The Wiley Blackwell Handbook of Social Anxiety Disorder

The Wiley Blackwell Handbook of Social Anxiety Disorder

The Wiley Blackwell Handbook of Social Anxiety Disorder

The Wiley Blackwell Handbook of Social Anxiety Disorder

Synopsis

Featuring leading international authors working in clinical psychology and psychiatry, this handbook offer the most in-depth coverage of social anxiety disorder, including personality factors in SAD, and multicultural issues in the diagnosis, case conceptualization, and treatment of SAD.

A multi-contributed, internationally diverse handbook covering all major elements of social anxiety disorder, offering an invaluable teaching tool

This unique text contributes significantly to the field by summarizing the current state of research in the area and outlining future directions

Provides a comprehensive overview of applied, empirically-supported techniques in the conceptualization, assessment, and treatment of SAD

Excerpt

Judy Wong, Elizabeth A. Gordon, and Richard G. Heimberg

Adult Anxiety Clinic, Temple University, usa

Cognitive-Behavioral Models of Social Anxiety Disorder

Since its recognition as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders, third edition (American Psychiatric Association, 1980), social anxiety disorder (SAD, also known as social phobia) has received increasing attention in the field of psychology as a complex, debilitating disorder that, left untreated, is often unremitting. in the last few decades, many theorists have contributed significantly to our understanding of this disorder, subsequently informing approaches to treatment. in this chapter, we review and compare aspects of the two preeminent cognitive behavioral models of sad, as well as more recently proposed models of sad.

Clark and Wells (1995): a Cognitive Model of sad

Clark and Wells (1995) put forth a cognitive model of sad to explain why exposure to feared situations alone was not enough to extinguish fear in socially anxious individuals. According to their model, sad develops as a result of an interaction between innate behavioral predispositions and life experiences, leading individuals to perceive the social world as a dangerous one which they have little ability to navigate. a core feature of this model, derived from self-presentational models described below, is “a strong desire to convey a particular favorable impression of oneself to others and marked insecurity about one’s ability to do so” (p. 69). These beliefs contribute to the sense that the person with sad is at substantial risk of behaving in an inept and unacceptable fashion and that such behavior will have catastrophic consequences involving loss of status, loss of value, or rejection. the following is a brief overview of the model—a discussion of the empirical support for specific aspects of the model is beyond the scope of this chapter, but interested readers are referred to reviews of research by Clark and Wells (1995) and Clark (2001).

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