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