I think it's likely that I'm just inherently more susceptible to being strongly, lastingly affected by experiences of things happening to my body.
It's impossible to make provable statements about experience, something that is inherently private, but humans can communicate about their experiences, and humans' experience affects their behavior. In these ways I have concluded that in some way bodily experience is unusually intense, and sensory memories unusually enduring, for me. I have read some research saying that this is true of many autistic people and that we may be more susceptible to PTSD because of it.
Slight changes are very noticeable, minor novelties are very captivating, and the feeling of "What it is like" gets very deeply embedded in my memory. Experiencing something in a slightly new way can make me feel incredibly mentally stimulated and energized. One example is walking barefoot in a place where I normally wear shoes. Doing this gives me a new perspective on "What it is like" that I really enjoy.
One of the most common comments I get on my writing is that my descriptions of feelings and bodily experiences, whether pain and fear or comfort and pleasure, are vivid, visceral, and intense in a unique way.
I think this is cool! It's like I'm deepening and enhancing the flavors and colors of reality for people.
When I was little, this aspect of me was much more negative. I knew as a child that I was more "sensitive" than other people and I hated my own sensitivity. I felt that I deserved to be punished and to experience pain because I was unable to withstand the things that others did. This feeling of deserving punishment was like a sadistic urge toward the "weak" parts of me. It was vicious.
And it has been hard to get entirely past this.
Recently I thought: maybe I am weaker than everybody else, and therefore get traumatized by something that would not traumatize any other person. So what?
If that is factual, it is simply a fact. There is nothing bad or wrong about it, any more than there's anything bad or wrong about how any creature happens to evolve.
There are fish that can only survive in a stream that has the cleanest, purest water, and nobody is fantasizing about harming and causing pain to the fish because they are unable to live in a stream with pollution. It would be silly.
And in some ways it is proven: some people are more susceptible to trauma, and factors like social support and feeling understood by others are a stronger influence on whether trauma develops than the nature of the event itself.
What is the alternative interpretation? I guess it would be that my medical fear is instead a "phobia," which as a diagnostic label comes with certain judgments: that the fear is "irrational," and that the level of fear is inappropriate for the feared thing.
When I first judged that my fear was not a "phobia," it was initially on the basis of the diagnostic criteria themselves: instead of being triggered by the presence of the bad thing or related stimuli and going away when the thing was taken away, my feelings of fear and dread were intrusive and lingering. It felt like they were always there to some extent and I was shutting them out, and when a trigger occurred, the reaction in my body was often delayed, making me feel exhausted and sick hours after. I also had strong compulsions to seek out content I knew would be triggering. I would start to follow these compulsions even without realizing it.
Like I said, it felt like a constant effort to keep the bad things "shut out," like I was trying to push a hundred doors shut at once to keep some kind of foul ooze from leaking in. I would frequently mis-read words as words related to triggering "medical" things, or even misinterpret images as being medical equipment that they didn't even look that similar to.
I also realized that there were no cognitive distortions associated with the fear at all. I wasn't catastrophizing or imagining a bad scenario that might or might not happen, it was simply the fact of the thing itself that was so terrifying. There was no judgment or really cognitive commentary at all associated with it. It was just pure disgust and horror.
But the main thrust of my judgment that it was not a "phobia" is that it did not feel "irrational" at all. My fear felt as fundamental and primal and instinctual as a fear of extreme pain. I balked at the idea of getting therapy to be okay with going to doctor appointments, because it felt to me exactly like getting therapy to be okay with hammering nails through the soles of my feet.
Okay. That is not what I thought. What I thought was "like getting therapy to be okay with being raped," and I FELT this, viscerally, but I changed it to the thing about hammering nails into myself when explaining it to others because...I don't know. I don't know why I changed it when explaining it to others.
I guess the hammering nails thing does better communicates what I felt, in the sense of being forced to be actively complicit in your own torture. Not just to dissociate, but to actively apply extreme willpower to endure extreme suffering.
I know I used this metaphor with a therapist. I don't remember what she said.
