Social Anxiety and Social Phobia in Youth: Characteristics, Assessment, and Psychological Treatment

225 Pages·2005·1.83 MB·English

by  Christopher A. Kearney (auth.)

Social Anxiety and Social
Phobia in Youth
Characteristics, Assessment, and
Psychological Treatment
SERIES IN ANXIETY AND RELATED DISORDERS
Series Editor: Martin M. Antony, Anxiety Treatment and Research Centre,
St.Joseph’sHospital,Hamilton,Ontario,Canada
SOCIALANXIETYANDSOCIALPHOBIAINYOUTH
Characteristics,Assessment,andPsychologicalTreatment
ChristopherA.Kearney
AContinuationOrderPlanisavailableforthisseries.Acontinuationorderwillbringdeliveryofeachnewvolume
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Social Anxiety and Social
Phobia in Youth
Characteristics, Assessment, and
Psychological Treatment
Christopher A. Kearney
UniversityofNevada
LasVeges,Nevada
Springer
eBookISBN: 0-387-22592-7
Print ISBN: 0-387-22591-9
©2005 Springer Science + Business Media, Inc.
Print ©2005 Springer Science + Business Media, Inc.
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ForDerekandClaire—
Mayyourlivesbesocialones(butalittlecarefultoo).
PREFACE
A great benefit of being a clinical child psychologist is the opportunity
to conduct and review research on fascinating areas of human, youthful
behavior.Andperhapsnobehaviorisascentraltohumanexistenceassocial
behavior,andthelackthereof.Inwritingthisbook,therefore,Ihavebeen
doubly blessed with the chance to examine seminal works on behaviors
thataresocriticaltothedevelopmentandqualityoflifeofchildren.
This book covers the major historical aspects, characteristics, assess-
ment strategies, and psychological treatment techniques for youths with
socialanxietyandsocialphobia.Chapter1providesanintroductiontothe
relatedconstructsandhistoryofsocialphobia.Chapters2and3providea
summaryofthecharacteristicsandetiologicalvariablesthatpertainmost
toyouthswithsocialanxietyandsocialphobia.Chapters4and5provide
an overview of research- and clinically-based assessment strategies and
recommendationsforthispopulation.Chapters6–9provideadescription
oftreatmenttechniquesthataremostrelevantandempiricallysupported
foryouthswithsocialanxietyandsocialphobia.Chapter10coversissues
regarding general and relapse prevention as well as difficult cases and
futuredirections.
Thisbookisintendedforawidearrayofaudiences,includingclinical
and counseling psychologists, school and educational psychologists, so-
cialworkers,psychiatrists,pediatricians,guidancecounselors,principals,
teachers,andotherrelevantprofessionals.Ingeneral,though,thebookis
meant for those who simply wish to gain a better knowledge of youths
withsocialanxietyandsocialphobia.Theliteratureinthisareaisgrowing
fast, and keeping up with the technologies that have been developed to
measureandaddressthisimportantpopulationiscrucial.
vii
viii PREFACE
This book is also a testament to the research pioneers in the area of
childhood social anxiety and phobia, including Deborah Beidel, Annette
LaGreca,AnneMarieAlbano,JeromeKagan,CynthiaLast,PhilipKendall,
andWendySilverman,amongmanyothers.Thebookisalsotestamentto
those adult social anxiety and phobia researchers who have contributed
so much to the foundation of childhood assessment and treatment tech-
nologiesinthisarea,includingRichardHeimberg,SamuelTurner,Philip
Zimbardo,DavidBarlow,andMurrayStein,amongmanyothers.
I would like to thank Marty Antony, the series editor, and the good
people of Kluwer/Academic Plenum for the opportunity to publish this
book.IspecificallythankMs.SharonPanullaatKluwer/AcademicPlenum
for her invaluable assistance. In addition, I must give an enormous thank
youtoAmieLemos,mytirelessgraduatestudentwhospentmonthsand
monthstrackingdownformehundredsofarticlesandbooks.Ithankmy
othergraduatestudentsaswellfortheirpatience,includingKellyDrake,
Lisa Linning, Jennifer Vecchio, and Krisann Alvarez. As always, I thank
CharlesRasmussenoftheUniversityofNevada,LasVegasforhissupport
andsuccessfuleffortstosecureacomfortableworkenvironment.Finally,
I thank my wife, Kimberlie, and our two children, Derek and Claire, for
theirwonderfulemotionalsupportandpatienceaswell.Theycontinueto
bemybestfriendsandteachers.
CONTENTS
1. DefinitionandHistoryofSocialPhobiaandRelated
ConceptsinYouth . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. MajorCharacteristicsofYouthswithSocialAnxiety
andSocialPhobia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3. TheEtiologyofSocialAnxietyandSocialPhobia
inYouths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
4. Research-BasedAssessmentofSocialAnxietyand
SocialPhobiainYouths . . . . . . . . . . . . . . . . . . . . . . . 71
5. ClinicalAssessmentofSocialAnxietyandSocial
PhobiainYouths . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
6. TheTreatmentofSocialAnxietyandSocialPhobia
inYouths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
7. TreatingYouthswithSocialAnxietyandSocialPhobia:
LayingtheGroundwork . . . . . . . . . . . . . . . . . . . . . . . 125
8. TreatingYouthswithSocialAnxietyandSocialPhobia:
DevelopingAdvancedSkills . . . . . . . . . . . . . . . . . . . . 139
ix
x CONTENTS
9. TreatingYouthswithSocialAnxietyandSocialPhobia:
Exposure-BasedPractices . . . . . . . . . . . . . . . . . . . . . . 155
10. Prevention,DifficultCases,andFutureDirections . . . . 169
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
SubjectIndex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217