Social Skills Training Approaches

  • Robert E. Becker
  • Richard G. Heimberg


In this chapter we outline the application of social skills training approaches to the treatment of nonpsychotic unipolar depressive disorder. Social skills training is a collection of techniques including instructions, modeling, behavior rehearsal, corrective feedback, social reinforcement, and selected cognitive restructuring techniques that have been effectively utilized to modify the social behavior of clients with a broad range of interpersonal difficulties. Social skills training has been applied to the treatment of persons suffering from major depressive episodes, and preliminary results suggests that it may be as effective in remediating depressive symptoms as some pharmacologically based treatment approaches (Bellack, Her-sen, & Himmelhoch, 1983; Hersen, Bellack, Himmelhoch, & Thase, 1984). At the Mood Disorders Clinic of Albany Medical College, we are currently engaged in a study of the effectiveness of social skills training and antidepressant medication for the treatment of chronic intermittent depressive disorder. In addition to cognitive therapy (see Chapter 7, this volume), social skills training may represent a viable alternative to drug treatment for some depressed individuals.


Depressive Symptom Social Skill Depressed Individual Homework Assignment Social Skill Training 
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  1. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
  2. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.PubMedGoogle Scholar
  3. Beck, J. G., & Heimberg, R. G. (1983). Self-report assessment of assertive behavior: A critical analysis. Behavior Modification, 7, 451–487.CrossRefGoogle Scholar
  4. Becker, R. E., & Heimberg, R. G. (1984). Cognitive-behavioral treatments for depression: A review of controlled clinical research. In A. Dean (Ed.), Depression in multidisciplinary perspective. New York: Brunner/Mazel.Google Scholar
  5. Becker, R. E., Heimberg, R. G., & Tassinari, R. (in press). Social skills training for depression among chronically ill or injured patients. In D. Schubert (Ed.), Depression in the medical patient. New York: Plenum Press.Google Scholar
  6. Bellack, A. S., (1981). A critical appraisal of strategies for assessing social skills. Behavioral Assessment, 1, 157–176.Google Scholar
  7. Bellack, A. S. (1983). Recurrent problems in the behavioral assessment of social skill. Behaviour Research and Therapy, 21, 29–41.CrossRefGoogle Scholar
  8. Bellack, A. S., & Hersen, M. (1977). Self report inventories in behavioral assessment. In J. Cone & R. Hawkins (Eds.), Behavioral assessment: New directions in clinical psychology (pp. 52–76). New York: Brunner/Mazel.Google Scholar
  9. Bellack, A. S., Hersen, M., & Himmelhoch, J. M. (1981). Social skills training compared with pharma-cotherapy and psychotherapy in the treatment of unipolar depression. American Journal of Psychiatry, 138, 1562–1567.PubMedGoogle Scholar
  10. Bellack, A. S., Hersen, M., & Himmelhoch, J. M. (1983). A comparison of social skills training, phar-macotherapy and psychotherapy for depression. Behaviour Research and Therapy, 21, 101–107.PubMedCrossRefGoogle Scholar
  11. Comrey, A. (1957). A factor analysis of items on the MMPI depression scale. Educational and Psychological Measurement, 17, 578–585.Google Scholar
  12. Coyne, J. C. (1976). Depression and the response of others. Journal of Abnormal Psychology, 85, 186–193.PubMedCrossRefGoogle Scholar
  13. DeMonbreun, B. G., & Craighead, W. E. (1977). Distortion of perception and recall of positive and neutral feedback in depression. Cognitive Therapy and Research, 1, 311–329.CrossRefGoogle Scholar
  14. Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptoms Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–15.PubMedCrossRefGoogle Scholar
  15. Eisler, R., Hersen, M., Miller, P., & Blanchard, E. (1975). Situational determinants of assertive behavior. Journal of Consulting and Clinical Psychology, 43, 330–340.PubMedCrossRefGoogle Scholar
  16. Endicott, J., & Spitzer, R. (1978). A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia. Archives of General Psychiatry, 35, 837–844.PubMedGoogle Scholar
  17. Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.PubMedGoogle Scholar
