Social Anxiety

Social Anxiety

Clinical, Developmental, and Social Perspectives

3rd Edition - July 11, 2014

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  • Editors: Patricia DiBartolo, Stefan Hofmann
  • Hardcover ISBN: 9780123944276
  • eBook ISBN: 9780123978196

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The third edition of Social Anxiety: Clinical, Developmental, and Social Perspectives integrates examinations of social anxiety, shyness, and embarrassment with the research on social anxiety disorder subtypes, biological theories and cognitive-behavioral or pharmacological treatment outcome studies.Clinicians, social and developmental psychologists and behavioral geneticists have all conducted research over the past ten years which is essential to furthering our understanding and treatment of social anxiety disorders. This book weaves together research findings gathered by renowned minds across these various disciplines, and deals with both theory and research. It explores what constitutes social anxiety, assesses the condition and its relationship to other psychological disorders, exploring the biological basis and treatment approaches as well. Coverage includes key issues not discussed fully by other books, including related disorders in adults and children, relationship to social competence and assertiveness, perfectionism, social skills deficit hypothesis, comparison between pharmacological and psychosocial treatments, and potential mediators of change in the treatment of social anxiety disorder.From the Author: Although social anxiety disorder (social phobia) is widely researched topic in psychiatry, other disciplines, such as social and developmental psychology, have independently been studying the same phenomena for many years. Yet, there has been very little cross-discipline communication and integration. The main objective of the book is to integrate the findings on social anxiety from various disciplines, including clinical psychology, psychiatry, social psychology, neuroscience, and developmental psychology.

Key Features

  • The most comprehensive source of up-to-date data, with review articles covering a thorough delineation of social anxiety, theoretical perspectives, and treatment approaches
  • Consolidates broadly distributed literature into single source
  • Each chapter is written by an expert in the topic area, providing more fully vetted expert knowledge than any existing work
  • Integrates findings from various disciplines — clinical, social and developmental psychology, psychiatry, neuroscience — rather than focusing on only one conceptual perspective
  • Provides a complete understanding of a complex phenomenon, giving researchers and clinicians alike a better set of tools for furthering what we know


Researchers investigating anxiety disorders in general and social anxiety in particular; mental health clinicians specializing in treatment of anxiety disorders; graduate and advanced undergraduate students focused on anxiety disorders

