When someone speaks of fears or anxieties without describing a specific situation, we often think of persons with emotional problems-as if healthy persons would never have these feelings. But this is not the case. Fears and anxieties are part of the normal pattern of development. It is normal for children between the ages of two and six to develop a fear of strangers. This fear later resolves. It is reported that of children in the fiveto-fourteen-year-old age group, only 5 percent would not admit to having any fears at all. In short, some fears are part of the healthy developmental path of childhood. Fears are very common in childhood but tend to disappear with age; even in clinical populations, the earlier the onset of the fear, the greater the probability of spontaneous remission.In adults also, fear and anxieties have an integral role in adaptation and health. A small amount of performance anxiety can actually aid in the performance of a task. The fear generated by a life-threatening situation can provide the stimulus necessary for one to act to save oneself.In what situations, then, are fears and anxieties no longer in the realm of the normal? Fears become an emotional problem when the responses they evoke become consistently maladaptive. This can be due either to a reaction that is in excess of the demands of the situation or to I would like to acknowledge the assistance of R. Noyes, M.D., and R. Crowe, M.D., in the preparation of this manuscript. Muiioz (ed.). Treating Anxiety Disorders.
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R. A.