perm filename CHAP1[4,KMC]21 blob
sn#083097 filedate 1974-01-22 generic text, type T, neo UTF8
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 term's usage was reached until
01400 this half of the present century when it achieved a solid adjectival
01500 status, as in "paranoid personality" and "paranoid state". At
01600 present the category "paranoid" has high reliability (85-95%
01700 interjudge agreement). The term is generally used to refer to the
01800 presence of persecutory delusions. Somatic, erotic, grandeur and
01900 jealousy delusions are simply identified as such without
02000 characterizing them as paranoid.
02100 To introduce what being paranoid is like, let us first
02200 consider two sorts 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 are arousal states
03600 of emergency . The particular aroused emergency to be considered
03700 herein is termed the "paranoid mode" characterized by a continous
03800 wary suspiciousness. To appreciate the nature and problems of this
03900 state, imagine the situation of a spy in a hostile country. To him,
04000 everyone he meets is a potential enemy, a threat to existence who
04100 must be evaluated for malevolence. To survive he must be
04200 hypervigilant and fully mobilized to attack, to flee, to stalk. In
04300 this situation appearances are not to be taken at face value as
04400 ordinary events or routine background but each must be attended to
04500 and interpreted in order to detect malevolence. Events in the
04600 environment, which in the ordinary mode would not be connected to the
04700 self, become referred to the self as potentially menacing. The
04800 unintended effects of others may be misinterpreted as intended and
04900 the undesigned tends to become confused with the designed. Nothing
05000 can be allowed to be unattendable. The dominant intention of the
05100 agent is to detect malevolence from others.
05200
05300 Characteristics of Clinical Paranoias
05400 When dividing the world of experience into conceptual
05500 classes, we sort and group together objects and events according to
05600 properties they have in common. The members of a class resemble one
05700 another in sharing certain properties. The resemblance between
05800 members of a class is neither exact nor total. Members of a
05900 conceptual class are considered more or less alike and there exist
06000 degrees of resemblance. Humans are neither subjective nor objective;
06100 they are projective. In forming classifications, we project our
06200 intentions onto the world. Thus the world of experience consists of
06300 our interactive relations, not simply of objects isolated from human
06400 interests.
06500 Observations and classifications made by clinicians regarding
06600 naturally-occurring paranoid disorders have been thoroughly described
06700 in the psychiatric literature. Extensive accounts can be found in
06800 Swanson, Bohnert and Smith (1970) and in Cameron (1967). I shall
06900 attempt to give a condensed description of paranoid phenomena as they
07000 appear in, or are described by, patients in a psychiatric interview.
07100 It is many of these phenomena which the proposed simulation model
07200 attempts to explain.
07300
07400 The main phenomena of paranoid disorders can be summarized
07500 under concepts of suspiciousness, self-reference, hypersensitivity,
07600 fearfulness , hostility and rigidity. These class-concepts represent
07700 common empirical indicators of the paranoid mode.
07800
07900 Suspiciousness
08000 The chief characteristic of clinical paranoid disorders
08100 consists of suspiciousness, a mistrust of others based on the
08200 patient's malevolence beliefs. The patient believes others,
08300 known and unknown, have evil intentions towards him. In his relations
08400 with others he is continously on the look-out for signs of
08500 malevolence which he often reads from the results of his own
08600 probings. He is hypervigilant; people must be watched, their schemes
08700 unmasked and foiled. He is convinced others try to bring about
08800 undesirable states in himself such as humiliation, harassment, mental
08900 subjugation, physical injury and even death. In an interview he
09000 may report such beliefs directly or ,if he is well-guarded, he offers
09100 only hints. He does not confide easily. Disclosure may depend upon
09200 how the interviewer responds in the dialogue to the patient's reports
09300 of fluctuating suspicions and/or absolute convictions.
09400 He is greatly concerned with "evidence". No room is allowed
09500 for mistakes, ambiguities or chance happenings. "Paranoids have a
09600 greater passion for the truth than other madmen." -(Saul Bellow in
09700 Sammler's Planet). Using trivial evidential details, his inferences
09800 leap from the undeniable to the unbelievable.
