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Sez. generale - Casi Clinici

N. 51 (2022)

Un caso clinico di ansia sociale

DOI
https://doi.org/10.3280/qpc51-2022oa15184
Inviata
9 January 2023
Pubblicato
18-01-2023

Abstract

In questo articolo viene presentato il caso clinico di Monica, una donna di 32 anni che richiede una psicoterapia per un Disturbo di ansia sociale che sta mettendo a rischio il suo nuovo lavoro. L’ansia sociale è definita come una sindrome cognitivo-affettiva contraddistinta da apprensione e intensa paura che si manifesta in situazioni sociali in cui la persona è sottoposta alla valutazione oppure allo sguardo degli altri (Grimaldi, 2008; Leary & Kowalski, 1995). Gli approcci cognitivisti hanno studiato e approfondito le tematiche dell’ansia sociale, con la formulazione di diverse teorie e modelli (Beck & Emery, 1985; Clark & Wells, 1995; Hofmann, 2007; Moscovitch, 2009; Orazi & Mancini, 2011; Rapee & Heimberg, 1997; Rapee, 2010; Schlenker & Leary, 1982b; Stopa, 2009). A partire da questi modelli, sono stati implementati trattamenti efficaci per l’ansia sociale, tra cui i protocolli di trattamento della terapia cognitivo-comportamentale che sono ad oggi i più validati e statisticamente più efficaci. Tuttavia, questi modelli si focalizzano sui meccanismi di mantenimento, senza indicare come essi potrebbero svilupparsi, né specificare una base eziologica del disturbo (Wong et al., 2017), con ripercussioni sull’impostazione del trattamento. Il caso di Monica viene di seguito formulato facendo riferimento al Modello Cognitivo Integrato (Grimaldi, 2019) basato appunto sull’integrazione di modelli e ricerche provenienti da diversi ambiti al fine di costruire un modello psicopatologico che spieghi lo sviluppo e il mantenimento dei vari disturbi d’ansia sociale, e sulla base del quale mettere a punto un intervento terapeutico maggiormente efficace.

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