A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems
Social Anxiety Disorder (SAD) is a highly prevalent and debilitating condition. Although effective treatments exist, their success is limited. This narrative review seeks to advance a comprehensive understanding of the types of social threat affecting individuals with SAD from the perspective of two...
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Moscow State University of Psychology and Education
2020-10-01
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Online Access: | https://psyjournals.ru/files/116720/cpse_2020_3_Gilboa-Schechtman.pdf |
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doaj-d4d440fc84084c5592e6f761aef115172020-11-25T04:08:53ZrusMoscow State University of Psychology and EducationКлиническая и специальная психология2304-03942020-10-0193153310.17759/cpse.2020090302A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial SystemsGilboa-Schechtman E.0https://orcid.org/0000-0002-2831-5835PhD, Director of Clinical Training, Head of Emotional Processing Laboratory, Department of Psychology and Gonda Multidisciplinary Brain Center, Bar Ilan University, Israel, e-mail: evagilboa@gmail.comSocial Anxiety Disorder (SAD) is a highly prevalent and debilitating condition. Although effective treatments exist, their success is limited. This narrative review seeks to advance a comprehensive understanding of the types of social threat affecting individuals with SAD from the perspective of two basic biobehavioral systems: affiliation and social-rank. We argue that SAD is associated with vulnerability to events signaling loss of affiliation (exclusion) and of social-rank (defeat). Specifically, we suggest that SAD is characterized by (a) hyper-reactivity to exclusion and defeat; (b) propensity to respond to exclusion by deploying distancing and withdrawal strategies; (c) propensity to respond to defeat by deploying conflict-reducing subordination strategies; and (d) enhanced linkage of the two systems. This dual-system account may help integrate clinically significant information about SAD and offer recommendations regarding novel theory-based directions for treatments.https://psyjournals.ru/files/116720/cpse_2020_3_Gilboa-Schechtman.pdfdominancebelongingnesssocial anxietyexclusiondefeatdepressionsocial stress |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
Gilboa-Schechtman E. |
spellingShingle |
Gilboa-Schechtman E. A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems Клиническая и специальная психология dominance belongingness social anxiety exclusion defeat depression social stress |
author_facet |
Gilboa-Schechtman E. |
author_sort |
Gilboa-Schechtman E. |
title |
A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems |
title_short |
A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems |
title_full |
A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems |
title_fullStr |
A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems |
title_full_unstemmed |
A Dual-System Model of Social Anxiety Disorder: The Interplay of the Social-Rank and Affiliation Biopsychosocial Systems |
title_sort |
dual-system model of social anxiety disorder: the interplay of the social-rank and affiliation biopsychosocial systems |
publisher |
Moscow State University of Psychology and Education |
series |
Клиническая и специальная психология |
issn |
2304-0394 |
publishDate |
2020-10-01 |
description |
Social Anxiety Disorder (SAD) is a highly prevalent and debilitating condition. Although effective treatments exist, their success is limited. This narrative review seeks to advance a comprehensive understanding of the types of social threat affecting individuals with SAD from the perspective of two basic biobehavioral systems: affiliation and social-rank. We argue that SAD is associated with vulnerability to events signaling loss of affiliation (exclusion) and of social-rank (defeat). Specifically, we suggest that SAD is characterized by (a) hyper-reactivity to exclusion and defeat; (b) propensity to respond to exclusion by deploying distancing and withdrawal strategies; (c) propensity to respond to defeat by deploying conflict-reducing subordination strategies; and (d) enhanced linkage of the two systems. This dual-system account may help integrate clinically significant information about SAD and offer recommendations regarding novel theory-based directions for treatments. |
topic |
dominance belongingness social anxiety exclusion defeat depression social stress |
url |
https://psyjournals.ru/files/116720/cpse_2020_3_Gilboa-Schechtman.pdf |
work_keys_str_mv |
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