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==Causes of deficits== Deficits in social skills were categorized by Gresham in 1998, as failure to recognize and reflect social skills, a failure to model appropriate models, and failure to perform acceptable behavior in particular situations in relation to developmental and transitional stages.<ref>Teaching Social Skills to Youth, p. 7</ref> Social skill deficits are also a discouragement for children with behavioral challenges when it comes to adult adjustment.<ref>{{Cite journal|last1=Schloss|first1=Partrick J.|last2=Schloss|first2=Cynthia N.|last3=Wood|first3=Constance E.|last4=Kiehl|first4=Wendy S.|date=1986|title=A Critical Review of Social Skills Research with Behaviorally Disordered Students|jstor=23882274|journal=Behavioral Disorders|volume=12|issue=1|pages=1–14|doi=10.1177/019874298601200106|s2cid=141766352 }}</ref> ===Alcohol misuse=== Social skills are often significantly impaired in people suffering from [[alcoholism]].<ref name="pmid18412750"/> This is due to the neurotoxic [[long-term effects of alcohol]] misuse on the brain, especially the [[prefrontal cortex]] area of the brain.<ref name="pmid18412750"/> The social skills that are typically impaired by [[alcohol abuse]], include impairments in perceiving facial emotions, [[Semantic prosody|prosody]] perception problems, and [[theory of mind]] deficits.<ref name="pmid18412750"/> The ability to understand humor is also often impaired in alcohol abusers.<ref name="pmid18412750">{{cite journal |author=Uekermann J, Daum I |title=Social cognition in alcoholism: a link to prefrontal cortex dysfunction? |journal=Addiction |volume=103 |issue=5 |pages=726–35 |date=May 2008 |pmid=18412750 |doi=10.1111/j.1360-0443.2008.02157.x }}</ref> Impairments in social skills can also occur in individuals who have [[fetal alcohol spectrum disorder]]s. These deficits persist throughout the affected people's lives, and may worsen over time due to the effects of aging on the brain.<ref name="Kully-Martens-2012">{{Cite journal | last1 = Kully-Martens | first1 = K. | last2 = Denys | first2 = K. | last3 = Treit | first3 = S. | last4 = Tamana | first4 = S. | last5 = Rasmussen | first5 = C. | title = A review of social skills deficits in individuals with fetal alcohol spectrum disorders and prenatal alcohol exposure: profiles, mechanisms, and interventions. | journal = Alcohol Clin Exp Res | volume = 36 | issue = 4 | pages = 568–76 |date=Apr 2012 | doi = 10.1111/j.1530-0277.2011.01661.x | pmid = 22017360 }}</ref> ===ADHD and hyperkinetic disorder=== People with [[ADHD]] and [[hyperkinetic disorder]]<ref name=Banaschewski&Rohde>{{cite book|year=2009|editor1-last= Banaschewski |editor1-first= Tobias|editor2-last=Coghill|editor2-first= David |editor3-last= Danckaerts|editor3-first= Marina|isbn=9780191576010|title=Attention Deficit Hyperactivity Disorder and Hyperkinetic Disorder|publisher=OUP |location=Oxford, UK|first1=Tobias|last1=Banaschewski|first2=Louis|last2=Rohde|chapter= Phenomenology|pages=3–18|chapter-url=https://books.google.com/books?id=LQRUM5v_N1IC}}</ref> often have difficulties with social skills, such as social interaction. Approximately half of children and adolescents with ADHD will experience peer rejection, compared to 10–15 percent of non-ADHD youth. Adolescents with ADHD are less likely to develop close friendships and romantic relationships; they are usually regarded by their peers as immature or as social outcasts, with an exception for peers that have ADHD or related conditions themselves, or a high level of tolerance for such symptoms. As they begin to mature, however, it becomes easier to make such relationships. Training in social skills, behavioral modification, and medication have some beneficial effects. It is important for youth with ADHD to form friendships with people who are not involved in deviant or delinquent activities, people who do not have significant mental illnesses or developmental disabilities, in order to reduce emergence of later psychopathology.