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50. “Social anxiety disorder” … one in five

of us: M. B. Stein, J. R. Walker, and D. R.

Forde, “Setting Diagnostic Thresholds for

Social Phobia: Considerations from a Community

Survey of Social Anxiety,” American

Journal of Psychiatry 151 (1994): 408–42.

51. The most recent version of the Diagnostic

and Statistical Manual: American Psychiatric

Association, Diagnostic and Statistical

Manual of Mental Disorders, 4th ed. (DSM-

IV), 2000. See 300.23, “Social Phobia (Social

Anxiety Disorder)”: “The diagnosis is

appropriate only if the avoidance, fear, or

anxious anticipation of encountering the social

or performance situation interferes significantly

with the person’s daily routine,

occupational functioning, or social life, or if

the person is markedly distressed about

having the phobia.… In feared social or

performance situations, individuals with

Social Phobia experience concerns about

embarrassment and are afraid that others

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