Negative, but Unhealthy Fear: Acting Against a Disturbing Behavioral Issue

I was once in an intimate partner relationship with a woman who had a phobia, which the American Psychological Association (APA) defines as “a persistent and irrational fear of a specific situation, object, or activity (e.g., heights, dogs, water, blood, driving, flying), which is consequently either strenuously avoided or endured with marked distress.” Also, the APA defines fear as:
[A] basic, intense emotion aroused by the detection of imminent threat, involving an immediate alarm reaction that mobilizes the organism by triggering a set of physiological changes. These include rapid heartbeat, redirection of blood flow away from the periphery toward the gut, tensing of the muscles, and a general mobilization of the organism to take action (see fear response; fight-or-flight response [i.e., fight, flight, freeze, fawn response]).
Although there’s no apparent Greek term regarding a phobia of elevators, it could be argued that my ex-girlfriend had claustrophobia (a persistent and irrational fear of enclosed places [e.g., elevators, closets, tunnels] or of being confined [e.g., in an airplane or the backseat of a car]).”
As my ex and I were both social workers, we understood how to address phobias when providing care for mental, emotional, and behavioral health (collectively “mental health”). In particular, I attempted to help her overcome her unhelpful phobia by use of a helpful mental health model.
As Rational Emotive Behavior Therapy (REBT) was formed by the late psychologist Albert Ellis, who reportedly developed the first cognitive behavior therapy (CBT) psychotherapeutic modality in 1955, this blog entry is part of an ongoing series regarding his book, Ask Albert Ellis?: Straight Answers and Sound Advice from America’s Best-Known Psychologist.
Unfavorably, my ex was unwilling to travel in even a two-level metal elevator without glass walls. She’d rather take the stairs, as her unhealthfully negative reaction to the mere thought of riding in an elevator consumed her. Thus, her response represented negative, but unhealthy fear.

Photo credit, Designed by Magnific, fair use
REBT uses the ABC model to illustrate that when an undesirable Action occurs and you Believe an unhelpful narrative about the event, it’s your unfavorable assumption, not the occurrence itself, that causes an unpleasant Consequence. This is known as distress or disturbance.
Noteworthy, with virtually any undesirable Action that occurs, it’s your unfavorable Beliefs which cause unpleasant distress or disturbance (Consequence). Given this framing of self-distress and self-disturbance, it’s worth noting that one REBT source states (page 71):
REBT conceptualizes [distress] as healthy even though it is intense. Other approaches to therapy have as their goal the reduction of the intensity of negative emotions. They take this position because they do not keenly differentiate between healthy negative emotions (distress) and unhealthy negative emotions (disturbance).
Now, REBT keenly distinguishes between healthy distress and unhealthy disturbance. Healthy distress stems from your rational beliefs about a negative activating event [Action], whilst disturbance stems from your irrational beliefs about the same event.
Complete elimination of distress is highly unlikely in an impermanent and uncertain world, wherein people conceptually suffer, struggle, and battle with, or merely experience hardship. Still, individuals often make matters worse for themselves by disturbing about such instances.
In particular, there are four predominate irrational beliefs which people often use to distress or disturb themselves: global evaluations, low frustration tolerance, awfulizing, and demandingness. When contemplating these unproductive scripts, think of the acronym GLAD.
Additionally, from a psychological standpoint, people distress or disturb themselves using a Belief-Consequence (B-C) connection. Of course, this isn’t to suggest that in the context of the naturalistic or physical world there is no Action-Consequence (A-C) connection.
From an A-C view, an elevator malfunction (Action) could cause injury or death (Consequence). Still, one source states that “technological advancements and industry regulations have vastly increased the safety of elevators, and they are now considered the safest mode of vertical transportation when used properly.”
Nevertheless, when my ex even thought about entering an elevator (Action), she likely Believed, “It would be bad to die [G], and I can’t bear the thought [L], as it’s horrific [A], so I mustn’t ride in elevators [D],” and she then experienced negative, but unhealthy fear (Consequence).
Addressing how people upset themselves with unhelpful attitudes, the ABC model incorporates Disputation of unproductive philosophies of life in order to explore Effective new beliefs. Whereas rigid beliefs cause self-disturbance, flexible beliefs result in an un-disturbed condition.
