Abstract
Taijin-kyofu-sho (TKS) is thought to be a common, culture-bound disorder of social anxiety in Japan and Korea. Its phenomenology has been noted to overlap with that of social phobia. The "offensive type" of TKS, which has no direct parallel in Western classification, is characterized by a fear of offending others in social situations, which leads to social avoidance. There has been only one case of offensive-type TKS reported in the United States, and this case was not regarded as a variant of social phobia. The phenomenology and treatment of six patients who presented to New York City anxiety disorders research clinic psychiatrists with the offensive type of TKS are described. Features of TKS are compared with those of social phobia, as described in Western countries. Treatment outcomes for four patients are discussed and compared with TKS treatment experience in Japan and Korea and with treatment outcome in social phobia. In this anxiety clinic sample, features of the offensive type of TKS showed much overlap with symptoms of social phobia. Only two of four treated patients in this TKS sample received adequate trials of medication known to be effective for social phobia, and one of the two improved significantly. The offensiv...Continue Reading
Citations
Jun 10, 2010·Psychological Medicine·M Begum, P J McKenna
Apr 17, 2008·The Journal of Nervous and Mental Disease·Yoshihiro KinoshitaToshi A Furukawa
Apr 12, 2011·International Archives of Medicine·André B VerasAntonio E Nardi
Jan 1, 2005·International Journal of Psychiatry in Clinical Practice·Toshihiko NagataObuo Kiriike
Jun 27, 2006·Psychological Reports·Jun Sasaki, Yoshihiko Tanno
Sep 3, 2003·Acta Psychiatrica Scandinavica. Supplementum·H-U Wittchen, L Fehm
Jan 17, 2004·Acta Psychiatrica Scandinavica·K SuzukiN Mori
Mar 7, 2007·Depression and Anxiety·Yujuan ChoyMichael R Liebowitz
Jul 4, 2007·Depression and Anxiety·Jinkwan KimJonathan E Gaston
Dec 7, 2010·Depression and Anxiety·Stefan G HofmannDevon E Hinton
Nov 29, 2001·The Psychiatric Clinics of North America·H U Wittchen, L Fehm
Nov 29, 2001·The Psychiatric Clinics of North America·D J Stein, H Matsunaga
Feb 4, 2006·Depression and Anxiety·Toshihiko NagataNobuo Kiriike
Dec 18, 2002·Psychiatry and Clinical Neurosciences·Kei NakamuraMikiko Kubota
Nov 24, 2004·Psychiatry and Clinical Neurosciences·M IwaseM Takeda
Feb 16, 2005·Transcultural Psychiatry·Shin TarumiToshihide Kuroki
Nov 26, 2010·The Australian and New Zealand Journal of Psychiatry·Yasuhide IwataNorio Mori
Jul 1, 1999·International Journal of Group Psychotherapy·H Kotani
Jan 25, 2012·Psychopathology·Satoshi AsakuraTsukasa Koyama
Jan 11, 2020·Journal of Korean Medical Science·Seon Cheol Park, Yong Chon Park