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00100 THE PARANOID MODE
00200 The Concept of Paranoia
00300 Like ourselves, the ancient Greeks called one another
00400 paranoid. The term `paranoia' (Gr: para=beside; nous = mind)
00500 referred to states of craziness and mental deterioration. For roughly
00600 the next two thousand years the term disappeared from classifications
00700 of mental disorders. Historians have not seemed curious about what
00800 persons with persecutory delusions were called all that time. (It is
00900 doubtful that there weren't any.) In the 18th century the term
01000 reappears in German classifications to refer to delusional states
01100 categorized as disorders of intellect rather than emotion. (Lewis,
01200 1970).
01300 Little agreement about the meaning of the term "paranoia" was
01400 reached until this half of the present century, when it achieved a
01500 solid adjectival status, as in "paranoid personality" and "paranoid
01600 state". At present the category "paranoid" has high reliability
01700 (85-95% interjudge agreement). The term is generally used to refer to
01800 the presence of persecutory delusions. To distinguish: somatic,
01900 erotic, grandeur and jealousy delusions are simply identified as such
02000 without characterizing them as paranoid.
02100 To introduce what being paranoid is like, let us first
02200 consider two modes of human activity, one termed "ordinary" and the
02300 other termed "paranoid".
02400 In the ordinary mode of human action a person goes about his
02500 business of everyday living in a matter-of-fact way. He deals with
02600 recurrent and routine situations in his environment as they arise,
02700 taking things at their face value. Events proceed in accordance with
02800 his beliefs and expectations and thus can be managed routinely. Only
02900 a small amount of attention need be devoted to monitoring the
03000 environment , simply checking that everthing is as expected. This
03100 placid ongoing flow of events can be interrupted by the the detection
03200 of signs of alarm or opportunity at any time. But the predominant
03300 condition is one of a steady progression of events so ordinary as to
03400 be uneventful.
03500 In contrast to this routine ordinariness is the arousal state
03600 of emergency termed the "paranoid mode", characterized by a continous
03700 wary suspiciousness. To appreciate the nature and problems of this
03800 state, imagine the situation of a spy in a hostile country. To him,
03900 everyone he meets is a potential enemy, a threat to existence who
04000 must be evaluated for malevolence. To survive he must be
04100 hypervigilant and fully mobilized to attack, to flee, to stalk. In
04200 this situation appearances are not to be taken at face value as
04300 ordinary events or routine background but each must be attended to
04400 and interpreted in order to detect malevolence. Events in the
04500 environment, which in the ordinary mode would not be connected to the
04600 self, become referred to the self and interpreted as potentially
04700 menacing. The unintended effects of other persons may be
04800 misinterpreted as intended and the undesigned tends to become
04900 confused with the designed. Nothing can be allowed to be
05000 unattendable. The dominant intention of the agent is to detect
05100 malevolence from others.
05200
05300 When dividing the world of experience into conceptual
05400 classes, we sort and group together objects and events according to
05500 common properties. The members of a class resemble one another in
05600 sharing certain properties. The resemblances are neither exact nor
05700 total; members of a conceptual class are considered more or less
05800 alike and there exist degrees of resemblance. Further, humans are
05900 neither subjective nor objective; they are projective. In forming
06000 classifications, they project their intentions onto the world. Thus
06100 the world of experience consists both of our interactive relations
06200 and the objects to which we relate depending on our interests.
06300 Observations and classifications made by clinicians regarding
06400 naturally-occurring paranoid disorders have been thoroughly described
06500 in the psychiatric literature. Extensive accounts can be found in
06600 Swanson, Bohnert and Smith (1970) and in Cameron (1967). I shall
06700 attempt to give a condensed description of paranoid phenomena as they
06800 appear in, or are described by, patients in a psychiatric interview.
06900 It is many of these phenomena which the proposed simulation model
07000 attempts to explain.
07100
07200 The main phenomena of paranoid disorders can be summarized
07300 under concepts of suspiciousness, self-reference, hypersensitivity,
07400 fearfulness , hostility and rigidity. These class-concepts represent
07500 common empirical indicators of the paranoid mode.
