
RADIOPHOBIA: ANXIETY DISORDER MISUSED
RECAP
In the continuing wake of the Fukushima nuclear disaster in Japan, the Human Rights Council of  the United Nations sent Special Rapporteur on the right to health (a  position created in 2002) Anand Grover to assess Japan’s compliance with human rights principles; specifically “the  right of everyone to the enjoyment of the highest attainable standard  of physical and mental health”. His visit took place between November 15  and 26, 2012 with permission of the Government of Japan. This is the  third part of a Beyond Nuclear exploration into how the Special  Rapporteur’s (SR’s) recommendations and conclusions may apply to nuclear power and human rights compliance beyond the Fukushima catastrophe. See Part I and Part II.
Many aspects of the SR’s report are  groundbreaking and speak directly to the shortcomings of our current  assumptions on radiation and health not only in regard to events in  Japan, but also in the context of radiation protection worldwide;  leading ultimately to an extremely important question:
Is it possible for the nuclear power industry and  government proponents to comply with the UN definition of the right to  health, or must they always exist in violation of these principles? 
In this part we examine how nuclear proponents have  turned a legitimate anxiety disorder, radiophobia, into a label they use  to silence valid questions regarding the impact radiation has on our  health, particularly that of children.
STRESS OF FUKUSHIMA SURVIVORS RELATED TO UNCERTAIN FUTURES AND RADIATION'S EFFECT ON HEALTH
 How are my family? Young Fukushima evacuee, Kasumi, age 14. Click on her drawing for her family's story.“The  Special Rapporteur personally observed the anxiety and stress among  evacuees, residents and their families, which were related to the effect  of radiation leakage on health, especially of children, cost of  evacuation, loss of livelihoods as well as uncertain future and delays  in receiving compensation that hindered rebuilding of their lives.” (p  14)
How are my family? Young Fukushima evacuee, Kasumi, age 14. Click on her drawing for her family's story.“The  Special Rapporteur personally observed the anxiety and stress among  evacuees, residents and their families, which were related to the effect  of radiation leakage on health, especially of children, cost of  evacuation, loss of livelihoods as well as uncertain future and delays  in receiving compensation that hindered rebuilding of their lives.” (p  14)
Radiophobia: definition and misuse
Radiophobia is a medical condition that has been  co-opted as a bullying tactic by nuclear proponents, often targeting  women in order to silence their inconvenient questions and make them  feel like social outcasts. When nuclear proponents use a legitimate  mental condition to bully, they perform a disservice to both those who  suffer from this condition, and those who do not.
Radiophobia is an anxiety disorder, like fear of spiders (arachnaphobia) or fear of public places (agoraphobia). The clinical definition and common symptoms of radiophobia are much the same as other phobias and anxiety disorders. 
“During a panic attack associated with a fear of radiation, a person may experience one or more of the following:
- Nausea      or dizziness
- Change      in heartbeat
- Inability      to form thoughts or speak
- Shortness      of breath
- Feeling      of terror
- Desire      to flee
“A fear of radiation and x-rays is not necessarily unnatural, since  exposure to these elements can be dangerous, but often within  radiophobia the fear of being exposed can become entirely irrational. (emphasis added)
‘Without proper treatment, symptoms will gradually worsen and a  radiophobic person may begin to avoid unfamiliar places and new social  situations which can damage physical and mental health, damage existing social relationships, and prevent a person from making any new meaningful relationships.”
 Tribute to the TEPCO workers who fought to control the catastrophe in the early daysRadiophobia,  like any other anxiety disorder, should be diagnosed by a qualified  professional, deserves to be recognized for what it is, and the sufferer  treated. This is the case for both survivors of nuclear catastrophes  like Chernobyl and Fukushima, and for those who have not suffered the  full force of these catastrophes. Nuclear industry proponents should not  use this condition to ignore inconvenient and uncomfortable questions  about the impact of radiation on worker and public health – questions  that deserve answers.
Tribute to the TEPCO workers who fought to control the catastrophe in the early daysRadiophobia,  like any other anxiety disorder, should be diagnosed by a qualified  professional, deserves to be recognized for what it is, and the sufferer  treated. This is the case for both survivors of nuclear catastrophes  like Chernobyl and Fukushima, and for those who have not suffered the  full force of these catastrophes. Nuclear industry proponents should not  use this condition to ignore inconvenient and uncomfortable questions  about the impact of radiation on worker and public health – questions  that deserve answers.
Unfortunately, nuclear proponents have used radiophobia to describe anyone who refuses to be exposed to radiation for any reason. This can include  a nuclear accident survivor trying to glean information about their  exposure, relocate out of a contaminated area, etc; people who refuse  radioactive medical exams in order to limit their exposure, or people  who oppose nuclear power and weapons.
The term “radiophobia” makes an early appearance in an opinion letter “Radiophobia; a new psychological syndrome”, published in the Western journal of surgery, obstetrics and gynecology in  1951. The author, Mr. Jack de Ment, staggers on in a very disorganized  way about how damaging the fear of radiation could be to all atomic  undertakings, bombs and energy. He basically accuses teachers, parents  and social workers in particular, of making children fear atomic bombs.  This “conditioning” he argues “amounts to psychological punishment”—in  essence accusing these parents of abuse. Since this is published in a  medical journal which addresses women’s health issues, the not-so-subtle  implication is that radiophobia is a “woman’s disease” and she passes  it to any children she contacts: “Anxiety-ridden parents or teachers who  fear atomic bombs probably project the same fears to their children…”  During this same era, people were encouraged to rabidly fear communists, proving that those in power only want people to fear what is convenient  politically and economically. Fear of communists was not maligned while  fear of radiation was.
