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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Main Author: Gilboa-Schechtman E.
Format: Article
Language:Russian
Published: Moscow State University of Psychology and Education 2020-10-01
Series:Клиническая и специальная психология
Subjects:
Online Access:https://psyjournals.ru/files/116720/cpse_2020_3_Gilboa-Schechtman.pdf
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spelling 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
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