Saturday, February 22, 2014

account of living with emetophobia

I came across this post on tumblr the other day describing what it's like to have emetophobia. It's a really good explanation of the various associated behaviors. My favorite part (so true, and the reason why I think emetophobia is in a league of its own when it comes to phobias in general):

"I’m scared of spiders, but my fear of spiders doesn’t spawn new spiders to come after me. However with emetophobia, my fear of vomiting creates a very real sick feeling."

This is why I wish there was more psychological research being done on emetophobia specifically (and similar anxiety issues, like general health anxiety), because this kind of physiological feedback loop adds another dimension that people who are afraid of heights or dogs or clowns are not experiencing.

Sunday, February 2, 2014

logotherapy

I recently read Viktor Frankl's book Man's Search for Meaning, which is both a memoir about his experiences in concentration camps during the Holocaust and an explanation of his therapeutic method/theory called logotherapy.

It was an amazing book, as I knew it would be. I had wanted to read it for probably two years and kept putting it off because I was afraid. For the past two or three years I have been trying to avoid books, movies, news articles, etc. that I thought would make me have any kind of strong emotional reaction. My anxiety issues had gotten so bad that whenever I felt extreme sadness or fear or disgust I would feel "sick" or worry that the emotion would make me lose control or go crazy in some way.

Over the past few months I've been testing this boundary. I've watched a couple horror movies I had never seen before. I read a few books that were really sad or had disgusting parts. Nothing bad has happened. I enjoyed the movies and books and didn't freak out. Probably the ultimate test was going to see the movie August: Osage County last weekend. This one took me by surprise, as I actually thought it was going to be more light-hearted than it was. The previews showed a lot of Julia Roberts / Meryl Streep banter that reminded me of the interactions between Lorelai Gilmore and Emily Gilmore. But the movie was not like that at all. It was dark, dark, dark. From the very first scene, I became tense and felt kind of queasy and upset through the entire thing. I even thought about walking out at some points. But I stayed, and I felt like that was the final proof that I can handle pretty much any form of entertainment again.

Back to Man's Search for Meaning. I loved it and was extremely interested in the concept of logotherapy. I didn't know much about it. Basically it focuses on searching for the meaning in your life rather than trying to solve the problem of suffering (because there will always be suffering of some sort). From the wikipedia page:

"Frankl’s concept is based on the premise that the primary motivational force of an individual is to find a meaning in life. The following list of tenets represents basic principles of logotherapy:
  • Life has meaning under all circumstances, even the most miserable ones.
  • Our main motivation for living is our will to find meaning in life.
  • We have freedom to find meaning in what we do, and what we experience, or at least in the stand we take when faced with a situation of unchangeable suffering."

The concept is appealing to me. I feel like what started to make me feel happier about my life was trying to ignore/minimize my anxiety and focus on the rest of my life instead ("Goals" from my list of coping techniques). Realizing that I would probably never get rid of this phobia (or anxiety in general) completely, and even if that was true, it didn't have to be my entire existence or identity.

It's as if a person wants to cook breakfast, but there is a giant box taking up most of the space in their kitchen. They are still able to make the meal. It's just a little more difficult because they have to work around the box, make sure not to trip over it and spill food, make sure not to stub their toe or bang their knee on it. I'm trying to think of anxiety as being like that annoying box. What's my objective? What do I want to do? Once I know that, I can figure out the exact ways that my anxiety will present itself as an obstacle. Then I can figure out (using various other coping techniques) how I can deal with that anxiety and do what I want to do anyway.


It's worth working around the box to get the delicious meal in the end. And even if the worst happens, like you trip over the box and spill all your ingredients, then you would just have to start over. Go to the store. Get new ingredients. Try again. Because you can't just not eat. And living your life and going after your goals, finding your purpose/meaning, should be as vital as eating.

One of my favorite quotes from the book:

"What man actually needs is not a tensionless state but rather the striving and struggling for a worthwhile goal, a freely chosen task. What he needs is not the discharge of tension at any cost but the call of a potential meaning waiting to be fulfilled by him."