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Lady Macbeth of Mtsensk , Op. 29 (Russian: Леди Макбет Мценского уезда , romanized:  Ledi Makbet Mtsenskogo uyezda , lit.   'Lady Macbeth of the Mtsensk District') is an opera in four acts and nine scenes by Dmitri Shostakovich . The libretto , jointly written by Alexander Preys and the composer, is based on the novella Lady Macbeth of the Mtsensk District by Nikolai Leskov .

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70-589: Angst is a feeling of anxiety , apprehension, or insecurity. Anguish is its Latinate equivalent , and the words anxious and anxiety are of similar origin. The word angst was introduced into English from the Danish , Norwegian , and Dutch word angst and the German word Angst . It is attested since the 19th century in English translations of the works of Søren Kierkegaard and Sigmund Freud . It

140-496: A freedom of choice that we find both appealing and terrifying. It is the anxiety of understanding of being free when considering undefined possibilities of one's life and the immense responsibility of having the power of choice over them. Kierkegaard's concept of angst reappeared in the works of existentialist philosophers who followed, such as Friedrich Nietzsche , Jean-Paul Sartre , and Martin Heidegger , each of whom developed

210-413: A burglar, then has him locked up. Katerina witnesses this but cannot stop this because she remains locked in her room. When she eventually manages to climb down the eavestrough-drainpipe, the other servants restrain her on Boris' order. After being exhausted by beating Sergei, Boris demands a meal, saying that he will whip Sergei again the next day and dispatches a servant to recall Zinovy, saying that Zinovy

280-717: A drop in their ordinary ability, whether physical or mental, due to that perceived stress. Competitive anxiety is caused by a range of internal factors including high expectations, outside pressure, lack of experience, and external factors like the location of a competition. It commonly occurs in those participating in high pressure activities like sports and debates. Some common symptoms of competitive anxiety include muscle tension, fatigue, weakness, sense of panic, apprehensiveness, and panic attacks. There are 4 major theories of how anxiety affects performance: Drive theory, Inverted U theory, Reversal theory, and The Zone of Optimal Functioning theory. Drive theory believes that anxiety

350-482: A fear of rejection and negative evaluation (being judged) by other people. The philosopher Søren Kierkegaard , in The Concept of Anxiety (1844), described anxiety or dread associated with the "dizziness of freedom" and suggested the possibility for positive resolution of anxiety through the self-conscious exercise of responsibility and choosing. In Art and Artist (1932), the psychologist Otto Rank wrote that

420-420: A heart attack, when in reality all one is experiencing is mild chest pain, for example. The physiological symptoms of anxiety may include: There are various types of anxiety. Existential anxiety can occur when a person faces angst , an existential crisis , or nihilistic feelings. People can also face mathematical anxiety , somatic anxiety , stage fright , or test anxiety . Social anxiety refers to

490-505: A large influence on anxiety, whereas shared environmental influences (environments that affect twins in the same way) operate during childhood but decline through adolescence. Specific measured 'environments' that have been associated with anxiety include child abuse , family history of mental health disorders, and poverty . Anxiety is also associated with drug use , including alcohol , caffeine , and benzodiazepines , which are often prescribed to treat anxiety. Neural circuitry involving

560-663: A long-term " trait ". Whereas trait anxiety represents worrying about future events, anxiety disorders are a group of mental disorders characterized by feelings of anxiety and fears. In his book Anxious: The Modern Mind in the Age of Anxiety Joseph LeDoux examines four experiences of anxiety through a brain-based lens: Anxiety disorders often occur with other mental health disorders, particularly major depressive disorder , bipolar disorder , eating disorders , or certain personality disorders . It also commonly occurs with personality traits such as neuroticism. This observed co-occurrence

630-425: A pair of stockings as her price. Sergei tricks Katerina into giving him hers, whereupon he gives them to Sonyetka. Sonyetka and the other convicts taunt Katerina, who pushes Sonyetka into an icy river – also, herself, falling in. They are swept away and the convict train moves on. One criticism of the work focused on its sexual content, particularly the way in which the action is depicted in the music. A 1935 review in

