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Ronald M. Doctor and Ada P. Kahn. 487 pp. Illust
Facts on File, New York, 1989
ISBN 0-8160-1798-0

Have you ever wondered what aichurophobia is and been distracted by descriptions of ailurophobia (fear of cats) and aichmophobia (fear of pointed objects)? These subjects, as well akathisia and the fear of air pollution, are on one page of this encyclopedia.

The book has more than 2500 entries, and some of the research is extensive. This is both its strength and its weakness. Many of the entries are simply brief definitions, like those found in a dictionary or glossary, that do not provide the information one would expect in an encyclopedia. The inclusion of numerous archaic terms for individual phobias is justified by reason of historical interest; however, progress in the understanding of anxiety occurred after the old labels were abandoned and more meaningful classifications devised. Historians might have been interested in the roots of these words, but they are not provided.

There is a page on Shakespeare as a psychologist who grappled with the power of fear and anxiety in his writings. He grasped the cat phobia reaction in the Merchant of Venice: “Some men there are love not a gaping pig; some, that are mad if they behold a cat.” The section on ailurophobia does not capture what I think is the essence of the fear: the ability of cats to jump suddenly (especially from a height), their staring eyes and their proclivity to rubbing against a person’s ankles. This aspect of fear is captured, however, in the section on birds with mention of the swooping motion, the sound and sight of flapping wings, and the beady eyes and claws.

The section on agoraphobia is a good summary of this syndrome’s behavioural aspects; however, the biologic view is inadequately discussed. The section on social phobia is too brief (one-half page); it does not do justice to this common and distressing syndrome. The entry on simple phobias consists of one brief paragraph.

There are useful tips for the lay person on exposure therapy, the fear of flying, managing stress and caffeine. I expected more self-help information in the sections on relaxation training, sleep or insomnia and hyperventilation.

My most serious criticism is that the biologic aspects of anxiety are treated superficially in this book. It conveys a behavioural-psychologic-suspicion-of-categorization bias and also a lack of biologic information. For example, much of the section on the biologic basis of agoraphobia is devoted to debunking the association with mitral valve prolapse syndrome and hypoglycemia. The authors seem to subscribe to the minority opinion that imipramine is useful for the treatment of panic only when it exists with depression. Phenelzine is referred to as a “potent” antidepressant only, with no mention of its panic-blocking effects. The side effects of both these drugs are emphasized. On the other hand, fluoxetine is described as an “antidepressant drug” only, without mention of its favourable side-effect profile or of its use in obsessive-compulsive disorder.

This book contains a large amount of useful information but also a lot of useless information. Sterile definitions of outdated terms and the mere mention of individual drugs could be printed in smaller type. This would allow room for a more balanced view of the major topics. The language is simple and easy to read for the lay person. Excellent cross-referencing helps the reader through the maze of terms. The addition of a biologically oriented author would enhance the book’s value as an encyclopedia.

Mental health professionals and students not working in that field will find this book a handy reference. However, students in the field will require a more impartial view.