07600
07700 Suspiciousness
07800 The chief characteristic of clinical paranoid disorders
07900 consists of suspiciousness, a mistrust of others based on the
08000 patient's malevolence beliefs. The patient believes others,
08100 known and unknown, have evil intentions towards him. In his
08200 relationships he is continously on the look-out for signs of
08300 malevolence, some of which he infers from the results of his own
08400 probings. He is hypervigilant; people must be watched, their schemes
08500 unmasked and foiled. He is convinced others try to humiliate,
08600 harass, subjugate, injure, and even kill him. In an interview he may
08700 report such beliefs directly or ,if he is well-guarded, he offers
08800 only hints. He does not confide easily. Disclosure may depend upon
08900 how the interviewer responds in the dialogue to the patient's reports
09000 of fluctuating suspicions and/or absolute convictions.
09100 He is greatly concerned with "evidence". No room is allowed
09200 for mistakes, ambiguities or chance happenings. "Paranoids have a
09300 greater passion for the truth than other madmen." -(Saul Bellow in
09400 Sammler's Planet). Using trivial evidential details, his inferences
09500 leap from the undeniable to the unbelievable.
09600 The patient may vary in his own estimate of the strength of
09700 his malevolence beliefs. If they consist of weakly-held suspicions,
09800 he may have moments of reasoning with himself in which he tries to
09900 reject them as ill-founded. But when the beliefs represent absolute
10000 convictions, he does not struggle to dismiss them. They become
10100 pre-conditions for countering actions against tormentors who wish and
10200 try to do him evil. He seeks affirmation of his beliefs. ("It is
10300 certain that my conviction increases the moment another soul will
10400 believe in it." Joseph Conrad in Lord Jim.). He wants sympathy and
10500 allies in positions of power such as clinicians or lawyers who can
10600 help him take action against his oppressors.
10700 The malevolence beliefs may involve a specific other person
10800 or a conspiracy of others such as the Mafia, the FBI, Communists,
10900 Hell's Angels. The patient sees himself as a victim ,one who suffers
11000 at the hands of others rather than as an agent who brings the
11100 suffering on himself. Other agents subject him to, and make him the
11200 object of, their evil intentions. He dwells on and rehearses these
11300 outrages in his imagination. He schemes to defeat or escape his
11400 adversaries. The misdeeds of others are denounced, disparaged,
11500 condemned and belittled. He feels interfered with and discriminated
11600 against.
11700 The specific content of the beliefs may not be directly
11800 expressed in a first interview. The patient may be so mistrustful
11900 of how their disclosure might be used against him that he cautiously
12000 feels his way through an interview offering only hints which an
12100 interviewer can use to infer the presence of persecutory delusions.
12200
12300 Using his own credibility judgements, the interviewer
12400 attempts to determine whether the patient's malevolence beliefs are
12500 delusions (false beliefs) or not. Experienced clinicians realize that
12600 some malevolence beliefs can turn out to be true. Others may
12700 represent correct estimations on the part of the patient who,
12800 however, fails to see that the malevolence of others is a secondary
12900 consequence of his tendency to accuse and provoke others to the point
13000 where they in fact become hostile towards him.
13100
13200
13300 Self-Reference and Hypersensitivity
13400
13500
13600 The patient may believe many events in the world pertain
13700 directly to hims. Other observers of his situation find his
13800 conviction hard to accept. For example, he may be convinced that
13900 newspaper headlines refer to him personally or that the statements of
14000 radio announcers contain special messages for him. Hypervigilant and
14100 hypersensitive, he reads himself into situations which are not
14200 actually intended to pertain to him and his particular concerns.
