Examination for Professional Practice of Psychology (EPPP) Practice Test

Which cognitive distortion may play a role in social anxiety disorder?

1. All-or-nothing thinking

2. Overgeneralization

3. Mind-reading

4. Fortune-telling

The correct answer is: Mind-reading

Mind-reading is a cognitive distortion that significantly contributes to social anxiety disorder. This distortion involves the belief that one can accurately know what others are thinking about them, often leading to negative interpretations. For individuals with social anxiety, this might manifest as the fear that others are judging them negatively or that they are perceived as awkward or incompetent, even without any real evidence to support this belief. This distortion can create a heightened sense of vulnerability in social situations, as those suffering from social anxiety may assume that their peers are scrutinizing them harshly. This intense concern over how they are perceived can exacerbate feelings of anxiety and lead to avoidance of social interactions altogether. In contrast to other cognitive distortions, such as all-or-nothing thinking, which oversimplifies situations into extremes, or overgeneralization, which involves taking one negative event and applying it broadly, mind-reading specifically focuses on assumptions about others' thoughts and opinions. Similarly, fortune-telling involves predicting a negative outcome without any basis, but the emphasis is on predicting the future rather than interpreting present thoughts. Thus, mind-reading stands out as particularly relevant to the mechanisms involved in social anxiety disorder.