700-482: A reflection of the war-torn times. Notable composers whose works are often linked with the concept include Gustav Mahler , Richard Strauss (operas Elektra and Salome ), Claude Debussy (opera Pelléas et Mélisande , ballet Jeux ), Jean Sibelius (especially the Fourth Symphony ), Arnold Schoenberg ( A Survivor from Warsaw ), Alban Berg , Francis Poulenc (opera Dialogues of

770-402: A reward. This suggests a link between circuits responsible for fear and also reward in anxious people. As researchers note, "a sense of 'responsibility', or self-agency, in a context of uncertainty (probabilistic outcomes) drives the neural system underlying appetitive motivation (i.e., nucleus accumbens) more strongly in temperamentally inhibited than noninhibited adolescents". The microbes of

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840-760: A specific threat, and facilitating escape from threat. On the other hand, anxiety is long-acting, future-focused, broadly focused towards a diffuse threat, and promoting excessive caution while approaching a potential threat and interferes with constructive coping. Joseph E. LeDoux and Lisa Feldman Barrett have both sought to separate automatic threat responses from additional associated cognitive activity within anxiety. Anxiety can be experienced with long, drawn-out daily symptoms that reduce quality of life, known as chronic (or generalized) anxiety, or it can be experienced in short spurts with sporadic, stressful panic attacks , known as acute anxiety. Symptoms of anxiety can range in number, intensity, and frequency, depending on

910-477: A studio recording in 1964. But since Shostakovich's death the original version has been more often performed. The original uncensored version was not performed again in Russia until 2000. Although the opera shares the basic characters and outline of the play, it has a number of differences from the original story in terms of plot and emphasis. One example is in the convoy after Katerina gives Sergei her stockings: in

980-400: A teacher; fear of alienation from parents or friends; time pressures; or feeling a loss of control. Sweating, dizziness, headaches, racing heartbeats, nausea, fidgeting, uncontrollable crying or laughing and drumming on a desk are all common. Because test anxiety hinges on fear of negative evaluation , debate exists as to whether test anxiety is itself a unique anxiety disorder or whether it

1050-440: A trait leading to anxiety and depression and their persistence. Through experience, many find it difficult to collect themselves due to their own personal nature. Anxiety induced by the need to choose between similar options is recognized as a problem for some individuals and for organizations. In 2004, Capgemini wrote: "Today we're all faced with greater choice, more competition and less time to consider our options or seek out

1120-436: Is a false presumption that often circulates that anxiety only occurs in situations perceived as uncontrollable or unavoidable, but this is not always so. David Barlow defines anxiety as "a future-oriented mood state in which one is not ready or prepared to attempt to cope with upcoming negative events," and that it is a distinction between future and present dangers which divides anxiety and fear. Another description of anxiety

1190-423: Is a major component of behavioral treatments for anxiety conditions. Performance anxiety and competitive anxiety ( competitive trait anxiety, competitive state anxiety ) happen when an individual's performance is measured against others. An important distinction between competitive and non-competitive anxiety is that competitive anxiety makes people view their performance as a threat. As a result, they experience

1260-518: Is a specific type of social phobia . The DSM-IV classifies test anxiety as a type of social phobia. Research indicates that test anxiety among U.S. high-school and college students has been rising since the late 1950s. Test anxiety remains a challenge for students, regardless of age, and has considerable physiological and psychological impacts. Management of test anxiety focuses on achieving relaxation and developing mechanisms to manage anxiety. The routine practice of slow, Device-Guided Breathing (DGB)

1330-443: Is agony, dread, terror, or even apprehension. In positive psychology , anxiety is described as the mental state that results from a difficult challenge for which the subject has insufficient coping skills. Fear and anxiety can be differentiated into four domains: (1) duration of emotional experience, (2) temporal focus, (3) specificity of the threat, and (4) motivated direction. Fear is short-lived, present-focused, geared towards

1400-477: Is characterized by experiencing discomfort or awkwardness during physical social contact (e.g. embracing, shaking hands, etc.), while in other cases it can lead to a fear of interacting with unfamiliar people altogether. Those with this condition may restrict their lifestyles to accommodate the anxiety, minimizing social interaction whenever possible. Social anxiety also forms a core aspect of certain personality disorders, including avoidant personality disorder . To

