Social Anxiety and Withdrawal

  • Peter J. Norton
Chapter
Part of the ABCT Clinical Assessment Series book series (ABCT)

Abstract

Social anxiety, social withdrawal, and social skills are intertwined, but distinct, constructs that can mutually and independently have a significant impact on social functioning. Comprehensive definitions and descriptions of social skills are provided elsewhere in this volume; however, social anxiety is defined as a fear of negative evaluation by others and low self-confidence when performing or interacting in social situations (Rapee & Heimberg, 1997). In addition, social anxiety may be linked with poorer social-cognitive functioning, such as understanding the mental states of others in social interactions or assuming negative outcomes of social behaviors (Banerjee & Henderson, 2001; Rapee & Spence, 2004). Social anxiety is seen as existing on a continuum of intensity, from the low levels seen in socially gregarious individuals, through the typical anxiety experienced by most in situations such as public speaking, to

Keywords

Posit 

References

  1. Alden, L. E., & Wallace, S. T. (1995). Social phobia and social appraisal in successful and unsuccessful social interactions. Behaviour Research and Therapy, 33, 497–505.CrossRefPubMedGoogle Scholar
  2. Antony, M. M., Orsillo, S. M., & Roemer, L. (2001). Practitioner’s guide to empirically-based measures of anxiety. New York: Kluwer Academic/Plenum.Google Scholar
  3. Banerjee, R., & Henderson, L. (2001). Social-cognitive factors in childhood social anxiety: A preliminary investigation. Social Development, 10, 558–572.CrossRefGoogle Scholar
  4. Beidel, D. C., Turner, S. M., & Morris, T. L. (1995). A new inventory to assess child social phobia: The Social Phobia and Anxiety Inventory for Children. Psychological Assessment, 7, 73–79.CrossRefGoogle Scholar
  5. Beidel, D. C., Turner, S. M., & Morris, T. L. (1998). Social phobia and anxiety inventory for children. North Tonawanda, NY: Multi-Health Systems, Inc.Google Scholar
  6. Beidel, D. C., Turner, S. M., & Morris, T. L. (2000). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68, 1072–1080.CrossRefPubMedGoogle Scholar
  7. Bijstra, J. O., & Jackson, S. (1998). Social skills training with early adolescents: Effects on social skills, well-being, self-esteem and coping. European Journal of Psychology of Education, 13, 569–583.CrossRefGoogle Scholar
  8. Brown, T. A., Di Nardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV (Adult Version). Albany, NY: Graywind.Google Scholar
  9. Caballo, V. E., & Buela, G. (1988). Molar/molecular assessment in an analogue situation: Relationships among several measures and validation of a behavioral assessment instrument. Perceptual and Motor Skills, 67, 591–602.Google Scholar
  10. Cartwright-Hatton, S., Hodges, L., & Porter, J. (2003). Social anxiety in childhood: The relationship with self and observer rated social skills. Journal of Child Psychology and Psychiatry, 44, 737–742.CrossRefPubMedGoogle Scholar
  11. Cartwright-Hatton, S., Tschernitz, N., & Gomersall, H. (2005) Social anxiety in children: Social skills deficit or cognitive distortion? Behaviour Research and Therapy, 43, 131–142.CrossRefPubMedGoogle Scholar
  12. Clark, J., & Arkowitz, H. (1975). Social anxiety and self-evaluation of interpersonal performance. Psychological Reports, 36, 211–221.PubMedGoogle Scholar
  13. Coplan, R. J., Rubin, K. H., Fox, N. A., Calkins, S. D., & Stewart, S. L. (1994). Being alone, playing alone, and acting alone: Distinguishing among reticence and passive and active solitude in young children. Child Development, 65, 129–137.CrossRefPubMedGoogle Scholar
  14. Donahoe, C. P., Carter, M. J., Bloem, W. D., Hirsch, G. L., Laasi, N., & Wallace, C. J. (1990). Assessment of interpersonal problem-solving skills. Psychiatry, 53, 329–339.PubMedGoogle Scholar
  15. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV Axis I disorders: Clinician version: Administration booklet. Washington, DC: American Psychiatric Press.Google Scholar
