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By Dr David Delvin
Do YOU have a
particular fear of something?
Probably you do,
because all of us dislike certain nasty things which we encounter
in life – for instance aggressive yobbos in the street, or dark
alleyways at night, or horrible images of killings on the TV news.
However, a lot of
people experience fears which are far WORSE than that. When they
encounter certain objects or situations, they become dreadfully
upset or frightened. Quite irrationally, they experience extreme
terror or panic.
This awful fear is
often accompanied by disabling physical symptoms like:
-
Thumping in the
chest;
-
Legs turning to
jelly;
-
Breathlessness;
-
Sweating;
-
Going as white as
a sheet.
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COMMON PHOBIAS
Now, people who
get these symptoms are suffering from PHOBIAS. And their phobic
attacks are sparked off by quite simple things – things that the
rest of us wouldn’t be bothered by. For instance, many men and
women are reduced to a state of quivering dread if they encounter:
·
Spiders
·
Cats
·
Needles
or other sharp objects
·
The
number 13!
Does all that seem
daft to you? Well, beware – because ANYONE can be hit by a
phobia. Yes, even YOU.
Sometimes these
phobias arrive out of the blue, in middle age or even later, in
people who’ve had no ‘nervous troubles’ all their lives.
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EXAMPLES
For instance, you
remember dear old Laurence Olivier. When he was at the very top of
his profession, with a glittering career stretching 40 years
behind him, he was suddenly struck by what experts call
‘topophobia.’
What’s that? Well,
it’s stage fright. Poor Larry was appalled to find that with no
warning at all, he had become PHOBIC about appearing on stage. It
absolutely terrified him!
Amazingly, no one
who was watching him realized the agony he was going through.
He struggled on for
what he called ‘five and a half years of agonizing dread,’
hiding his phobia away from the public. It was one of the worst
times of his whole life. Eventually, he got better – and he had
the courage to tell everyone about it in his autobiography
Confessions of an Actor (which is a very good read, by the
way!).
Of course, plenty of
ordinary folk get phobias too. Take the case of Laura. She was 55
when the illness called ‘agoraphobia’ struck her, like a bolt of
lightning. It happened this way …
One morning, Laura
went out of her garden gate and started walking towards the shops.
Half-way there, she suddenly felt utterly TERRIFIED. It seemed to
her that she was out in the open, with nothing to protect her from
the heavens. She was convinced that something really awful might
happen to her if she didn’t seek shelter immediately. Her heart
was racing, she was gasping for breath, and she had a feeling of a
choking lump in her throat. She thought she was about to die.
Laura asked a
passer-by for help, but he obviously thought she was crazy, and
hurried away. Then a friend came along in a car, and Laura shouted
to her: ‘For God’s sake, get me home, please!’
Once she was back in
the shelter of her house, she felt much better – and she thought
that whatever had happened to her, it was now over. However, next
day when she was in the supermarket, her terrifying feelings
returned. And the day after that, when she went out for a walk on
the golf course, she experienced the same overwhelming fear.
So Laura spent the
next few months as a ‘prisoner’ in her own home. She was just too
frightened to go out. Unfortunately, when she told her husband
about what had been going on, he just said: ‘Well, you’d better
pull yourself together, my dear!’
Laura tried to get
help from her doctor, but ran straight into the problem which has
been faced by so many agoraphobics: he was perfectly willing to
see her at his surgery, but she was too frightened to leave the
house to go down there! And he wouldn’t make a house call for
something so ‘trivial’….
Time went by, and
Laura got no better. Her husband left her. Her children reckoned
she’d ‘gone loopy.’ Many of her friends deserted her, because she
couldn’t go out and meet them.
Fortunately, an old
school pal was eventually able to help her. She’d had an ‘eating
phobia’ at one time in her life, and had been helped by some books
and records by an Australian doctor called Claire Weekes – who had
treated a lot of phobic patients in the 1970s. Laura read Dr
Weekes’ books, and they helped her to see that phobias COULD be
overcome, if you took things gradually.
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DESENSITISATION
With the assistance
of her friend, she embarked on a graduated programme of going out
of the house, like this:
·
On the
first day, just going to the front gate;
·
On the
second day, going to the lamppost 25 yards away;
·
On the
third day, walking to the end of the road;
·
On the
fourth day, getting as far as the library … and so on.
This approach (which
is called ‘desensitisation’ or ‘gradual desensitisation’ by
psychologists) slowly produced a cure. By the end of six months,
Laura had trained herself to go anywhere she wanted to – without
fear.
Not all phobias are
as dramatic as agoraphobia. For instance, a lot of people suffer
from the little-known gephyrophobia – or ‘bridge phobia.’ When
they drive up to a road bridge, they’re absolutely terrified of
going across it. Usually, they’ll turn back and try to get round
some other way.
Although
gephyrophobia isn’t well known, people who administer large
bridges are well aware of it. That’s why some of our biggest
suspension bridges – like the Queen Elizabeth River Thames
crossing at Dartford – have a discreet office just to the left of
the approach road. It contains a couple of officials who are
always ready to chauffeur someone across the bridge, if she or he
comes in and says: ‘I’ve got a phobia, and I just can’t drive
across myself!’