I think that during this time of puzzling over the definition of phobia and "irrational" fear, I was coming up with defenses for myself, reasons why the fear is rational. The best I could come up with was "I feel that I want to have control over my body," which seemed like a fairly basic need for a human being, but my therapist at the time asked "Why do you feel like you need to have control? Do you have a need for control in other aspects of your life?" and it made me feel like she misunderstood me on a fundamental level.
I was talking about "control over my body" in the sense of a fundamental safety need: rape is essentially the annihilation of safety in a person's body by invading it. I understood my own needs and feelings pretty well even if I didn't know why I had them.
But I couldn't articulate the idea of a "safety need" for myself at the time, because up to this point, every article and workbook and therapist and every idea passively absorbed from society treated "safety" as something so obvious and self-evident that it didn't even need to be discussed.
As a person with Anxiety, the mental disorder, I was assumed to be "safe" by default, and the treatment of anxiety was all about beating down and dominating bodily and mental responses communicating that I was unsafe, because they were wrong.
Not even that: it was about forcing my instincts about safe and unsafe to conform to an external, socially and culturally determined judgment of what is "safe" and what is "unsafe."
I was taught my entire life that my fear, my body's instinct to protect itself, was somehow fundamentally broken and that it did not communicate accurate information. In some ways, I was taught that human instincts of fear in general were fundamentally inaccurate and wrong, and we needed to use the "higher" parts of our brains to force the "lower" parts under control. Like, I was told over and over again something to the effect of "your body evolved to deal with threats like predators, but we don't deal with that anymore, so your survival responses basically don't work for the modern world."
I believe two things at once that are contradictory: feeling unsafe and being unsafe are completely different things, and on some level, I'm not entirely sure you can truly be safe while you feel unsafe all the time.
Maybe the synthesis of the two is this: despite being different things, feeling unsafe and being unsafe can wreak the same havoc upon the body.
Whether or not I am capable of explaining or justifying why, I was terrified for my entire childhood. I fear sometimes that I am being melodramatic about the amount of Scared that I was, but I know that if anything, I'm understating it. That level of fear doesn't even go into words.
And there were several things that I did not receive:
understanding that my fear was something terrible happening to me, not just a terrible mistake in the way I was assembled as a human that prevented me from doing What I Was Supposed To
assurance that it mattered how I FELT, entirely independently of whether I was able to "function" through the fear or "control" it
recognition that it was even possible to feel safe or not be terrified, ever (I'm pretty sure I internalized the opposite message, given how often people told me that My Anxiety Was Not Going to Just Go Away and that I Would Always Need To Use Coping Skills)
Speaking of "coping skills:" I do not feel that any of the coping skills I was taught to use as a kid fucking worked at all. Breathing exercises have never done anything for me. I have tried and tried and tried them and I fucking hate them. Cognitive Behavioral Therapy techniques did "work" in the sense that they eliminated fearful thoughts, but the fear was still very much physically present in my body, and in fact the effect on my body became much worse after the cognition aspect was eliminated.
Likewise, I did train my body out of having panic attacks, but this was so horrible that I sort-of had to teach myself to have panic attacks again. Like, I would spend days feeling like I was hovering on the cusp of a panic attack but I couldn't release, it just stayed there, and god it was awful.
I think a big reason why coping skills didn't seem to work was how relentless and fundamental the fear was. It was just THERE, this black monolith hovering over me.
And so much of it was so clearly linked to my "medical fear," and it wasn't until I started actually processing The Medical Fear that I stopped feeling like there was some evil Something taking up most of my brain that I was unable to think about and constantly shutting out. I can actually think all the thoughts that are in my brain now, I don't feel like I'm a thin facade of normal thoughts over top of an abyss that I can't acknowledge.
And I'm thinking maybe something could have happened differently. And I don't know if the thing that needed to be different was for someone to see where my fear came from, or to see how pervasive and all-consuming and severe it was, or to acknowledge it as "trauma" and not "anxiety," or just to understand that something not okay was happening, or...what.
Why did I feel so much like it was my fault? Why couldn't I imagine it getting better? Why didn't anyone wonder if there was a deeper reason than my brain being put together wrong?