  16. Furmark, T., Tillfors, M., Stattin, H., Ekselius, L., & Fredrikson, M. (2000). Social phobia subtypes in the general population revealed by cluster analysis. Psychological Medicine, 30, 1335–1344.CrossRefPubMedGoogle Scholar
  17. Glasgow, R. E., & Arkowitz, H. (1975). The behavioral assessment of male and female social competence in dyadic heterosexual interactions. Behavior Therapy, 6, 488–498.CrossRefGoogle Scholar
  18. Glennon, B., & Weisz, J. R. (1978). An observational approach to the assessment of anxiety in young children. Journal of Consulting and Clinical Psychology, 46, 1246–1257.CrossRefPubMedGoogle Scholar
  19. Gruber, K., Moran, P. J., Roth, W. T., & Taylor, C. B. (2001). Computer-assisted cognitive-behavioral group therapy for social phobia. Behavior Therapy, 32, 155–166.CrossRefGoogle Scholar
  20. Hanin, Y. L. (1980). A study of anxiety in sports. In W. F. Straub (ed.), Sport psychology: An analysis of athlete behavior. Ithaca, NY: Mouvement.Google Scholar
  21. Hayward, C., Varady, S., Albano, A. M., Thienemann, M., Henderson, L., & Schatzberg, A. F. (2000). Cognitive-behavioral group therapy for social phobia in female adolescents: Results of a pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 721–726CrossRefPubMedGoogle Scholar
  22. Heimberg, R. G. (1991). A manual for conducting cognitive-behavioral group therapy for social phobia (2nd ed.). Unpublished manuscript available from the author.Google Scholar
  23. Heimberg, R. G., & Becker, R. E. (2002). Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. New York, NY: Guilford Press.Google Scholar
  24. Heimberg, R. G., Dodge, C. S., Hope, D. A., Kennedy, C. R., Zollo, L., & Becker, R. E. (1990). Cognitive behavioral group treatment of social phobia: Comparison to a credible placebo control. Cognitive Therapy and Research, 14,1–23.CrossRefGoogle Scholar
  25. Heimberg, R. G., Liebowitz, M. R., Hope, D. A., Schneier, F. R., Holt, C. S., Welkowitz, L. A., et al. (1998). Cognitive-behavioral group therapy versus phenelzine in social phobia: 12-week outcome. Archives of General Psychiatry, 55, 1133–1141.CrossRefPubMedGoogle Scholar
  26. Heimberg, R. G., Salzman, D., Holt, C. S., & Blendell, K. (1993). Cognitive behavioral group treatment of social phobia: Effectiveness at 5-year follow-up. Cognitive Therapy and Research, 17, 325–339.CrossRefGoogle Scholar
  27. Higgins, R. L., Frisch, M. B., & Smith, D. (1983). A comparison of role-played and natural responses to identical circumstances. Behavior Therapy, 14, 158–169.CrossRefGoogle Scholar
  28. Holt, C. S., Heimberg, R. G., & Hope, D. A. (1992). Avoidant personality disorder and the generalized subtype of social phobia. Journal of Abnormal Psychology, 101, 318–325.CrossRefPubMedGoogle Scholar
  29. Holt, C. S., Heimberg, R. G., Hope, D. A., & Liebowitz, M. R. (1992). Situational domains of social phobia. Journal of Anxiety Disorders, 6, 63–77.CrossRefGoogle Scholar
  30. Hope, D. A., Heimberg, R. G., & Bruch, M. A. (1995). Dismantling cognitive-behavioral group therapy for social phobia. Behaviour Research and Therapy, 33, 637–650.CrossRefPubMedGoogle Scholar
  31. Hope, D. A., Heimberg, R. G., Juster, H., & Turk, C. L. (2000). Managing social anxiety and social phobia. Albany, NY: Graywind.Google Scholar
  32. Kampman, M., Keijsers, G. P. J., & Verbraak, M. J. P. M. (2002). The emotional Stroop: A comparison of panic disorder patients, obsessive-compulsive patients, and normal controls, in two experiments. Journal of Anxiety Disorders, 16, 425–441.CrossRefPubMedGoogle Scholar
  33. La Greca, A. M. (1999). Manual for the social anxiety scales for children and adolescents. Miami, FL: Author.Google Scholar
  34. La Greca, A. M., & Stone, W. L. (1993). Social Anxiety Scale for Children-Revised: Factor structure and concurrent validity. Journal of Clinical Child Psychology, 22, 17–27.CrossRefGoogle Scholar