Mr. de Ment,  who fancied himself an inventor, came up with a plan in 1953 to seed  clouds with radioactive salts. This would result in weaponized rain,  capable of crippling or killing whole populations. Today, Mr. de Ment’s  commentary would be considered anachronistic—inapplicable to our more  nuanced understanding of radiation. But in the early days of a budding  nuclear industry, he was able to get his remarks published in a  peer-reviewed medical journal. What Mr. de Ment failed to recognize is  that not all anxiety is a disease. Well-placed anxiety prevents disease.  Unfortunately, many nuclear proponents are still unwilling to  acknowledge this and rather than provide answers or admit they don’t  have them, they resort to mislabeling the people who ask.
 Radiophobia is often blamed for the desire to avoid medical radiation exposure, such as diagnosis and treatment for tuberculosis, or exposures occurring from natural radiation like radioactive sands in Turkey. But research has shown an increase in the incidence of secondary diseases  (cancer and heart disease) after medical procedures using radiation like those for tuberculosis, scoliosis, and cancer. This secondary effect is especially prevalent if the patient is exposed as a child:
Radiophobia is often blamed for the desire to avoid medical radiation exposure, such as diagnosis and treatment for tuberculosis, or exposures occurring from natural radiation like radioactive sands in Turkey. But research has shown an increase in the incidence of secondary diseases  (cancer and heart disease) after medical procedures using radiation like those for tuberculosis, scoliosis, and cancer. This secondary effect is especially prevalent if the patient is exposed as a child:  
“However, studies of radiation exposure from multiple chest  fluoroscopies used to monitor treatment for tuberculosis (TB) in  adolescent girls and young women and a study of multiple diagnostic  X-ray examinations to monitor curvature of the spine in girls with  scoliosis have reported increased mortality from breast cancer with  increasing radiation dose. In the TB cohorts, the average breast doses  from highly fractionated high-dose-rate exposures ranged from 0.79 to  2.1 Gy, whereas in the scoliosis cohort, the average breast dose was  lower, 0.11 Gy. In these studies, the risk of breast cancer began to  appear 15 years after radiation exposure and the risk remained elevated  up to 50 years later.”
Clearly informing oneself about the consequences of radiation  exposure, even for an initially perceived benefit like cancer treatment,  is not “radiophobic”; it is prudent and should be encouraged.
Even worse, according to Macmillan dictionary,  radiophobia is now being defined by “technical experts” as anyone who  opposes nuclear power: “Chernobyl has left an enduring legacy of  opposition to nuclear power, now often referred to as radiophobia by  technical experts investigating the long-term effects of the  accident[.]” Clearly nuclear industry proponents don’t like the  difficult questions raised by either ongoing nuclear catastrophes or  nuclear facilities capable of causing ongoing catastrophes.
Consider Japan.
Radiophobia mislabeling allows cover-up of health problems that  are caused by radiation and societal shunning of those who question  authority
 In  the wake of the ongoing Fukushima catastrophe in Japan, labeling  someone or whole groups of people “radiophobic” is often a way to  silence concerned citizens by making them appear unreasonably worried.  Relating her experiences with people in the contaminated areas of Japan,  doctor of psychosomatic medicine, Katsuno Onozawa (pictured) says:
In  the wake of the ongoing Fukushima catastrophe in Japan, labeling  someone or whole groups of people “radiophobic” is often a way to  silence concerned citizens by making them appear unreasonably worried.  Relating her experiences with people in the contaminated areas of Japan,  doctor of psychosomatic medicine, Katsuno Onozawa (pictured) says:
“What shocked me … was the gap between what the newspapers and TV  news were reporting and the reality in Fukushima as attested to by the  mothers who came for consultations.
“Wanting to protect their children from radiation, they pleaded with  the prefectural and city governments and local doctors, but none would  take their side.
“They just said things like, ‘It's safe. You don't have to take  any special action. There are lots of radiation-phobia mothers, and we  can't deal with them all.’
“They worry that they have to continue living amid high radiation  levels due to their inability to evacuate the prefecture for financial  or other reasons…
 “Thinking they could not know what effects it would have in the  future because of the example of the Chernobyl disaster, mothers  desperately gathered information and pleaded for the authorities to  prepare.
“But all the experts did was say, ‘It's safe so you don't need (radiation) checks, and we do not recommend evacuating the prefecture.’
“Yet the children were exhibiting a range of symptoms including  sore throats, nosebleeds, diarrhea, fatigue, headaches and rashes. The  most dangerous thing is to write off causes of illness as psychosocial  factors with statements like, ‘Your child's stress comes from not being able to go outdoors’ and that a ‘mother worrying will make her child sick.’
 “These  women are isolated in their communities and families as they conceal  their discomfort. Many reproach themselves, thinking, ‘Maybe I'm the one who's strange,’ and become depressed.” (emphasis added)
“These  women are isolated in their communities and families as they conceal  their discomfort. Many reproach themselves, thinking, ‘Maybe I'm the one who's strange,’ and become depressed.” (emphasis added)
Radiophobia isn’t the problem, ignoring exposure to  radioactivity is the problem. Falsely labeling whole groups as   “radiophobic” allows people in positions of power to bully concerned  citizens, mostly women, into silence and often results in the  dissolution of families (now dubbed as a “radiation divorce” in Japan) because of disagreement between husbands and wives about what  level of radiation is and is not safe. Family splits are precipitated  by purposeful obfuscation of the danger posed by radioactivity, not  fear.
NEXT TIME: “MENTAL STRESS” USED AS SCAPEGOAT FOR RADIATION”