When you are afraid, you start going into fight or flight mode. Your body starts prioritising what is needed for immediate survival - screw routine body functions, if you don't make it past the next few moments there won't be a routine to return to. You stop digesting food. Cell repair slows or stops. You stop producing saliva, which is why your mouth goes dry when you're nervous just before making a speech or going into a difficult conversation. Your heart rate and breathing increase to ensure better blood flow. A cocktail of hormones like epinephrine and oxytocin are cued up and produced, which amplifies your body's ability to act (and remarkably, in the case of oxytocin, reminds you to seek help).
Don't be mistaken about what happens when you feel fear. Your body is readying itself to help you face what you fear in the way it knows how.
What causes us to feel fear?
1) Fear occurs to us unconsciously. Do you pause to think, hey, very angry looking snake! Maybe I should be scared. Of course not, it would be too late! Fear becomes much clearer when we examine what happens inside your brain. When you are afraid, the fear/anger/aggression/anxiety centre of your brain - the amygdalas (get used to this name, it's gonna keep popping up) lights up. And we've covered all the changes that happen in your body: your blood pressure, your hormones, your heart-rate. But remember how amygdala is like a train interchange with direct routes to different parts of your brain? There is a direct neural link between our amygdala and your pre-frontal cortex, the rational thinking part of your brain. And if we look closely enough or we think things through, sometimes we realise, argh! it's not an angry snake, it's just a prank toy that your annoying friend had thrown at you. Or if you've handled angry snakes enough times, your amygdala does not light as much. Your blood pressure and your heart rate do not increase as much, you realise what you need to do is to stay calm and slowly back away.
Finally, notice how fear, anger, aggression, and anxiety are processed by the same part of the brain, the amygdala. This is no coincidence. These 4 emotions are closely tied to one another; aggression maybe triggered because one is nervous, angry, or fearful. Being fearful may cause one to react angrily, as a self-defense mechanism. Fear, like all our emotions, happens to us. Mostly, we can't control how it originates. But we can control how it develops by understanding what exactly is causing fear and by choosing the response that dispels it
2) We fear what we are unconfident or uncertain about. Think back on your ancestors doing something they weren't confident or certain off - hunting a massive animal without a weapon, or eating a berry they've never seen before. Doing so would mean a very high chance of seriously harming themselves. Today, after many cycles of evolution, we have been wired based on these experiences.
Think about it. Are you ever fearful of something you've done before, and are good? Brushing your teeth, putting on your clothes, indulging in your favourite hobby (whatever it is)? Of course not. You know you can perform these functions easily. You are confident.
But many of us would have felt fearful and anxious the first time we ventured into something new: using a pair of chopsticks, riding a bicycle, swimming, going on a first date. We were uncertain about these functions, and we were not confident about performing them. However, once we have demonstrated to ourselves that we are able to perform these tasks, we are no longer afraid. The same applies to more challenging tasks. Some of us struggle with: public speaking, starting a business, having a very difficult conversation with the CEO... You are uncertain and unconfident if you can succeed. But once you have proven to yourself you are able to do it, even for the more challenging tasks, you are no longer afraid. People might start off feeling scared about public speaking, but after speech 3797, you're pro The catch, of course, is that sometimes, we are too scared to start.
Even if we were certain of something OR confident about something, many of us will still feel some amount of fear. We might be theoretically certain how we should use a pair of chopsticks, but if we have never succeeded in using them properly, we remain unconfident and will still feel nervous if we had to use them, especially when others are observing. You might also be confident about
3) we fear what is painful. Boxer. climbing 100 flights of stairs or doing 100 burpees. But pain is not just physical but mental. Failure is painful. Being judged is painful.
This is why you procrastinate. You either fear what you have to do bevause you don't know how to do it (you don't fear brushing your teeth for example), or you fear doing something becaue you know it will be effortful
4) we fear what we cannot control
Learn more about your amygdala, the amygdala hijack, the thalamus, the pre-frontal cortex, and how your brain works here.
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Summary:
- Fear and anxiety (and anger + aggression) are always
I don't knee surgery
Let's say you suffer from osteoarthritis of the knee. What's a common diagnosis for full recovery? Arthroscopic surgery, or a keyhole surgery in your knee.
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Except, do you really kneed it?
Baylor College of Medicine in Houston Texas tried something very different:
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They randomly distributed 180 patients with knee pain into 3 groups.
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All 3 groups underwent the first part of arthroscopic surgery - a few small incisions were made into the knee. But that's where the similarities end.
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Group 1 followed the normal process of debridement - a small camera is inserted to assess the damage, and the worn out or loose cartillage is cut away
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Group 2 followed the normal process of arthroscopic lavage - a small camera is inserted to assess the damage, and the bad cartilage is flushed out.
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Group 3, our placebo group - well, nothing happened. The experimenters pretended to go through the surgery by getting the patient on the operating table, having all doctors geared out. But the doctors did no actual procedure, not even inserting the small camera. They merely waited, and then closed up the incisions.
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For consistency, all 3 groups were operated (real or placebo) on by Dr. Bruce Moseley, a clinical associate professor of orthopaedics at Baylor.
Over the next 2 years, the patients in all 3 groups were monitored. They were not informed if they received real or placebo surgery. All patients reported moderate improvements in pain and ability to function.
||| But neither of the first 2 groups which received actual treatment reported less pain or better function than the placebo group!
Since then, the effectiveness of placebo surgeries have been repeatedly demonstrated. The findings for placebo knee surgery were later corroborated by various sources, like the Cochrane Collaboration review and the New England Journal of Medicine
Beyond knees, placebo surgeries have repatedly demonstrated effectiveness. Andy Carr and colleagues from the University of Oxford reviewed 53 trials of less invasive surgical interventions and found that, for half of surgeries tested, there was little sign that they were any better than placebo. Further, the placebo trial is now standard procedure for medication worldwide. Despite all the resources dedicated to pharmaceuticals, 90% of medication develop do no better than a placebo pill, even if the subject knows it is a placebo.
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But why does this happen? What exactly is this wizardry, where thinking there is treatment is as good or even better than treatment itself?
We explore this further in the chapter: why do placebos work?
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