I have problems when I'm the speaker. Perhaps I pause to much and am a bit of a passive type, as I have noticed I get cutoff a lot and don't get to finish my train of thought. And yes, having my "train" then derailed to something different is a bummer as I can't even get to the point after laying the preamble :)
Edit - many apologies to anyone that feels that this discussion was a waste of time.
I just ran across an article (http://techno-anthropology.blogspot.com/2011/04/rough-guide-to-social-skills-for.html) on Hacker News that gives the barest minimum of a guide for social interaction. Unfortunately this isn't the high-quality advice you need to really handle social situations, though it will help with a few of the worst problems.
A few other rules that will help:
On the physical side:
This is a long list, and it isn't even close to complete.
I'm linking to http://lesswrong.com/lw/372/defecting_by_accident_a_flaw_common_to_analytical/ at the suggestion of David Gerard. It has a lot of deeper discussion into why this is worth knowing.