In this blog we will discuss the causes, symptoms and treatment of Genuphobia.
Genuphobia is an intense fear of knees. It is derived from the Greek word ‘genu’, “knees” and ‘phobos’ meaning “fear”.
People suffering from Genuphobia will avoid looking at knees or even thinking about them.
They have developed this fear due to a number of reasons that may arise out of events taking place in the past to oneself or to others.
They also evade looking at pictures of knees and watching movies where anatomy of the legs is visible.
The person suffering from genuphobia will not even wear shorts or allow his family members to wear a pair as well.
When the Genuphobe is exposed to any thoughts of knees, he suffers a full-blown panic attack.
Genuphobia is a rare phobia and varies in severity. It can suddenly be developed or can take some time for symptoms to be severe.
Like most of the phobias, it is an irrational fear, because no harm can be met by only looking at the knees.
The daily activities of the sufferer are limited and in some cases the anxiety may also lead to depression.
Symptoms of Genuphobia
To avoid the experience of anxiety itself the individual may develop Genuphobia, so as to avoid the very cause of the uncomfortable condition.
Even the image of knees brings about the symptoms with an intensity that reels the sufferer.
- Anxiety at the thought of knees
- Anxiety when seeing peoples’ knees
- Unable to attend any event that involves exposure of knees, like swimming, tennis or various other sports
These are intense and can begin without any prior warning.
The person suffering from Genuphobia experiences the full physical intensity of either all of these or some of these in combination with others.
- hot flashes or chills
- shortness of breath a choking sensation
- rapid heartbeat (tachycardia)
- feeling faint
- dry mouth
- ringing in ears
- raised in blood pressure
The Psychological Symptoms
During panic attack the person suffering from Genuphobia may experience the following
- fear of fainting
- feelings of dread
- fear of dying
- fear of losing control
- fear of harm
- fear of illness
- feeling Of hopelessness
- feeling of disconnect
- lack of concentration
- mood swings
Chorophobia may also exist in concordance with the fear of music also.
Causes of Genuphobia
As with most phobias and anxieties, there is no clear consensus about what causes Genuphobia, but still a very plausible cause could be a self injury to knees, witnessing a knee injury either of a loved one or on TV, or generally.
The most common explanation is a childhood traumatic episode where a child may have experienced a knee accident of a loved one in the family, bringing about an entire change or modification in his life.
This may have crippled him/her and thus, knees were viewed as dangerous or even life altering.
People suffering from Genuphobia are also reluctant to meet new people and shy away from most of them, feelings of shame of not being able to adjust and guilt of staying away from an important event that involves wearing clothes that will expose the knees, like sporting events and the like.
People may also be afraid of losing control because this is something that is not in their hands and not controlled by them, no matter how powerful a person is.
Thus, at the time he is suffering from the symptoms of Genuphobia, he/she feels totally helpless, aggravating their already hiked anxiety.
There are plenty of people with Genuphobia who cannot even recall the traumatic incident that would have developed this fear.
Scientists believe that a combination of genetic tendencies, brain chemistry, and other biological and environmental factors could cause such fears to develop.
As is common in specific phobias, the cause Genuphobia may lie deep in the person’s childhood or its onset may be due to an environmental factor.
Genetics also plays a pivotal role in the cause of developing Genuphobia
Other causes can be as follow:
• Learned behavior
• Traumatic experiences
Etiological Models of Chorophobia
1. Biological (Genetic) Model
Genetics also determines how a person reacts and feels. Therefore, people inherit fears and phobias as well from their families.
The brain cells (neurons) release certain chemicals called neurotransmitters.
Serotonin and Dopamine are two neurotransmitters that in depleted states can cause anxiety like symptoms.
2. Psychodiagnostics Model
If a person has suffered from a traumatic experience in early childhood it can have a severe dire impact on his later life.
A childhood traumatic experience could be where children experienced a negative impact of events due to a change in their life.
This may leave a long lasting impression.
