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Psychiatrist Explores 'Cinematic Neurosis' and Lifelong Horror Film Fear

A UK psychiatrist delves into why some viewers are traumatised by horror films while others find them thrilling. He explores the concept of 'cinematic neurosis' and its lasting impact on individuals.

  • A psychiatrist recounts his lifelong fear of horror films, stemming from a childhood viewing of 'Abbott and Costello Meet Frankenstein'.
  • He investigates 'cinematic neurosis', a clinical term for intense, enduring film reactions akin to PTSD.
  • The article explores why horror remains highly popular and profitable, even as other genres shift to streaming.
  • Freud's concept of the 'uncanny' (unheimlich) is used to explain the appeal of horror – the familiar made strange.
  • Modern horror films like 'Backrooms' and 'Obsession' are cited as examples of the 'uncanny' in action.

A British psychiatrist has shared his personal journey into understanding why horror films can be profoundly traumatic for some, while others find them a source of entertainment. His exploration began with a childhood experience watching the 1948 comedy 'Abbott and Costello Meet Frankenstein', which left him with a lasting fear of the supernatural, darkness, and being alone.

Despite his professional background, the psychiatrist admits to being unsettled for years by the popularity and profitability of the horror genre, given his own adverse reactions. He highlights a significant trend: in North America, horror film box office takings in 2023 were approximately 70% higher than a decade prior, even as other genres increasingly move to streaming platforms. This contrasts with the struggles of cinemas to regain pre-pandemic audience levels for other film types.

The psychiatrist introduces the clinical term 'cinematic neurosis' to describe intense and enduring reactions to films that meet the criteria for post-traumatic stress disorder (PTSD). While PTSD is typically associated with survivors of violence or disaster, the diagnosis can extend to seemingly ordinary events, such as watching a film, if they are experienced as catastrophic. He references a 2007 case of a woman, Ms X, who developed severe symptoms after watching 'The Exorcist' as a teenager, though her case was partly influenced by pre-existing mental health challenges.

To comprehend why films can have such a profound impact on some, it's essential to understand their broader appeal. The article draws on Sigmund Freud's concept of the 'uncanny' (unheimlich), which translates to 'un-homely' – the unsettling feeling of the strange wearing a familiar face. This phenomenon, often seen in the motif of the 'double' or familiar places made wrong, is argued to be a core element of effective horror.

Contemporary horror films, such as 'Backrooms' and 'Obsession', are cited as current examples of the 'uncanny' at play. These films, created by Gen Z former YouTubers, reportedly exploit the unsettling nature of familiar architecture or relationships twisted into something frightening. The psychiatrist suggests that horror films provide a 'safe enclosure' where individuals can experience and rehearse terror, chaos, and helplessness without real-world consequences.

Why this matters: This article offers a fascinating insight into the psychological impact of horror films, helping UK audiences understand why they might react differently to scary content. It also sheds light on the enduring cultural significance and commercial success of the horror genre.

What this means for you: What this means for you: Understanding 'cinematic neurosis' could help you recognise and validate intense reactions to films, either in yourself or others, promoting empathy and potentially encouraging a more mindful approach to consuming certain media.

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