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Description of the Strategy

Social skills training, often in combination with other methods, has been used to address a wide variety of presenting complaints, including depression, loneliness, employment opportunities, substance abuse, aggressive and explosive behaviors, and obsessive-compulsive behaviors. It has been used to help people make friends, arrange dates, and acquire needed help (e.g., on the part of individuals with learning disabilities). The aim of social skills training is to enhance interpersonal effectiveness in social situations. We may not get a job that we want because we lack the skills to speak up and present ourselves well in a situation. We may not be effective in meeting friends because of a lack of skills in initiating conversations. Lack of effective social skills may result in a variety of maladaptive behaviors. Behaviors, thoughts, and feelings are interrelated. For example, negative thoughts may interfere with acting on our feelings in an effective manner (e.g., initiating conversations, answering questions in class). These thoughts and lack of effective behavior may, in turn, create anxiety or feelings of depression because of a loss of positive consequences or negative consequences. If intervention is successful, anxiety in interpersonal situations decreases and effective responses are used when these are of value in attaining personal and social goals. Assertion training differs from social skills training in emphasizing individual rights and obligations. For example, an advantage of the phrase assertive behavior for some groups, such as women, is an emphasis on taking the initiative to enhance social and other opportunities. There is an activist stance. Some consider assertion training one component of social skills training.

Social Skills Training Strategy

Social skills training usually consists of a variety of components, including instruction, model presentation, behavior rehearsal, feedback, programming of change, and homework assignments. Other procedures that may also be used, depending on what is found during assessment, include self-instruction training, relaxation training, cognitive restructuring (e.g., decreasing unrealistic expectations or beliefs), and interpersonal problem-solving training (helping clients to effectively handle challenging situations that arise in social situations, such as reactions of anger that prevent successful use of social skills).

Social skills training should be preceded by a contextual assessment. Exactly what situations are involved, who is involved, and where do relevant exchanges occur? What are the clients' goals? Social behavior is situationally specific in terms of what is effective. A behavior that is effective in achieving a given outcome in one situation may not be successful in another. This highlights the importance of clearly describing situations of concern. Only through a careful assessment can one determine whether a lack of social skills is an issue. That is, clients may have skills but not use them. Clients' entering repertoires should be clearly described. This step requires identifying skills clients already possess. The gap between current skill levels and required skills can then be accurately assessed. Role plays are valuable for this purpose. The behaviors that make up an effective reaction differ in different situations. Definitions of socially effective behavior differ in the extent to which personal outcomes (effects on oneself) as well as social outcomes (effects on others) are considered. Most definitions emphasize providing reinforcing consequences in a way that is socially acceptable and does not harm others. Practice-related literature may offer guidelines about what is effective. Situations of concern as well as effective response options have been identified for many groups, including psychiatric patients, adolescents, the elderly, and individuals with different kinds of physical disabilities. Task analyses of behaviors of interest may be available. These provide an empirically based training guide. Youth residing in a halfway house rated specific staff behaviors on a scale ranging from A to F. Examples of highly rated behavior included joking and doing what was promised. Disliked behavior included criticism and not following through on promises. Normative criteria may be used as a criterion for selection of behaviors to focus on (what most people do in a situation). A concern here is that the norm may not reflect what is desirable. For example, schoolteachers may give low rates of praise and high rates of criticism. Another disadvantage of norm-referenced objectives is lack of information about the specific behaviors required to attain an objective. A task analysis identifying behaviors required to achieve a certain outcome may be required. Obstacles to success should be identified. For example, anxiety or anger may hamper effective use of available skills. Unique socialization patterns may hinder changing behavior in positive directions. Beliefs such as “I must please everyone” may pose an obstacle to acting in new ways.

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