Reading books that have a detailed account of injuries or accidents involving knees, also anecdotes of unwarranted changes that altered the lives of people, can add to the fears.
3. Behavioral Model
According to this model, irrational fears may be caused through behaviors that are learned by replication.
Children often replicate unique behaviors of their adults, parents or a favorite aunt or uncle.
If a family member is already suffering from anxiety or is scared of one or another thing, then chances are higher that only by observing this, the child may develop fears.
It is also commonly seen that various religions of the world forbid legs to be exposed.
People belonging to a religious or a conservative background will never uncover their knees and their garments will be till below the knees.
It is considered immoral and non religious to expose legs, especially the knees and above.
Treatments of Genuphobia
Genuphobia can be treated through different treatments.
These include Cognitive Behavior Therapy (CBT), Exposure Therapy, Neuro Linguistic Program (NLP), Mindfulness Based Stress Reduction MBSR) and forms of meditation.
1) Cognitive Behavior Therapy (CBT)
In CBT the therapist helps the client to amend his thoughts so that a desirable behavior can be achieved.
This therapy is effective, because if the thoughts or cognitions alter then there will be a lasting impact on behavior.
The therapist helps the client to discover the reason for this thought, his behavior in regards to changes in life. This therapy is goal oriented and short termed.
Therefore, the results are seen soon. It changes the way a person thinks and feels.
CBT does not focus on probing the past to resolve current problems, rather it concentrates on the present situation.
Our thoughts determine how we act or react to certain stimuli and situations.
Therefore, negative thoughts bring about a negative behavior response or an undesirable behavior.
Whereas, positive thoughts propagate desirable and healthy attitude and response.
For the treatment of Genuphobia, the therapist separates the problem into parts. These may include: thoughts, feelings and actions.
- What thought is invoked at the thought of knees?
- How do you feel when you see peoples’ knees?
- What do you do when your own knee is exposed?
Rational Emotive Behavior Therapy (REBT) is a form of CBT and designed by Albert Ellis. According to Ellis, “people are not disturbed by things but rather by their view of things.”
This is what subjective perspective is.
In Genuphobia, the person thinks of knees and gets anxious because there is a fear of an accident, injury that may leave him/her confined or crippled for life.
2 Exposure Therapy
It is one of the most frequently used ways of treating patients with Genuphobia.
In this therapy, the patient is exposed to the source of his fear over a certain span of time.
To begin with the therapy, the therapist exposes the patient to the least triggering stimuli, a picture of knees for example.
As the therapy progresses and the patient is able to control his anxious feelings, imagery can be used to take the treatment a step further.
In this part of the treatment the patient is asked to visualize/imagine a situation in which his knees are exposed.
During this process of imagery, one actually feels being in that particular situation or place, experiencing various senses.
Once the person successfully, without feeling anxious clears this step of the therapy, he is then exposed to real knees for example.
While the patient is being exposed to different intensities of stimuli during the various stages of therapy, the therapist simultaneously teaches them coping exercises.
These include, breathing techniques or muscle relaxation methods to lower their anxiety, when in an actual fear/anxiety causing situation.
This teaches them how to remain calm when exposed to the fear stimuli.
Before actually starting the exposure therapy, the therapist needs to figure out the intensity of the patient’s fear, as to deduce whether they will be able to undergo this treatment, without any physical or psychological harm caused to them during the exposure processes.
However, these steps desensitize one to their fear of knees, by exposing them to that stimuli repeatedly, until they learn to undergo the situation without anxiety/panic attacks.
3) Neuro Linguistic Program (NLP)
In this therapy the client is asked to
- Access the phobia in a safe environment.
- Help them to replay the phobia along with happy emotions.
- Disassociate from the phobia.
4) Mindfulness Based Stress Reduction (MBSR)
MBSR involves being aware of one’s own thoughts, feelings and reducing the interference from around the environment.
We do not pay attention to how we process the various stimuli that affect us.
We do not process the way our bodies feel and respond, there is no focus on our thoughts and how these thoughts are influencing our emotions.