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Now what other
phobias are there? Here’s a list of some of the more common ones:
LIST OF
PHOBIAS: THEIR NAMES AND MEANINGS
ACCIDENTS
Dystichiphobia
ANIMALS
Zoophobia
BIRDS
Ornithophobia
CANCER
Carcinophobia
CATS
Alurophobia
CHICKENS
Alektorophobia
COITUS/SEX
Coitophobia
COMPUTERS Cyberphobia
CONFINED SPACES
Claustrophobia
DEATH
Thanatophobia
DENTISTS
Dentophobia
DINING OUT
Deipnophobia
DIRT
Misophobia
DISEASE
Panthophobia
EATING
Phagophobia
FEMALE GENITALS
Kolpophobia
FLYING
Aviophobia
FOREIGNERS
Xenophobia
KISSING Philematophobia
LIGHTING &THUNDER
Brontophobia
MARRIAGE Gamophobia
MIRRORS
Catoptrophobia
NOISE
Acousticophobia
NUDITY Gymnophobia
NUMBER 13
Triskadecaphobia
OLD FOLK
Gerontophobia
PUBLIC
PLACES Agoraphobia
RAIN Pluviophobia
SNAKES Ophidiophobia
SPEAKING IN PUBLIC
Glossophobia
SPIDERS Arachnophobia
URINE
Urophobia
VD Cypridophobia
WOMEN Gynephobia
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TREATMENT
So what can be done about phobias?
Well, the first thing I want to do is to ‘rubbish’ three so-called
treatments which many people try. They are:
1. Simply ‘pulling yourself together,’ and maintaining a ‘stiff
upper lip.’ This is MOST unlikely to work!
2. Having a stiff drink. A lot of people try to get over their
phobias by having a large sherry or whisky when the phobic situation
occurs. This calms the nerves for a short time, but is likely to
lead to a bigger and bigger intake of alcohol.
3. Taking tranquillisers. Unfortunately, tens of thousands of phobia
sufferers have gone down this road – usually abetted by foolish
doctors. Alas, ‘trannies’ like Valium (diazepam) can’t do more than
provide a temporary relief – and the person is very likely to become
hooked on them.
Well, what WILL work then?
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The answer is to seek psychological treatment. There are various
types available, including:
-
Cognitive-Behavioural
Therapy (CBT).
This is a clever but commonsense method, in which the therapist
teaches the patient to find new and less harmful ways of looking
at threatening and frightening things.
-
Counselling and Psychotherapy.
These are approaches in which the therapist encourages the
sufferer to TALK about her fears. Some experts use
‘desensitisation’ (described above), while others use
‘implosion’—in which the patient voluntarily agrees to be exposed
to the full force of the threat. (For instance, some women have
been cured of fear of snakes by spending a couple of hours in the
Reptile House at London Zoo!)
-
Hypnotherapy.
In the hands of a good practitioner, a patient can learn to lose
all her anxieties about phobic objects and situations.
-
Group
Therapy.
Talking with other people who have the same sort of terrors is
often helpful; also it usually costs less than individual
treatment.
Much more information
about treatment of phobias is available on the excellent website of
the National Phobics Society, which is:
www.phobics-society.org.uk
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SUMMING UP.
If YOU have a phobia (and if you’ve read this far, it’s quite likely
that you or a loved one is suffering from phobic symptoms), then
follow these rules:
-
Don’t just try and
put up with it;
-
Don’t try and cure
it with pills (though admittedly, there are circumstances in which
anti-depressants can be helpful);
-
Do seek
psychological help – even if you have to pay for it.
Remember: phobias CAN be cured – and often are!
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Q
My wife has become incredibly frightened of anything SHARP, e.g.
scissors or knives. Why has this happened to her?
A
Sir, it’s not usually possible to discover the actual CAUSE of a
phobia – though these illnesses are commoner in people who have had
tense, stressful childhoods. But the important thing now is that
your wife should get some good therapy.
Q
I have recently become quite terrified of CATS. If I went for
psychotherapy, as my GP suggests, could I be certain of being cured
in one session?
A
No, ma’am. It’s almost unknown for anyone to be cured after the
first consultation. But half a dozen sessions should with luck lead
to a considerable improvement.
Q
My husband has become quite irrationally frightened of dining out
with other people. We have been referred to a therapist, but he
wants to charge £100 a session. Would it really be worth it?
A
If it turns your husband’s life around, yes. These ‘eating
phobias’ are awfully distressing for the victim. If you could put
things right by paying £600 or £1,000, it would be money well
spent.
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Q
I have smoked for 50 years – since I was a National Serviceman, in
fact. Would there be any point in giving up now?
A
Yes, sir. Statistics show that no matter how late in life you give
up, there can be a significant health benefit.
Q
I have never bothered to have an eye test, and I am now 66. Would it
be worth bothering to have one of these check-ups?
A
Certainly. Eye problems become much commoner once you pass 60, so
it’s a good idea to have regular check-ups from an optician. And in
your age group, the test is free!
Q
I have heard that some doctors are saying that the ’flu jab is no
good. So should I bother with it this winter?
A
Some experts have
indeed suggested that the value of the influenza jab has been a bit
over-rated. However, anyone aged 65 or over should definitely have
it each year. The same is true of under-65s who
have any chronic illness, like diabetes or asthma.
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