From Library Journal
General psychiatrist Marshall began counseling anxiety disorder patients in the mid-1980s. At that time, anxiety disorders were emerging as psychiatric conditions in their own right rather than symptoms of other disorders. Marshall's particular interest here is in social phobics (i.e., those whose lives are controlled by intense and abiding fears of social interaction). Combining theory, research findings, and clinical expertise with examples from the lives of socially phobic people, Marshall presents a very readable overview of the topic. He explains a wide spectrum of social phobias, including the fear of eating in public and imagined body ugliness. The appendix discusses other anxiety disorders. Recommended for public and academic libraries.
Carol R. Nelson, Ball State Univ. Lib., Muncie, Ind.Copyright 1994 Reed Business Information, Inc.
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Social phobia is shyness, broadly speaking. But the disorder can also manifest itself as the cause of alcoholism (alcohol eases the pain of social interaction), eating disorders, and an obsessive concern with body partsthe feeling, say, that one's breasts or eyes or penis are inordinately large and that all the world is watching. Marshall, a professor of psychiatry, first explores what may be the primitive origins of social phobia: the need for some members of a group to seem retiring in order to survive. Then he discusses cases: the physically powerful man who can barely bring himself to speak; the ardent feminist who cannot, physically, assert herself; and the actress who panics before a performance. More universally, still, Marshall examines those seemingly ordinary, but often crippling, cases of people who are afraid to give oral presentations, talk to supervisors, or ask for datesor even make left turns, because pausing at a stoplight causes the drivers behind to be delayed and brings the socially phobic driver under an imagined scrutiny. The happy news is that social phobia can be successfully treated most of the time, with cognitive and exposure therapies; however, the most effective treatments involve drugs such as the beta blockers, monoamine-oxidase inhibitors, and, of course, Prozac. A thoughtful new approach to an eternal bedevilment.
John Mort
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