Of course there's a why. If there's no why, then panic disorder should be treatable by an M.D. *Nobody* wants negative symptoms of any kind, consciously. Unconsciously, it's a different story. Symptoms are a cocoon, a payoff, a distraction. They serve a purpose. To say there is no why is to invalidate psychotherapy. One might argue that the why is not important, that treating the symptom might be enough, but even there, but that kind of cure doesn't last unless fundamental changes are made in self esteem, anger issues etc. etc. Getting to the why is extremely difficult because of denial. A pretty good illustration of somatizing issues is the BBC series, or even the movie, The Singing Detective (the series is better, but I needed captions). His is not panic disorder, but everyone has their own way of dealing with issues depending on their particular life details. Panic is just one of countless ways. All these problems are like pasta, lots of shapes, same dough. So I don't send a bunch of posts, I saw a pretty good movie tonight. Not wonderful, but good, worth watching. It covers a lot of issues that we've talked about on this list. A slow beginning, but worth hanging in for. It's called Mr. Holland's Opus, 1995 with Richard Dreyfus. > [Original Message] > From: Carol Kirschenbaum <carolkir@xxxxxxxx> > To: <lit-ideas@xxxxxxxxxxxxx> > Date: 5/6/2006 9:23:02 PM > Subject: [lit-ideas] Re: Tune and Turn Off - Panic Attacks > > > Why do you think people hyperventilate? > > ck: Is there a "why" to hyperventilation? No, but there's a how. However, > your last post assumed some desire (if "unconsious") by some people to feel > out of breath and have panic attacks. Consciously hyperventilation and > inducing symptoms of a panic attack may be part of desensitization therapy, > but I wouldn't assume that people with panic disorder generally have > "reasons" (unconsious, manipulative reasons) for hyperventilating. The > question isn't why but how--and here are some sources from google that > explain the mechanism of hyperventilation. You'd be hard-pressed to find > peer-reviewed theories, these days, supporting the notion that people with > panic disorder want to feel their symptoms But search under "malingering," > and you'll find something. > > One reason that psychodynamic therapies has such a bad rep for treating > anxiety, these days, was the relentless post-Freudian pursuit of "whys," at > a time when neurobiophysiopsychology (add one of your own) was finding > useful, curative answers among the hows. Personally, I like searching for > whys, but when it comes to panic disorder, a narrow search along those lines > typically results in ridiculously painful extension of very debilitating, > miserable symptoms. > > On hyperventilation: > > http://www.nlm.nih.gov/medlineplus/ency/article/003071.htm > > http://www.emedicine.com/EMERG/topic270.htm > > http://www.emedicinehealth.com/hyperventilation/page2_em.htm > > http://www.medicinenet.com/panic_disorder/article.htm > > > > > ------------------------------------------------------------------ > To change your Lit-Ideas settings (subscribe/unsub, vacation on/off, > digest on/off), visit www.andreas.com/faq-lit-ideas.html ------------------------------------------------------------------ To change your Lit-Ideas settings (subscribe/unsub, vacation on/off, digest on/off), visit www.andreas.com/faq-lit-ideas.html