Fear of interpersonal communication

Interpersonal communication is mainly determined by human body language, expressions and language, and communication is a very important part of the communication process. However, there are some people who just can't speak, and they can't speak when interacting with others. These people generally suffer from human-computer communication phobia. The symptoms of this disease have a huge impact on people's daily lives, so how can we overcome it?

Social phobia is a subtype of phobia. Phobia was originally called phobic neurosis, which is a type of neurosis. The main manifestation is excessive and unreasonable fear of certain objective things or situations in the outside world. The patient knows that this fear reaction is excessive or unreasonable, but it still recurs and is difficult to control. Fear attacks are often accompanied by obvious anxiety and autonomic nervous system symptoms. Patients try their best to avoid the objective objects or situations that cause fear, or endure them with fear, thus affecting their normal activities. Common phobia subtypes include agoraphobia, social phobia, and specific phobia.

1. Generally there are no obvious or persistent psychotic symptoms. Neurotic disorders are mainly manifested by anxiety, depression, fear, compulsion, and hypochondriasis. These symptoms can exist alone, but most of them are mixed, especially anxiety symptoms; there are rarely obvious or persistent psychotic symptoms.

2. The lack of clear organic lesions is based on various organic diseases such as infection, poisoning, substance dependence, metabolic or endocrine disorders and brain organic diseases. Various neurotic symptoms may appear, but they cannot be diagnosed as neurosis. Diagnosis of neurotic disorders requires exclusion of organic diseases.

3. Patients often have painful experiences with their illnesses. Most patients with neurotic disorders maintain good self-awareness during the onset of the illness. Their reality testing abilities are usually not impaired. They can not only identify whether their mental state is normal, but also determine which of their own experiences are pathological. Since patients' experience of neurotic disorders is often very painful and the symptoms are often disproportionate to the actual situation, patients can often experience this deeply and their pain is aggravated, so they often have a strong desire to seek treatment. However, the diagnosis and treatment process that cannot find a clear cause may aggravate the patient's painful experience and have a certain impact on the patient's social function. Their work, study efficiency and adaptability are all reduced to varying degrees. The worsening of the disease and the chronicity of the disease may also cause a small number of patients to lose their self-awareness.

4. Psychosocial factors and premorbid personality play a certain role in the occurrence and development of neurotic disorders. Psychosocial stress factors are related to the onset of neurotic disorders.

Genetic factors

Phobias tend to run in families, especially affecting female relatives. Twin study results also suggest that agoraphobia may be genetically related and may be associated with panic disorder. Some specific phobias have a clear genetic tendency, such as fear of blood and injections. About two-thirds of the biological relatives of the proband suffer from the same disease. The reactions of these patients to phobic stimuli are also different from those of general phobia patients. They show bradycardia instead of tachycardia and are prone to syncope [2].

Neurobiochemistry research

Studies have found that when patients with social phobia have fear symptoms, their plasma norepinephrine levels are elevated, their thyroxine-releasing hormone pressor test is positive, and their growth hormone response to the clonidine stimulation test is sluggish.

Psychosocial factors

In the early 19th century, American psychologists used the theory of conditioned reflex to explain the occurrence mechanism of phobias, believing that the expansion and persistence of fear symptoms was due to the repeated occurrence of symptoms that conditioned anxiety emotions, while avoidance behavior hindered the disappearance of conditioning.

1. Behavioral therapy is the preferred method for treating phobia. Systematic desensitization therapy and exposure shock therapy are effective for social phobia. The basic principles are: first, to eliminate the conditioned association between the fear object and the anxiety-fear response; second, to counteract the avoidance response. Many patients have learned during the course of the disease how to avoid the objects and scenes that cause them fear without affecting their daily social functions.

2. Systematic desensitization therapy is widely used, and it can be divided into real-life desensitization and imaginary desensitization. The first stage is relaxation training. In the second stage, the patient is asked to list the situations that induce social phobia in order of the severity of the fear response. Then, starting with the situation that causes the weakest fear response, the patient is asked to put himself in each of the situations or imagine himself in these situations. Each step is done until the patient adapts and feels completely relaxed, and then moves on to the next more stressful situation until even the most intense situation does not cause fear.