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sn#034781 filedate 1973-04-10 generic text, type T, neo UTF8
00010 CHAPTER THREE
00100 A SYMBOL PROCESSING THEORY OF THE PARANOID MODE
00200
00300
00400
00500
00600 This theory , a conjunction of hypotheses and auxiliary
00700 assumptions, postulates a structure or organization of interacting
00800 symbolic procedures. These procedures and their interactions are
00900 supplemented in the theory by a number of auxiliary assumptions and presuppositions as
01000 will become apparent as the story unfolds.
01100
01200
01300 I shall presuppose a schema of action and non-action which takes
01400 the form of a practical inference:
01500 AN AGENT A WANTS SITUATION S TO OBTAIN
01600 A BELIEVES THAT IN ORDER FOR S TO OBTAIN , A MUST DO X
01700 THEREFORE A PLANS, TRIES OR PROCEEDS TO DO X.
01800 An agent is taken here to be any intentionalistic system, person ,
01900 procedure or strategy having purposes. To do means to produce,
02000 prevent or allow something to happen. We presuppose the agent's power
02100 to do X. X can be multiple sequential or concurrent actions and
02200 includes mental action (e.g. deciding) as well as physical
02300 action(e.g.talking). It is also presupposed in this action-schema
02400 that , in doing X, A receives feedback as to whether S is coming
02500 about, i.e. whether doing X is successful or not in obtaining S.
02600
02700 It is established clinical knowledge that the phenomena of
02800 the paranoid mode can be found associated with a variety of physical
02900 disorders. For example, paranoid thinking can be found in patients
03000 with head injuries, hyperthyroidism hypothyroidism, uremia,
03100 pernicious anemia, cerebral arteriosclerosis, congestive heart
03200 failure, malaria and epilepsy. Also drug intoxications due to
03300 alcohol, amphetamines, marihuana and LSD can be accompanied by the
03400 paranoid mode. To account for the association of paranoid thought
03500 with these physical states of illness, a psychological theorist might be tempted to
03600 hypothesize that an intentionalistic cognitive system would attempt to explain a physical illness
03700 state by constructing persecutory beliefs blaming other human agents
03800 for causing the ill-being of the disease state. But before
03900 making such an explanatory move, we must consider the elusive
04000 distinction between reasons and causes in explanations of human
04100 behavior.
04200
04300
04400 When human action is to be explained, confusion easily arises
04500 between appealing to reasons and appealing to causes, as has been
04600 discussed in detail by Toulmin [ ]. One view of the association of
04700 [TOULMIN REF.-EXPLANATION IN THE BEHAVIORAL SCIENCES,BORGER R.AND CIOFFI,
04800 F.,(EDS.), CAMBRIDGE UNIVERSITY PRESS, N.Y.,(1971). ]
04900 the paranoid mode with physical disorders might be that the physical
05000 illness simply causes the paranoia ,through some unknown mechanism,
05100 at a "hardware" level beyond the influence of the procedures of mental
05200 processes and beyond voluntary self-control. That is, the resultant paranoid
05300 process represents something that happens to a person as victim,
05400 not something that he does as an active agent. Another view is that
05500 the paranoid mode can be explained in terms of reasons,
05600 justifications which describe an agent's intentions and beliefs.
05700 Does a person as an agent recognize, monitor and control what he is
05800 doing or trying to do? Or does it just happen to him automatically
05900 without conscious deliberation? This question raises a third view,
06000 namely that unrecognized reasons, aspects of the program which are sealed off
06100 and inacessible to voluntary control, can function like causes. Once
06200 brought to consciousness such reasons can
06300 be modified voluntarily by the agent, as a language user, reflexively talking to and
06400 instructing himself. This second-order monitoring and control through language
06500 contrasts with an agent's inability to
06600 modify causes which lie beyond the influence of self-criticism and
06700 change through internal linguistically mediated argumentation. Timeworn conundrums about
06800 concepts of free-will, determinism, responsibility, consciousness and
06900 the powers of mental action here plague us unless we stick closely to
07000 a computer analogy which makes a clear and useful distinction
07100 between hardware, interpreter and programs.
07200
07300 Each of these three views provides a serviceable perspective
07400 depending on how a disorder is to be explained and corrected. When
07500 paranoid processes occur during amphetamine intoxication they might
07600 be viewed as biochemically caused and beyond the patient's ability to
07700 control volitionally through internal reprogramming dialogues with
07800 himself. When a paranoid moment occurs in a normal person it can be
07900 viewed as having a reason or justification. If the paranoid belief
08000 is recognized as such, a person has the power to revise or reject it
08100 through internal debate. Between these extremes of drug-induced
08200 paranoid processes and the self-correctible paranoid moments of the
08300 normal person, lie cases of paranoid personalities, paranoid
08400 reactions and the paranoid mode associated with the major psychoses
08500 (schizophrenic and manic-depressive). One opinion has it that the
08600 major psychoses are a consequence of unknown "hardware" causes and
08700 are beyond deliberate voluntary control. But what are we to
08800 conclude about paranoid personalities and paranoid reactions where no
08900 hardware disorder is detectable or suspected? Are such persons to be
09000 considered patients to whom something is mechanically happening or
09100 are they agents whose behavior is a consequence of what they do? Or
09200 are they both agent and patient depending on on how one views the
09300 self-modifiability of their symbolic processing? In these enigmatic
09400 cases we shall take the position that in normal, neurotic and
09500 psychotic paranoid processes (independent of the major psychoses) the
09600 paranoid mode represents something that happens to a man as a
09700 consequence of what he has undergone,of something he now does and
09800 something he now undergoes. Thus he is both agent and victim whose
09900 mental processes have powers to do and liabilities to undergo. His
10000 liabilities are reflexive in that he is patient to and can succumb to
10100 , his own symbolic structures.