{{cn|date=May 2022}} Poor peer relationships can contribute to [[major depression]], [[criminality]], school failure, and [[substance use disorder]]s.<ref name="pmid20490677">{{cite journal |author=Mikami AY |title=The importance of friendship for youth with attention-deficit/hyperactivity disorder |journal=Clin Child Fam Psychol Rev |volume=13 |issue=2 |pages=181–98 |date=June 2010 |pmid=20490677 |pmc=2921569 |doi=10.1007/s10567-010-0067-y }}</ref><ref name="pmid18822833">{{cite journal |author=Coleman WL |title=Social competence and friendship formation in adolescents with attention-deficit/hyperactivity disorder |journal=Adolesc Med State Art Rev |volume=19 |issue=2 |pages=278–99, x |date=August 2008 |pmid=18822833 }}</ref> ===Autistic spectrum disorders === Individuals with [[autistic spectrum disorders]] including [[autism]] and [[Asperger syndrome]] are often characterized by their deficiency in social functioning. The concept of social skills has been questioned in terms of the autistic spectrum.<ref>Raymond G. Romanczyk, Sara White, and Jennifer M. Gillis (2005): Social Skills Versus Skilled Social Behavior: A Problematic Distinction in Autism Spectrum Disorders. ''Journal of Early and Intensive Behavior Intervention 2 (3),'' pp. 177–94 [http://www.baojournal.com]</ref> In response to the needs of autistic children, Romanczyk has suggested adapting a comprehensive model of social acquisitions with behavioral modification rather than specific responses tailored for social contexts.<ref>{{cite journal|author=Romanczyk, R. G.|author2=White, S.|author3=Gillis, J. M.|year=2005|title=Social skills versus skilled social behavior: A problematic distinction in autism spectrum disorders|journal=Journal of Early and Intensive Behavior Intervention|volume=2|issue=3|pages=177–193|doi=10.1037/h0100312}}</ref> ===Anxiety and depression=== Individuals with few opportunities to socialize with others often struggle with social skills. This can often create a downward spiral effect for people with mental illnesses like anxiety or depression. Due to [[Social anxiety|anxiety]] experienced from concerns with interpersonal evaluation and [[Fear of negative evaluation|fear of negative reaction]] by others, surfeit expectations of failure or [[social rejection]] in socialization leads to avoiding or shutting down from social interactions.<ref>{{cite web|url=https://www.psychologytoday.com/blog/theory-knowledge/201604/the-behavioral-shutdown-theory-depression|title=The Behavioral Shutdown Theory of Depression|author=Gregg Henriques|date=2016-04-03|work=Psychology Today}}</ref> Individuals who experience significant levels of social anxiety often struggle when communicating with others, and may have impaired abilities to demonstrate social cues and behaviors appropriately.<ref>{{cite journal |last1= Angélico |first1= Antonio Paulo |last2= Crippa |first2= José Alexandre S. | last3= Louriero | first3= Sonia Regina | date= 2013 |title= Social Anxiety Disorder and Social Skills: A Critical Review of the Literature |journal= International Journal of Behavioral Consultation and Therapy |volume= 7 |issue= 4 |pages= 16–33 |doi= 10.1037/h0100961}}</ref> The use of social media can also cause anxiety and depression. The Internet is causing many problems, according to a study with a sample size of 3,560 students. Problematic internet use may be present in about 4% of high school students in the United States, it may be associated with depression. About one fourth of respondents (28.51%) reported spending fifteen or more hours per week on the internet. Although other studies show positive effects from internet use.<ref>Liu, Timothy C et al. "Problematic Internet use and health in adolescents: data from a high school survey in Connecticut" Journal of clinical psychiatry vol. 72,6 (2011): 836-45.