09900 The patient may vary in his own estimate of the strength of
10000 his malevolence beliefs. If they consist of weakly-held suspicions,
10100 he may have moments of reasoning with himself in which he tries to
10200 reject them as ill-founded. But when the beliefs represent absolute
10300 convictions, he does not struggle to dismiss them. They become
10400 pre-conditions for countering actions against tormentors who wish and
10500 try to do him evil. He seeks affirmation of his beliefs. ("It is
10600 certain that my conviction increases the moment another soul will
10700 believe in it." Joseph Conrad in Lord Jim.). He wants sympathy and
10800 allies in positions of power such as clinicians or lawyers who can
10900 help him take action against his oppressors.
11000 The malevolence beliefs may involve a specific other person
11100 or a conspiracy of others such as the Mafia, the FBI, Communists,
11200 Hell's Angels. The patient sees himself as a victim ,one who suffers
11300 at the hands of others rather than as an agent who brings the
11400 suffering on himself. Other agents subject him to, and make him the
11500 object of, their evil intentions. He dwells on and rehearses these
11600 outrages in his imagination. He schemes to defeat or escape his
11700 adversaries.
11800 The misdeeds of others are denounced, disparaged, condemned
11900 and belittled. He feels interfered with and discriminated against.
12000 The specific content of the beliefs may not be directly expressed in
12100 a first interview. The patient may be so mistrustful of how their
12200 disclosure might be used against him that he cautiously feels his way
12300 through an interview offering only hints which an interviewer can use
12400 to infer the presence of persecutory delusions.
12500
12600 Using his own credibility judgements, the interviewer
12700 attempts to determine whether the patient's malevolence beliefs are
12800 delusions (false beliefs) or not. Experienced clinicians realize that
12900 some malevolence beliefs can turn out to be true. Others may
13000 represent correct estimations on the part of the patient who,
13100 however, fails to see that the malevolence of others is a secondary
13200 consequence of his tendency to accuse and provoke others to the point
13300 where they in fact become hostile towards him.
13400
13500
13600 Self-Reference and Hypersensitivity
13700
13800
13900 The patient may believe many events in the world pertain
14000 directly to himself. Other observers of his situation find his
14100 conviction hard to accept. For example, he may be convinced that
14200 newspaper headlines refer to him personally or that the statements of
14300 radio announcers contain special messages for him. Hypervigilant, he
14400 hypersensitively reads himself into situations which are not actually
14500 intended to pertain to him and his particular concerns.
14600
14700 References to the self are misconstrued as slurs, snubs,
14800 slights or unfair judgements. He may feel he is being watched and
14900 stared at. He is excessively concerned about his visibility to eyes
15000 which can both see concealed inadequacies and censure for them.
15100 Cameras, telescopes ,etc. which may be directed his way unnerve him.
15200 He may feel mysteriously influenced through electricity, radio waves,
15300 or (more contemporaneously) by emanations from computers. He is
15400 hypersensitive to criticism. In crowds he believes he is
15500 intentionally bumped. Driving on the highway he feels repeatedly
15600 followed too-closely by the car behind. Badgered and bombarded
15700 without relief by this stream of wrongs , he becomes hyper-irritable,
15800 querulous and quarrelsome.
15900 He is touchy about certain topics, flaring up when references
16000 to particular conceptual domains appear in the conversation. For
16100 example, any remarks about his age, religion, family, or sexlife may
16200 set him off. Even when these domains are touched upon without
16300 reference to him, e.g. religion in general, he may take it
16400 personally. When a delusional complex is present, linguistic terms
16500 far removed from, but still conceptually connectable to, the complex
16600 stir him up. Thus, to a man holding beliefs that the Mafia intend to
16700 harm him, any remark about Italy might lead him to react in a
16800 suspicious or fearful manner.
16900
17000 Affect-States
17100
17200 The major affects expressed, both verbally and nonverbally,
17300 are those of fear, anger and mistrust. The patient fears that others
17400 wish to subjugate and control him. He may be fearful of physical
17500 attack and injury even to the point of death. His fear is justified
17600 in his mind by the many threats he detects in the conduct of others
17700 towards him. He is hostile to what are interpreted as insinuations
17800 or demeaning allusions. His chronic irritability becomes punctuated
17900 with outbursts of raging tirades and diatribes. When he feels he is
18000 being overwhelmed, he may erupt and in desperation physically attack
18100 others.