1470-464: Is common among young people. It may persist into adulthood and become social anxiety or social phobia. " Stranger anxiety " in small children is not considered a phobia. In adults, an excessive fear of other people is not a developmentally common stage; it is called social anxiety . According to Cutting, social phobics do not fear the crowd but the fact that they may be judged negatively. Social anxiety varies in degree and severity. For some people, it

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1540-435: Is different from fear in that fear is defined as the emotional response to a present threat , whereas anxiety is the anticipation of a future one. It is often accompanied by nervous behavior such as pacing back and forth, somatic complaints , and rumination . Anxiety is a feeling of uneasiness and worry , usually generalized and unfocused as an overreaction to a situation that is only subjectively seen as menacing. It

1610-603: Is her fault due to her not producing an heir. She replies that Zinovy cannot give her a child – which Boris disdains; he then threatens her if she decides to accept some youthful lover. Zinovy is called away on business, and Boris – against his son's inclinations – makes Katerina swear before an icon to be faithful. A servant, Aksinya, tells Katerina about the womanising new clerk, Sergei. Scene 2: The Izmailovs' yard Sergei and his comrades are sexually harassing Aksinya. Katerina intervenes. She berates him for his machismo and asserts that women are as brave and capable as men. Sergei

1680-432: Is hidden in the wine cellar. Sergei reassures her and they leave for the wedding ceremony. A drunken peasant breaks into the cellar, finds Zinovy's body and goes to fetch the police. Scene 7: The police station The police are complaining about not being invited to the wedding and vainly try to distract themselves by tormenting a socialist schoolteacher because of his alleged atheism when the peasant arrives and gives them

1750-485: Is in bed and locks her in. Sergei is trapped in the room, and the two make love again. Scene 4: The yard One night a week later. Boris, unable to sleep due to unease about thieves, is walking in the courtyard in the pre-dawn darkness. He, remembering his days as a young rake and knowing Zinovy's low libido, is considering seducing Katerina himself to fulfill his son's marital duties. He spots Sergei climbing out of Katerina's window. He catches him and publicly whips him as

1820-459: Is necessary to best complete a task such as an exam, performance, or competitive event. However, when the anxiety or level of arousal exceeds that optimum, the result is a decline in performance. Test anxiety is the uneasiness, apprehension, or nervousness felt by students who have a fear of failing an exam . Students who have test anxiety may experience any of the following: the association of grades with personal worth ; fear of embarrassment by

1890-489: Is not built on the rock of reality ". According to Viktor Frankl , the author of Man's Search for Meaning , when a person is faced with extreme mortal dangers, the most basic of all human wishes is to find a meaning of life to combat the "trauma of nonbeing" as death is near. Depending on the source of the threat, psychoanalytic theory distinguishes three types of anxiety: realistic, neurotic and moral. According to Yerkes-Dodson law , an optimal level of arousal

1960-457: Is often accompanied by muscular tension, restlessness, fatigue , inability to catch one's breath, tightness in the abdominal region, nausea, and problems in concentration. Anxiety is closely related to fear , which is a response to a real or perceived immediate threat ( fight-or-flight response ); anxiety involves the expectation of a future threat including dread. People facing anxiety may withdraw from situations which have provoked anxiety in

2030-910: Is often called interracial or intergroup anxiety. As is the case with the more generalized forms of social anxiety , intergroup anxiety has behavioral, cognitive, and affective effects. For instance, increases in schematic processing and simplified information processing can occur when anxiety is high. Indeed, such is consistent with related work on attentional bias in implicit memory . Additionally recent research has found that implicit racial evaluations (i.e. automatic prejudiced attitudes) can be amplified during intergroup interaction. Negative experiences have been illustrated in producing not only negative expectations, but also avoidant, or antagonistic, behavior such as hostility. Furthermore, when compared to anxiety levels and cognitive effort (e.g., impression management and self-presentation) in intragroup contexts, levels and depletion of resources may be exacerbated in

