Standard cognitive-behavioral therapy gives most of its emphasis to the targeting of negative cognitions for reduction. Yet there may be cases when simply reducingnegative cognitions may not be enough. In the present article, we present several “optimism training” techniques that may be particularly useful for helping patients by increasingthe frequency of positive cognitions and self-statements that foster optimism and motivate adaptive behavior. Specific case examples for clinical use of the optimism techniques are provided. Results of a preliminary outcome study of optimism training are also provided.

The articles in this special issue address empirically the application of attachment theory to cognitive vulnerability models of anxiety and depression. The findings from these studies converge on the theme that attachment theory has considerable utility in potentially extending and refining current cognitive vulnerability models through a consideration of interpersonal context and the cognitive mechanisms by which negative interpersonal experiences may confer increased risk to later anxious and depressive symptoms.

Considerable research has supported links between disrupted parental bonding, attachment insecurity, and psychopathology. Still, few studies have attempted to integrate these findings within a broader cognitive theory of anxiety. Two studies are presented that examine the links between cognitive vulnerability to anxiety (i.e., the Looming Maladaptive Style: LMS) and parental bonding (Study 1) and perceived parental attachment orientations during childhood (Study 2). Results of Study 1 suggest that low levels of maternal overprotection and high levels of paternal overprotection significantly predict LMS scores, beyond the effects of current anxious and depressive symptoms. Results of Study 2 suggest that retrospective reports of maternal attachment insecurity are associated with significantly higher LMS scores, anxious and depressive symptoms, adult romantic attachment insecurity, and potentially high-risk relationship behaviors. These results are interpreted from the perspective of the Looming Vulnerability Model of anxiety and may increase understanding of the linkage between childhood developmental antecedents and cognitive risk for anxiety.

Bowlby’s attachment theory contends that all individuals develop working models of self and significant others, based on early experiences, that have important implications for understanding adult psychopathology. From a social cognitive perspective these “working models” can be conceptualized in terms of relational schemas that have the same functions as other types of schemas (e.g., organizing information, guiding future behavior, etc.). Cognitive vulnerability models have proposed a pessimistic explanatory style that confers vulnerability to depression and a looming maladaptive style that confers vulnerability to anxiety. The present study examines the pattern of relationships between adult romantic attachment, cognitive vulnerabilities to anxiety and depression, self-reported anxious and depressive symptoms, and both general and specific relationship outcomes. Results suggest that higher levels of attachment insecurity were associated with increased psychological symptoms, higher levels of cognitive vulnerabilities, and greater general and relationship impairments. Moreover, cognitive vulnerabilities partially mediated the relationship between adult attachment and anxious and depressive symptoms, suggesting that insecure attachments may represent a developmental antecedent to cognitive vulnerabilities to anxiety and depression.

Several recent social phobia models (e.g., Clark & Wells, 1995; Rapee & Heimberg, 1997) share the assumption that sensitivity to the social evaluative context is produced by the socially anxious person’s generation of distorted mental images. These distorted images occur in the form of an external “observer” perspective in terms of how the person imagines being perceived by others. The starting point for the model of looming vulnerability (Riskind, 1997; Riskind, Williams, Gessner, Chrosniak, & Cortina, 2000) is that anxiety is generated not just by static images of such a dreadful moment caught in stop motion (e.g., of being negatively viewed by others), but by the perception that the threat is rapidly advancing and unfolding such that it is increasing in danger. The present case study illustrates the potential utility of this “looming vulnerability” conceptualization for treating a case of severe social performance anxiety in a young woman facing an upcoming dance recital.