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Treatment of social phobia

  • David Veale

Social phobia (or social anxiety disorder) manifests as a marked and persistent fear of negative evaluation in social or performance situations. The epidemiology, diagnosis and psychopathology are reviewed, including clinical presentation, cultural aspects and the differences between agoraphobia and social phobia. Behavioural treatments, including graded self-exposure and cognitive restructuring, are considered. A cognitive model of the maintenance of social phobia is discussed. It is hypothesised that attentional shifting towards imagery, safety behaviours and ‘post-mortem’ analyses play a key role in symptom maintenance. The implications of this for treatment are described, and guidelines for pharmacological treatment are summarised.

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Arntz, A. & Weertman, A. (1999) Treatment of childhood memories: theory and practice. Behaviour Research Therapy, 37, 715740.
Ballenger, J. C., Davidson, R. T., Lecrubier, Y. et al (1998) Consensus statement on social anxiety disorder from the International Consensus Group on Depression and Anxiety. Journal of Clinical Psychiatry, 59, 5460.
Bogels, S. M., Mulkens, S. & De Jong, P. J. (1997) Task concentration training and fear of blushing. Clinical Psychology and Psychotherapy, 4, 251258.
Clark, D. M. (2001) A cognitive perspective on social phobia. In International Handbook of Social Anxiety: Concepts, Research and Interventions Relating to the Self and Shyness (eds Crozier, W. R. & Alden, L. E.) pp. 405430. Chichester: John Wiley & Sons.
Clark, D. M. & Wells, A. (1995) A cognitive model of social phobia. In Social Phobia – Diagnosis, Assessment, and Treatment (eds Heimberg, R. G., Liebowitz, M. R., Hope, D. et al), pp. 6993. New York: Guilford.
Clark, D. M., Ehlers, A., Hackmann, A. et al (2003) Cognitive therapy vs. fluoxetine plus self exposure in the treatment of generalized social phobia (social anxiety disorder): A randomised placebo controlled trial. Journal of Consulting and Clinical Psychology, in press.
Connor, K. M., Davidson, J. R. T., Churchill, L. E. et al (2000) Psychometric properties of the Social Phobia Inventory (SPIN). British Journal of Psychiatry, 176, 379386.
Davidson, J. R. T., Potts, N. L. S., Richichi, E. A. et al (1991) The Brief Social Phobia Scale. Journal of Clinical Psychiatry, 52, 4851.
Gilbert, P. & Andrews, B. (1998) Shame: Interpersonal Behaviour, Psychopathology, and Culture. New York: Oxford University Press.
Hackmann, A., Clark, D. M. & McManus, F. (2000) Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601610.
Heimberg, R. G., Dodge, C. S., Hope, D. A. et al (1990) Cognitive behavioral group treatment for social phobia: Comparison with a credible placebo control. Cognitive Therapy and Research, 14, 123.
Liebowitz, M. R. (2002) Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141173.
Marks, I. M. & Mathews, A. M. (2002) Brief standard self-rating for phobic participants. Behaviour Research and Therapy, 17, 263267.
Salkovskis, P. M. (1991) The importance of behaviour in the maintenance of anxiety and panic. Behavioural Psychotherapy, 19, 619.
Turner, S. M. & Beidel, D. C. (1989) Social phobia: clinical syndrome, diagnosis, and comorbidity. Clinical Psychology Review, 9 (Special issue: Social phobia), 318.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
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Treatment of social phobia

  • David Veale
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