2100-414: Is partly due to genetic and environmental influences shared between these traits and anxiety. It is common for those with obsessive–compulsive disorder to experience anxiety. Anxiety is also commonly found in those who experience panic disorders , phobic anxiety disorders , severe stress , dissociative disorders , somatoform disorders , and some neurotic disorders . Anxiety has also been linked to

2170-701: Is positive and performance improves proportionally to the level of anxiety. This theory is not well accepted. The Inverted U theory is based on the idea that performance peaks at a moderate stress level. It is called Inverted U theory because the graph that plots performance against anxiety looks like an inverted "U". Reversal theory suggests that performance increases in relation to the individual's interpretation of their arousal levels. If they believed their physical arousal level would help them, their performance would increase, if they didn't, their performance would decrease. For example: Athletes were shown to worry more when focusing on results and perfection rather than

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2240-575: Is pre-cognate with the Latin angustia , "tensity, tightness" and angor , "choking, clogging"; compare to the Ancient Greek ἄγχω ( ánkhō ) "strangle". It entered English in the 19th century as a technical term used in Psychiatry , though earlier cognates existed, such as ange . In existentialist philosophy , the term angst carries a specific conceptual meaning. The use of

2310-471: Is reported by the Cleveland Clinic that panic disorder affects 2 to 3 percent of adult Americans and can begin around the time of the teenage and early adult years. Some symptoms include: difficulty breathing, chest pain, dizziness, trembling or shaking, feeling faint, nausea, fear that you are losing control or are about to die. Even though they have these symptoms during an attack, the main symptom

2380-608: Is the persistent fear of having future panic attacks. Anxiety disorders are a group of mental disorders characterized by exaggerated feelings of anxiety and fear responses. Anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a fast heart rate and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder , specific phobia , social anxiety disorder , separation anxiety disorder , agoraphobia , panic disorder , and selective mutism . The disorder differs by what results in

2450-402: Is then tormented by Boris' ghost and cannot sleep. Later, she hears Zinovy returning. He has been called back by one of the servants with the news of his father's death. Although Sergei hides, Zinovy sees his trousers and belt and guesses the truth. As he and Katerina quarrel, he whips her with the belt. Hearing Katerina's cries, Sergei emerges and confronts Zinovy, who then tries to escape to call

2520-419: Is to be told that there's trouble at home. Katerina adds rat-poison to some mushrooms and gives them to him. As he is dying, calling for a priest, she retrieves the keys to free Sergei. The priest, called by the arriving morning shift of workers who find Boris in agony, arrives: Boris vainly tries to tell him that he was poisoned and falls back dead pointing at Katerina. Katerina, weeping crocodile tears, convinces

2590-460: Is typically with a type of cognitive behavioral therapy . Medications, such as antidepressants or beta blockers , may improve symptoms. A 2023 review found that regular physical activity is effective for reducing anxiety. About 12% of people are affected by an anxiety disorder in a given year and between 12% and 30% are affected at some point in their life. They occur about twice as often in women than they do in men, and generally begin before

2660-631: Is used in English to describe an intense feeling of apprehension, anxiety, or inner turmoil. In other languages (with words from the Latin pavor for "fear" or "panic"), the derived words differ in meaning; for example, as in the French anxiété and peur . The word angst has existed in German since the 8th century, from the Proto-Indo-European root * anghu- , "restraint" from which Old High German angust developed. It

2730-512: Is willing to prove her wrong and they wrestle; she is thrown down and Sergei falls on top of her. Boris appears. She says that she tripped and Sergei, in trying to help her, fell down also. The other peasants back her up. Boris however is suspicious and roars at the peasants, telling them to get back to work, before ordering Katerina to fry some mushrooms for him and threatening to tell Zinovy about her behaviour. Scene 3: Katerina's room Katerina prepares to go to bed. Sergei knocks on her door with

2800-516: The New York Sun called it "pornophony", referring to the lurid descriptive music in the sex scenes. Stravinsky described the opera as "lamentably provincial", considering the musical portrayal primitively realistic. The thrust of the Pravda criticism was in terms of morality; it condemned the opera's sympathetic portrayal of the eponymous character, an adulteress and murderess. At the time,

