Hostname: page-component-77c89778f8-sh8wx Total loading time: 0 Render date: 2024-07-24T01:00:23.159Z Has data issue: false hasContentIssue false

L'évitement de situations à caractère social : syndrome ou symptôme ?

Published online by Cambridge University Press:  28 April 2020

J.-P. Boulenger*
Affiliation:
Chargé de Recherche INSERM, Service de Psychiatrie (Pr E. Zarifian), C.H.U.R. Côte de Nacre - 14033Caen Cedex
Get access

Résumé

L’évitement de situations à caractère social définit classiquement le cadre des phobies sociales. Cependant, deux problèmes diagnostiques peuvent se poser chez de tels patients. Le premier concerne les limites existant entre ce syndrome et les troubles de la personnalité décrits sous des termes divers (personnalité évitante, anxiété d’évaluation, troubles des aptitudes sociales). Le second, est celui du diagnostic differentiel entre phobies sociales et agoraphobie, problème fréquemment rencontré en pratique et pour lequel seule une analyse cognitive précise permettra d’orienter le diagnostic. Des recherches sont en cours dans le but de vérifier l’hypothèse selon laquelle les phobies sociales relèveraient d’un mécanisme biologique distinct de celui de l’agoraphobie, mécanisme dont témoignerait une sensibilité particulière de ce syndrome aux effets thérapeutiques des IMAO.

Summary

Summary

Avoidance of social situations is the classic definition of the scope of social phobias. However, two diagnostic problems may arise in such patients. The first involves the limits which exist between this syndrome and personality disorders described in different terms (avoidance personality, evaluation anxiety, disorders of social skills). The second involves the distinction between social phobias and agoraphobia, a problem frequently encountered in practice, and where precise cognitive analysis is the sole means of pin-pointing the diagnosis. Research is presently underway to confirm the hypothesis whereby social phobias originate in a different biological mechanism from that of agoraphobia: the said mechanism is possibly revealed by this syndrome's exceptional sensitivity to the therapeutic effects of MAOI antidepressants.

Type
Research Article
Copyright
Copyright © European Psychiatric Association 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliographie/References

Amies, P.L., Gelder, M.G., Shaw, P.M. - Social phobia: a comparative clinical study. Br J Psychiatry 1983; 142: 174179.CrossRefGoogle ScholarPubMed
Amies, P.L., Gelder, M.G., Shaw, P.M. - Social phobia: a comparative clinical study. Br J Psychiatry 1983; 142: 174179.CrossRefGoogle ScholarPubMed
Beck, A.T., Emery, G. - Anxiety disorders and phobias. A cognitive perspective. Basic books, New York, 1985.Google Scholar
Boulenger, J.P. (ed.) - L'attaque de panique : un nouveau concept ? JPG editions, Paris, 1987 (sous presse).Google Scholar
Liebowitz, M.R., Gorman, J.M., Fyer, A.J., Klein, D.F. - Social phobia. Review of a neglectcd anxiety disorder. Arch Gen Psychiatry 1985; 42: 729736.CrossRefGoogle ScholarPubMed
Liebowitz, M.R., Gorman, J.M., Fyer, A.J., Campeas, R., Sandberg, D., Levin, A., Hollander, E., Papp, L.A. - Psychopharmacological treatment of social phobia. Comm. 140th Ann. Meet., Am. Psychiatr. Assoc., Chicago, 1987.Google Scholar
Marks, I.M. - Fears, phobias and rituals. Panic, anxiety and their disorders. Oxford University Press, New York, 1987.Google Scholar
Persson, G., Nordlund, C.L. - Agoraphobics and social phobics: differences in background factors, syndrome profiles and therapeutic response. Acta Psychiatr Scand 1985; 71: 148159.CrossRefGoogle ScholarPubMed
Solyom, L., Ledwidge, B., Solyom, C. - Delineating social phobia. Br J Psychiatry 1986; 149: 464470.CrossRefGoogle ScholarPubMed
Stravinski, A., Boulenger, J.P. - L‘entraînement aux aptitudes sociales : fondements empiriques et considérations cliniques. J Ther Comportementale 1982 ; 4, 2 : 3649.Google Scholar
Submit a response

Comments

No Comments have been published for this article.