14300
14400 References to the self are misconstrued as slurs, snubs,
14500 slights or unfair judgements. He may feel he is being watched and
14600 stared at. He is excessively concerned about his visibility to eyes
14700 which threaten to see concealed inadequacies, expose and censure
14800 them. Cameras, telescopes ,etc. which may be directed his way
14900 unnerve him. He may feel mysteriously influenced through electricity,
15000 radio waves, or (more contemporaneously) by emanations from
15100 computers. He is hypersensitive to criticism. In crowds he
15200 believes he is intentionally bumped. Driving on the highway he feels
15300 repeatedly followed too-closely by the car behind. Badgered and
15400 bombarded without relief by this stream of wrongs , he becomes
15500 hyper-irritable, querulous and quarrelsome.
15600 He is touchy about certain topics, flaring up when references
15700 to particular conceptual domains appear in the conversation. For
15800 example, any remarks about his age, religion, family, or sexlife may
15900 set him off. Even when these domains are touched upon without
16000 reference to him, e.g. religion in general, he may take it
16100 personally. When a delusional complex is present, linguistic terms
16200 far removed from, but still conceptually connectable to, the complex
16300 stir him up. Thus, to a man holding beliefs that the Mafia intend to
16400 harm him, any remark about Italy might lead him to react in a
16500 suspicious or fearful manner.
16600
16700 Affect-States
16800
16900 The major affects expressed, both verbally and nonverbally,
17000 are those of fear, anger and mistrust. The patient fears that others
17100 wish to subjugate and control him. He may be fearful of physical
17200 attack and injury even to the point of death. His fear is justified
17300 in his mind by the many threats he detects in the conduct of others
17400 towards him. He is hostile to what are interpreted as insinuations
17500 or demeaning allusions. His chronic irritability becomes punctuated
17600 with outbursts of raging tirades and diatribes. When he feels he is
17700 being overwhelmed, he may erupt and in desperation physically attack
17800 others.
17900 The affects of fear, anger and mistrust he experiences blend
18000 with one another in varying proportions to yield an unpleasant
18100 negative affect state made continuous by fantasied rehearsals and
18200 retellings of past wrongs. Depending on his interpretation of
18300 inputs, the patient may move away from others and become guarded,
18400 secretive and evasive. Or he may suddenly jump at others with
18500 sarcastic accusations and arguments. His negative affect-states
18600 become locked into self-perpetuating cycles with other people in his
18700 life space who may take censuring action towards him because of his
18800 uncommunicativeness or outbursts.
18900
19000
19100 Rigidity
19200
19300 Another salient characteristic of the paranoid mode is
19400 excessive rigidity. The patient's beliefs in his sensitive areas
19500 remain fixed, difficult to influence by evidence or persuasion. The
19600 patient himself makes few attempts to falsify his convictions. To
19700 change a belief is to admit being wrong. To forgive others also
19800 opens a crack in the wall of righteousness. He does not apologize
19900 nor accept apology. He stubbornly follows rules to the letter and
20000 his literal interpretations of an organization's regulations can
20100 drive others wild. It is this insistent posture of rigidity and
20200 inflexibility which makes the treatment of paranoid processes by
20300 symbolic-semantic methods so difficult. The patient clings to his
20400 overvalued convictions in spite of all the "rational"
20500 counter-evidence offered.
20600
20700 Other Descriptions of Naturally Occurring Paranoias
20800 Historians, biographers, playwrights, novelists and
20900 journalists have contributed naturalistic descriptions of the
21000 paranoid mode. Hofstader, a political historian, observed in an essay
21100 on the paranoid style in American politics.( Hofstader, 1965):
21200 "It is, above all, a way of seeing the world and of
21300 expressing oneself...the feeling of persecution is
21400 central and is indeed systematized in grandiose theories
21500 of conspiracy...
21600
21700 While any system of beliefs can be expressed in the
21800 paranoid style, there are certain beliefs which seem
21900 to be espoused almost entirely this way."
22000 These beliefs commonly refer to vast invisible conspiratorial
22100 networks.