Table of Contents

    • Introduction
    • Part I: Delineation of Social Anxiety
      • Chapter 1: Conceptualizing and Describing Social Anxiety and Its Disorders
        • Abstract
        • Introduction
        • Overlapping and contrasting emotional states
        • Definitions
        • Diagnostic nosology classifications
        • Relation of performance deficits and social anxiety
        • Forms of SAD
        • Cultural and developmental considerations
        • Coverage across disciplines and subdisciplines
        • Summary and conclusions
        • Acknowledgments
      • Chapter 2: Avoidant Personality Disorder and its Relationship to Social Anxiety Disorder
        • Abstract
        • Introduction
        • Diagnostic issues using the DSM
        • Review of early findings
        • Findings from more recent literature
        • Discussion
        • Conclusions
      • Chapter 3: Assessment of Social Anxiety and its Clinical Expressions
        • Abstract
        • The clinical interview
        • Interviewer-rated scales
        • Self-report measures
        • General measures of social anxiety and social anxiety disorder
        • Measures of theoretically derived components of social anxiety
        • Self-report measures for children and adolescents
        • Role-playing procedures
        • Self-monitoring
        • Thought-listing and thought-endorsement procedures
        • Psychophysiological assessment
        • Summary
      • Chapter 4: Shyness, Social Anxiety, and Social Phobia
        • Abstract
        • Introduction
        • Prevalence
        • Development of chronic shyness
        • Individual differences in shy and socially phobic individuals
        • Characteristics of shy and socially phobic individuals
        • Social fitness training
      • Chapter 5: Embarrassment and Social Anxiety Disorder: Fraternal Twins or Distant Cousins?
        • Abstract
        • The nature of embarrassment
        • Embarrassment and SAD
        • Conclusions
      • Chapter 6: Social Anxiety and Social Anxiety Disorder Across Cultures
        • Abstract
        • Prevalence of social anxiety and SAD across countries
        • Cultural dimensions that may impact social anxiety
        • Cultural variations of social anxiety
        • Challenges of cross-cultural assessment
        • Psychological treatment of SAD across cultures
        • Conclusion
      • Chapter 7: Perfectionism and Perfectionistic Self-Presentation in Social Anxiety
        • Abstract
        • Case examples linking perfectionism with social anxiety
        • Unidimensional versus Multidimensional Conceptualizations of Perfectionism
        • Overview of previous research
        • Perfectionism and the role of discrepancy in social anxiety
        • Toward an extended model of perfectionism and social anxiety
        • Treatment implications
        • Summary and future directions
      • Chapter 8: Social Phobia1 as a Deficit in Social Skills
        • Abstract
        • Introduction
        • Aim and method
        • The notion of social skills
        • What are social skills?
        • Two views of social skills
        • Assessment of the social skills of the socially phobic
        • Self-reports
        • Role-play tests
        • Skills deficits and social phobia—direct and indirect evidence
        • Discussion
      • Chapter 9: Social Anxiety Disorder and Its Relation to Clinical Syndromes in Adulthood
        • Abstract
        • Comorbidity in studies using DSM-III and DSM-III-R criteria
        • Comorbidity in studies using DSM-IV criteria
        • Comorbidity between social anxiety disorder and other conditions
        • Cross-cultural expressions of comorbidity and individual differences in comorbidity
        • Comment and future directions
      • Chapter 10: Social Anxiety in Children and Adolescents: Biological, Developmental, and Social Considerations
        • Abstract
        • History and morphology of social anxiety disorder (social phobia)
        • Biological factors
        • Developmental factors
        • Social factors
        • The maintenance of childhood social anxiety: a cognitive-behavioral model
        • Evidence-based treatment of social anxiety
        • Conclusion/future directions
      • Chapter 11: Prevention and Early Intervention of Social Anxiety Disorder
        • Abstract
        • Understanding social anxiety
        • The development of social anxiety
        • Prevention and early intervention of social anxiety
        • Prevention programs
        • Future research directions and summary
    • Part II: Theoretical Perspectives
      • Chapter 12: Neuroendocrinology and Neuroimaging Studies of Social Anxiety Disorder
        • Abstract
        • Introduction
        • Neuroendocrinology of social anxiety disorder
        • Neuroanatomy of social anxiety disorder
        • Integrating neuroendocrine and neuroanatomical studies
        • General conclusions
        • Future directions
      • Chapter 13: Temperamental Contributions to the Development of Psychological Profiles: I. Basic Issues
        • Abstract
        • How many temperaments?
        • Genes and neurochemistry
        • Other origins of temperaments
        • Sources of evidence
        • The enthusiasm for biology
      • Chapter 14: Temperamental Contributions to the Development of Psychological Profiles: II. Two Candidates
        • Abstract
        • Variation in reactions to the unfamiliar
        • Uncertainty and temperament
        • High- and low-reactive infants
        • Assessment
        • Determinism or limitations?
        • Categories or continua?
