Social anxiety (phobia) and east Asian culture.

Abstract:

:Since the introduction of the concept of social anxiety (or phobia) to the American nosological system in DSM-III (1980), it has become increasingly apparent that the condition is also prevalent in other cultures. In Japan, for example, the condition, called taijinkyofusho (usually abbreviated as TKS in English), is widespread and has been extensively discussed since the turn of the century, a fact not well known in the English-speaking psychiatric community. In comparing social phobia in Japanese society (and in other East Asian societies) with North American societies, two questions stand out. First, if TKS is social phobia, why is it so different from the American form of social phobia? In particular, why do typical TKS patients fear the possibility of distressing, and even harming, others, whereas their American counterparts feel anxious at the possibility of being embarrassed by others? In other words, why is TKS other-oriented (allocentric), whereas social phobia is self-oriented (egocentric)? Second, is TKS specific to Japanese culture? In this paper, I suggest that the allocentric nature of TKS reflects those elements of Japanese culture that are common to East Asian societies as seen in their pattern of child-rearing practices, language, and social ideals. In short, TKS is an East Asian cultural patterning of social anxiety (phobia).

journal_name

Depress Anxiety

journal_title

Depression and anxiety

authors

Chang SC

doi

10.1002/(sici)1520-6394(1997)5:3<115::aid-da1>3.0.

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

115-20

issue

3

eissn

1091-4269

issn

1520-6394

pii

10.1002/(SICI)1520-6394(1997)5:3<115::AID-DA1>3.0.

journal_volume

5

pub_type

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