Fear

[Correspondence] Shared decision making with psychological safety

Psychological safety is defined as a shared belief that individuals within a team or group are able to take risks without fear of being embarrassed or punished.1,2 Psychological safety consists of an environment in which people feel respected and comfortable to speak up and express their ideas, opinions, and concerns, which is essential for effective communication and collaboration and encourages creativity and innovation.

[Correspondence] Shared decision making with psychological safety Read More »

Basic Tenets of Separation Theory

Journal of Humanistic Psychology, Ahead of Print. This article outlines the basic tenets of separation theory, including the fantasy bond and the voice process. The fantasy bond is a unifying concept explaining how human beings seek security in fantasies of fusion in an attempt to heal the fracture related to interpersonal trauma compounded by death anxiety. Painful elements in parent–child interactions are incorporated in the form of a negative thought process or “voice,” creating a division in the personality between the self and the anti-self. My colleagues and I developed a methodology called “voice therapy” to expose and contend with people’s destructive attitudes and attacks on themselves. The article also describes the evolution of a group of more than 100 associates and friends who have lived in close proximity and shared their innermost feelings in an ongoing group experience for more than 40 years. These people contributed significantly to the evolution of separation theory. Together, we developed an implicit set of values based on understanding factors that hurt people in their psychological development. The article specifies the concepts learned from observing the reference population and delineates findings from research in the neurosciences, attachment theory, and terror management theory that validate the key concepts of separation theory.

Basic Tenets of Separation Theory Read More »

The Psychological Correlates of Decreased Death Anxiety After a Near-Death Experience: The Role of Self-Esteem, Mindfulness, and Death Representations

Journal of Humanistic Psychology, Ahead of Print. Near-death experiences (NDE) are intense events that can have profound psychological consequences. Although decreased fear of death after an NDE is a well-documented phenomenon, it is unclear what psychological factors are associated with reduced death anxiety. In this study, grounded in terror management theory, we compared 102 people who had an NDE with 104 individuals who did not. Participants completed measures of death anxiety, self-esteem, mindfulness, and death representation. Results indicated that people who had an NDE had lower fear of death, higher self-esteem, greater mindfulness, and viewed death more as a transition rather than as absolute annihilation. Subsequent analyses found that NDE had a direct effect on death anxiety, and that the effect of NDE on death anxiety was also mediated by indirect effects on self-esteem and death representation. Implications of these findings are considered, limitations of the present study are acknowledged, and suggestions for future theory and research are proffered.

The Psychological Correlates of Decreased Death Anxiety After a Near-Death Experience: The Role of Self-Esteem, Mindfulness, and Death Representations Read More »

Future Time Perspective as an Operationalization of Existential Concerns Related to Time

Journal of Humanistic Psychology, Ahead of Print. Psychologists and other clinical therapists often focus on the psychological processes that result from the fact that human beings will one day die, not death anxiety/afterlife anxiety itself. Nevertheless, existential concerns are death concerns, and any anxiety associated with death should be understood through that lens—as resulting from concerns about death. Understanding how one views the amount of time left to live, and how this perception influences motives, goal cognitions, mood, and well-being, is of great importance from a humanistic–existential perspective. Socioemotional selectivity theory and the concept of future time perspective (FTP) capture these phenomena and have the potential to operationalize perspectives of time constraints within existential psychology. The present work attempts to show how FTP may be used to operationalize the problem of time from an existential perspective, specifically targeting the existential themes of death, meaning, isolation, and freedom. Clinical implications of considering FTP as an existential construct are discussed, as are limitations and future directions.

Future Time Perspective as an Operationalization of Existential Concerns Related to Time Read More »

Prefrontal engrams of long-term fear memory perpetuate pain perception

Nature Neuroscience, Published online: 06 April 2023; doi:10.1038/s41593-023-01291-x Can erasing bad memories relieve pain? Stegemann et al. uncover the cellular basis of fear–pain interactions, reporting that fear potentiates pain via memories encoded in prefrontal engrams. Blocking these memory traces reduces chronic pain in mice.

Prefrontal engrams of long-term fear memory perpetuate pain perception Read More »

Fear memory engram is the mind-killer

Nature Neuroscience, Published online: 06 April 2023; doi:10.1038/s41593-023-01292-w Stegemann et al. have unraveled a long-lasting role for fear engrams in future pain perception. Prefrontal pain and fear representations become entangled following a fearful event. As subsequent painful experiences also reactivate the fear network, silencing the fear engram alone can alleviate both tonic pain and hypersensitivity

Fear memory engram is the mind-killer Read More »

How Prozac Increases Brain Plasticity

Fluoxetine (Prozac), a common antidepressant, was found to enhance the erasure of learned fear responses and facilitate spatial pattern learning in mice. The study also found the TrkB receptor in PV+ interneurons plays a crucial role in these effects, which may offer new possibilities for the development of psychiatric treatments targeting brain plasticity.

How Prozac Increases Brain Plasticity Read More »

Exposure therapy to feared foods may help kids with eating disorders

Whether you’re afraid of dogs, needles or enclosed spaces, one of the most effective interventions for this type of anxiety disorder is exposure therapy in which you confront your fear in a safe environment. A new study finds that exposure therapy is also a promising treatment for adolescents with eating disorders. They found that exposure to feared foods — such as candy bars and pizza — helped kids who were in a partial hospitalization program for eating disorders experience decreased anxiety toward food.

Exposure therapy to feared foods may help kids with eating disorders Read More »