22200
22300 "But there is a vital difference between the paranoid
22400 spokesman in politics and the clinical paranoiac; although
22500 they both tend to be overheated, overaggressive, grandiose,
22600 and apocalyptic in expression, the clinical paranoid sees the
22700 hostile and conspiratorial world in which he feels himself
22800 to be living as directed specifically AGAINST HIM; whereas
22900 the spokesman of the paranoid style finds it directed
23000 against a nation, a culture, a way of life whose fate
23100 affects not himself alone but millions of others."
23200 Clear examples are the beliefs of anti-fluoridationists and extreme
23300 right-wing beliefs about a sustained, sinister, gigantic and subtle
23400 Communist conspiracy which must be defeated, not by the usual
23500 politics, but by an all-out crusade which is forever faced with time
23600 running out.
23700 "The enemy is clearly delineated: he is a perfect model
23800 of malice, a kind of amoral superman: sinister, ubiquitous,
23900 powerful, cruel, sensual, luxury-loving."
24000 As have other chroniclers of the paranoid mode, Hofstader
24100 noted the paranoid paradox of imitating the enemy. The Ku Klux Klan
24200 imitates Catholoicism's priestly vestments and elaborate rituals. The
24300 John Birch Society emulates Communist cells and front-groups.
24400 Anti-intellectual paranoid critics and investigators present their
24500 "evidence" in overwhelming detail, a caricature of pedantry and
24600 scholarship.
24700 "The very character of its conclusions leads to heroic
24800 strivings for `evidence' to prove that the unbelievable
24900 is the only thing that can be believed...the paranoid
25000 mentality is far more coherent than the real world since
25100 it leaves no room for mistakes, failures, or ambiguities...
25200 (the paranoid) has no sense of how things do not happen."
25300 Biographers of Corvo provide us with fascinating accounts of
25400 a paranoid personality. Corvo, whose real name was Frederick William
25500 Rolfe (1860-1913), was an Englishman who styled himself as "Baron
25600 Corvo" and signed himself as "Fr." hoping it would be misread as
25700 "Father". At twenty-six he converted to Catholicism and attempted to
25800 become a priest. He was expelled from Scots College at Rome as being
25900 unsuitable for the priesthood. Beginning as a dabbler and painter, he
26000 developed himself into a minor writer little recognized while he was
26100 alive. He has now become something of a curiosity in the English
26200 literary world. Pamela Hansford Johnson wrote a novel about him (The
26300 Unspeakable Skipton,1959). The term "corvine" now has the additional
26400 sense of referring to Corvo's style. His best known work, a
26500 schoolboyish novel called Hadrian the Seventh, has been made into a
26600 popular play. Descriptions of Corvo by his friends, benefactors and
26700 himself offer a museum of paranoid psychopathology.
26800 He contrived a florid medievalist writing style characterized
26900 by sinuous sentences affecting archaic, ecclesiastical, neologistic
27000 words at times so absurd as to be comical. A benefactor wrote:
27100 "Rolfe had literally not another thing in the world
27200 to do but impress his so carefully cultivated personality
27300 on people and bully them into supporting him; his work was
27400 done only for the sake of his own self; the desire to make
27500 a figure in the world was always with him." (Dawkins,
27600 quoted by Weeks, 1971).
27700 Although he had never been to the university, Rolfe acquired
27800 an Oxford accent and scholarly manner. He pretended his family was
27900 important and hinted that the Kaiser was his godfather. He wore a
28000 heavy, self-designed silver ring with a spur to protect himself from
28100 kidnapping attempts by Jesuits. People described him as a poseur of
28200 colossal intellectual vanity who "saw himself doing picturesque
28300 things in a picturesque way" and who "contrived to give an air of
28400 queerness to ordinary actions". (Symons,1955).
28500 Rolfe said of himself: "I bathe in a row...A friend is
28600 necessary, one friend - but an enemy is more necessary. An enemy
28700 keeps one alert." He believed he had powerful enemies who conspired
28800 against him. In particular, Catholics were in league against him
28900 inspiring machinations and subtle plots. A close friend and co-author
29000 stated:
29100 "It is an absolute delusion that anyone keeps a watch on him
29200 or hinders him. Really, in Catholic eyes, he is practically
29300 non-existent." (Benson, quoted in Symons,1971).
