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Anxiété sociale, problèmes diagnostiques et thérapeutiques

Published online by Cambridge University Press:  28 April 2020

M. Horenstein*
Affiliation:
Psychiatre, Institut National Marcel Riviere Département des Thérapies Comportementales, 52, av. de Wagram, 75017Paris, France
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Résumé

L'anxiété sociale traverse toute la pathologie psychiatrique et est l’une des plaintes les plus fréquemment rencontrées dans notre Département des Thérapies Comportementales. Les catégories : phobie sociale et personnalité évitante du DSM III s’y réferent spécifiquement. Certains troubles affectifs semblent aussi liés à l’interaction sociale. Les critères diagnostiques et les diagnostics différentiels à l’intérieur de ce groupe hétérogène sont analysés d’après le DSM III et à l’aide d’autres méthodes d’évaluation.

Une évaluation critique de ces méthodes est faite, en vue de les adapter aux critères de trois types de troubles : • la réaction anxieuse psychophysiologique dans la phobie sociale, • les comportements d’évitement dans la personnalité évitante, • les distorsions cognitives dans la dépression atypique.

Une revue de traitements chimiothérapiques, cognitifs et comportementaux utilisés dans les trois types de troubles décrits antérieurement, est présentée.

Summary

Summary

Social anxiety is present in many psychiatric disorders and is one of the more frequent complains encountered in our Department of Behavioral Therapy. The “social phobia” and “avoidant personalily” categories of the DSM III refer specifically to this phenomenon. Certain affective disorders likewise seem to be related to social interaction. The diagnostic criteria and differential diagnoses within this heterogeneous group are analyzed according to the DSM III and using other assessment methods.

Critical evaluation of these methods is provided, with a view to adapting them to the criteria of three types of disorders: • the anxious psychophysiological reaction in social phobia, • avoidant behavior in the avoidant personality, • cognitive distorsions in atypical depression.

The chemotherapy, cognitive and behavioral treatments used in these three types of disorders are reviewed.

Type
Research Article
Copyright
Copyright © European Psychiatric Association 1987