  18. Ferster, C. B. (1965). Classification of behavioral pathology. In L. Krasner & L. P. Ullmann (Eds.), Research in behavior modification: New developments and implications (pp. 6–26). New York: Holt, Rine-hart & Winston.Google Scholar
  19. Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28, 857–870.PubMedCrossRefGoogle Scholar
  20. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.PubMedCrossRefGoogle Scholar
  21. Hammen, C. L. (1981). Assessment: A clinical and cognitive emphasis. In L. P. Rehm (Ed.), Behavior therapy for depression: Present status and future directions (pp. 255–274). New York: Academic Press.Google Scholar
  22. Hersen, M., Bellack, A. S., & Himmelhoch, J. M. (1982). Skills training with unipolar depressed women. In J. P. Curran & P. M. Monti (Eds.), Social skills training: A practical handbook for assessment and treatment (pp. 159–183). New York: Guilford Press.Google Scholar
  23. Hersen, M., Bellack, A. S., Himmelhoch, J. M., & Thase, M. E. (1984). Effects of social skills training, amitriptyline, and psychotherapy in unipolar depressed women. Behavior Therapy, 15, 21–40.CrossRefGoogle Scholar
  24. Jacobsen, N. S., & Anderson, E. A. (1982). Interpersonal skill and depression in college students: An analysis of the timing of self-disclosures. Behavior Therapy, 13, 271–282.CrossRefGoogle Scholar
  25. Lea, G., & Paquin, M. (1981). Assertiveness and clinical depression. The Behavior Therapist, 4, 9–10.Google Scholar
  26. Lewinsohn, P. M. (1975). The behavioral study and treatment of depression. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 1). New York: Academic Press.Google Scholar
  27. Libet, J., & Lewinsohn, P. M. (1973). The concept of social skill with special reference to the behavior of depressed persons. Journal of Consulting and Clinical Psychology, 40, 304–312.PubMedCrossRefGoogle Scholar
  28. Lubin, B. (1965). Adjective checklists for measurement of depression. Archives of General Psychiatry, 12, 57–62.PubMedGoogle Scholar
  29. Metcalfe, M., & Goldman, E. (1965). Validation of an inventory for measuring depression. British Journal of Psychiatry, 111, 240–242.PubMedCrossRefGoogle Scholar
  30. Morrison, R. L.. & Bellack, A. S. (1981). The role of social perception in social skill. Behavior Therapy, 12, 69–80.CrossRefGoogle Scholar
  31. O’Hara, M. W., & Rehm, L. P. (1983). Hamilton Rating Scale for Depression: Reliability and validity of judgments of novice raters. Journal of Consulting and Clinical Psychology, 51, 318–319.PubMedCrossRefGoogle Scholar
  32. Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  33. Raskin, A., Schulterbrandt, J., Reatig, N., & Rice, C. E. (1967). Factors of psychopathology in interview, ward-behavior, and self-report ratings of hospitalized depressives. Journal of Consulting Psychology, 31, 270–278.PubMedCrossRefGoogle Scholar
  34. Rehm, L. P. (1977). A self control model of depression. Behavior Therapy, 8, 787–804.CrossRefGoogle Scholar
  35. Sanchez, V., & Lewinsohn, P. M. (1980). Assertive behavior and depression. Journal of Consulting and Clinical Psychology, 48, 119–120.PubMedCrossRefGoogle Scholar
  36. Spitzer, R., & Endicott. J. (1977). The Sads-Change Interview. (Available from [Research Assessment and Training Unit, New York State Psychiatric Institute, 722 West 168th Street, New York, New York 10032])Google Scholar
  37. Spitzer, R., Endicott, J., & Robins, E. (1978). Research diagnostic criteria: Rationale and reliability. Archives of General Psychiatry, 34, 773–782.Google Scholar
  38. Williams, J. G., Barlow, D. H., & Agras, W. S. (1972). Behavioral measurement of severe depression. Archives of General Psychiatry, 27, 330–333.PubMedGoogle Scholar
  39. Youngren, M. A., & Lewinsohn, P. M. (1980). The functional relationship between depression and problematic interpersonal behavior. Journal of Abnormal Psychology, 89, 333–341.PubMedCrossRefGoogle Scholar
  40. Zung, W. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63–70.PubMedGoogle Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Robert E. Becker
    • 1
  • Richard G. Heimberg
    • 2
  1. 1.Behavior Therapy Unit, Department of PsychiatryMedical College of Pennsylvania at EPPIPhiladelphiaUSA
  2. 2.Center for Stress and Anxiety DisordersState University of New York at AlbanyAlbanyUSA

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