Psychoptrometry

This entry was published at least two years ago (originally posted on December 6, 2002). Since that time the information may have become outdated or my beliefs may have changed (in general, assume a more open and liberal current viewpoint). A fuller disclaimer is available.

I think that the next time I need to get new glasses, I want to go to whoever Jonathan’s optomotrist is

Halfway through the testing procedure, which took nearly 45 minutes, I commented on the fact that I felt a degree of performance anxiety, experienced as a strong desire to provide the “correct answer” to each of the optometrist’s questions about the relative sharpness of individual test charts. He told me that this was quite natural, since I had such a strong emotional investment in the process.

He said that he listened very carefully to a patient’s voice while conducting these tests, in many cases giving greater emphasis to the emotional resonance of their answers than to the choices they actually made. Why? To avoid the risk of prescribing a lens that is stronger than necessary. He also factored this “emotional coefficient” into his choice of one kind of spectacles over another.

…I went to the appointment expecting that he would recommend…progressive lenses, which would provide a smooth transition from intermediate to near. This was, in fact, his recommendation but out of curiosity I asked him about bifocals, segmented lenses with two distinct regions for — in my case — intermediate and near vision.

“I only prescribe bifocals for patients with rigid personalities,” he answered. “In other words, people who see the world in terms of black and white rather than shades of gray. Of course I wouldn’t be having this conversation with someone who needs bifocals.”

The optometrist as psychotherapist, I thought to myself, what an intriguing character.