  35. Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375.CrossRefGoogle Scholar
  36. Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141–173.Google Scholar
  37. Maidenberg, E., Chen, E., & Craske, M. G. (1996). Specificity of attentional bias in panic disorder and social phobia. Journal of Anxiety Disorders, 10, 529–541.CrossRefGoogle Scholar
  38. Masia-Warner, C., Storch, E. A., Pincus, D. B., Klein, R. G., Heimberg, R. G., & Liebowitz, M. R. (2003). The Liebowitz social anxiety scale for children and adolescents: An initial psychometric investigation. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1076–1084CrossRefPubMedGoogle Scholar
  39. Mattia, J. I., Heimberg, R. G., & Hope, D. A. (1993). The revised Stroop color-naming task in social phobics. Behaviour Research and Therapy, 31, 305–313.CrossRefPubMedGoogle Scholar
  40. Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470.CrossRefPubMedGoogle Scholar
  41. Meier, V. J., & Hope, D. A. (1998). Assessment of social skills. In A. S. Bellack & M. Hersen (Eds.), Behavioral assessment: A practical handbook (4th ed.). Needham Heights, MA: Allyn & Bacon.Google Scholar
  42. Mersch, P. P. A., Emmelkamp, P. M. G., Bögels, S. M., & van der Sleen, J. (1989). Social phobia: Individual response patterns and the effects of behavioral and cognitive interventions. Behaviour Research and Therapy, 27, 421–434.CrossRefPubMedGoogle Scholar
  43. Mogg, K., Bradley, B. P., Millar, N., & White, J. (1995). A follow-up study of cognitive bias in generalized anxiety disorder.  Behaviour Research and Therapy, 33, 927–935.CrossRefPubMedGoogle Scholar
  44. Morris, T. L., Hirshfeld-Becker, D. R., Henin, A., & Storch, E. A. (2004). Developmentally sensitive assessment of social anxiety. Cognitive and Behavioral Practice, 11, 13–27.CrossRefGoogle Scholar
  45. Nelson, R. O., Hayes, S. C., Felton, J. L., & Jarrett, R. B. (1985). A comparison of data produced by different behavioral assessment techniques with implications for models of social skills inadequacy. Behaviour Research and Therapy, 23, 1–11.CrossRefPubMedGoogle Scholar
  46. Newman, M. G. (1999). The clinical use of palmtop computers in the treatment of generalized anxiety disorder. Cognitive and Behavioral Practice, 6, 222–234.CrossRefGoogle Scholar
  47. Nietzel, M. T., & Bernstein, D. A. (1976). Effects of instructionally mediated demand on the behavioral assessment of assertiveness. Journal of Consulting and Clinical Psychology, 44, 500.CrossRefPubMedGoogle Scholar
  48. Norton, P. J., & Hope, D. A. (2001a). Kernels of truth and distorted perceptions: Self and other ratings of social anxiety and performance. Behavior Therapy, 32, 765–786.Google Scholar
  49. Norton, P. J., & Hope, D. A. (2001b). Analogue observational methods in the assessment of social functioning in adults. Psychological Assessment, 13, 59–72.Google Scholar
  50. Norton, P. J., Hope, D. A., & Weeks, J. W. (2004). Social anxiety and athletic behavior: Development and psychometric analysis of the Physical Activity and Social Anxiety Scale (PASAS). Anxiety, Stress, and Coping, 17, 363–383.CrossRefGoogle Scholar
  51. Pallanti, S., Quercioli, L., & Hollander, E. (2004). Social anxiety in outpatients with schizophrenia: A relevant cause of disability. American Journal of Psychiatry, 161, 53–58.CrossRefPubMedGoogle Scholar
  52. Paul, G. L. (1966). Insight versus desensitization in psychotherapy: An experiment in anxiety reduction. Stanford, CA: Stanford University Press.Google Scholar
  53. Penn, D. L., Hope, D. A., Spaulding, W., & Kucera, J. (1994). Social anxiety in schizophrenia. Schizophrenia Research, 11, 277–284.CrossRefPubMedGoogle Scholar
  54. Pilkonis, P. A. (1977). The behavioral consequences of shyness. Journal of Personality, 45, 596–611.CrossRefGoogle Scholar
  55. Prior, M., Smart, D., Sanson, S., & Oberklaid, F. (2000). Does shy-inhibited temperament in childhood lead to anxiety disorder in adolescence? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 461–468.CrossRefGoogle Scholar