18200 The affects of fear, anger and mistrust he experiences blend
18300 with one another in varying proportions to yield an unpleasant
18400 negative affect state made continuous by fantasied rehearsals and
18500 retellings of past wrongs. Depending on his interpretation of
18600 input from other people, the patient may move away from others and
18700 become guarded, secretive and evasive. Or he may suddenly jump at
18800 others with sarcastic accusations and arguments. His negative
18900 affect-states become locked into self-perpetuating cycles with other
19000 people in his life space who may take censoring action towards him
19100 because of his uncommunicativeness or outbursts.
19200
19300
19400 Rigidity
19500
19600 Another salient characteristic of the paranoid mode is
19700 excessive rigidity. The patient's beliefs in his sensitive areas
19800 remain fixed, difficult to influence by evidence or persuasion.
19900 The patient himself makes few verification attempts which might
20000 falsify his convictions. To change a belief is to admit being
20100 wrong. To forgive others also opens a crack in the wall of
20200 righteousness. He does not apologize nor accept apology. He
20300 stubbornly follows rules to the letter and his literal
20400 interpretations of an organization's regulations can drive others
20500 wild. It is this insistent posture of rigidity and inflexibility
20600 which makes the treatment of paranoid processes by symbolic-semantic
20700 methods so difficult. The patient clings to his convictions in spite
20800 of all the "rational" counter-evidence offered.
20900
21000 Other Descriptions of Naturally Occurring Paranoias
21100 Historians, biographers, playwrights, novelists and
21200 journalists have contributed naturalistic descriptions of the
21300 paranoid mode. Hofstader, a political historian, observed in an essay
21400 on the paranoid style in American politics.( Hofstader, 1965):
21500 "It is, above all, a way of seeing the world and of
21600 expressing oneself...the feeling of persecution is
21700 central and is indeed systematized in grandiose theories
21800 of conspiracy...
21900
22000 While any system of beliefs can be expressed in the
22100 paranoid style, there are certain beliefs which seem
22200 to be espoused almost entirely this way."
22300 These beliefs commonly refer to vast invisible conspiratorial
22400 networks.
22500 "But there is a vital difference between the paranoid
22600 spokesman in politics and the clinical paranoiac; although
22700 they both tend to be overheated, overaggressive, grandiose,
22800 and apocalyptic in expression, the clinical paranoid sees the
22900 hostile and conspiratorial world in which he feels himself
23000 to be living as directed specifically AGAINST HIM; whereas
23100 the spokesman of the paranoid style finds it directed
23200 against a nation, a culture, a way of life whose fate
23300 affects not himself alone but millions of others."
23400 Clear examples are the beliefs of anti-fluoridationists and extreme
23500 right-wing beliefs about a sustained, sinister, gigantic and subtle
23600 Communist conspiracy which must be defeated, not by the usual
23700 politics, but by an all-out crusade which is forever faced with time
23800 running out.
23900 "The enemy is clearly delineated: he is a perfect model
24000 of malice, a kind of amoral superman: sinister, ubiquitous,
24100 powerful, cruel, sensual, luxury-loving."
24200 As have other chroniclers of the paranoid mode, Hofstader
24300 noted the paranoid paradox of imitating the enemy. The Ku Klux Klan
24400 imitates Catholoicism's priestly vestments and elaborate rituals. The
24500 John Birch Society emulates Communist cells and front-groups.
24600 Anti-intellectual paranoid critics and investigators present their
24700 "evidence" in overwhelming detail, a caricature of pedantry and
24800 scholarship.
24900 "The very character of its conclusions leads to heroic
25000 strivings for `evidence' to prove that the unbelievable
25100 is the only thing that can be believed...the paranoid
25200 mentality is far more coherent than the real world since
25300 it leaves no room for mistakes, failures, or ambiguities...
25400 (the paranoid) has no sense of how things do not happen."
25500 Biographers of Corvo provide us with fascinating accounts of
25600 a paranoid personality. Corvo, whose real name was Frederick William
25700 Rolfe (1860-1913), was an Englishman who styled himself as "Baron
25800 Corvo" and signed himself as "Fr." hoping it would be misread as
25900 "Father". At twenty-six he converted to Catholicism and attempted to
26000 become a priest. He was expelled from Scots College at Rome as being
26100 unsuitable for the priesthood. Beginning as a dabbler and painter, he
26200 developed himself into a minor writer little recognized while he was
26300 alive. He has now become something of a curiosity in the English
26400 literary world. Pamela Hansford Johnson wrote a novel about him (The
26500 Unspeakable Skipton,1959). The term "corvine" now has the additional
26600 sense of referring to Corvo's style. His best known work, a
26700 schoolboyish novel called Hadrian the Seventh, has been made into a
26800 popular play. Descriptions of Corvo by his friends, benefactors and
26900 himself offer a museum of paranoid psychopathology.
