
Contents
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Vignette Vignette
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Historical and Cultural Context Historical and Cultural Context
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Role in Current Diagnostic Systems Role in Current Diagnostic Systems
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Symptomatology Symptomatology
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Taijin Kyofusho Subtypes Taijin Kyofusho Subtypes
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Subtypes Based on the Focus of Fears Subtypes Based on the Focus of Fears
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Subtypes Based Upon Severity Subtypes Based Upon Severity
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Prevalence Rate and Associated Features Prevalence Rate and Associated Features
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Theories of Etiology Theories of Etiology
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Assessment Options Assessment Options
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Self-report Measures Self-report Measures
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Clinical Interview Clinical Interview
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Differential Diagnosis Differential Diagnosis
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Caveats Caveats
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Recommendations Recommendations
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Treatment Options Treatment Options
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Psychopharmacology Psychopharmacology
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Antidepressants Antidepressants
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Other Pharmacological Agents and Combined Treatments Other Pharmacological Agents and Combined Treatments
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Psychotherapeutic Approaches Psychotherapeutic Approaches
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Recommendations for Future Work Recommendations for Future Work
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References References
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Cite
Abstract
Anxiety in social situations presumably is found in every culture. However, there may be differences across cultures in the specific ways that this anxiety manifests itself and is subjectively experienced by the sufferer. Taijin kyofusho is a broad term for various socially directed fears. Manifestations range from classic social anxiety disorder symptoms to those found in body dysmporphic disorder, delusional disorder, and olfactory reference syndrome. Though originally thought to be a culturally bound variation of social anxiety found only in East Asian populations, a growing body of evidence also locates it in the West. In contrast to egocentric fears found in social anxiety disorder (e.g., “I will embarrass myself”), prototypical taijin kyofusho symptoms are more other directed (e.g., “I will offend others or make them uncomfortable”). Assessment and treatment options are summarized.
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