"The Anxiety and Phobia Workbook" contains a lot of useful information and ideas. The surveys and self-diagnostic tools, as well as appendixes of self-affirmations and lists of coping techniques, for examples, are extremely useful. One highlight from the book that I enjoyed was the author's list of Self-Nurturing Activities, minus the stuffed animals. (Masturbate? Sure! That's always a fun idea!)
I am finding that I have a few particular problems with this book, however.
PTSD and other complex anxiety problems don't seem well represented, although they are mentioned. The author assumes PTSD to be caused by a single event, which is not necessarily true and, in many cases, is not. He also leaves out discussing the effects of trauma in relation to the development of panic attacks in his section about them (pg. 44-45), placing this section under "Biological Causes" and creating instead a separate section called "Short-Term, Triggering Causes" (pg. 49) where he provides only a brief and totally inadequate explanation. I think it would have been much better if he had discussed these both together, rather than separating them under two different headings and placing them in separate sections; and spent more time discussing how cumulative stress and exposure to trauma are known or thought to affect you biologically.
I'm also not sure I like the way the author broached the topic of responsibility, on pg. 76. Certainly we are chiefly responsible for caring after our own selves. But there was something hypocritical about stating "Even if you feel you aren't solely responsible for having created your disorder [...]", then carrying on to insist you mustn't blame yourself for your condition. In the one case, it seems he is implying we should feel responsible for the development of any anxiety disorders; then, "Is there truly any justification for blaming yourself [...] ?" Perhaps the author should have worked through this section a little more. He goes from insisting that we are responsible for "holding on to it" to suggesting we've done the best we could with it. Which is it? He writes: "Taking responsibility means you don't blame anyone else for your difficulties." Fuck off. People who go out in public and shoot people are as much to blame for causing trauma in survivors as they are to blame for having killed people. Really, it's unnecessary to state we must not blame others for harming us in order to be able to take accountability for our well-being today. Nobody got stabbed and waited for their attacker to heal them. Let's put rubbish aside: Some people DO create difficulties for you that impact your well-being because they're jerk offs.
There was also a lot of false platitudes sprinkled throughout the book, and I don't like that the author chose to use them. In Appendix 5: Affirmations for Overcoming Anxiety, the author states- "If we could see the bigger picture, we'd see that everything is proceeding according to plan." BOLLOCKS. "Everything happens for a reason" crap thinking is just a weak cop-out people use to avoid addressing other people's pain. Sometimes things happen to us that are incredibly unjust and it fucking sucks. Insisting that there is some higher plan for which we have been chosen to suffer for is simply *not* helpful. In Chapter 14: Self-Esteem, Bourne references the apparently popular saying I have never heard before- "It's never too late to have a happy childhood." Rubbish. Nothing you do now is going to ever change the fact that the horrible, horrible things that happened in your childhood did in fact happen. Putting aside all this nonsense about our "inner child" for a second- You're an adult now; you're never going to have a second childhood. We don't need to bullshit ourselves here to be OK.
Now on to this Inner Child crap, in the script entitled "Healing Your Inner Child," it is stated- "... back through the 1990s... back through the 1980s. [..] Back into time long ago." Um, ok, in fairness I'm reading this 15 years after publication, but I could still have already developed anxiety disorders when this book came out. And I was born in 1990. It's not just old timers with anxiety issues, and surely the author knew this book would age too. Maybe you could have left that out of your script in order not to alienate your readers. It's not just the dates here, it's the choice of referring to childhood as "a long time ago" repeatedly. But that's OK, because I'm not down with this visualization exercise anyway. I'm not going to refer to any part of myself as a "little child," thanks, or pretend I'm sitting on my own lap, or any the rest of it. And you know what else I'm not gonna do? Take a goddamn bath with children's toys. I can think about my childhood just fine without the lame imagery, and I don't need to pretend I'm still a child in order to recognise I need to nurture myself just a bit. And, you know, while it's true that our parents may have fucked up because they're fucked up from their own childhoods, that's not always true. Sometimes people are just straight up assholes and sometimes people just make shit parents. Not to mention again being a hypocrite on whose responsible for anxiety. If they're excused for doing us wrong because their childhoods were fucked, is there any hope for us not to do the same? And assuming a simple Mom and Dad scenario? Again, nice alienating your readers.
There are some reasonable suggestions throughout the book on nutrition and exercise. But Bourne likes to make assertions that he provides no evidence for. "It is known that traditional societies that eat strictly whole foods without additives have a lower incidence of cancer." (pg. 347). Known to whom? Who conducted this study? Are we sure that it was their diet that was responsible for lower rates of cancer? What does this have to do with anxiety? "Our bodies are simply not equipped to handle these artificial substances." (pg. 347). How do you know this? He suggests here we stay away from pesticides. What evidence is there that this causes or contributes to anxiety? He warns about "chemical additives." So? Everything is chemicals. What's the problem with this?
On pg. 115, in the physical exercise chapter, Bourne writes that, in stating you do not have the time to undertake a fitness program, "What you are really saying is that you're not willing to make time." Hoo ha. Perhaps it could mean that, or perhaps the reader is a single mother of young children who is juggling two jobs and can't afford a sitter or a gym membership. Things aren't always excuses, although therapists and assholes sometimes like to insist on it. Sometimes people have a legitimate reason why undertaking a certain task, like an exercise regime or trying to get a good night's sleep, may be difficult for them. You don't need to bludgeon them by saying that "You aren't assigning enough importance to the increased fitness, well-being, and improved control over anxiety you could gain [...] The problem is not a matter of time but one of priorities." (pg. 115). Now you're just making people feel guilty for not being able to wave a magic wand around and POOF! all the problems and stress out of their life so they can stop having panic attacks every few minutes. Heads up: Not everyone has a silver spoon shoved up their asshole. You may think anyone can just prioritize taking unpaid time off work, but someone else may not be able to make their rent if they do. Let's keep it real here. Maybe they picked this book up at the library because they were too broke for a therapist.
The chapter entitled "Dealing with Feelings" is particularly brutal. Can you think up anything much cornier than The Feeling Journal or a Listening Partner? *grabs a paper bag to toss up in* Besides, it is totally impractical. Do you really think if I'm boiling with anger and potent, explosive rage I am going to be able to sit down with a pen and write about it? Or do you think it more likely that I am going to rip the journal up into pieces, stab myself with the pen, and throw my chair through the window? Unless Bourne really thinks I'm going to be satisfied after smacking a tennis racket against my bed... Also, I'm done hearing about how people don't *make* us feel anything. If I took a pot of boiling water and threw it at your face, is it your perception about me that is causing your pain or is it just that the water is super hot? If I smash your truck up and deflate the tires, and you're mad, I'd be willing to take ownership for pissing you off. It's a bunch of crap to say you don't cause other people to feel anything. Saying so is a pathetic excuse to avoid accountability and it serves as a license to be a self-absorbed prick.
In conclusion- There's some good in this book that I appreciated and enjoyed, but just too many other things that detracted due to the author's rather pretentious and arrogant attitude and uncomfortably New Age thinking. (Let's revert to our childhoods and cuddle our teddy bears!! How do you FEEL!?) But what else could we expect I guess from a Baby Boomer and a therapist at that?