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Affect Phobia Therapy

What is Affect Phobia?

"Affect Phobia"—or fear of feelings—is the unifying concept behind Affect Phobia Therapy, a powerful form of psychotherapy which has grown out of decades of research on Short-Term Dynamic Psychotherapy.

Affect Phobia Therapy integrates techniques from psychodynamic, cognitive-behavioral, and experiential therapies into a powerful whole that can increase the effectiveness of therapy and help it to proceed more rapidly.

Affects (the technical term for feelings or emotions) are the strongest motivators of human behavior. Affects can motivate healthy, adaptive behavior and they can also lead to unhealthy, maladaptive behavior.

When people are unable to use or respond to their emotions in healthy ways, they can develop symptoms and/or engage in patterns of maladaptive behavior. This inability to respond adaptively to emotion is usually unconscious, and is often referred to as "psychodynamic conflict," but a key point of our work is that it can also be thought of as an "Affect Phobia."

A person with a classical phobia such as a fear of elevators might hurt themselves by not taking a desirable job because it's located in a tall building. Similarly, a person with a phobia about grief might avoid feelings of sadness by becoming angry instead, which can damage relationships and prevent them from doing necessary grief-work. (When people hear the term "Affect Phobia," they often think that it refers to people who avoid all feelings, but in fact most people with affect phobias continue to experience and act on maladaptive feelings, as in this example).

Like classical phobias, Affect Phobias can be treated by "systematic desensitization"—helping the patient to experience progressively higher levels of the feared emotion (grief in the example above), while reducing associated inhibitory feelings such as anxiety or shame.

Please click on the menu items to the left for information on training, supervision, our book "Treating Affect Phobia," and to access other materials related to Affect Phobia Therapy.