29400
29500 In his writings, Rolfe sought retribution against Catholics
29600 and others he harbored grudges against. The hero of Hadrian the
29700 Seventh, George Rose, obviously Rolfe himself in a wished-for
29800 personal odyssey, is elevated from ordinary English citizen to Pope
29900 in one day! Throughout the book a cast of people from Rolfe's life
30000 are pilloried and gibetted.
30100
30200 "I tell you what I am about to tell you, not because I have
30300 been provoked, abused, calumniated, traduced, assailed with
30400 insinuation, innuendo, misrepresentation, lies: not because
30500 my life has been held up to ridicule, and to most inferior
30600 contempt: not because the most preposterous stories to my
30700 detriment have been invented, hawked about, believed...
30800 Officially I must correct error."(Hadrian the Seventh).
30900 Always utterly right, he spewed out calligraphic letters of
31000 hate. To benefactors who had let him down his letters were acid,
31100 scathing, sneering, blasting, deriding, jarring, jeering, abusively
31200 venomous. He was a "jaundiced, bitter, persecuted pariah" with an
31300 "everlasting look of suspicion in his narrow but piercing
31400 eyes."(Weeks,1971). If his books were not successful, it was due to
31500 the malignant spite of his foes or the perfidy of friends.
31600 "When payments ceased, largely for the reason that the
31700 expected royalties did not accrue, Rolfe sought an
31800 explanation of the fact (which could not be denied) in some
31900 human agency; and soon found one." (Symons, l955).
32000
32100 "Rolfe was never a person to let matters rest unexplained.
32200 Their causes and effects had to be known."(Weeks, 1971).
32300 In his last few years this sponging, unscrupulous,
32400 flambouyant, eccentric personality, full of extravagant quirks and
32500 bizarre kinks, became a scandalous (homosexual) character about
32600 Venice. After a life of straining for flourish, he died abruptly and
32700 without panache of a heart attack before going to bed and was not
32800 found until the next afternoon.
32900 Ernest Hemingway (1899-1961), a writer of greater stature
33000 than Rolfe, found himself gripped in a paranoid mode in his later
33100 years. Faced with waning powers, losses of property and friends, he
33200 became frightened, petulant, and suspicious. He believed he had a
33300 fatal disease. He burst out in long smoldering grudges. His
33400 bewildered friends could not understand why they were considered part
33500 of a conspiracy to betray him. He felt Federal agents were pursuing
33600 him for cheating on his income tax and for impairing the morals of a
33700 minor. To his friend and associate, Hotchner, he erupted:
33800 "It's the worst hell. The goddamnedest hell. They've bugged
33900 everything. That's why we're using Duke's car. Mine's bugged.
34000 Everything's bugged. Can't use the phone. What put me on to
34100 it was that phone call with you. You remember we got disconnected?
34200 That tipped their hand." (Hotchner, l966).
34300 In a restaurant he believed two men at the bar were FBI
34400 agents. When told they were salesmen who came there regularly,
34500 Hemingway retorted:
34600 "Of course they're salesmen. The FBI is noted for its clumsy
34700 disguises. What do you think they'd pose as - concert
34800 violinists?". (Hotchner, l966).
34900 In his final days he even turned on Hotchner:
35000 "You've been pumping me and getting the gen, but you're like
35100 Vernon Lord and all the rest, turning state's evidence,
35200 selling out to them." (Hotchner,1966).
35300 Once in less tortured times, in answer to a question about
35400 death, Hemingway replied: "death is just another whore." Beset with
35500 accelerating anxieties and ineradicable convictions of betrayal, he
35600 solicited her first, firing a shotgun into his mouth.
35700 A contemporary account of the paranoid mode is presented by
35800 Nagler in his biography of the prizefighter Joe Louis, former
35900 heavyweight champion of the world.(Nagler,1972). Since 1967 when he
36000 was 53, Louis has believed that members of the Mafia are pursuing
36100 him, determined to destroy him by poison gas. Particularly at night,
36200 he suffers outbreaks of suspicion, anxiety, and rage.
