Well, medically speaking, that is. It is my belief that social phobia is really a phobia like any other, and that it exists at one end of a continuous spectrum. Many phobias are "externalizing": the person fears harm from the situation. Other phobias are "internalizing": the person fears that they will cause the harm, or that the harm lies inside of them. As it turns out, social phobias have two subtypes, external, and internal. However, clinicians and researchers are mistaken in believing that the variant Social Phobias (SOPs) are truly related: they aren't. Performance-Focused Social Phobias: fear of public speaking, fear of bathrooms, fear of dances, etc. (all externalizing), focus on ridicule and humiliation in the fearful situation and are not related to an underlying anxiety. Generalized Social Phobia (an internalizing phobia) is global and originates from an underlying anxiety of being defective. Here is my model:
Phobia Spectrum
INTERNALIZING <------------------------------------------------------------> EXTERNALIZING
*Intrusive Thought Phobias.....................................................................^Specific Phobias
Generalized Social Phobia.........................................................................Performance-focused Social Phobia
* Intrusive Thought Disorder is an OCD spectrum disorder that is a component of social phobia and can also stand alone. The peson suffers from obsessive, unwanted, disturbing thoughts. This can result in phobias of harming oneself, harming others, or acting out in some unacceptable fashion.
^Specific Phobias are irrational fears of particular situations or objects (not requiring performance in front of others). Examples include fear or snakes, fear of heights, and fear of the dark.
Phobia Spectrum
INTERNALIZING <------------------------------------------------------------> EXTERNALIZING
*Intrusive Thought Phobias.....................................................................^Specific Phobias
Generalized Social Phobia.........................................................................Performance-focused Social Phobia
* Intrusive Thought Disorder is an OCD spectrum disorder that is a component of social phobia and can also stand alone. The peson suffers from obsessive, unwanted, disturbing thoughts. This can result in phobias of harming oneself, harming others, or acting out in some unacceptable fashion.
^Specific Phobias are irrational fears of particular situations or objects (not requiring performance in front of others). Examples include fear or snakes, fear of heights, and fear of the dark.
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