Imagery Techniques for Anxiety in Social Work Counseling with a Filipino Service User
Keywords:
anxiety, imagery, social work counseling, guided imagery, imagery rescripting, future-oriented positive imagery, case studyAbstract
Anxiety is an inherent emotional response to perceived threats, but when intense and excessive, it can become maladaptive and impair daily functioning. Despite its prevalence in the Philippines, research on social work-specific interventions for anxiety remains wanting. Thus, this paper employs a case study approach to illustrate the use of imagery in social work counseling with a Filipino service user experiencing anxiety. The intervention involved three different imagery techniques aimed at constructing mental images that are useful in altering emotional states. Results indicate a reduction in self-reported distress and an increase in confidence and coping, highlighting the potential use of imagery as a cost-effective intervention in social work counseling. However, several limitations are acknowledged from the case. The paper concludes that imagery techniques can complement social work counseling to help manage anxiety and suggests steps for future research and practice.
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An Act Establishing a National Mental Health Policy for the Purpose of Enhancing the Delivery of Integrated Mental Health Services, Promoting and Protecting the Rights of Persons Utilizing Psychosocial Health Services, Appropriating Funds Therefore and Other Purposes, Rep. Act No. 11036, 4 (m) (June 20, 2018) (Phil.), https://www.officialgazette.gov.ph/2018/06/20/republic-act-no-11036
Cloninger, R. (1988). Anxiety and theories of emotion. In R. Noyes Jr, M. Roth, & G. D. Burrows (Eds.), Handbook of anxiety: Classification, etiological factors, and associated disturbances (Vol. 2, pp. 1-29). Elsevier Science Publishers B.V.
Crowe, S., Cresswell, K., Robertson, A., Huby, G., Avery, A., & Sheikh, A. (2011). The case study approach. BMC Medical Research Methodology, 11. https://doi.org/10.1186/1471-2288-11-100
Del Castillo, M. L. T. (2000). Empowering institutionalized children through social work intervention. CSWCD Development Journal, 5, 61-78.
Department of Health (DOH). (2022). Manual for medical social workers (6th Ed.). DOH Health Facility Development Bureau.
Gilgun, J., & Abrams, L. (2002). The nature and usefulness of qualitative social work research: Some thoughts and an invitation to dialogue. Qualitative Social Work, 1(1), 39-55. https://doi.org/10.1177/1473325002001001743
Gutierrez-Garcia, A., & Contreras, C. (2013). Anxiety: An adaptive emotion. In F. Durbano (Ed.), New insights into anxiety disorders. InTech. DOI: 10.5772/53223
Hantsoo, L., & Epperson, C. N. (2017). Anxiety disorders among women: A female lifespan approach. Focus (American Psychiatric Publishing), 15(2), 162-172. doi: 10.1176/appi.focus.20160042
Holmes, E., Arntz, A., & Smucker, M. (2007). Imagery rescripting in cognitive behaviour therapy: Images, treatment techniques and outcomes. Journal of Behavior Therapy and Experimental Psychiatry, 38, 297-305. doi:10.1016/j.jbtep.2007.10.007
Holmes, E. A. & Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30, 349-362. https://doi.org/10.1016/j.cpr.2010.01.001
Hope, D., Heimberg, R., & Turk, C. (2019). Managing social anxiety. Oxford University Press.
Huss, E., & Sarid, O. (2014). Visually transforming artwork ang guided imagery as a way to reduce work related stress: A quantitative pilot study. The Arts in Psychotherapy, 41(4), 409-412. DOI: 10.1016/j.aip.2014.07.004
Kroener, J., Hack, L., Mayer, B., & Sosic-Vasic, Z. (2023). Imagery rescripting as a short intervention for symptoms associated with mental images in clinical disorders: A systematic review and meta-analysis. Journal of Psychiatric Research, 166, 49-60. https://doi.org/10.1016/j.jpsychires.2023.09.010
Kumari, D., & Patil, J. (2023). Guided imagery for anxiety disorder: Therapeutic efficacy and changes in quality of life. Industrial Psychiatry Journal, 32(Suppl. 1), 191-195. DOI: 10.4103/ipj.ipj_238_23
Landkroon, E., van Dis, E. A. M., Meyerbröker, K., Salemink, E., Hagenaars, M. A., & Engelhard, I. M. (2022). Future-oriented positive mental imagery reduces anxiety for exposure to public speaking. Behavior Therapy, 53(1), 80–91. https://doi.org/10.1016/j.beth.2021.06.005
Mendoza, N., Bernardo, A., & Ian, J. (2021). Unattended mental health needs: Adult students in the Philippines during the early weeks of the COVID-19 pandemic. Transactions National Academy of Science and Technology Philippines, 43(2), 1–6. https://doi.org/10.57043/transnastphl.2021.1135
Miller-Karas, E. (2015). Building resilience to trauma: The Trauma and Community Resiliency Models. Routledge.
Moritz, S., Ahlf-Schumacher, J., Hottenrott, B., Peter, U., Franck, S., Schnell, T., Peter, H., Schneider, B. C., & Jelinek, L. (2018). We cannot change the past, but we can change its meaning. A randomized controlled trial on the effects of self-help imagery rescripting on depression. Behaviour Research and Therapy, 104, 74–83. https://doi.org/10.1016/j.brat.2018.02.007
Özü, Ö. (2010). Guided imagery as a psychotherapeutic mind-body intervention in health psychology: A brief review of efficacy research. Europe’s Journal of Psychology, 6(4). https://doi.org/10.5964/ejop.v6i4.232
Pieczynski, J., Cosio, D., Pierce, W., & Serpa, J. G. (2020). Mind-body interventions for rehabilitation medicine: Promoting wellness, healing, and coping with adversity. Physical Medicine and Rehabilitation Clinics of North America, 31, 563-575. https://doi.org/10.1016/j.pmr.2020.07.008
Reed, T. (2007). Imagery in the clinical setting: A tool for healing. Nursing Clinics of North America, 42(2), 261–277. https://doi.org/10.1016/j.cnur.2007.03.006
Salartash, V., Yekta, M. A., & Zabihi, R. (2022). The effectiveness of cognitive behavior therapy on anxiety, physical symptoms, worry, and attention deficit in women with generalized anxiety disorder. The Open Public Health Journal, 15(1). https://doi.org/10.2174/18749445-v15-e2209080
Saulsman, L. M., Ji, J. L., & McEvoy, P. M. (2019). The essential role of mental imagery in cognitive behaviour therapy: What is old is new again. Australian Psychologist, 54(4), 237–244. https://doi.org/10.1111/ap.12406
Schooler, N. R. (1998). Group comparisons: Randomized designs. Comprehensive Clinical Psychology, 47–61. https://doi.org/10.1016/b0080-4270(73)00212-1
Simister, N. (2017). Case-based evaluation. INTRAC. https://www.intrac.org/wpcms/wp-content/uploads/2017/01/Case-based-evaluation
World Health Organization (WHO). (2023, September 27). Anxiety disorders [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders
WHO Regional Office for the Western Pacific. (2021). Prevention and management of mental health conditions in the Philippines. The case for investment. https://www.undp.org/sites/g/files/zskgke326/files/migration/ph/mental-health-philippines-report.pdf
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