</ref> === Anti-social behaviors === {{Main|Psychopathy in the workplace||Narcissism in the workplace|Anti-social behaviour}} The authors of the book ''[[Snakes in Suits: When Psychopaths Go to Work]]'' explore psychopathy in workplace. The FBI consultants describe a five phase model of how a typical [[psychopath]] climbs to and maintains [[Power (social and political)|power]]. Many traits exhibited by these individuals include: [[superficial charm]], insincerity, egocentricity, manipulativeness, grandiosity, lack of empathy, low agreeableness, exploitativeness, independence, rigidity, stubbornness and dictatorial tendencies. Babiak and Hare say for corporate psychopaths, success is defined as the best revenge and their problem behaviors are repeated "ad infinitum" due to little insight and their proto-emotions such as "anger, frustration, and rage" are [[Impression management|refracted]] as irresistible charm. The authors note that lack of [[emotional literacy]] and moral conscience is often confused with toughness, the ''ability'' to make hard decisions, and ''effective'' crisis management. Babiak and Hare also emphasizes a reality they identified with psychopaths from studies that psychopaths are not able to be influenced by any sort of therapy.<ref name=Snakes>Baibak, P; [[Robert D. Hare|Hare, R. D]] [[Snakes in Suits: When Psychopaths Go to Work]] (2007)</ref><ref>{{cite web|url=http://www.theaustralian.com.au/archive/news/snakes-in-suits-when-psychopaths-go-to-work/story-e6frg8no-1111112236244|title=Snakes In Suits: When Psychopaths Go To Work|date=22 September 2006}}</ref> At the University at Buffalo in New York, Emily Grijalva has investigated [[narcissism]] in business; she found there are two forms of narcissism: "vulnerable" and "[[grandiose]]".<ref name="Haycock2014">{{cite book|author=Dean A. Haycock|title=Murderous Minds: Exploring the Criminal Psychopathic Brain: Neurological Imaging and the Manifestation of Evil|chapter=Successful, Unsuccessful, and Other Types of Psychopaths|chapter-url=https://books.google.com/books?id=mQ_UAgAAQBAJ|date=4 March 2014|publisher=Pegasus Books|isbn=978-1-4804-4798-1}}</ref> It is her finding that "moderate" level of grandiose narcissism is linked to becoming an effective manager. Grandiose narcissists are characterized as confident; they possess unshakable belief that they are superior, even when it is unwarranted. They can be charming, pompous show-offs, and can also be selfish, exploitative and entitled.<ref>Emily Grijalva, [https://www.researchgate.net/publication/270220807_Gender_Differences_in_Narcissism_A_Meta-Analytic_Review Gender Differences in Narcissism: A Meta-Analytic Review], Psychological Bulletin, December 2014.</ref> Jens Lange and Jan Crusius at the University of Cologne, Germany associates "malicious-benign" envy within narcissistic social climbers in workplace. It is their finding that grandiose narcissists are less prone to low self-esteem and neuroticism and are less susceptible to the anxiety and depression that can affect vulnerable narcissists when coupled with envy. They characterize vulnerable narcissists as those who "believe they are special, and want to be seen that way–but are just not that competent, or charming." As a result, their self-esteem fluctuates a lot. They tend to be self-conscious and passive, but also prone to outbursts of potentially violent aggression if their inflated self-image is threatened."<ref>{{cite web|url=http://cengagesites.com/academic/assets/sites/schultz_ch04.pdf|title=Theory of Neurotic Needs}}</ref> [[Richard Boyatzis]] says this is an unproductive form of expression of emotions that the person cannot share constructively, which reflects lack of appropriate skills.<ref>HBR's 10 Must Reads on Collaboration</ref> Eddie Brummelman, a social and behavioral scientist at the University of Amsterdam in the Netherlands and Brad Bushman at Ohio State University in Columbus says studies show that in western culture narcissism is on the rise from shifting focus on the self rather than on relationships and concludes all narcissism to be socially undesirable ("unhealthy feelings of superiority"). David Kealy at the University of British Columbia in Canada states that narcissism might aid temporarily but in the long run it is better to be true to oneself, have personal integrity, and be kind to others.<ref>New Scientist Magazine, 9 July 2016</ref>
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