Social Anxiety Clinical, Developmental, and Social Perspectives THIRD EDITION Stefan G. Hofmann Patricia M. DiBartolo Table of Contents Cover Title page Copyright Contributors 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 Phobia 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
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