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KMID : 0385320030140010065
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Journal of Korean Psychoanalytic Society
2003 Volume.14 No. 1 p.65 ~ p.71
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Psychoanalytic Understanding of Social Phobia
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Yu Jae-Hak
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Abstract
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The author wrote this article to provide a psychoanalytic understanding of social phobia. The author begins by discussing whether social phobia is a symptom or a disease. In this discussion, he concluded that seeing social phobia as a symptom rather than a disease would be helpful in more comprehensive understanding of patients. He also discussed countertransference issues of psychiatrists toward social phobic patients as a possible reason why the recognition of social phobia was not so prominent until recently. In this discussion, he emphasized the role of therapists, which is to understand not only the objective symptoms of social phobia but also the subjective complaints of social phobia. He also discussed the temperamental and environmental causes of social phobia, which could influence psychological and psychoanalytic causes of social phobia. Mainly the author discussed 1) the shame experience, 2) repeated experiences of trauma, loss, and separation, 3) aggressive drive, and 4) narcissism, as possible psychoanalytic causes of social phobia. In this discussion, he concluded as follows: when a child failed to fulfill different kinds of drives by objects, he tended to experience feelings of shame, frustration, and loss. Then, through these negative feelings, he would make negative images of himself and others. Due to these negative images and experiences of negative feelings, later he tried to escape all situations that could induce these negative feelings and negative images. This attempt at escape was expressed as social phobia. Lastly, the author discussed the cultural differences of Eastern and Western cultures in viewing the phenomena of social phobia. In this last discussion, he concluded that the feelings of shame seemed to be a universal effect and that similar numbers of problematic social phobic patients existed in both Eastern and Western cultures.
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KEYWORD
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Social phobia, Psychoanalysis, Shame
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