27000 He contrived a florid medievalist writing style characterized
27100 by sinuous sentences affecting archaic, ecclesiastical, neologistic
27200 words at times so absurd as to be comical. A benefactor wrote:
27300 "Rolfe had literally not another thing in the world
27400 to do but impress his so carefully cultivated personality
27500 on people and bully them into supporting him; his work was
27600 done only for the sake of his own self; the desire to make
27700 a figure in the world was always with him." (Dawkins,
27800 quoted by Weeks, 1971).
27900 Although he had never been to the university, Rolfe acquired an
28000 Oxford accent and scholarly manner. He pretended his family was
28100 important and hinted that the Kaiser was his godfather. He wore a
28200 heavy, self-designed silver ring with a spur to protect himself from
28300 kidnapping attempts by Jesuits. People described him as a poseur of
28400 colossal intellectual vanity who "saw himself doing picturesque
28500 things in a picturesque way" and who "contrived to give an air of
28600 queerness to ordinary actions". (Symons,1955).
28700 Rolfe said of himself: "I bathe in a row...A friend is
28800 necessary, one friend - but an enemy is more necessary. An enemy
28900 keeps one alert." He believed he had powerful enemies who conspired
29000 against him. In particular, Catholics were in league against him
29100 inspiring machinations and subtle plots. A close friend and co-author
29200 stated:
29300 "It is an absolute delusion that anyone keeps a watch on him
29400 or hinders him. Really, in Catholic eyes, he is practically
29500 non-existent." (Benson, quoted in Symons,1971).
29600
29700 In his writings, Rolfe sought retribution against Catholics
29800 and others he harbored grudges against. The hero of Hadrian the
29900 Seventh, George Rose, obviously Rolfe himself in a wished-for
30000 personal odyssey, is elevated from ordinary English citizen to Pope
30100 in one day! Throughout the book a cast of people from Rolfe's life are
30200 pilloried and gibetted.
30300
30400 "I tell you what I am about to tell you, not because I have
30500 been provoked, abused, calumniated, traduced, assailed with
30600 insinuation, innuendo, misrepresentation, lies: not because
30700 my life has been held up to ridicule, and to most inferior
30800 contempt: not because the most preposterous stories to my
30900 detriment have been invented, hawked about, believed...
31000 Officially I must correct error."(Hadrian the Seventh).
31100 Always utterly right, he spewed out calligraphic letters of
31200 hate. To benefactors who had let him down his letters were acid,
31300 scathing, sneering, blasting, deriding, jarring, jeering, abusively
31400 venomous. He was a "jaundiced, bitter, persecuted pariah" with an
31500 "everlasting look of suspicion in his narrow but piercing
31600 eyes."(Weeks,1971). If his books were not successful, it was due to
31700 the malignant spite of his foes or the perfidy of friends.
31800 "When payments ceased, largely for the reason that the
31900 expected royalties did not accrue, Rolfe sought an
32000 explanation of the fact (which could not be denied) in some
32100 human agency; and soon found one." (Symons, l955).
32200
32300 "Rolfe was never a person to let matters rest unexplained.
32400 Their causes and effects had to be known."(Weeks, 1971).
32500 In his last few years this sponging, unscrupulous,
32600 flambouyant, eccentric personality, full of extravagant quirks and
32700 bizarre kinks, became a scandalous (homosexual) character about
32800 Venice. After a life of straining for flourish, he died abruptly and
32900 without panache of a heart attack before going to bed and was not
33000 found until the next afternoon.
33100 Ernest Hemingway (1899-1961), a writer of greater stature
33200 than Rolfe, found himself gripped in a paranoid mode in his later
33300 years. Faced with waning powers, losses of property and friends, he
33400 became frightened, petulant, and suspicious. He believed he had a
33500 fatal disease. He burst out in long smoldering grudges. His
33600 bewildered friends could not understand why they were considered part
33700 of a conspiracy to betray him. He felt Federal agents were pursuing
33800 him for cheating on his income tax and for impairing the morals of a
33900 minor. To his friend and associate, Hotchner, he erupted:
34000 "It's the worst hell. The goddamnedest hell. They've bugged
34100 everything. That's why we're using Duke's car. Mine's bugged.