36300 "Whenever they stayed in a hotel with air-conditioning
36400 Louis would attempt to paste newspapers over the vents
36500 in his room."
36600 Louis believes there exists a plot to involve him in the making of
36700 pornographic films with a woman other than his wife. Seeking aid from
36800 his biographer, he said:
36900 "You got to tell the whole story. She's in on it. What they
37000 tried to do was get moving pictures of me in bed with her.
37100 She had this chauffeur, and he was helping her. They
37200 were with the Mafia; and when I found out they started
37300 trying to kill me. That's why they kept pumping that
37400 gas in on me."
37500 These natural history descriptions of naturally-occurring
37600 paranoia by a variety of nonclinical writers add to our knowledge of
37700 the observable phenomena. For a deeper understanding of what might
37800 underlie the phenomena , we must turn to explanatory theories and
37900 models.
38000
38100 THEORIES OF PARANOIA
38200
38300 Attempts to explain paranoid disorders have been made since
38400 antiquity. None of these verbally-stated formulations has won the
38500 consensus which typifies scientific theories, since they were neither
38600 systematic nor testable.
38700 Science represents a search for consensus knowledge,
38800 judgments about which agreement can be obtained. (See Ziman, 1968).
38900 For a theory to gain scientific consensus, it must meet requirements
39000 of systemicity and testability.
39100 For a theory to be systematic, its hypotheses must cohere and
39200 not be isolated. They must connect with one another and collaborate
39300 in a consistent way. Each hypothesis stands as an initial assumption
39400 or as a consequence of one or more initial assumptions. The
39500 consequence relation can be one of logical or empirical entailment
39600 but the system of hypotheses, to be consistent, should not contain
39700 contradictions.
39800 For a theory to be testable, it must be sensitive to
39900 empirical data which can strengthen or weaken its acceptability as
40000 true or authentic. Each hypothesis in the theory need not be directly
40100 or independently testable. But the theory, as a conjunction of
40200 hypotheses, must be brought into contact with data of observation, if
40300 not directly, then indirectly, through a translation process in which
40400 a consequence of the theory can be compared with observational
40500 evidence.
40600 Previous theories of paranoia can be criticized for not
40700 satisfying these requirements of systemicity and testability. When
40800 theories are presented in literary form it is difficult to know what
40900 such formulations imply or whether the implications are consistent.
41000 Since natural language is vague and ambiguous, prose theories are
41100 difficult to analyze. For example, we cannot tell (1) if the
41200 assumptions are independent or redundant, (2) if each assumption is
41300 needed or the assumption set is complete or incomplete, and (3) what
41400 is the logical status of the assumptions - are they tautologies,
41500 definitions, typologies or empirical statements? Thories cast in
41600 prose essays are too inexplicit to tell us what we are supposed to do
41700 in order to believe the world behaves as their authors have conceived
41800 it. If a formulation is untestable, the issues it raises are
41900 undecidable and unsettleable; thus the necessary consensus cannot be
42000 reached.
42100
42200 Theories stem from two sources: (1) from hypotheses suggested
42300 by new descriptions or revisualizations of the phenomena themselves
42400 and (2) from modifications of a legacy of previous theories serving
42500 as the bequeathed myths of the field. Each generation attempts to
42600 formulate new explanatory theories by discovering new phenomena or by
42700 modifying predecessor theories. The old theories are unsatisfactory
42800 or only partially satisfactory because they are found to contain
42900 anomalies or contradictions which must be removed. Sometimes previous
43000 theories are viewed as lacking evidential support by current
43100 standards. New versions of a theory try to remove the contradictions
43200 and increase comprehensiveness by explaining more phenomena. Indeed,
43300 theories are mainly superseded rather than disproved.
43400 Theories have many functions. They can be summarized as
43500 follows (Bunge, 1967):
43600 (1)To systematize knowledge.
