Marc Siegel's False Alarm: The Truth About The Epidemic of Fear

The new issue of Scientific American Mind has an excerpt from a new book called "False Alarm: The Truth About the Epidemic of Fear" by Dr. Marc Siegel. The excerpt available online surveys some early research on chemicals that might "prevent excess fear." This looks like an interesting book! From SciAm Mind:

…My mother-in-law has a severe case of multiple sclerosis and has been conned to a wheelchair for almost 20 years. Six years ago my brother-in-law developed a mild case of MS, and my wife, a neurologist, then confided in me her fear, practically a conviction, that she would be next. Every time she brings up her perception that MS is her destiny, I try to counter it with the bald statistic that only 4 percent of close relatives are at risk for the disease. "There is a 96 percent chance that you won't get it," I say. But for my wife, as for many others, the perception rests with the 4 percent. Empathy for her mother and a natural tendency to personalize her experience create the fear and the conviction, despite her neurologist's knowledge of the disease.

Recurrent or unremitting fear has the same deleterious effects on the human body that running persistently at 80 to 100 miles per hour has on a car. Many illnesses are more likely to occur as a result, including heart disease, stroke and depression. Thus, we should focus our efforts on avoiding the ordinary killers such as heart attacks that develop as a result of our unremitting worries rather than extraordinary occurrences or exotic diseases. Consider: in 2001 terrorists killed 2,978 people in the U.S., including five from anthrax attacks. That same year, according to the Centers for Disease Control and Prevention, heart disease killed 700,142; cancer, 553,768; accidents, 101,537; and suicide, 30,622. Murders (not including 9/11) accounted for only 17,330 deaths.

So what can be done about irrational fear? There is no one standard treatment in part because symptoms vary from one individual to the next. A person may feel destined to a given bad outcome and have a greater sense of foreboding because of a certain family tendency. Some people's bodies more easily release the ght-or-ight hormones than others. Time-consuming therapy and the resulting reeducation, to avoid triggering our fears, have been the chief solution to date. Now research also suggests therapy could be supplemented by a simple pill that blocks the reception or production of fear signals or even by a fear "vaccine." The fear research does not seek a traditional vaccine–in which the immune system develops protective capabilities in response to the presence of an injected (inert) disease agent. Rather the immune system might be chemically primed with a shot so that it is as healthy as possible–making the body less susceptible to hyperreacting to threats.

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