2870-835: The Leningrad Maly Operny , and two days later in Moscow. It incorporates elements of expressionism and verismo , telling the story of a lonely woman in 19th-century Russia who falls in love with one of her husband's workers and is driven to murder. Despite early success on popular and official levels, Lady Macbeth became the vehicle for a general denunciation of Shostakovich's music by the CPSU in early 1936: after being condemned in an anonymous article (sometimes attributed to Joseph Stalin but actually authored by David Zaslavsky ) in Pravda , titled " Muddle Instead of Music ", it

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2940-470: The amygdala , which regulates emotions like anxiety and fear, stimulating the HPA axis and sympathetic nervous system , and hippocampus , which is implicated in emotional memory along with the amygdala, is thought to underlie anxiety. People who have anxiety tend to show high activity in response to emotional stimuli in the amygdala. Some writers believe that excessive anxiety can lead to an overpotentiation of

3010-399: The limbic system (which includes the amygdala and nucleus accumbens), giving increased future anxiety, but this does not appear to have been proven. Research upon adolescents who as infants had been highly apprehensive, vigilant, and fearful finds that their nucleus accumbens is more sensitive than that in other people when deciding to make an action that determined whether they received

3080-561: The psychological trauma of birth was the pre-eminent human symbol of existential anxiety and encompasses the creative person's simultaneous fear of – and desire for – separation, individuation, and differentiation. The theologian Paul Tillich characterized existential anxiety as "the state in which a being is aware of its possible nonbeing" and he listed three categories for the nonbeing and resulting anxiety: ontic (fate and death), moral ( guilt and condemnation), and spiritual (emptiness and meaninglessness ). According to Tillich,

3150-620: The Carmelites ), Dmitri Shostakovich (opera Lady Macbeth of Mtsensk , symphonies and chamber music), Béla Bartók (opera Bluebeard's Castle ), and Krzysztof Penderecki (especially Threnody to the Victims of Hiroshima ). Angst began to be discussed in reference to popular music in the mid- to late 1950s, amid widespread concerns over international tensions and nuclear proliferation . Jeff Nuttall 's book Bomb Culture (1968) traced angst in popular culture to Hiroshima . Dread

3220-465: The age of 25. The most common anxiety disorders are specific phobias, which affect nearly 12% of people, and social anxiety disorder, which affects 10% of people at some point in their life. They affect those between the ages of 15 and 35 the most and become less common after the age of 55. Rates appear to be higher in the United States and Europe. Anxiety can be either a short-term "state" or

3290-492: The brain through the vagus nerve or the spinal system. This is demonstrated by the fact that altering the microbiome has shown anxiety- and depression-reducing effects in mice, but not in subjects without vagus nerves. Lady Macbeth of the Mtsensk District (opera) Dedicated by Shostakovich to his first wife, physicist Nina Varzar, the roughly 160-minute opera was first performed on 22 January 1934 at

3360-534: The composer justified the sympathetic portrayal of Katerina in Soviet terms, saying she was a victim of the circumstances of oppressive, pre-revolutionary Russia. This criticism was revived in a different way by Richard Taruskin in a 1989 article, where he interprets the work in the context of Stalin's campaign against the kulaks in 1930, considering its portrayal of the killings of Katerina's kulak in-laws as "a justification of genocide". Daniel Zhitomirsky accused

3430-525: The effort and growth involved. The Zone of Optimal Functioning theory proposes that there is a zone where positive and negative emotions are in a balance which lead to feelings of dissociation and intense concentration, optimizing the individual's performance levels. Humans generally require social acceptance and thus sometimes dread the disapproval of others. Apprehension of being judged by others may cause anxiety in social environments. Anxiety during social interactions, particularly between strangers,

3500-422: The excuse that he wants to borrow a book because he cannot sleep, but Katerina has none; she cannot read. As she is about to close the door, he attempts to seduce her by remembering their wrestling match earlier that day. He gets into the room and forces himself on her. Afterwards, she tells him to leave, but he refuses and she agrees to embark on an affair with him. Boris knocks on the door and confirms that Katerina