34200 Everything's bugged. Can't use the phone. What put me on to
34300 it was that phone call with you. You remember we got
34400 disconnected? That tipped their hand." (Hotchner, l966).
34500 In a restaurant he believed two men at the bar were FBI
34600 agents. When told they were salesmen who came there regularly,
34700 Hemingway retorted:
34800 "Of course they're salesmen. The FBI is noted for its clumsy
34900 disguises. What do you think they'd pose as - concert
35000 violinists?". (Hotchner, l966).
35100 In his final days he even turned on Hotchner:
35200 "You've been pumping me and getting the gen, but you're like
35300 Vernon Lord and all the rest, turning state's evidence,
35400 selling out to them." (Hotchner,1966).
35500 Once in less tortured times, in answer to a question about
35600 death, Hemingway replied: "death is just another whore." Beset with
35700 accelerating anxieties and ineradicable convictions of betrayal, he
35800 solicited her first, firing a shotgun into his mouth.
35900 A contemporary account of the paranoid mode is presented by
36000 Nagler in his biography of the prizefighter Joe Louis, former
36100 heavyweight champion of the world.(Nagler,1972). Since 1967 when he
36200 was 53, Louis has believed that members of the Mafia are pursuing
36300 him, determined to destroy him by poison gas. Particularly at night,
36400 he suffers outbreaks of suspicion, anxiety, and rage.
36500 "Whenever they stayed in a hotel with air-conditioning
36600 Louis would attempt to paste newspapers over the vents
36700 in his room."
36800 He believes there exists a plot to involve him in the making of
36900 pornographic films with a woman other than his wife. Seeking aid from
37000 his biographer, he said:
37100 "You got to tell the whole story. She's in on it. What they
37200 tried to do was get moving pictures of me in bed with her.
37300 She had this chauffeur, and he was helping her. They
37400 were with the Mafia; and when I found out they started
37500 trying to kill me. That's why they kept pumping that
37600 gas in on me."
37700 These natural history descriptions of naturally-occurring
37800 paranoia by a variety of nonclinical writers add to our knowledge of
37900 the observable phenomena. For a deeper understanding of what might
38000 underlie the phenomena , we must turn to explanatory theories and
38100 models.
38200
38300 THEORIES OF PARANOIA
38400
38500 Attempts to explain, to make intelligible, paranoid disorders
38600 have been offered since antiquity. None of these verbally-stated
38700 formulations has won the consensus which typifies scientific theories
38800 since they were neither systematic nor testable.
38900 Science represents a search for consensus knowledge,
39000 judgments about which agreement can be obtained. (See Ziman, 1968).
39100 For a theory to gain scientific consensus, it must meet requirements
39200 of systemicity and testability.
39300 For a theory to be systematic, its hypotheses must cohere and
39400 not be isolated. They must connect with one another and collaborate
39500 in a consistent way. Each hypothesis stands as an initial assumption
39600 or as a consequence of one or more initial assumptions. The
39700 consequence relation can be one of logical or empirical entailment
39800 but the system of hypotheses, to be consistent, should not contain
39900 contradictions.
40000 For a theory to be testable, it must be sensitive to
40100 empirical data which can strengthen or weaken its acceptability as
40200 true or authentic. Each hypothesis in the theory need not be directly
40300 or independently testable. But the theory as a conjunction of
40400 hypotheses must be brought into contact with data of observation, if
40500 not directly, then indirectly, through a translation process in which
40600 a consequence of the theory can be compared with observational
40700 evidence.
40800 Previous theories of paranoia can be criticized for not
40900 satisfying these requirements of systemicity and testability. The
41000 model to be presented fulfills these requirements. When theories are
41100 presented in literary form it is difficult to know what such
41200 formulations imply or whether the implications are consistent. Since
41300 natural language is vague and ambiguous, prose theories are difficult
41400 to analyze. For example, we cannot tell (1) if the assumptions are
41500 independent or redundant, (2) if each assumption is needed or the
41600 assumption set is incomplete, and (3) what is the logical status of
41700 the assumptions - are they tautologies, definitions, typologies or
41800 empirical statements? Thories cast in prose essays are too
41900 inexplicit to tell us what we are supposed to do in order to believe
42000 the world behaves as their authors have conceived it. If a
42100 formulation is untestable, the issues it raises are undecidable and
42200 unsettleable; thus the necessary consensus cannot be reached.