        • Concluding comments
      • Chapter 15: Mechanisms of Learning and Behavior Change in Social Anxiety Disorder
        • Abstract
        • Introduction
        • Current status of behavioral theory of social anxieties and social anxiety disorder
        • Contemporary behavioral principles as a basis for the further development of theories of social anxieties, social anxiety disorder, and therapeutic change
        • Summary and conclusions
      • Chapter 16: Cognitive Biases in Social Anxiety Disorder
        • Abstract
        • Introduction
        • Attention
        • Interpretation
        • Memory
        • Conclusions
      • Chapter 17: Emotion Regulation in Social Anxiety Disorder
        • Abstract
        • Emotion in social anxiety disorder
        • Emotion regulation in social anxiety disorder
        • Emotion regulation interventions for social anxiety disorder
        • Concluding comment
      • Chapter 18: Social Anxiety and the Self
        • Abstract
        • The self
        • A social cognitive perspective
        • Self-schema content
        • Self-referent cognitive processing
        • Self-related motives and behavioral strategies
        • Self-schema structure, organization, and clarity
        • Summary
      • Chapter 19: Positivity Deficits in Social Anxiety: Emotions, Events, and Cognitions
        • Abstract
        • Diminished positive experiences in social anxiety
        • A self-regulatory model of social anxiety
        • Impaired positive cognitions in social anxiety
        • Biological markers of diminished rewards in social anxiety
        • Meaningful heterogeneity in social anxiety
        • Summary and treatment implications
      • Chapter 20: Social Anxiety as an Early Warning System: A Refinement and Extension of the Self-Presentation Theory of Social Anxiety
        • Abstract
        • The original self-presentation theory
        • Extending the self-presentation approach: sociometer theory
        • Social anxiety and interpersonal behavior
        • Implications for treatment
        • Conclusions
      • Chapter 21: Evolutionary Perspective on Social Anxiety
        • Abstract
        • An evolutionary perspective on social life
        • Processing and expression of emotional signals
        • Person perception
        • Self-presentation in the virtual sphere
        • Responses to events connoting change in social status
        • Responses to changes in belongingness
        • Clinical implications
        • Summary
    • Part III: Treatment Approaches
      • Chapter 22: Psychopharmacology for Social Anxiety Disorder
        • Abstract
        • Medication treatments
        • Recommendations
      • Chapter 23: Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review
        • Abstract
        • Treatment impact on physiological symptoms and neurological activity
        • Treatment impact on cognitive symptoms
        • Treatment impact on overt behavioral performance
        • Summary
        • Acknowledgments
      • Chapter 24: A Cognitive-Behavioral Model of Social Anxiety Disorder
        • Abstract
        • The model
        • Emotional expression and dysregulation in social anxiety disorder
        • Closing comments
      • Chapter 25: Mindfulness-Based Therapy for Social Anxiety Disorder
        • Abstract
        • Social anxiety disorder and attentional processes: Theory and experimental evidence
        • Evidence of mindfulness-based interventions in social anxiety disorder
        • Mindfulness-based task concentration for social anxiety disorder: An eight-week protocol
        • Discussion
        • Appendix: Examples of personal process descriptions from patients
        • Acknowledgments
      • Chapter 26: A Comparison between Psychosocial and Pharmacological Treatments
        • Abstract
        • Psychosocial treatments
        • Pharmacological treatments
        • Comparison of psychosocial and pharmacological treatments
        • Novel therapeutics: combining “cognitive enhancers” with psychosocial treatment
        • Discussion
      • Chapter 27: Mechanisms of Action in the Treatment of Social Anxiety Disorder
        • Abstract
        • A model of social anxiety disorder
        • Mechanisms of treatment: Pharmacotherapy
        • Mechanisms of treatment: CBT
        • Combined pharmacotherapy and CBT
        • Social skills training
        • Acceptance and commitment therapy
        • Other psychosocial treatments
        • Summary
      • Index

Product details

  • No. of pages: 844
  • Language: English
  • Copyright: © Academic Press 2014
  • Published: July 11, 2014
  • Imprint: Academic Press
  • Hardcover ISBN: 9780123944276
  • eBook ISBN: 9780123978196

About the Editors

Patricia DiBartolo

Affiliations and Expertise

Associate Professor of Psychology, Smith College, Northampton MA, USA

Stefan Hofmann

Stefan Hofmann
Stefan G. Hofmann is a Professor of Psychology and Director of the Psychotherapy and Emotion Research Laboratory at Boston University. Dr. Hofmann has served as President of the Association for Behavioral and Cognitive Therapies and the International Association for Cognitive Psychotherapy. His research focuses on the mechanism of treatment change, translating discoveries from neuroscience into clinical applications, emotions, and cultural expressions of psychopathology.

Affiliations and Expertise

Professor of Psychology and Director of the Psychotherapy and Emotion Research Laboratory, Boston University, USA

Ratings and Reviews

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  • Lucía C. Tue May 15 2018

    Social Anxiety

    Excellent book!