3570-529: The experience of intrusive thoughts . Studies have revealed that individuals who experience high levels of anxiety (also known as clinical anxiety) are highly vulnerable to the experience of intense intrusive thoughts or psychological disorders that are characterised by intrusive thoughts. Anxiety disorders are partly genetic, with twin studies suggesting 30-40% genetic influence on individual differences in anxiety. Environmental factors are also important. Twin studies show that individual-specific environments have

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3640-486: The extent that a person is fearful of social encounters with unfamiliar others, some people may experience anxiety particularly during interactions with outgroup members, or people who share different group memberships (i.e., by race, ethnicity, class, gender, etc.). Depending on the nature of the antecedent relations, cognitions, and situational factors, intergroup contact may be stressful and lead to feelings of anxiety. This apprehension or fear of contact with outgroup members

3710-424: The gut can connect with the brain to affect anxiety. There are various pathways along which this communication can take place. One is through the major neurotransmitters . The gut microbes such as Bifidobacterium and Bacillus produce the neurotransmitters GABA and dopamine , respectively. The neurotransmitters signal to the nervous system of the gastrointestinal tract, and those signals will be carried to

3780-435: The idea further in individual ways. While Kierkegaard's angst referred mainly to ambiguous feelings about moral freedom within a religious personal belief system , later existentialists discussed conflicts of personal principles, cultural norms, and existential despair . Existential angst makes its appearance in classical musical composition in the early twentieth century as a result of both philosophical developments and as

3850-511: The intergroup situation. Anxiety can be either a short-term "state" or a long-term " personality trait". Trait anxiety reflects a stable tendency across the lifespan of responding with acute, state anxiety in the anticipation of threatening situations (whether they are actually deemed threatening or not). A meta-analysis showed that a high level of neuroticism is a risk factor for development of anxiety symptoms and disorders. Such anxiety may be conscious or unconscious. Personality can also be

3920-519: The last of these three types of existential anxiety, i.e. spiritual anxiety, is predominant in modern times while the others were predominant in earlier periods. Tillich argues that this anxiety can be accepted as part of the human condition or it can be resisted but with negative consequences. In its pathological form, spiritual anxiety may tend to "drive the person toward the creation of certitude in systems of meaning which are supported by tradition and authority " even though such "undoubted certitude

3990-437: The most persistent mental problems and often last decades. Anxiety can also be experienced within other mental disorders , e.g., obsessive-compulsive disorder , post-traumatic stress disorder . Anxiety is distinguished from fear , which is an appropriate cognitive and emotional response to a perceived threat . Anxiety is related to the specific behaviors of fight-or-flight responses , defensive behavior or escape. There

4060-439: The opera, all the women mock Katerina, whereas in the story, Sergei and Sonya mock her while Fiona and Gordyushka shame them in response to their cruelty toward her. Scene 1: Katerina's room Katerina is unhappily married to Zinovy, a provincial flour-merchant. She complains to herself of her loneliness. Her father-in-law, Boris, angered at her response to his saying that mushrooms are his favourite dish, says that her loneliness

4130-511: The opportunity for revenge. Scene 8: The Izmailov garden Everyone is drunk at the wedding. Katerina sees that the cellar door is open, but the police arrive as she and Sergei are trying to escape. Scene 9. A temporary convict camp near a bridge On the way to katorga in Siberia, Katerina bribes a guard to allow her to meet Sergei. He blames her for everything. After she leaves, Sergei tries to seduce another convict, Sonyetka. She demands

4200-548: The past. The emotion of anxiety can persist beyond the developmentally appropriate time-periods in response to specific events, and thus turning into one of the multiple anxiety disorders (e.g. generalized anxiety disorder , panic disorder ). The difference between anxiety disorder (as mental disorder ) and anxiety (as normal emotion), is that people with an anxiety disorder experience anxiety excessively or persistently during approximately 6 months, or even during shorter time-periods in children. Anxiety disorders are among