Though I’d used REBT for a couple years prior to meeting my ex, inviting her to practice the ABC model, she simply refused to act (complex behavior, as distinct from a simple movement) against (in opposition to) a disturbing (causing feelings of worry, concern, or fear) reaction.
Specifically, her behavioral (any action or function that can be objectively observed or measured in response to controlled stimuli) issue (a vital or unsettled matter) was something with which she was willfully stuck. Regarding this sort of unhealthy outcome, Ellis stated (page 7):
Usually it takes awhile to change a disturbing behavioral issue, such as being phobic about elevators or planes or trains. It takes awhile to act against it, act against it, act against it, and habituate themselves to the new philosophy: “Well, elevators and planes may have some danger attached to them, and may be very uncomfortable, but I can risk it and take this danger and get to the point where I am even comfortable and enjoy taking them.”
Even if my ex got to the point whereby she could ride an elevator, irrespective of whether or not she enjoyed doing so, she could’ve resolved the matter of a phobia—in particular, negative, but unhealthy fear—to the degree whereby she endured negative, though healthy fear while riding.
This sort of outcome isn’t likely to occur with mere intellectual insight, though mainly (if not altogether) by emotional insight. For context, I stated in a blogpost entitled Intellectual vs. Emotional Insight:
Generally speaking, insight may be defined as deep understanding of a person, thing, or event. For instance, careful examination of how one’s dietary choices impact gut functioning may provide insight into what foods are more beneficial to one’s system than others.
From a psychological perspective, the [APA] defines insight as “the clear and often sudden discernment of a solution to a problem by means that are not obvious and may never become so, even after one has tried hard to work out how one has arrived at the solution.”
As an example, after months of attending psychotherapy with a [REBT] practitioner and not fully committing frequent practice of this psychotherapeutic modality [and I mean daily practice!], a person may suddenly realize the importance of fully engaging in the process.
Worth noting, there’s a difference between intellectual and emotional insight. Addressing this matter, page 182 of The REBT Therapist’s Pocket Companion states:
Help your clients to see the difference between intellectual insight (a cognitive understanding of rational principles that does not lead to constructive psychological change) and emotional insight (a deep conviction taken to use these principles, that does result in such change). Stress that the latter is the goal of REBT, not the former.
Expanding upon this topic, I stated in a blogpost entitled Understanding, Belief, and Practice, “I suspect that a lack of understanding, failure to believe, and neglect of practice have played a key role in why some people have neglected or abandoned REBT altogether.”
It’s difficult to express how important the component of frequent practice – and I mean daily engagement – is to one’s emotional insight regarding REBT. Otherwise, a person may gain intellectual insight while not fully benefiting from this helpful modality.
When further contemplating this topic, I’m reminded of the collaborative album 56 Birdz (2020) by rapper Doe Boy and DJ Esco. It contained the song “You Tried It”.
Describing the phrase “you tried it,” one source states, “When you attempt to flatter yourself or make others look foolish but it didn’t work out well for you.” This expression is meant to be offensive to the individual at whom it’s used.
However, trying (making an effort or attempt) is precisely how one develops emotional insight, especially when one’s attempts are repeatedly unsuccessful. Therefore, when “you tried it” and “it didn’t work out well for you,” then you can develop the virtues of fortitude and resilience.
Therefore, regarding negative, but unhealthy fear – particularly in the form of a phobia – if you tried it (e.g., attempting to ride an elevator) and failed, then try, try again! As Ellis stated, “act against it, act against it, act against it,” as that’s how you develop emotional insight! Ride on!
If you’re looking for a provider who tries to work to help understand how thinking impacts physical, mental, emotional, and behavioral elements of your life—helping you to sharpen your critical thinking skills, I invite you to reach out today by using the contact widget on my website.
As the world’s foremost hip hop-influenced REBT psychotherapist, I’m pleased to try to help people with an assortment of issues from anger (hostility, rage, and aggression) to relational issues, adjustment matters, trauma experience, justice involvement, attention-deficit hyperactivity disorder, anxiety and depression, and other mood or personality-related matters.
At Hollings Therapy, LLC, serving all of Texas, I aim to treat clients with dignity and respect while offering a multi-lensed approach to the practice of psychotherapy and life coaching. My mission includes: Prioritizing the cognitive and emotive needs of clients, an overall reduction in client suffering, and supporting sustainable growth for the clients I serve. Rather than simply trying to help you to feel better, I want to try to help you get better!
Deric Hollings, LPC, LCSW
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