Her heart rate increases again, because of her additional fear. She detects that, and her heart rate rises again.
Poof! Positive feedback loop. Soon the anxiety transforms into panic, regulated by a different brain system, designed for the severest of threats, which can be triggered by too much fear. She is overwhelmed by her symptoms, and heads for the emergency room, where after an anxious wait her heart function is checked. There is nothing wrong. But she is not reassured.
It takes an additional feedback loop to transform even that unpleasant experience into full-blown agoraphobia. The next time she needs to go to the mall, the pre-agoraphobic becomes anxious, remembering what happened last time. But she goes, anyway. On the way, she can feel her heart pounding. That triggers another cycle of anxiety and concern. To forestall panic, she avoids the stress of the mall and returns home. But now the anxiety systems in her brain note that she ran away from the mall, and conclude that the journey there was truly dangerous. Our anxiety systems are very practical. They assume that anything you run away from is dangerous. The proof of that is, of course, the fact you ran away.
So now the mall is tagged “too dangerous to approach” (or the budding agoraphobic has labelled herself, “too fragile to approach the mall”). Perhaps that is not yet taking things far enough to cause her real trouble. There are other places to shop. But maybe the nearby supermarket is mall-like enough to trigger a similar response, when she visits it instead, and then retreats. Now the supermarket occupies the same category. Then it’s the corner store. Then it’s buses and taxis and subways. Soon it’s everywhere. The agoraphobic will even eventually become afraid of her house, and would run away from that if she could. But she can’t. Soon she’s stuck in her home. Anxiety-inducedretreat makes everything retreated from more anxiety-inducing. Anxiety-induced retreat makes the self smaller and the ever-more-dangerous world larger.
There are many systems of interaction between brain, body and social world that can get caught in positive feedback loops. Depressed people, for example, can start feeling useless and burdensome, as well as grief-stricken and pained. This makes them withdraw from contact with friends and family. Then the withdrawal makes them more lonesome and isolated, and more likely to feel useless and burdensome. Then they withdraw more. In this manner, depression spirals and amplifies.
If someone is badly hurt at some point in life—traumatized—the dominance counter can transform in a manner that makes additional hurt more rather than less likely. This often happens in the case of people, now adults, who were viciously bullied during childhood or adolescence. They become anxious and easily upset. They shield themselves with a defensive crouch, and avoid the direct eye contact interpretable as a dominance challenge.
This means that the damage caused by the bullying (the lowering of status and confidence) can continue, even after the bullying has ended. 25 In the simplest of cases, the formerly lowly persons have matured and moved to new and more successful places in their lives. But they don’t fully notice. Their now-counterproductive physiological adaptations to earlier reality remain, and they are more stressed and uncertain than is necessary. In more complex cases, a habitual assumption of subordination renders the person more stressed and uncertain than necessary,
and
their habitually submissive posturing continues to attract genuine negative attention from one or more of the fewer and generally less successful bullies still extant in the adult world. In such situations, the psychological consequence of the previous bullying increases the likelihood of continued bullying in the present (even though, strictly speaking, it wouldn’t have to, because of maturation, or geographical relocation, or continued education, or