42300
42400 Theories stem from two sources: (1) from hypotheses suggested
42500 by new descriptions or revisualizations of the phenomena themselves
42600 and (2) from modifications of a legacy of previous theories serving
42700 as the bequeathed myths of the field. Each generation attempts to
42800 formulate new explanatory theories by discovering new phenomena or by
42900 modifying predecessor theories. The old theories are unsatisfactory
43000 or only partially satisfactory because they are found to contain
43100 anomalies or contradictions which must be removed. Sometimes previous
43200 theories are viewed as lacking evidential support by current
43300 standards. Theories are mainly superseded rather than disproved. The
43400 new versions try to remove the contradictions and increase
43500 comprehensiveness by explaining more phenomena.
43600 Theories have many functions. They can be summarized as
43700 follows (Bunge, 1967):
43800 (1)To systematize knowledge.
43900 (2)To explain facts by showing how they are the entailed
44000 consequences of the systematizing hypotheses.
44100 (3)To increase knowledge by deriving new facts.
44200 (4)To enhance the testability of hypotheses by connecting
44300 them to observations.
44400 (5)To guide research by:
44500 (a) posing fruitful problems.
44600 (b) suggesting new data to gather.
44700 (c) opening new lines of investigation.
44800 (6)To map a portion of reality.
44900 It would be excessive to demand that a single theory fulfill
45000 all these functions. In the pre-consensus states of undeveloped
45100 fields we should be happy in achieving even one of them. Models, as
45200 well as theories, can be assigned these functions when they are
45300 theoretical in type. Our model was constructed primarily to serve
45400 functions (2) and (4), offering a testable explanation.
45500 Again, theories offered as scientific explanations should be
45600 (a) systematic (i.e. coherent and consistent) and (b)
45700 empirically testable. Prior formulations about the paranoid mode
45800 have not met these criteria and thus are deservedly bygone notions.
45900 For example, to account for paranoid processes by hypothesizing an
46000 imbalance of intellect and affect is so vague and global a
46100 formulation as not to merit explanatory status. For an explanation to
46200 achieve consensus, it must be of the right type, systematic and
46300 testable. To meet these criteria, I shall propose a postulated
46400 structure of symbol-manipulating processes, strategies, functions or
46500 procedures which is capable of producing the observable regularities
46600 of the paranoid mode.
46700 In psychiatry it is still useful to view some things which
46800 happen to a man in causal mechanical terms. But a man is not only a
46900 passive recipient, subject to Newtons's laws. He is also an active
47000 agent, a language user who thereby can monitor himself, control
47100 himself, direct himself, and emancipate himself while commenting upon
47200 and criticizing these performances. Modern psychiatric theory based
47300 on information-processing principles, views man as an agent as well
47400 as recipient. It must also come to grips with those enigmatic cases
47500 in which what causally happens to a man can be a consequence of his
47600 unrecognized reasons.
47700 Let us consider some explanations for the paranoid mode
47800 beginning with Freud in the late 19th century. (Historians can
47900 certainly find concepts of intentions, affects and beliefs as far
48000 back as Aristotle, who seldom quoted his sources. "It's all been said
48100 before but you have to say it again because nobody listens"- Gide).
48200 To explain persecutory paranoia, Freud postulated defense mechanisms
48300 of repression and projection (Freud, 1896). He assumed the patient's
48400 believed persecution by others represented intolerable ( and hence
48500 repressed and projected) self-reproaches for childhood sexual
48600 experiences. Today hardly anyone finds this explanation acceptable.
48700 Although the formulation has withered , the concepts of defense and
48800 projection have weathered.
48900 Sometime during Freud's friendship with Fliess (1897-1902),
49000 the latter proposed to Freud that paranoia arose from unconscious
49100 homosexual conflict (Jones,1955). For years Freud was silent about
49200 this notion in his discussions of paranoia. Then in 1911, in his
49300 notes on the Schreber case, he developed the Fliess formulation in
49400 terms of transformations being applied to the basic proposition `I (a
49500 man) love him.' He postulated this proposition to be so intolerable
49600 as not to be admitted to consciousness and therefore subjected to
49700 unconscious transformations, first into `I do not love him, I hate
49800 him' which in turn was transformed into the conscious belief `He
49900 hates me' with the accompanying conclusion `Therefore I am justified
50000 in hating him'.(Freud,1911).