  56. Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24, 737–767.CrossRefPubMedGoogle Scholar
  57. Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756.CrossRefPubMedGoogle Scholar
  58. Rapee, R. M., & Lim, L. (1992). Discrepancy between self- and observer ratings of performance in social phobics. Journal of Abnormal Psychology, 101, 728–731.CrossRefPubMedGoogle Scholar
  59. Reich, W., & Welner, Z. (1988). Diagnostic inventory for children and adolescents – Revised parent version. Toronto: Multi-Health Systems.Google Scholar
  60. Research Units on Pediatric Psychopharmacology Anxiety Study Group. (2002). The Pediatric Anxiety Rating Scale (PARS): Development and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1061–1069.Google Scholar
  61. Rubin, K. H. (1989). The Play Observation Scale (POS). Waterloo, ON: University of Waterloo.Google Scholar
  62. Rubin, K. H., & Coplan, R. J. (2004). Paying attention to and not neglecting social withdrawal and social isolation. Merrill-Palmer Quarterly, 50, 506–534.CrossRefGoogle Scholar
  63. Segrin, C. (1998). The impact of assessment procedures on the relationship between paper and pencil and behavioral indicators of social skill. Journal of Nonverbal Behavior, 22, 229–251.CrossRefGoogle Scholar
  64. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children for DSM-IV: Child and parent versions.San Antonio, TX: Psychological Corporation.Google Scholar
  65. Simonian, S. J., Beidel, D. C., Turner, S. M., Berkes, J. L., & Long, J. H. (2001). Recognition of facial affect by children and adolescents diagnosed with social phobia. Child Psychiatry and Human Development, 32, 137–145.Google Scholar
  66. Spence, S. H., Donovan, C., & Brechman-Toussaint, M. L. (2000). The treatment of childhood social phobia: The effectiveness of a cognitive behavioural intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 713–726.CrossRefGoogle Scholar
  67. Stopa, L., & Clark, D. M. (1993). Cognitive processes in social phobia. Behaviour Research and Therapy, 31, 255–267.CrossRefPubMedGoogle Scholar
  68. Strachan, E., & Hope, D. A. (2003). Treatment of social anxiety in schizophrenia: A case example. Presented at the annual meeting of the Anxiety Disorders Association of America, Toronto, ON.Google Scholar
  69. Strahan, E., & Conger, A. J. (1998). Social anxiety and its effects on performance and perception. Journal of Anxiety Disorders, 12, 293–305.CrossRefPubMedGoogle Scholar
  70. Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 12, 643–662.CrossRefGoogle Scholar
  71. Thompson, S., & Rapee, R. M. (2002). The effect of situational structure on the social performance of socially anxious and non-anxious participants. Journal of Behavior Therapy and Experimental Psychiatry, 33, 91–102.CrossRefGoogle Scholar
  72. Turner, S. M., Beidel, D. C., Cooley, M. R., Woody, S. R., & Messer, S. C. (1994). A multicomponent behavioral treatment for social phobia: Social effectiveness therapy. Behaviour Research and Therapy, 32, 381–390.CrossRefPubMedGoogle Scholar
  73. Turner, S. M., Beidel, D. C., & Dancu, C. V. (1996). SPAI: Social phobia and anxiety inventory. North Tonawanda, NY: Multi-Health Systems.Google Scholar
  74. Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment, 1, 35–40.CrossRefGoogle Scholar
  75. Watson, D., & Friend, R. (1969). Measurement of social-evaluation scale. Journal of Consulting and Clinical Psychology, 33, 448–457.CrossRefPubMedGoogle Scholar
  76. Wolpe, J. (1969). The practice of behavior therapy. New York: Pergamon Press.Google Scholar
  77. Yerkes, R. M., & Dodson, J. D. (1908). The relation of strength of stimulus to rapidity of habit formation. Journal of Comparative and Neurological Psychology, 18, 459–482.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Peter J. Norton
    • 1
  1. 1.Department of PsychologyUniversity of HoustonHoustonUSA

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