4270-650: The person. However, most people do not suffer from chronic anxiety. Anxiety can induce several psychological pains (e.g. depression ) or mental disorders , and may lead to self-harm or suicide . The behavioral effects of anxiety may include withdrawal from situations which have provoked anxiety or negative feelings in the past. Other effects may include changes in sleeping patterns, changes in habits, increase or decrease in food intake, and increased motor tension (such as foot tapping). The emotional effects of anxiety may include feelings of apprehension or dread, trouble concentrating, feeling tense or jumpy, anticipating

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4340-436: The priest that Boris has accidentally eaten poisonous mushrooms and he says a prayer over Boris' body. Scene 5: Katerina's room Katerina and Sergei are together. Sergei querulously says that their affair will have to end due to Zinovy's impending return and that he wishes that he and Katerina could marry – Katerina assures him that they'll marry but refuses to tell him how she'll arrange it. Sergei then falls asleep; Katerina

4410-428: The right advice." Overthinking a choice is called analysis paralysis . In a decision context, unpredictability or uncertainty may trigger emotional responses in anxious individuals that systematically alter decision-making. There are primarily two forms of this anxiety type. The first form refers to a choice in which there are multiple potential outcomes with known or calculable probabilities. The second form refers to

4480-405: The servants. Katerina stops Zinovy: she and Sergei then proceed to strangle him; he is finally finished off by Sergei with a blow on the head with a heavy candlestick. The lovers hide the corpse in the wine-cellar. Scene 6: Near the cellar Following Zinovy's disappearance, he has been presumed dead. Katerina and Sergei prepare to get married, but she is tormented by the fact that Zinovy's corpse

4550-689: The symptoms. People often have more than one anxiety disorder. Anxiety disorders are caused by a complex combination of genetic and environmental factors. To be diagnosed, symptoms typically need to be present for at least six months, be more than would be expected for the situation, and decrease a person's ability to function in their daily lives. Other problems that may result in similar symptoms include hyperthyroidism , heart disease , caffeine , alcohol , or cannabis use, and withdrawal from certain drugs, among others. Without treatment, anxiety disorders tend to remain. Treatment may include lifestyle changes, counselling , and medications. Counselling

4620-401: The term was first attributed to Danish philosopher Søren Kierkegaard (1813–1855). In The Concept of Anxiety (also known as The Concept of Dread ), Kierkegaard used the word Angest (in common Danish, angst , meaning "dread" or "anxiety") to describe a profound and deep-seated condition. Where non-human animals are guided solely by instinct , said Kierkegaard, human beings enjoy

4690-649: The uncertainty and ambiguity related to a decision context in which there are multiple possible outcomes with unknown probabilities. Panic disorder may share symptoms of stress and anxiety, but it is actually very different. Panic disorder is an anxiety disorder that occurs without any triggers. According to the U.S. Department of Health and Human Services, this disorder can be distinguished by unexpected and repeated episodes of intense fear. Someone with panic disorder will eventually develop constant fear of another attack and as this progresses it will begin to affect daily functioning and an individual's general quality of life. It

4760-442: The worst, irritability, restlessness, watching for signs of danger, and a feeling of empty mindedness. as well as "nightmares/bad dreams, obsessions about sensations, déjà vu , a trapped-in-your-mind feeling, and feeling like everything is scary." It may include a vague experience and feeling of helplessness. The cognitive effects of anxiety may include thoughts about suspected dangers, such as an irrational fear of dying or having

4830-626: Was banned in the Soviet Union for almost thirty years, until 1961. The composer in 1962 revised Lady Macbeth , renaming it Katerina Izmailova (Russian: Катерина Измайлова ) and assigning his Opus 114. He replaced two of its intermezzos, adjusted act 1, scene 3, and made smaller changes elsewhere. Katerina Izmailova was first performed on 26 December 1962 in Moscow at the Stanislavski-Nemirovich-Danchenko Musical Theatre , and first given

4900-489: Was expressed in works of folk rock such as Bob Dylan 's " Masters of War " (1963) and " A Hard Rain's a-Gonna Fall ". The term often makes an appearance in reference to punk rock , grunge , nu metal , and works of emo where expressions of melancholy , existential despair, or nihilism predominate. Anxiety Anxiety is an emotion which is characterised by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety

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