Copyright © 2004 Elsevier Ltd All rights reserved.
Interpersonal processes in social phobia
Received 30 October 2003;
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Abstract
Social phobia is a condition in which anxiety impairs the person's ability to relate to others. Here, we draw on concepts from interpersonal theory to examine the literature on the role of interpersonal processes in creating and maintaining this disorder. Studies that examine interpersonal interactions with significant others and strangers are reviewed. We next consider topics of particular relevance to relationship impairment, such as the effect of anxiety on cognitive processing of social information, and the social developmental pathways to social phobia. The impact of interpersonal factors on the process and outcome of cognitive-behavioral treatment is also discussed. Finally, we identify emerging themes in the research literature and consider directions for future work. Throughout the paper we highlight topics central to the interpersonal perspective, such as the self-perpetuating interpersonal cycle, interpersonal variability in social phobia, and the relational nature of self-related information.
Keywords: Social phobia; Anxiety; Interpersonal cycle
Article Outline
- 1. Interpersonal perspective
- 2. Social anxiety disorder and social relationships
- 2.1. Summary
- 3. Self-perpetuating interpersonal cycles
- 3.1. Behavioral patterns
- 3.2. Others' reactions
- 3.3. Summary
- 4. Social skill deficit or self-protective strategy
- 4.1. Summary
- 5. Cognitive processing of social information
- 5.1. Social schema and the self
- 5.2. Selective attention to social cues
- 5.3. Interpretation of social cues
- 5.4. Summary
- 6. Social pathogenesis
- 7. Self-perpetuating cycles
- 8. Variability in social learning experiences
- 8.1. Summary
- 9. Interpersonal processes in treatment
- 9.1. Summary
- 10. General discussion
- References






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