50100 Great difficulty has been encountered in testing the
50200 formulation since there is no agreed-upon method for detecting the
50300 presence of unconscious homosexual conflict. The explanation is
50400 also inconsistent with another psychoanalytic tenet that everyone
50500 harbors unconscious homosexual conflicts. But not everyone becomes
50600 paranoid. To reconcile the inconsistency one would have to postulate
50700 some additional, possibly quantitative factors, to explain the
50800 intensity and extent of the paranoid mode in certain people. A
50900 further difficulty with the formulation has been the fact that
51000 overtly homosexual people can be paranoid, requiring in such cases a
51100 postulate of some other type of underlying conflict.
51200 Because of inconsistencies and difficulty in testing, the
51300 homosexual-conflict explanation has not achieved consensus. But as
51400 will be discussed, it may represent a special case in a more general
51500 theory which postulates self-censuring and the forestalling of
51600 humiliation to have central functions in the paranoid mode. Freud's
51700 later attempts at the explanation of paranoia assumed simply that
51800 love was transformed into hate (Freud,1923). This notion is too
51900 incomplete and unspecific a formulation to qualify as an acceptable
52000 scientific explanation. Contemporary requirements demand a more
52100 complex and precisely defined organization of functions to account
52200 for such a transformation.
52300 Likewise Cameron's explanation of paranoia as representing
52400 "projected hostilty" (Cameron,1967) represents a single, isolated
52500 hypothesis. An isolated tendency statement says little. What is
52600 needed is a system of tendency statements sufficiently complex to
52700 account for a variety of paranoid phenomena.
52800 Tomkins (Tomkins,1963) offered an arresting
52900 information-processing theory of the paranoid posture.It was
53000 articulated in terms of defensive strategies, transformations ,and
53100 maximizing-minimizing principles. He viewed the paranoid `posture' or
53200 mode as an attempt to cope with humiliation. He proposed that a
53300 person whose information processing is monopolized by the paranoid
53400 mode is in a permanent state of vigilance, in order to maximize the
53500 detection of insult and to minimize humiliation. To quote Tomkins:
53600 "The major source of distortion in his interpretation is
53700 in his insistence on processing all information as though
53800 it were relevant only to the possibility of humiliation."
53900 Swanson, Bohnert and Smith (1970), in their monograph on
54000 paranoia, proposed how a "homeostatic" individual might attempt to
54100 deal with "bewildering perceptions". They postulated that a
54200 person in homeostatic equilibrium perceives a pronounced inner or
54300 outer change which is inexplicable or unacceptable. The resultant
54400 disequilibrium is so bewildering that in order to restore
54500 equilibrium, the person constructs a paranoid explanation which
54600 attributes the cause of the change, not to an internal, but to an
54700 external source. With the cause of the change identified ,
54800 bewilderment is abolished and uncertainty reduced.
54900 Aspects of this formulation suggest symbol-processing
55000 strategies typical of cases of paranoid thinking associated with the
55100 experienced changes resulting from organic brain damage or
55200 amphetamine psychosis. These are conditions which mechanically happen
55300 to a man. In paranoid states, reactions or personalities where no
55400 pronounced physical change can be identified ,the formulation is
55500 insufficient and must be filled out with more complex and specific
55600 processes.
55700 In sum, the formulations of paranoia reviewed have not gained
55800 widespread acceptance because of various weaknesses and limitations.
55900 Currently there exists no reigning theory of paranoia. In such a
56000 pre-consensus state, the field is open for contending theories.
56100 Previous theories have contributed useful hypotheses. I
56200 have incorporated some of them (e.g. Tomkin's hypothesis regarding
56300 humiliation) in an attempt to explain paranoid phenomena in a
56400 different way, using an interactive simulation model. I shall
56500 attempt to explain sequences of paranoid symbolic behavior
56600 (conversational interactions) by describing in some detail a
56700 simulation of paranoid interview behavior , having in mind an
56800 audience of clinicians, behavioral scientists and colleagues in
56900 fields of computer science, artificial intelligence, and philosophy.
57000 The simulation model proposed (first described in Colby, Weber and
57100 Hilf,1971) stands as a putative explanation having the merits of
57200 being more explicit, systematic, consistent and testable than the
57300 theories described above. The model combines hypotheses of
57400 previous formulations with additional hypotheses and assumptions , in
57500 an attempt to present a coherent, unified explanation.
57600 Before we embark on a description of the model, let us first
57700 consider what it means to offer an explanation.