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References

Bibliographie/References

American Psychiatric Association - Diagnostic and statistical manual of mental disorders. (3rd edition) Washington, 1980. Traduction française, Masson, Paris, 1983.Google Scholar
Amies, P.L., Gelder, M.G., Shaw, P.M. - Social phobia: a comparative clinical study. Br J Psychiatry 1983; 142: 174179.CrossRefGoogle ScholarPubMed
Brady, J.P. - Social skills training for psychiatric patients, I: concepts, methods and clinical results. Am J Psychiatry 1984; 141: 333340.Google ScholarPubMed
Brady, J.P. - Social skills training for psychiatric patients, II: clinical outcome studies. Am J Psychiatry 1984; 141: 491498(b).Google ScholarPubMed
Derogatis, L.R., Lipman, R.S., Covi, L. - The SCL-90: An outpatient psychiatric rating scale: Preliminary report Psychopharmacology Bull 1973; 9: 1328,Google ScholarPubMed
Dimsdale, J.E., Moss, J. - Short-term catecholamine response to psychological stress. Psychosom Med 1980; 42: 493497.CrossRefGoogle ScholarPubMed
Dinardo, P.A., >O’brien, G.T., Barlow, D.H., Waddell, M.T., Blanchard, E.B. - Reliability of DSM-III anxiety disorder categories using a new structured interview. Arch Gen Psychiatry 1983; 40: 10701074.CrossRefGoogle Scholar
Falloon, I.R.H ., Lloyd, G.G., Harpin, R.E. - The treatment of social phobia. Real-life rehearsal with nonprofessional therapists. J Nerv Ment Dis 1981; 169: 3: 180184.CrossRefGoogle ScholarPubMed
Gambrill, E.D., Richey, C.A. - An assertion inventory for use in assessment and research. Behav Res Ther 1975; 6: 350362.Google Scholar
Gorman, J.M., Liebowitz, M.R., Fyer, A.J., Campeas, R., Klein, D.F. - Treatment of social phobia with atenolol. J Clin Psychopharmacol 1985; 5: 298301.CrossRefGoogle ScholarPubMed
Heimberg, R.G., Becker, R.E., Goldfinger, K., Vermilyea, J.A. - Treatment of social phobia by exposure, cognitive restructuring and homework assignments. J Nerv Ment Dis 1985; 173: 4: 236245.CrossRefGoogle ScholarPubMed
Horenstein, M., Nabet, M., Lelievre, F., Martineau, A. - Thérapie comportementale en groupe pour des patients psychiatriques suivis en consultation externe. Actualités Psychiatriques 1984 : 7 : 5761.Google Scholar
Horenstein, M. - Les thérapies comportementales en groupe. Mémoire pour le C.E.S. de psychiatrie. Paris, 1978.Google Scholar
Horenstein, M., Guilbert, P. - Utilisation du manuel diagnostique et statistique des troubles mentaux (DSM III) dans un département de thérapies comportementales. Psychologie Médicale 1984 ; 16 : 14 : 23952400.Google Scholar
Horenstein, M. - Treatment of social phobia with atenolol and exposure. 16th Congress of the European Association for behavior therapy. Switzerland, 1986.Google Scholar
Horenstein, M. - Les thérapies comportementales en groupe. Journal de Thérapie Comportementale 1979 ; 1 : 2 : 7583.Google Scholar
Horenstein, M., Martinat, N. - Entraînement en groupe à la gestion de l’anxiété. Journal de Thérapie Comportementale 1983 ; 5 : 1 : 311.Google Scholar
Horenstein, M. - Les séminaires du G.I.R.A.D. 1987.Google Scholar
Klein, D.F., Quitkin, F.M. - Problems with and promises of monoamine oxidase inhibitors. Psychopharmacology Bull 1986; 22: 1: 711.Google ScholarPubMed
Liebowitz, M.R. - (communication personnelle 1984).Google Scholar
Liebowitz, M.R., Klein, D.F. - Hysteroid dysphoria. Psychiatr Clin North Am 1979; 2: 555575.CrossRefGoogle Scholar
Liebowitz, M.R., Quitkin, F.M., Stewart, J.W., Mcgrath, P.J., Harrison, W., Rabkin, J., Tricamo, E., Markowitz, J.S, Klein, D.F. - Phenelzine vs imipramine in atypical depression. A preliminary report. Arch Gen Psychiatry 1984; 41: 669677.CrossRefGoogle Scholar
Liebowitz, M.R., Gorman, J.M ., Fyer, A.J ., Klein, D.F. - Social phobia: Review of a neglected anxiety disorder. Arch Gen Psychiatry 1985; 42: 7: 729736.CrossRefGoogle Scholar
Liebowitz, M.R., Fyer, A.J., Gorman, J.M., Dillon, D., Davies, S., Stein, J., Klein, D.F. - Specificity of lactate infusions in social phobia versus panic disorders. Am J Psychiatry 1985; 142: 8: 947950.Google Scholar
Marks, I.M., Mathews, A.M. - Brief standard self-rating for phobic patients. Behav Res Ther 1979; 17: 263267.CrossRefGoogle ScholarPubMed
Nies, A., Howard, D., Robinson, D.S. - Antianxiety effects of MAO inhibitors. In: Mathew, R.J. ed.: The biology of anxiety, 123133, Brunner/ Mazel, New York, 1982.Google Scholar
Paul, G.L. - Insight vs desensitization in psychotherapy. Stanford University Press, Stanford, CA, 1966.Google Scholar
Pfohl, B., Coryel, W., Zimmerman, M., Stangl, D. - DSM III personality disorders: diagnostic overlap and internal consistency of individual DSM III criteria. Compr Psychiatry 1986; 27: 1: 2134.CrossRefGoogle ScholarPubMed
Rathus, S.A. - A 30 items schedule for assessing assertive behavior. Behav Res Ther 1973; 4: 398407.CrossRefGoogle Scholar
Standage, K. - A clinical and psychometric investigation compring Schneider's and the DSM III typologies of personality disorders. Compr Psychiatry 1986; 27: 1: 3546.CrossRefGoogle Scholar
Stangl, D., Pfohl, B., Zimmerman, M., Bowers, W., Corenthal, C. - A structured interview for the DSM III personality disorders. Arch Gen Psychiatry 1985; 42: 591596.CrossRefGoogle ScholarPubMed
Stravinski, A., Marks, I., Yule, W. - Social skills problems in neurotic patients: social skills training with and without cognitive modification. Arch Gen Psychiatry 1982; 39: 13781385.CrossRefGoogle Scholar
Turner, R.M., Meles, D., Ditomasso, R. - Assessment of social anxiety: A controlled comparison among social phobics, obsessive-compulsives, agoraphobics, sexual disorders and simple phobics. Behav Res Ther 1983; 21: 181183.CrossRefGoogle ScholarPubMed
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