There are two main ways that fear manifests and these can appear to varying degrees. The first way is for people to be intensely fearful, the second is for people to anticipate ‘danger’ so that they avoid experiencing fear. Some Water CFs tend to excessive fearfulness, others to an absence of fear.
Fear
When people feel intensely fearful profound changes take place in the body’s physiology. Adrenaline production increases, muscle tone tightens, heart rate and perspiration increase. The mind may be overwhelmed and the person struggles to function well. The extremes of this pattern are phobias and hysteria. We are using the word ‘hysteria’ in the dictionary sense of morbidly or uncontrollably emotional. A person with agoraphobia cannot leave the house and no amount of reasoning will make a difference. They cannot hear potential solutions even when they are generated by others. Someone behaving hysterically with fear does not appear to access their mind in order to consider solutions. Or if they do, the messages it gives are overwhelmed by the intensity of the feelings. Everybody knows that a small spider cannot harm anybody, but for someone who is terrified of spiders this knowledge makes little or no difference. The Water Element is out of balance and the intensity of the emotion overwhelms the mind.
Much of the time, people hide their fear from others. Being joyful, sad or even angry does not seem as shaming as letting others see the fear within them. Diagnosing Water CFs, therefore, can often be particularly difficult. Fear, however, produces increased physiological activity and this often shows in the patient as agitation. Some tend to be physically restless and find it hard to keep their bodies still. Others have found ways to quieten the agitation in their bodies to such an extent that the fear is only really visible in their eyes. They somewhat resemble a rabbit caught in the headlights as the intensity of their fear paralyses them.
Fear makes the qi descend. When fear is intense this often makes people need to go to the toilet in a hurry. In chronic cases it often leads to strong physical sensations in the torso as the movements of qi create agitation. Some feel this in the heart and chest primarily. Others feel it in the ‘pit’ of their stomach and others feel it more in the lower abdomen.
One Water CF, who inclined to this pattern, described the following: ‘I’m scared most of the time to some degree or another. At times I may feel a contraction in my lower belly. I think it’s to do with not knowing why I’m scared. If I know why I’m scared I’ll have other symptoms. I’ll feel a rush of adrenaline – my heartbeat increases, my mouth goes dry and I need to pee.’
The patient’s response to reassurance can sometimes be revealing. Some patients will attempt to allay their anxiety by looking for reassurance. Health issues are obviously a common theme where this manifests. In order to assess the person’s degree of fear it is often necessary to evoke a degree of anxiety and then gauge the patient’s response to the reassurance offered. Whereas most people would be relieved by reassurance, or at least take it in, it is usually impossible to reassure a Water CF. This is because their fear is deeply irrational and cannot really be touched by words or information. It is as if a block has occurred between their mind and feelings. Water CFs naturally often find it difficult to trust others. There is a wariness about them that is rarely relinquished.
Some Water CFs find that fear agitates their body, mind and spirit, so they attempt to reduce these feelings. To do this they may avoid situations that generate excitement, as the extra adrenaline produces feelings of discomfort. Fun fairs, scary movies and dangerous activities are also generally avoided. Acupuncture, regrettably, is also often avoided for the obvious reason concerning needles. Often it is only desperation or extreme health anxiety that drives them to come for treatment. Practitioners, therefore, see these kinds of Water CFs less often than some other CFs.
Lack of fear
Some people have learnt to repress their feelings of fear. They become hyper-aware and attempt to anticipate threats and deal with them before they appear. Why do people do this? Some have felt frightened in early childhood and hated the experience. Over time they evolve coping strategies that involve suppressing the intensity of the emotion, often to the extent that they have become unaware of the feeling. Whatever the origin of the pattern, we label these people ‘lack of fear’ as they rarely appear to be frightened and do not admit to situations causing them to be frightened. They may invest a lot of energy in anticipating what could go wrong and thinking through their responses before any threat appears. Such people are often very competent in their work. For example, the essence of entrepreneurship is to assess risks and increase the money-making aspect while avoiding failure. People with a lack of fear pattern often excel in such an activity. They draw on a skill that has been refined since childhood.
People with this pattern also frequently take what the rest of the world thinks of as unnecessary risks. They drive too fast, ride motor bikes, bungee jump, parachute or hang glide. Excitement is one thing, recklessness another. They usually do not describe what they do as frightening. It is fun, exciting, gives them a sense of feeling alive, but whatever it is it is not scary. A female Water CF of this type drove her powerful car at what most of us would consider excessively high speeds. When questioned, she said that it was exciting, but not dangerous. When challenged that the excess speed did increase the risk of a serious accident, she said that the increased speed made her more alert and therefore safer. She also said that the only time she felt scared was in a scary movie, when of course she could easily walk out (
Table 20.2).
Table 20.2 Examples of the range of emotions associated with the Water Element
Fear |
Fright, terror, anxiety, dread, panic, trepidation, apprehension, horror, foreboding, cowardice, wariness |
Fearlessness |
Bravado, unafraid, adventurous, courageous, daring, risk taking, recklessness |
A friend describes an example of a calculated risk-taker: ‘She has the most scars of anyone I have ever met. She likes to go and walk along under the cliffs and get stuck in the tide and risk her neck. She really enjoys being on the edge. She denies that what she does is dangerous and says only that it is exciting.’
Lack of fear is a pattern that is often hard to diagnose as it is the absence of the emotion rather than its obvious expression. Questioning the patient about their leisure activities may give an indication, but it needs to be supported by colour, sound, odour and the practitioner’s direct experience of their emotion. Often these patients tend to be almost motionless in their bodies, but their eyes are alert for every possible danger. There is also a tendency for practitioners to feel anxious in their presence although they may struggle to understand why.