Tears for Fears were followers of American psychologist Arthur Janov's school of Primal Therapy. This song was inspired by his primal therapy treatment, which worked by getting people to confront their fears by shouting and screaming.The name of the group came from Janov's book Prisoners Of Pain.

TRIVIA:

John Lennon went through primal therapy as well, in 1970. Many of the songs he wrote immediately afterward were inspired by his experience in therapy, including God, Mother, and Working Class Hero