why can’t some people hear specific sounds& ldquo; Phonophobia & rdquo; How did it happen? Is it a hidden psychological disease like obsessive-compulsive disorder? What does it have to do with tinnitus? How should we deal with voice phobia?
when you took notes carefully in class, you were suddenly & ldquo; Stab & rdquo; He woke up with a start and looked up. It turned out that it was the math teacher’s chalk that inadvertently crossed the blackboard. The voice said that the novel was neither big nor small, but it gave you goose bumps. Not only the sound of chalk across the blackboard, the rustling breath of strangers suddenly approaching you, and the gurgling chewing sound of diners at the same table may make you feel crazy.
Can’t hear a specific sound. What’s going on?
if there is always a sound that makes you feel particularly uncomfortable, you may be a & ldquo; Phonophobia & rdquo（ Hyperacusis) patients, the so-called fear of sound, are sensitive to specific sounds, which we also call & ldquo; Selective sound sensitivity syndrome & rdquo（ Selective sound sensitivity syndrom, or & ldquo; 4S”）。 This concept was first put forward by the famous tinnitus expert Dr. PAWEL J. jastreboff in a paper in the annals of Otolaryngology, but so far, the number of studies on phonophobia is still small, and the number of relevant papers we can search on the HowNet is no more than 30.
in the few studies, the research team of the University of Newcastle in the UK tested the patients with phonophobia, which explained the occurrence of the symptom. In this experiment, the researchers found that once the subjects heard a sound that would cause them discomfort, the & ldquo; Prefrontal insular cortex & rdquo（ The activity of antior inner cortex will increase significantly, and the heart rate will also increase.
What is the use of the forebrain insula cortex, which produces an obvious response? It is obviously related to personal conscious activities and emotional experience. When a specific sound is emitted, some people’s prefrontal insula cortex will not be excited. At this time, this sound is treated as an ordinary sound; In other people, the prefrontal insula cortex will be excited by this sound. They give this sound different meanings, which leads to physical discomfort. This is the & ldquo; Onset & rdquo; Mechanism.
phonophobia is similar to obsessive-compulsive disorder and also belongs to psychological hidden diseases?
researchers from the University of Amsterdam also tested patients with phonophobia. According to a series of clinical manifestations of patients with this symptom, they proposed to distinguish phonophobia from other symptoms as an independent psychopsychological symptom. In the film clockwork orange, in order to correct the bad boy Alex who did all kinds of evil, the medical staff took the fourth movement of Beethoven’s Symphony No. 9 as the accompaniment to correct his behavior, which led to Alex’s splitting headache when he heard Beethoven’s Symphony No. 9 after his recovery. This is the physiological manifestation caused by the psychological reaction of patients with phonophobia.
In the University of Amsterdam study, nearly 50% of patients with phonophobia had been diagnosed with obsessive-compulsive personality. Whether phonophobia can be classified as a hidden psychological disease needs to be further verified by researchers.
will phonophobia further develop into tinnitus?
we first need to clarify the definition of tinnitus. The main manifestation of tinnitus is that the patient has subjective sound sensation in the ear or intracranial without external sound source or electrical stimulation. Phonophobia occurs only under the stimulation of external sounds. In fact, patients with mild phonophobia don’t have to worry too much. Tinnitus usually occurs when cerumen embolism, tumor or foreign body in the external auditory canal, various otitis media and otosclerosis in the middle ear, Meniere’s disease in the inner ear, sudden deafness, trauma, noise deafness and senile deafness.
Annoying voice phobia, how can I get rid of it?
when you make it clear that you will feel untimely when you hear a voice, first accept the voice psychologically and don’t overemphasize the bad psychological feeling of hearing such a voice. At the same time, you can also put on headphones and listen to a piece of music that makes you feel comfortable, so as to divert your attention. When this sound is emitted, try to connect it with good memory and emotional experience, and this sound will gradually become more and more acceptable.
do you feel uncomfortable when you hear a specific sound? What methods have you used to eliminate this discomfort?