43700 (2)To explain facts by showing how they are the entailed
43800 consequences of the systematizing hypotheses.
43900 (3)To increase knowledge by deriving new facts.
44000 (4)To enhance the testability of hypotheses by connecting
44100 them to observations.
44200 (5)To guide research by:
44300 (a) posing fruitful problems.
44400 (b) suggesting new data to gather.
44500 (c) opening new lines of investigation.
44600 (6)To map a portion of reality.
44700 It would be excessive to demand that a single theory fulfill
44800 all these functions. In the pre-consensus states of undeveloped
44900 fields we should be happy in achieving even one of them. Models, as
45000 well as theories, can be assigned these functions when they are
45100 theoretical in type. Our model was constructed primarily to serve
45200 functions (2) and (4), offering a testable explanation.
45300 Again, theories offered as scientific explanations should be
45400 (a) systematic (i.e. coherent and consistent) and (b)
45500 empirically testable. Prior formulations about the paranoid mode
45600 have not met these criteria and thus are deservedly bygone notions.
45700 For example, to account for paranoid processes by hypothesizing an
45800 imbalance of intellect and affect is so vague and global a
45900 formulation as not to merit explanatory status.
46000 For an explanation to achieve consensus, it must be of the
46100 right type, systematic, and testable. To meet these criteria, I shall
46200 propose a postulated structure of symbol-manipulating processes,
46300 strategies, functions or procedures which is capable of producing the
46400 observable regularities of the paranoid mode.
46500 In psychiatry it is still useful to view some things which
46600 happen to a man in causal mechanical terms. But a man is not only a
46700 passive recipient, subject to Newtons's laws. He is also an active
46800 agent, a language user who thereby can monitor himself, control
46900 himself, direct himself, and emancipate himself while commenting upon
47000 and criticizing these performances. Modern psychiatric theory based
47100 on information-processing principles, views man as an agent as well
47200 as recipient. It must therefore come to grips with those enigmatic
47300 cases in which what causally happens to a man can be a consequence of
47400 his unrecognized reasons.
47500 Let us consider some explanations for the paranoid mode
47600 beginning with Freud in the late 19th century. (Historians can
47700 certainly find concepts of intentions, affects and beliefs as far
47800 back as Aristotle, who seldom quoted his sources. "It's all been said
47900 before but you have to say it again because nobody listens"- Gide).
48000 To explain persecutory paranoia, Freud postulated defense mechanisms
48100 of repression and projection (Freud, 1896). He assumed the patient's
48200 believed persecution by others represented intolerable ( and hence
48300 repressed and projected) self-reproaches for childhood sexual
48400 experiences. Today hardly anyone finds this explanation acceptable.
48500 Although the formulation has withered , the concepts of defense and
48600 projection have weathered.
48700 Sometime during Freud's friendship with Fliess (1897-1902),
48800 the latter proposed to Freud that paranoia arose from unconscious
48900 homosexual conflict (Jones,1955). For years Freud was silent about
49000 this notion in his discussions of paranoia. Then in 1911, in his
49100 notes on the Schreber case, he developed the Fliess formulation in
49200 terms of transformations being applied to the basic proposition `I (a
49300 man) love him.' He postulated this proposition to be so intolerable
49400 as not to be admitted to consciousness and therefore subjected to
49500 unconscious transformations, first into `I do not love him, I hate
49600 him' which in turn was transformed into the conscious belief `He
49700 hates me' with the accompanying conclusion `Therefore I am justified
49800 in hating him'.(Freud,1911).
49900 Great difficulty has been encountered in testing the
50000 formulation since there is no agreed-upon method for detecting the
50100 presence of unconscious homosexual conflict. Further, the
50200 explanation is inconsistent with another psychoanalytic tenet that
50300 everyone harbors unconscious homosexual conflicts. But not everyone
50400 becomes paranoid. To reconcile the inconsistency one would have to
50500 postulate some additional, possibly quantitative factors, to explain
50600 the intensity and extent of the paranoid mode in certain people. A
50700 final difficulty with the formulation has been the fact that overtly
50800 homosexual people can be paranoid, requiring in such cases a
50900 postulate of some other type of underlying conflict.