In MBSR, the client is ‘woken up’ to actually experience the various senses. ‘Focus’ is the keyword!
In Genuphobia treatment, the client is made conscious to pay attention to his thoughts when he is thinking of what he is afraid of.
Awareness helps to alleviate the stress symptoms.
For meditation to be effective during treatment, the mind is cleared off all the clutter of random thoughts.
The mind and body are made to be ‘in sync’ with each other, so that the feared stimulus does not invoke a negative thought.
The client will meditate during the thoughts of death and concentrate on his breathing patterns in the presence of the feared stimulus.
6) Self-Help Groups
Self Help groups are an effective type of therapy, in which the client does not find himself as a lone sufferer.
These groups are individuals who are afflicted with the same types of phobias.
They come together to share their thoughts, experiences and their coping strategies. This also helps in developing a ‘sense of I am not the only one’ suffering.
7) Changing Lifestyle
Breaking down the dullness of the daily, helps break down anxiety as well.
• Take up jogging or go for daily walks:
Developing a walk routine can damper the way our negative thoughts control our behavior.
• Indulging in an exercise regime:
Vigorous exercise like aerobics has proved to reduce or alleviate the symptoms of stress and anxiety.
Exercise helps the mind to cope with stress and stressful situations better. This is what the American Psychological Association has to say about inducting exercise to eliminate stress or phobias.
• Altering eating and drinking habits:
Cutting down on fatty foods and caffeine can improve self-image, that in turn leads to a raised self-esteem.
This finally diminishes the symptoms of stress to a bare minimum.
With high intake of caffeine, the body resembles a ‘fight or flight’ response, thus giving way to anxiety.
• Improving the sleep cycle:
When we get proper rest, our concentration improves.
8) Psychiatric Medication
There are a number of medicines that the Psychiatrist can prescribe if the symptoms of Genuphobia are severe.
Anxiolytics (anti-anxiety drugs)
These should only be taken after the consultation with the doctor and shouldn’t be initiated or discontinued as per personal discretion.
These medicines are not only used to treat depression, but also to alleviate the symptoms of Genuphobia as well as other phobias.
Medicines alone might not be as effective, but if used in conjunction with therapies then the results will be better.
9) Dialectical Behavior Therapy (DBT)
This kind of therapy is used to regulate the emotions.
A technique called “half-smiling” is used where the client is asked to lift the corners of his mouth when the feared thought comes to his mind.
Apart from this the mind is to be trained to refrain from thinking about the painful stimulus.
Coping Ahead is another technique in DBT that requires the client to sit quietly and think of the feared situation and strategize what he will do.
We are always here to answer if you have any queries.
Frequently Asked Questions
What causes Genuphobia?
Genuphobia is caused after seeing a major knee injury happen to someone close; a friend or relative. This can in turn trigger the fear.
How common is Genuphobia?
Genuphobia is one of the rare phobias and the person and the severity also varies from person to person.
How do I overcome my fear of knees?
You can overcome your fear of dancing by getting therapies like Cognitive Behavior Therapy and Mindfulness, to name a few.
What is a locked knee?
Locked knee occurs when the meniscus tears, a fragment breaks away and gets stuck in the knee joint, causing the joint to lock.
Below is a complete list of all Phobias which we currently cover.
Titles to Read
- The Anxiety and Phobia Workbook by Edmund J. Bourne PhD | May 1, 2020
- Anxiety, Phobias, and Panic by Reneau Peurifoy | Feb 1, 2005
- Dying of Embarrassment: Help for Social Anxiety and Phobia by Barbara G. Markway, C. Alec Pollard, et al. | Oct 1, 1992
- Cognitive Behavioral Therapy Made Simple: 10 Strategies for Managing Anxiety, Depression, Anger, Panic, and Worry by Seth J. Gillihan Ph.D | May 22, 2018
- The CBT Deck: 101 Practices to Improve Thoughts, Be in the Moment & Take Action in Your Life by Seth Gillihan | Jun 11, 2019