San Antonio, TX: Psychological Corporation/Graywind [in English].
11. Dugas, M. J., & Robichaud, M. (2007). Cognitivebehavioral treatment for generalized anxiety disorder: From science to practice.New York: Routledge [in English].
12. Dutta, M.; Murray, L.; Miller, W.; et al. (2020). Cognitive-Linguistic Functions in Adults With Epilepsy: Preliminary Electrophysiological and Behavioral Findings. Journal of Speech, Language, and Hearing Research, 7 (63), 2403– 2417. DOI: https://doi.org/10.1044/2020_JSLHR-19- 00351 [in English].
13. Freeston, M. N., Rheaume, J., Letarte, H., Dugas, M., & Ladouceur, R. (1994). Why do people worry? Personality and individual Differences, 17, 791- 802 [in English].
14. Kreih, D. & Eilvord, E. (2017). Heneralizovanyi tryvozhnyi rozlad [Generalized Anxiety Disorder]. Lviv: Svichado [in Ukrainian].
15. Kreitler, S., & Kreitler, H. (1985). The psychosemantic determinants of anxiety: A cognitive approach. In Ploeg van der H., R. Schwarzer & C.D. Spielberger (Eds.), Advances in Text Anxiety Research. (Vol. 4), (pp. 117–135). Swets and Zeitlinger and Erlbaum, the Netherlands and Hillsdale, N. [in English].
16. Kuzo, O. B. (2017). Porivnialnyi analiz profesiinoi diialnosti kohnityvnopovedinkovoho terapevta ta heshtalt-terapevta [Cognitivebehavioral therapist vs gestalt therapist, comparative analysis of their professional activity]. Nauk ovyi visnyk Khersonskogo derzhavnogo universytetu - Scientific journal of Kherson State University, 2 (4), 174– 179 [in Ukrainian].
17. Leontev, A. (2003). Psihologiya smysla: priroda, stroenie i dinamika smyslovoj realnosti [Psychology of meaning: nature, structure and dynamics of semantic reality]. Moscow: Smysl [in Russian].
18. Maksymenko, К., & Kudermina, O. (2019). Psykhosemantychna rekonstruktsiya uyavlen pro z dorovya u pattsiientiv iz somatodeniieiu [Psychosemantic Reconstruction of Health Concepts in Patients with Somatogenia]. Psikholіngvіstika – Psycholinguistics, 25(1), 194–214. DOI: https://doi.org/10.31470/2309- 1797-2019-25-1-194-214 [in Ukrainian].
19. Maksymenko, S., & Orap, M. (2018). Psykholingvistychni predyktory zdorovia [Psycholinguistic Predictors of Health]. Psikholіngvіstika – Psycholinguistics, 24(1), 252– 268. DOI:https://doi.org/10.31470/2309-1797-2018-24-1- 252-268 [in Ukrainian].
20. Menn, L. (2010). Child Language, Aphasia, and General Psycholinguistics. Crosslinguistic Approaches to the Psychology of Language: Research In The Tradition of Dan Isaac Slobin.P. 375-38 . Retrieved from https://spot.colorado.edu/~menn/cv.html [in English].
21. Meyer, T. J., Miller, M. L., Metzger, R. L. & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Biheviour Research and Therapy, 8, 487-495 [in English].
22. Purdon, C. (2000) Metacognition and the persistence of worry. Paper presented at the annual conference of the British Association of Behavioural and Cognitive Psychotherapy, London [in English].
23. Raghuraman, S.; Stuttard, N.; Hunt, N. (2020). Evaluating narrativeexposure therapy for posttraumatic stress disorder and depression symptoms: A meta-analysis of the evidence base. CLINICAL PSYCHOLOGY & PSYCHOTHERAPY. DOI: https://doi.org/10.1002/cpp.2 486 [in English].
24. Sagalakova, O. A. (2005) Sotsialnaya fobiya: psikhosemanticheskiy analiz algoritmov emotsionalnokognitivnogo reagirovaniya na sotsialnye situatsii [Social phobia: psychosemantic analysis of algorithms of emotionalcognitive response to social situations]. Candidate`s thesis. Tomsk [in Russian].
25. Shmelev, A. G. (2002). Kognitivnaya slozhno st [Cognitive complexity]. Psikhodiagnostika lichnostnykh chert - Psychodiagnostics of personality traits. (pp. 83-83). Saint Petersburg: Rech [in Russian].
26. Vestbruk, D., Kennerli, H., Kirk Dzh. (2014). Vstup u kohnityvnopovedinkovu terapiiu [An Introduction to Cognitive Behavioral Therapy]. Lviv: Svichado [in Ukrainian].
27. Wells, A. & King, P. (2006). Metacognitive therapy for generalized anxiety disorder: An open trial. Journal of Behavior Therapy and Experimental Psychiatry, 37, 206-212.