Shy Children, Phobic Adults Nature and Treatment of Social Anxiety Disorder SECOND EDITION Deborah C. Beidel Samuel M. Turner American Psychological Association Washington, DC Copyright © 2007 by the American Psychological Association. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, including, but not limited to, the process of scanning and digitization, or stored in a database or retrieval system, without the prior written permission of the publisher. Published by American Psychological Association 750 First Street, NE Washington, DC 20002 www.apa.org To order APA Order Department P.O. Box 92984 Washington, DC 20090-2984 Tel: (800) 374-2721 Direct: (202) 336-5510 Fax: (202) 336-5502 TDD/TTY: (202) 336-6123 Online: www.apa.org/books/ E-mail:
[email protected] In the U.K., Europe, Africa, and the Middle East, copies may be ordered from American Psychological Association 3 Henrietta Street Covent Garden, London WC2E 8LU England Typeset in Minion by World Composition Services, Inc., Sterling, VA Printer: Maple-Vail Book Manufacturing Group, Binghamton, NY Cover Designer: Minker Design, Bethesda, MD Technical/Production Editor: Tiffany L. Klaff The opinions and statements published are the responsibility of the authors, and such opinions and statements do not necessarily represent the policies of the American Psychological Association. Library of Congress Cataloging-in-Publication Data Beidel, Deborah C. Shy children, phobic adults : nature and treatment of social anxiety disorder / Deborah C. Beidel and Samuel M. Turner.— 2nd ed. p. cm. Includes bibliographical references and index. ISBN-13: 978-1-59147-452-4 ISBN-10: 1-59147-452-3 1. Social phobia. I. Turner, Samuel M., 1944- . II. American Psychological Association. III. Title. [DNLM: 1. Phobic Disorders. WM 178 B422s 2007] RC552.S62B45 2007 616.85'223—dc22 British Library Cataloguing-in-Publication Data A CIP record is available from the British Library. Printed in the United States of America Second Edition 2006009554 To Sam When describing our work, the words I, my, or mine were never part of your vocabulary. For you, it was always we, us, and ours. And so it will always be. Your courageous heart and generous spirit inspire me still. Debbie Contents Preface Acknowledgments Introduction 1 ix xiii 3 Clinical Presentation of Social Anxiety Disorder in Adults 11 Clinical Presentation of Social Anxiety Disorder in Children and Adolescents 47 3 Prevalence of Social Anxiety Disorder 81 4 Etiology of Social Anxiety Disorder 91 5 Assessment of Social Anxiety Disorder 121 6 Managing Patients With Social Anxiety Disorder (and Their Parents) 151 7 Pharmacological Treatment of Social Anxiety Disorder 173 8 Behavioral and Cognitive-Behavioral Treatment of Social Anxiety Disorder in Adults 201 Behavioral and Cognitive-Behavioral Treatment of Social Anxiety Disorder in Children and Adolescents 261 2 9 Epilogue References Author Index Subject Index About the Authors 315 321 363 375 397 vn Preface C linical and research interest in the field of social anxiety disorder has increased dramatically since the publication of the first edition of this volume in 1998. This interest has translated into increased knowledge regarding the psychopathology, epidemiology and long-term impact, assessment strategies, and treatme