Social Phobia Phenomenology and Subtypes
Many researchers in the area of social phobia tend to classify the
disorder into two main subtypes. DSM-IV requires that diag-nosticians specify
whether a social phobia diagnosis is “general-ized”, or includes most social
situations. In addition, a “discrete or circumscribed” subtype is often used by
investigators to de-scribe patients with only one domain of social anxiety,
usually involving performance-related situations (e.g., public speaking).
Several studies have examined differences among these subtypes.
Specifically, patients with generalized social phobias tend to be younger, less
educated and less likely to be employed than are patients with discrete social
phobias. In addition, gen-eralized social phobias are associated with more
depression, anxiety, general distress and concerns about negative evaluation
from others. Discrete social phobias appear to be associated with greater