scholarly journals A functionalist perspective on social anxiety and avoidant personality disorder

2009 ◽  
Vol 21 (4) ◽  
pp. 1065-1082 ◽  
Author(s):  
Peter LaFreniere

AbstractA developmental–evolutionary perspective is used to synthesize basic research from the neurosciences, ethology, genetics, and developmental psychology into a unified framework for understanding the nature and origins of social anxiety and avoidant personality disorder. Evidence is presented that social anxiety disorder (social phobia) and avoidant personality disorder may be alternate conceptualizations of the same disorder because they have virtually the same symptoms and genetic basis, and respond to the same pharmacologic and psychotherapeutic interventions. A functionalist perspective on social anxiety is formulated to (a) explain the origins of normative states of anxiety, (b) outline developmental pathways in the transition from normative anxiety to social anxiety and avoidant personality disorders, and (c) account for the processes leading to gender-differentiated patterns of anxiety-related disorders after puberty.

Author(s):  
Charles A. Sanislow ◽  
Katelin da Cruz ◽  
May O. Gianoli ◽  
Elizabeth Reagan

In this chapter, the evolution of the avoidant personality disorder (AVPD) diagnosis, its current status, and future possibilities are reviewed. AVPD is a chronic and enduring condition involving a poor sense of self and anxiety in social situations, and it is marked by fears of rejection and a distant interpersonal stance. AVPD may be conceptualized at the severe end of a continuum of social anxiety. In the extreme, traits, mechanisms, and symptoms become integral to chronic dysfunction in personality and interpersonal style. While AVPD is a valid diagnostic construct, the optimal organization of AVPD criteria for the diagnosis, and the relationship of avoidant personality traits to anxiety, remain to be determined.


PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0188024 ◽  
Author(s):  
Michael M. Havranek ◽  
Fleur Volkart ◽  
Bianca Bolliger ◽  
Sophie Roos ◽  
Maximilian Buschner ◽  
...  

2014 ◽  
Vol 45 (8) ◽  
pp. 1581-1589 ◽  
Author(s):  
K. Isomura ◽  
M. Boman ◽  
C. Rück ◽  
E. Serlachius ◽  
H. Larsson ◽  
...  

BackgroundWe aimed to provide unbiased estimates of familial risk and heritability of social anxiety disorder (SAD) and avoidant personality disorder (AVPD).MethodWe identified 18 399 individuals diagnosed with SAD and 2673 with AVPD in the Swedish National Patient Register between 1997 and 2009. Risks (odds ratios; OR) for SAD in all biological and non-biological relatives of probands, compared to relatives of unaffected individuals were calculated. We also estimated the risks for AVPD in relatives of probands with SAD.ResultsThe risk for SAD among relatives of SAD probands increased proportionally to the degree of genetic relatedness. The risks for first-degree relatives [OR 4.74, 95% confidence interval (CI) 4.28–5.25] were significantly higher than for second-degree and third-degree relatives. Second-degree relatives (OR 2.30, 95% CI 2.01–2.63) had significantly higher risk than third-degree relatives (OR 1.72, 95% CI 1.52–1.94). Relatives at similar genetic distances had similar risks for SAD, despite different degrees of shared environment. Heritability was estimated to be approximately 56%. There were no significant sex differences in the familial patterns. The risk of AVPD in relatives of SAD probands was significantly elevated, even after excluding individuals with both diagnoses (first-degree OR 3.54, second-degree OR 2.20, third-degree OR 1.62). Non-biological relatives (spouses/partners) also had elevated risks for both SAD (OR 4.01) and AVPD (OR 3.85).ConclusionsSAD clusters in families primarily due to genetic factors. SAD and AVPD are aetiologically related and may represent different expressions of the same vulnerability. The strong marital concordance observed in SAD/AVPD may indicate assortative mating but the exact mechanisms and implications require further investigation.


2012 ◽  
Vol 26 (6) ◽  
pp. 665-672 ◽  
Author(s):  
Luana Marques ◽  
Eliora Porter ◽  
Aparna Keshaviah ◽  
Mark H. Pollack ◽  
Michael Van Ameringen ◽  
...  

2016 ◽  
Vol 125 (1) ◽  
pp. 114-124 ◽  
Author(s):  
Fartein Ask Torvik ◽  
Audun Welander-Vatn ◽  
Eivind Ystrom ◽  
Gun Peggy Knudsen ◽  
Nikolai Czajkowski ◽  
...  

2019 ◽  
Vol 93 (1) ◽  
pp. 88-104 ◽  
Author(s):  
Frederik Weischer Frandsen ◽  
Sebastian Simonsen ◽  
Stig Poulsen ◽  
Per Sørensen ◽  
Marianne Engelbrecht Lau

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