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All We Have to Fear - Psychiatry's Transformation of Natural Anxieties into Mental Disorders (Hardcover)
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All We Have to Fear - Psychiatry's Transformation of Natural Anxieties into Mental Disorders (Hardcover)
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Anxiety is ubiquitous in everyday life and avoiding sources of
anxiety is often at the core of our everyday choices and can even
shape our life plans. But why are we all so anxious, when is this
normal uniqueness as opposed to a diagnosable anxiety disorder, and
why have anxiety disorders become more prevalent than ever? In All
We Have to Fear, Horwitz and Wakefield argue that psychiatry has
largely generated this epidemic by inflating our socially
inconvenient, yet natural, fears into psychiatric disorders and
ignoring our biologically designed natures, thus allowing the
overdiagnosis of anxiety disorders and facilitating a culture of
medicalization. The result is a society that is afraid of natural,
biologically designed feelings of fear and, overall, anxious about
feeling anxious. All We Have to Fear is a groundbreaking and fresh
look at how to distinguish between anxiety conditions that are
mental disorders, those that are natural reactions to threats, and
those that are natural products of evolution. Building on the new
science of evolutionary psychology, Horwitz and Wakefield
demonstrate a mismatch between our basic biological natures and the
environment that we have created for ourselves. Some of our natural
anxiety is born from situations and objects that posed serious
risks during prehistory, but that are no longer usually dangerous,
for example, a city dweller who is terrified of snakes. This
mismatch generates normal anxiety when there is, in fact, no real
danger. Evolutionary psychology shows that beyond the context in
which the symptoms occur, our biological heritage as a species must
be considered in any psychiatric diagnosis as we are otherwise
bewildered by our own primitive fears and beset by diffuse
anxieties that seem to have no function in our lives. All We Have
to Fear argues that only by paying attention to our evolutionary
shaping can we understand ourselves, our fears, what is normal
versus disordered in what we fear, and make informed choices about
how to approach these fears. The mismatch between our natures,
environment, and our fears is not pathological, but rather reveals
the forces that shaped us and provides an "emotional time machine,"
shedding light on who we were when we were shaped as a species, and
thus, allowing us more insight into who we are today.
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