This video answers the question: Are avoidant personality disorder and social anxiety disorder actually different disorders? There's a debate in the mental health treatment community about these two disorders and sometimes it's really not a matter of how are they different it really, it is a matter of people that believe that one of these must not exist. I think the one that gets targeted more often, of course, is avoidant personality. In previous videos have also discussed how we have to use the research sometimes on social anxiety disorder to draw inferences about avoidant personality, because there is not a lot of research on avoidant personality disorder. This just speaks to the same challenge: are these two disorders really separate? I'm going to revisit this question but from a slightly different angle. I'm not going to go through the item-level analysis of the symptoms like I've done before, but rather give an overview of these two disorders and an overview of where we are in terms of our understanding. With social anxiety disorder there are many symptom criteria like anxiety and avoidance in social situations. With social anxiety disorder this may be specific, there's even a specifier “performance only” that's for performing or speaking in public. The idea here is that social anxiety disorder is not conceptualized as the manifestation of extreme personality traits, rather the symptoms of this disorder can come and go. They're not really necessarily stable over time as I indicated. We could think of a short version to remember what social anxiety disorder is all about is really something like “performance in social situations.” Avoidant personality disorder is conceptualized as more stable, it's a maladaptive pattern like we see with all personality disorders. The pattern here is one of social inhibition, so we see a lot of different emotions and feelings associated with social situations like a fear of being rejected, criticized, embarrassed, feelings of inadequacy, and being inept or inferior. This is quite similar to social anxiety disorder, but from a different angle. If we're trying to sum up what avoidant personality disorder is, we would say there's difficulties here in forming relationships. We could easily remember the main difference between these disorders as forming versus performing, difficulty in forming relationships with avoidant personality disorder and difficulty performing in social situations with social anxiety disorder.
Torvik, F. A., Welander-Vatn, A., Ystrom, E., Knudsen, G. P., Czajkowski, N., Kendler, K. S., & Reichborn-Kjennerud, T. (2016). Longitudinal associations between social anxiety disorder and avoidant personality disorder: A twin study. Journal of Abnormal Psychology, 125(1), 114-124. doi:10.1037/abn0000124
Информация по комментариям в разработке