The Misinterpretation Theory (Fejlfortolkningsteorien)
A revolutionary new framework for anxiety: Not an illness, but a cognitive error in judgment.
A Paradigm Shift
The Misinterpretation Theory challenges the traditional illness model by redefining the cause of irrational anxiety. The core issue is not a brain defect, but an error in interpreting normal bodily signals.
The Illness Model (Traditional Understanding)
Views anxiety as a mental disorder or a chemical imbalance. Focuses on treating symptoms, often through medication and therapy, treating it like a chronic disease.
- ●Cause: Biological/chemical defect.
- ●Focus: Symptom treatment.
- ●Solution: Therapy and/or medication.
- ●Self-Image: “I am ill.”
The Misinterpretation Theory (New Understanding)
Views anxiety as a logical, yet incorrect, conclusion based on misinterpreting harmless physical signals (adrenalin). The goal is to gain **insight** into this mechanism.
- ●Cause: Cognitive misinterpretation.
- ●Focus: Insight and understanding.
- ●Solution: Seeing through the error.
- ●Self-Image: “I am not sick, I have misunderstood something.”
Anatomy of the First Anxiety Experience
The first experience of irrational anxiety follows a predictable, logical chain of events. The crucial error occurs in the **interpretation** of the body’s normal adrenaline response.
In step 3, normal adrenaline symptoms (palpitations, dizziness) are confused with signs of real danger (“I’m dying,” “I’m going crazy”). This creates the traumatic memory that drives future anxiety.
The Vicious Cycle: Fear of the Fear
After the initial experience, the original trigger is no longer the problem. It is the fear of reliving the anxiety discomfort itself that creates and maintains a self-reinforcing cycle.
1. Fear of the Feeling
Constant worry about feeling the anxiety discomfort again.
2. Body Scanning
Hyper-vigilance towards normal bodily sensations.
4. Fear Confirmation
“See, it’s happening again!” The interpretation reinforces the fear.
3. Adrenalin Response
The slightest sensation is interpreted as danger, triggering adrenaline.
Persistent Consequences of ‘Fear of the Fear’
The continuous fear of the anxiety experience itself is the central engine driving a range of debilitating behavioral patterns and thought processes.
Focus Areas of the Theories (Score out of 10)
A comparison of where the two models place their primary emphasis in the understanding and management of anxiety.

