From adaptive emotion to dysfunction: an attachment perspective on social anxiety disorder

In this article, existing theories of social anxiety are integrated within the framework of attachment theory, in particular, by means of the causal mechanism of internal working models of self and others. These models guide beliefs and expectations about social relationships and, thereby, contribute to social anxiety. They also contain procedural knowledge about the skills needed to initiate and maintain social relationships. A reconceptualization of social skill as the ability to regulate others' emotions and, thereby, their behavior is presented. It is suggested that deficits (real or imagined) in the ability to affect others' emotional states, and, thereby, achieve interpersonal goals, contribute to social anxiety. The integrated model is evaluated by a number of theory-goodness criteria, and directions for future research are discussed.