Culturally relevant factors in the behavioral treatment of social phobia: A case study

Fink, Christine M.; Turner, Samuel M.; Beidel, Déborah C.

doi:10.1016/0887-6185(96)00005-9

Cited by 25 publications

(27 citation statements)

References 11 publications

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“…Harmon, Langley, and Ginsburg (2006) hypothesized that African Americans may present with different anxiety symptoms than those from other ethnic groups. At least two case studies have reported instances of social anxiety in African American clients in which the role of racial bias and fear of confirming stereotypes directly contributed to the level of anxiety (Fink, Turner, & Beidel, 1996;Johnson, 2006). These case studies are consistent with a study which found that for some African Americans fear of negative evaluation goes beyond the individual level and is broadened to the fear of bringing negative evaluation to all African Americans (Obasaju, 2007).…”

supporting

confidence: 56%

“…While efforts have been made to examine ethnic and cultural differences in the characteristics and prevalence of social anxiety (Fink et al, 1996;Johnson, 2006;Lewis-Fernandez et al, 2010;Obasaju, 2007), few studies have explored possible inconsistencies that may confound a number of widely used measures of social and evaluative anxiety as a result of cultural issues. Efforts to better understand social anxiety through examining how it is measured, in ethnically diverse populations can provide a better conceptualization of social anxiety and how it manifests across different ethnic and cultural groups.…”

mentioning

confidence: 98%

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Social anxiety across ethnicity: A confirmatory factor analysis of the FNE and SAD

Melka

Lancaster

Adams

et al. 2010

Journal of Anxiety Disorders

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supporting

confidence: 56%

mentioning

confidence: 98%

Social anxiety across ethnicity: A confirmatory factor analysis of the FNE and SAD

Melka

Lancaster

Adams

et al. 2010

Journal of Anxiety Disorders

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“…In spite of its limitations, this case study calls attention to possible ethnoracial concerns as a component of pathological social anxiety. Consistent with findings regarding offensive symptoms in TKS (Choy et al, 2008), social concerns that are not explicitly mentioned in the diagnostic criteria will most likely be left out of clinical assessments and may delay effective interventions (Fink et al, 1996).…”

Section: Eas and Aas It Is Unclear Whether The Association Between Pmentioning

confidence: 81%

“…However, Fink, Turner, and Beidel (1996) presented a case study of the behavioral treatment of a 39-year-old AA female physician. This study provides a colorful example of the implications for cultural differences in components of social concerns.…”

Section: Eas and Aas It Is Unclear Whether The Association Between Pmentioning

confidence: 98%

Anxiety psychopathology in African American adults: Literature review and development of an empirically informed sociocultural model.

Hunter¹,

Schmidt²

2010

Psychological Bulletin

149

141

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In this review, the extant literature concerning anxiety psychopathology in African American adults is summarized to develop a testable, explanatory framework with implications for future research. The model was designed to account for purported lower rates of anxiety disorders in African Americans compared to European Americans, along with other ethnoracial differences reported in the literature. Three specific beliefs or attitudes related to the sociocultural experience of African Americans are identified: awareness of racism, stigma of mental illness, and salience of physical illnesses. In our model, we propose that these psychological processes influence interpretations and behaviors relevant to the expression of nonpathological anxiety as well as features of diagnosable anxiety conditions. Moreover, differences in these processes may explain the differential assessed rates of anxiety disorders in African Americans. The model is discussed in the context of existing models of anxiety etiology. Specific follow-up research is also suggested, along with implications for clinical assessment, diagnosis, and treatment.

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“…Case studies of social anxiety treatment for Blacks support this assertion. Fink, Turner, and Beidel (1996) described the treatment of a Black female physician with social anxiety who experienced great distress in social environments at work, where almost all of her colleagues were white men. Initial exposures were ineffective until the racial composition of her perceived audience and her race-related worries were addressed, at which time treatment became more effective.…”

Section: Introductionmentioning

confidence: 99%

Stereotype confirmation concern and fear of negative evaluation among African Americans and Caucasians with Social Anxiety Disorder

Johnson

Anderson

2014

Journal of Anxiety Disorders

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Fear of negative evaluation is a central component of social anxiety. The current study examines the relation between fear of negative evaluation and fears of confirming stereotypes about a social group to which one belongs among people diagnosed with social anxiety disorder. Participants (N = 94) with a primary diagnosis of social anxiety disorder who self-identified as either African American (n = 41) or Caucasian (n = 53) completed standardized self-report measures of stereotype confirmation concerns and fear of negative evaluation. Results from hierarchical logistical regression showed that stereotype confirmation concerns predicted fear of negative evaluation for both racial groups, with greater concern predicting greater fear. This association was moderated by race, B = −.24, t = −2.67, p < .01, such that stereotype confirmation concerns had a stronger association with fear of negative evaluation for Caucasians (b = .38, p < .01) than for African Americans (b = .14, p < .05). This study is the first to directly examine the relation between stereotypes and fear of negative evaluation within a socially anxious sample. Although we cannot identify the specific social group to which each participant’s stereotype confirmation concerns apply, this study provides quantitative evidence that the social context within which socially anxious individuals view themselves impacts their fear of negative evaluation and highlights the need for further research in this area.

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Culturally relevant factors in the behavioral treatment of social phobia: A case study

Cited by 25 publications

References 11 publications

Social anxiety across ethnicity: A confirmatory factor analysis of the FNE and SAD

Social anxiety across ethnicity: A confirmatory factor analysis of the FNE and SAD

Anxiety psychopathology in African American adults: Literature review and development of an empirically informed sociocultural model.

Stereotype confirmation concern and fear of negative evaluation among African Americans and Caucasians with Social Anxiety Disorder

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