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Current Psychiatry Reports

, Volume 11, Issue 1, pp 89–93 | Cite as

Avoidant personality disorder and its relationship to social phobia

  • James Reich
Article

Abstract

This review summarizes past and recent findings in the empiric literature and the evolution of the concepts of avoidant personality disorder (APD) and social phobia (SP). APD is an internally consistent dimensional personality pathology that causes dysfunction that appears to be dimensional rather than a sudden jump in impairment after a certain number of criteria have been met. It has state and trait personality components. Evidence indicates that symptoms are at least partially treatable with psychological or pharmacologic interventions. APD and SP have similar symptoms and treatment response and identical genetics. We can conclude from the empiric evidence that no dividing line exists between APD and SP, with APD merely being the more severe form of the disorder. The best conceptualization is that APD is a dimensional personality pathology that in its attenuated form (SP) resembles an anxiety disorder.

Keywords

Personality Disorder Social Phobia Ality Disorder Schizoid Personality Avoidant Personality Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References and Recommended Reading

  1. 1.
    Millon T: Avoidant personality disorder: a brief review of issues and data. J Personal Disord 1991, 5:353–362.Google Scholar
  2. 2.
    Reich J: The relationship of social phobia to avoidant personality disorder: a proposal to reclassify avoidant personality disorder based on clinical empirical findings. Eur Psychiatry 2000, 15:151–159.PubMedCrossRefGoogle Scholar
  3. 3.
    Alden LE, Laposa JM, Taylor CT, Ryder AG: Avoidant personality disorder: current status and future directions. J Personal Disord 2002, 16:1–29.PubMedCrossRefGoogle Scholar
  4. 4.
    Taylor CT, Laposa JM, Alden LE: Is avoidant personality disorder more than just social avoidance? J Personal Disord 2004, 18:571–594.PubMedCrossRefGoogle Scholar
  5. 5.
    Baille AJ, Lampe LA: Avoidant personality disorder: empirical support for DSM-IV revisions. J Personal Disord 1998, 12:23–30.Google Scholar
  6. 6.
    Grilo CM, McGlashan TH, Morey LC, et al.: Internal consistency, intercriterion overlap and diagnostic efficiency of criteria set for DSM-IV schizotypal, borderline, avoidant and obsessive-compulsive personality disorders. Acta Psychiatr Scand 2001, 104:264–272.PubMedCrossRefGoogle Scholar
  7. 7.
    Humelen B, Wilberg T, Pedersen G, Karterud S: An investigation of the validity of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition avoidant personality disorder construct as a prototype category and the psychometric properties of the diagnostic criteria. Compr Psychiatry 2006, 47:376–383.CrossRefGoogle Scholar
  8. 8.
    Hummelen B, Wilberg T, Pedersen G, Karterud S: The relationship between avoidant personality disorder and social phobia. Compr Psychiatry 2007, 48:348–356.PubMedCrossRefGoogle Scholar
  9. 9.
    Lampe L, Slade T, Issakidis C, Andrews G: Social phobia in the Australian National Survey of Mental Health and Well-Being (NSMHWB). Psychol Med 2003, 33:637–646.PubMedCrossRefGoogle Scholar
  10. 10.
    McGlashan TH, Grilo CM, Skodol AE, et al.: The Collaborative Longitudinal Personality Disorders Study: baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatr Scand 2000, 102:256–264.PubMedCrossRefGoogle Scholar
  11. 11.
    Ralevski E, Sanislow CA, Grilo CM, et al.: Avoidant personality disorder and social phobia: distinct enough to be separate disorders? Acta Psychiatr Scand 2005, 112:208–214.PubMedCrossRefGoogle Scholar
  12. 12.
    Tillfors M, Furmark T, Ekselius L, Fredrikson M: Social phobia and avoidant personality disorder: one spectrum disorder? Nord J Psychiatry 2004, 58:147–152.PubMedCrossRefGoogle Scholar
  13. 13.
    Zimmerman M, Rothschild L, Chelminski I: The prevalence of DSM-IV personality disorders in psychiatric outpatients. Am J Psychiatry 2005, 162:1911–1918.PubMedCrossRefGoogle Scholar
  14. 14.
    Reich J: State and trait in personality disorders. In Personality Disorders: Current Research and Treatments. Edited by Reich J. New York: Taylor & Francis; 2005:3–21.Google Scholar
  15. 15.
    Reich J: State and trait in personality disorders. Ann Clin Psychiatry 2007, 19:37–44.PubMedCrossRefGoogle Scholar
  16. 16.
    van Velzen CJM, Emmelkamp PMG, Scholing AS: Generalized social phobia versus avoidant personality disorder: differences in psychopathology, personality traits, and social and occupational functioning. J Anxiety Disord 2000, 14:395–411.PubMedCrossRefGoogle Scholar
  17. 17.
    McGlashan TH, Grilo CM, Sanislow CA, et al.: Two year prevalence and stability of individual DSM-IV criteria for schizotypal, borderline, avoidant and obsessive-compulsive disorders: toward a hybrid model of Axis II disorders. Am J Psychiatry 2005, 162:883–889.PubMedCrossRefGoogle Scholar
  18. 18.
    Shea MT, Stout RL, Yen S, et al.: Associations in the course of personality disorders and Axis I disorders over time. J Abnorm Psychol 2004, 4:499–508.CrossRefGoogle Scholar
  19. 19.
    Reichborn-Kjennerud T, Czajkowski N, Torgersen S, et al.: The relationship between avoidant personality disorder and social phobia: a population based twin study. Am J Psychiatry 2007, 164:1722–1728.PubMedCrossRefGoogle Scholar

Copyright information

© Current Medicine Group LLC 2009

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of California at San Francisco Medical SchoolSan FranciscoUSA

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