Medical News Today: Dissecting terror: How does fear work? – Medical News
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Medical News Today: Dissecting terror: How does fear work?

In this Spotlight feature, we will explain the biology of fear: why it has evolved, what happens in our bodies when we are scared, and why it sometimes gets out of control. Scroll down…if you dare.
Medical News Today: Dissecting Terror: How Does Fear Work?
What is fear, and how can it feel both good and bad?

Everyone can get scared; fear is an unavoidable facet of the human experience.

People generally consider fear as an unpleasant emotion, but some go out of their way to trigger it — such as by jumping out of planes or watching scary movies.

Fear is justifiable; for instance, hearing footsteps inside your house when you know that you are the only one home is a valid reason to be terrified.

Fear can also be inappropriate; for example, we might experience a rush of terror while watching a slasher movie, even though we know the monster is an actor in makeup and that the blood is not real.

Many individuals consider phobias as the most inappropriate manifestation of fear. They can attach themselves to pretty much anything — such as spiders, clowns, paper, or carpets — and significantly impact people’s lives.

Why do we get scared?

As far as evolution is concerned, fear is ancient and, to a certain extent, we can thank fear for our success as a species. Any creature that doesn’t run and hide from bigger animals or dangerous situations is likely to be removed from the gene pool before it’s given the chance to procreate.

Fear’s essential role in survival helps explain why it sometimes seems a little trigger-happy.

In other words, it makes sense to be a little jumpy if you’re an animal in a hostile environment. It’s better to run and hide when your own shadow catches you by surprise than to presume that a shadow is safe, only to be eaten by a bear 5 seconds later.

What happens in the body?

People often refer to the physiological changes that occur when experiencing fear as the fight-or-flight response. Overall, as the name suggests, the changes prepare the animal to either fight or run.

Breathing rate increases, heart rate follows suit, peripheral blood vessels (in the skin, for instance) constrict, central blood vessels around vital organs dilate to flood them with oxygen and nutrients, and muscles are pumped with blood, ready to react.

Muscles — including those at the base of each hair — also become tighter, causing piloerection, which is colloquially called goosebumps. When a human’s hair stands on end, it doesn’t make much of a difference to their appearance, but for more hirsute animals, it makes them seem larger and more formidable.

Metabolically, levels of glucose in the blood spike, providing a ready store of energy if the need for action arises. Similarly, levels of calcium and white blood cells in the bloodstream see an increase.

Triggering the response

The fight-or-flight response begins in the amygdala, which is an almond-shaped bundle of neurons that forms part of the limbic system. It plays an important role in the processing of emotions, including fear.

Scared woman face - Medical News Today: Dissecting Terror: How Does Fear Work?
When we are afraid, it sets off a sophisticated, coordinated response in our brains and bodies.

The amygdala is able to trigger activity in the hypothalamus, which activates the pituitary gland, which is where the nervous system meets the endocrine (hormone) system.

The pituitary gland secretes adrenocorticotropic (ACTH) hormone into the blood.

At this time, the sympathetic nervous system — a division of the nervous system responsible for the fight-or-flight response — gives the adrenal gland a nudge, encouraging it to squirt a dose of epinephrine into the bloodstream.

The body also releases cortisol in response to ACTH, which brings about the rise in blood pressure, blood sugar, and white blood cells. Circulating cortisol turns fatty acids into energy, ready for the muscles to use, should the need arise.

Catecholamine hormones, including epinephrine and norepinephrine, prepare muscles for violent action.

These hormones can also: boost activity in the heart and lungs; reduce activity in the stomach and intestines, which explains the feeling of “butterflies” in the stomach; inhibit the production of tears and salivation, explaining the dry mouth that comes with a fright; dilate the pupils; and produce tunnel vision and reduce hearing.

The hippocampus, which is a brain region that is dedicated to memory storage, helps control the fear response. Along with the prefrontal cortex, which is part of the brain involved in high-level decision-making, these centers assess the threat.

They help us understand whether our fear response is real and justified, or whether we might have overreacted somewhat.

If the hippocampus and prefrontal cortex decide that the fear response is exaggerated, they can dial it back and dampen the amygdala’s activity. This partly explains why people enjoy watching scary movies; their sensible “thinking brain” can overpower the primal parts of the brain’s automated fear response.

So, we get to experience the rush of fear before our more reasonable brain centers dampen it down.

Why do we freeze when we’re scared?

The idea of our bodies preparing to fight or fly makes good sense from a survival standpoint — but how would freezing be of any use? An animal that simply stands rooted to the spot would make an easy snack for a predator, you might think.

When they are frightened, most animals freeze for a few moments before they decide what to do next. Sometimes, staying motionless is the best plan; for instance, if you are a small mammal or if you are well-camouflaged, staying still could save your life.

A 2014 study identified the neurological root of the freezing response. It is generated by cross-talk between the periaqueductal gray (PAG) and the cerebellum. The PAG receives various types of sensory information about threats, including pain fibers. The cerebellum is also sent sensory information, which it uses to help coordinate movement.

The researchers found a bundle of fibers that connect one region of the cerebellum, called the pyramis, directly to the PAG. Messages that run along these paths cause an animal to freeze with fright.

The authors of the study hope that their findings might one day help design ways to treat people with anxiety disorders and phobias who can become paralyzed with fear.

The question of phobias

Medical professionals class phobias as an anxiety disorder. As mentioned earlier, they are often an irrational and overactive fear of something that, most often, cannot cause harm. They can attach to pretty much anything and significantly impact people’s lives.

Number 13 button - Medical News Today: Dissecting Terror: How Does Fear Work?
Fear of the number 13 is called triskaidekaphobia.

There is no hard and fast reason why a phobia will develop; both genes and the environment can be involved.

Sometimes, the origin can be relatively easy to understand: someone who witnesses someone falling off a bridge might later develop a phobia of bridges.

In general, though, a phobia’s origins are tricky to unravel — after all, most people who witness someone falling off a bridge do not develop a phobia of bridges, so there is more to it than simple experience.

While there are still many questions left unanswered, scientists have uncovered some of the neural events that underpin phobias.

Given our understanding of the amygdala’s involvement in the fear response, it is unsurprising that phobias are linked to heightened activity in this region.

One study also discovered that there was a disconnect between the amygdala and the prefrontal cortex, which normally helps an individual override or minimize the fear response.

Aside from the fear felt when someone with a phobia meets their nemesis, these individuals are also in a heightened state of arousal; they always expect to see their trigger, even in situations where it is not particularly likely to appear.

Some researchers argue that this vivid, fearful expectation plays a significant part in boosting the fear response when they do come across their phobic object.

Another study explored this phenomenon in people with arachnophobia. It found that if scientists told these individuals that they might encounter a spider, activity in their brains differed from control participants without a phobia.

Activity in the lateral prefrontal cortex, precuneus, and visual cortex was comparatively lower.

The authors say that these brain regions are key for the regulation of emotions; they help keep us level-headed. A reduction in their activity suggests a reduced ability to keep a lid on fearful emotions.

Often, an individual with a phobia will be well aware that their response to the object that they fear is irrational. The weaker activity in these brain areas helps explain why this might be; the parts of the brain responsible for keeping a cool head and assessing the situation are muted, thereby allowing more emotional regions to play their hand.

The takeaway

The fear response has kept us alive. It is primal, and we should respect it. At the same time, it can be unpleasant and interfere with people’s day-to-day functioning. However, paradoxically, fear is also the source of a highly enjoyable adrenaline rush.

Fear inspires filmmakers, roller coaster designers, psychologists, neuroscientists, and everyone in-between. It is a fascinating and multifaceted human emotion.

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