Anthropophobia means fear of people. It’s derived from 2
Greek words Anthropos which means Man & Phobos which means fear.
It’s fear of scrutiny by other people in small groups,
rather than a crowd. This phobia usually leads to social situation avoidance (WHO,
1992, p. 136).
Anthropophobia is a phobic disorder that is found mostly
amongst the people of China & Japan. Its core symptom is a fear of making
eye contact with others A.Y. Zhang et. al. (2001).
In some cultures direct eye to eye confrontation is particularly
stressful (WHO, 1992, p. 136). DSM-IV (Diagnostic & Statistical manual of
Mental Disorders) specifically mentions taijin
kyousho. Taijin kyousho is a Japanese word taijin means in relation to others & kyofusho means fear or phobia, thus taijin kyousho means fear of others. Taijin kyofusho is defined as “an individual’s intense fear that
his or her body, its parts or its functions, displease, embarrass, or are
offensive to other people in appearance, odour, facial expression, or movements”
(APA, 1994, pp. 844, 849). This syndrome is considered in DSM-IV to be confined
to Japanese culture rather than a cross-cultural mental illness.
According to International Statistical Classification of
Diseases & related health problems (ICD-10) Anthropophobia is a case of social
phobia & an extreme, pathological form of shyness & timidness.
The signs of Anthropohpobia are
Anxiety
Extreme avoidance to be in small groups
Feeling of dread
Feeling of panic
Feeling of terror
Irrational fear of people
Rapid heartbeat
Trembling
A research “Anthropophobia: Its meaning & concomitant
experiences” was conducted by Amy Y. Zhang, Lucy C. Yu, Jianxue Zhang, Denghua
Tang & Juris G. Draguns. It was published in International Journal of
Social Psychiatry (2001) Vol. 47 No. 4 56 – 70. The researchers found that the
core anthropophobic symptoms include a fear of making eye contact with others
& a fear of being watched by others, which essentially express fears of
others’ judgement or opinion of oneself. They even found that anxiety &
depression are associated features of anthropophobia.
Other symptoms include fear of blushing, unnatural eye or
facial expression, body dysmorphia & odours. Their even found that in an
extreme case, a person suffering from anthropophobia would become homebound
& withdrawn from society to avoid contact with other human beings. The
onset of anthropophobia typically occurs in adolescent.
Japanese psychiatrist & researcher Yamashita (1993. p.
28) believes that the meaning of anthropophobic symptoms is centred on
interpersonal relationships & on one’s self-image as perceived through
others’ eyes. In his words, anthropophobic patients observe themselves through
others’ eyes, ears & noses, instead of their own. They try to find themselves
in the minds of others. In Japanese culture interpersonal relationships are more
interdependent, reciprocal & implicit than in Western culture. The
researcher believes that these differences play a causal role in shaping
anthropophobic symptoms.
Yamashita (1977) has classified manifestations of Taijin kyofusho into seven categories:
1) Fear of flushing;
2) Fear of eye contact, including a fear of being caught by
someone’s gaze & a fear of one’s own unnatural gaze at others;
3) Fear of showing one’s improper attitude toward others
when interacting with others, as indicated by bodily tension, trembling, &
shaking;
4) Fear of body dysmorphia, such as physical abnormalities
& facial defects;
5) Fear of one’s bodily odours (patients believe that
unusual body odour or gases emanating from their bodies are offensive to
others);
6) Anxiety about others’ attitude & feelings toward
oneself; &
7) Any combination of the proceeding six fears.
Another Psychiatrist Zhong (1987; 1993; Zhang & Zhong,
1993) has classified anthropophobic symptoms into 3 categories based on his
clinical observation of 113 patients.
They include
1) Symptoms associated with eye expression, including a fear
of others’ gaze & a feeling of unnatural eye-expression in oneself. Zhong
suggests that the fear of others’ gaze is related to concerns that others can
find out secrets in one’s mind by watching, while a feeling of unnatural eye
expression by oneself expresses beliefs that one’s own eye expression suggests
flirtation or irritation to others;
2) Symptoms associated with facial expression, including a
feeling of unnatural facial expressions in front of others such as blushing;
&
3) A compulsive desire to watch others’ breasts or genitals
through one’s own peripheral vision.
Apparently Yamashita & Zong have 4 symptoms of
Anthropophobia in accord i.e. fear of unnatural facial expression, fear of
making eye contact, a fear of unnatural eye expression & a fear of other’s
gaze at oneself.
References: -
1. AMERICAN PSYCHIATRIC ASSOCIATION (1987) Diagnostic and
statistical manual of mental disorders (3rd, revised). Washington, DC: APA.
2. AMERICAN PSYCHIATRIC ASSOCIATION (1987) Diagnostic and
statistical manual of mental disorders (4th). Washington, DC: APA.
3. OKONOGI, K. (1973) Taijin-kyofu viewed from the perspective
of shyness of strangers. Japanese Journal of Clinical Psychiatry, 2, 833-837.
4. UCHINUMA, Y. (1973) Symptom structure of taijin-kyofu:
Symptom structure and treatment strategy. Japanese Journal of Clinical
Psychiatry, 2, 845-850.
5. WORLD HEALTH ORGANIZATION (1992) The ICD-10 classification
of mental and behavioural disorders: clinical description and diagnostic
guidelines. Geneva, Switzerland: WHO.
6. YAMASHITA, I. (1993, c1977) Taijin-Kyofu delusional social
phobia. Sapporo, Japan: Hokkaido University Press.
7. ZHANG, J.X. & ZHONG, Y.B. (1993) Discussion of
psychopathological nature and psychogenic mechanism (Amy, Lucy, Zhang, Tang, & Juris, 2001)
8. ZHANG, J.X. & ZHONG, Y.B. (1993) Discussion of
psychopathological nature and psychogenic mechanism of anthropophobia. Chinese
Journal of Neurology and Psychiatry, (15)9, 269-271. (In Chinese).
9. ZHONG, Y.B. (1985) Neurasthenia. Beijing, China: Science and
Technological Literature Press. (In Chinese.)
10. ZHONG, Y.B. (1987) Phobia of eye contact. Chinese Journal of
Neurology and Psychiatry, (15)3. (In Chinese.)
11. ZHONG, Y.B. (1993) Cognitive-insight therapy. Guiyang,
China: Guizhou Press of Education. (In Chinese.)
12. Zhang, A. Y., Yu, C. L., Zhang, J., Tang, D., & Draguns, J. G. (2001). Anthropophobia: Its Meaning and Concomitant Experiences. International Journal of Social Psychiatry,
47-56. Retrieved
October 15, 2012, from Sage Publications: http://isp.sagepub.com/content/47/4/56