51000 Because of inconsistencies and difficulty in testing, the
51100 homosexual-conflict explanation has not achieved consensus. But as
51200 will be discussed, it may represent a special case in a more general
51300 theory which postulates self-censuring and the forestalling of
51400 humiliation to have central functions in the paranoid mode. Freud's
51500 later attempts at the explanation of paranoia assumed simply that
51600 love was transformed into hate (Freud,1923). This notion is too
51700 incomplete and unspecific a formulation to qualify as an acceptable
51800 scientific explanation. Contemporary requirements demand a more
51900 complex and precisely defined organization of functions to account
52000 for such a transformation.
52100 Likewise Cameron's explanation of paranoia as representing
52200 "projected hostilty" (Cameron,1967) represents a single, isolated
52300 hypothesis. An isolated tendency statement says little. What is
52400 needed is a system of tendency statements sufficiently complex to
52500 account for a variety of paranoid phenomena.
52600 Tomkins (Tomkins,1963) offered an interesting
52700 information-processing theory of the paranoid " posture". It was
52800 articulated in terms of defensive strategies, transformations ,and
52900 maximizing-minimizing principles. He viewed the paranoid posture or
53000 mode as an attempt to cope with humiliation. He proposed that a
53100 person whose information processing is monopolized by the paranoid
53200 mode is in a permanent state of vigilance, in order to maximize the
53300 detection of insult and to minimize humiliation. To quote Tomkins:
53400 "The major source of distortion in his interpretation is
53500 in his insistence on processing all information as though
53600 it were relevant only to the possibility of humiliation."
53700 Swanson, Bohnert and Smith (1970), in their monograph on
53800 paranoia, proposed how a "homeostatic" individual might attempt to
53900 deal with "bewildering perceptions". They postulated that a
54000 person in homeostatic equilibrium perceives a pronounced inner or
54100 outer change which is inexplicable or unacceptable. The resultant
54200 disequilibrium is so bewildering that in order to restore
54300 equilibrium, the person constructs a paranoid explanation which
54400 attributes the cause of the change, not to an internal, but to an
54500 external source. With the cause of the change identified ,
54600 bewilderment is abolished and uncertainty reduced.
54700 Aspects of this formulation suggest symbol-processing
54800 strategies typical of cases of paranoid thinking associated with the
54900 unusual experience of changes resulting from organic brain damage or
55000 amphetamine psychosis. These are conditions which mechanically happen
55100 to a man. In paranoid states, reactions or personalities where no
55200 pronounced physical change can be identified ,the formulation is
55300 insufficient and must be filled out with more complex and specific
55400 processes.
55500 In sum, the formulations of paranoia reviewed have not gained
55600 widespread acceptance because of various weaknesses and limitations.
55700 Currently there exists no reigning theory of paranoia. In such a
55800 pre-consensus state, the field is open for contending theories.
55900 Previous theories have contributed useful hypotheses. I
56000 have incorporated some of them (e.g. Tomkin's hypothesis regarding
56100 humiliation) in an attempt to explain paranoid phenomena in a
56200 different way, using an interactive simulation model. I shall
56300 attempt to explain sequences of paranoid symbolic behavior
56400 (conversational interactions) by describing in some detail a
56500 simulation of paranoid interview behavior , having in mind an
56600 audience of clinicians, behavioral scientists and colleagues in
56700 fields of computer science, artificial intelligence, and philosophy.
56800 The simulation model proposed (first described in Colby, Weber and
56900 Hilf,1971) stands as a putative explanation having the merits of
57000 being more explicit, systematic, consistent and testable than the
57100 theories described above. The model combines hypotheses of
57200 previous formulations with additional hypotheses and assumptions , in
57300 an attempt to present a coherent, unified explanation.
57400 Before we embark on a description of the model, let us first
57500 consider what it means to offer an explanation.