10200
10300
10400 From this standpoint I would postulate a duality between reasons
10500 and causes. That is, just as in an algorithm a procedure can serve as
10600 an input argument to another procedure, a reason can function as a
10700 cause in one context and as a justification in another. When a final
10800 cause, such as a consciously conceptualized intention, guides
10900 efficient causes we can say that human action is non-determinate
11000 since it is self-determinate. Thus the power to make some decisions freely
11100 and to change one's mind is non-illusory. When a reason is recognized
11200 to function as a cause and is accessible to self-monitoring, it may be changed by another
11300 procedure which takes it as an argument. In this sense a two-levelled
11400 system involving an interpreter and its programs is self- changeable
11500 and self-correcting, within limits.
11600
11700 The major processes here postulated to govern the paranoid mode
11800 involve an organization of symbol-processing procedures at one level
11900 governed by an interpreter at another level. We shall sketch the
12000 operations of this organization briefly. First:
12100 (1) The interpreter executes a `consciencing' procedure which
12200 judges an action or state of the self to be wrong according to
12300 criteria of right-wrong sanctioning beliefs. A censuring process
12400 attempts to find and blame an agent for the wrong.
12500 (2)The interpreter attempts a simulation of assigning blame
12600 to the self. If the self accepts blame, the trial simulation detects
12700 an affect-signal of shame warning of an eventual undergoing of
12800 humiliation. The detection in the simulation serves as an
12900 anticipatory warning not to actually execute this procedure since it
13000 will result in the painful re-experiencing of a negative affect-state
13100 of humiliation.
13200 (3) An alternative procedure of assigning blame to others is
13300 next simulated and found not to eventuate in a painful affect-state.
13400 Hence it is executed. It operates to deny that the self is to blame
13500 for a wrong and to project blame onto other human agents. Now it is
13600 not the self who is responsible for a wrong but it is that the self
13700 is wronged by others. This procedure is inefficient and only
13800 partially effective as an escape since the outward behavior it
13900 generates results in the self still undergoing criticisms and
14000 condemnations from others which can lead to shame and humiliation.
14100 The locus of the censure is shifted from the self to others but
14200 actions designed to contend with others paradoxically result in what
14300 the self is internally trying to avoid.
14400
14500 (4)Since others are now believed to have intentions to wrong
14600 the self, procedures for the detection of malevolence in the input
14700 from others, as individuals or as part of a conspiracy, achieve a
14800 first priority.
14900
15000
15100 (5) If the input procedures succeed in detecting malevolence,
15200 output strategies are executed in an attempt to reduce the other's
15300 malevolent effects on the self.
15400 (6) Finally an evaluation is made regarding the success or
15500 failure of the output procedures.
15600 The above description attempts to summarize in somewhat loose
15700 prose a complex series of postulated interactions in an organization
15800 of symbol-processing procedures. The details of these procedures
15900 and their interactions will be made explicit when the algorithm is
16000 described (see p ). The theory is circumscribed in that it attempts
16100 to explain only certain phenomena of a particular type of episode.It
16200 does not attempt to explain, for example, why the censuring process
16300 condemns particular actions or states as wrongs nor how any of these
16400 procedures develop over time in the person's socialization
16500 experience. Thus it does not provide an ontogenetic explanation of
16600 how an organization of processes came to be the way it is. The model
16700 offers an explanation only of how the organization operates in the
16800 genesis of characteristic behavior in the present.
16900 Some evidence bearing on the postulated processes will now be
17000 discussed. The processes of (4),which attempt to cope with a
17100 malevolent other, receive evidential support from observations of
17200 normal, neurotic and psychotic paranoias. The agent may report
17300 his self-monitoring directly to an observer commenting that his, for example, hostile remarks are
17400 intended to retaliate for a believed wrong at the hands of the other.
17500 ("I want him to feel bad and to leave me alone".) The output actions
17600 of the paranoid mode can be grouped into reducing persecution by
17700 retribution or by withdrawal. Retribution is intended to drive the
17800 other away while withdrawal removes the self from the sphere of the
17900 other. We are not aware of any experimental evidence bearing on this
18000 point. Perhaps the clinical and everyday observations are sufficient
18100 enough not to require any.
18200 The intensive scan for malevolence postulated in (3) has both
18300 clinical and experimental evidence in its behalf. Clinicians are
18400 familiar with the darting eye-movements of psychotic paranoids.
18500 Patients themselves report their hypervigilance as intended to detect
18600 signs of malevolence. Silverman [ ] and Venables [ ] have reported
18700 experiments indicating that paranoid schizophrenics more extensively
18800 scan their visual fields and have a greater breadth of attention than
18900 other schizophrenic patients.
19000 In considering the processes postulated in (2) and (1),
19100 direct evidence is hard to come by and thus the postulates are on
19200 shakier ground. Projection is an ancient concept which has been used
19300 to account for the common observation that paranoids accuse others of
19400 actions and states which hold true for themselves according an
19500 outside observer. As Newton, in a classic paranoid clash, said about
19600 Leibniz 300 years ago `he himself is guilty of what he complains of
19700 in others'[ Manuel]. A process of projection has also been offered
19800 to account for the particular selectivity involved in the
19900 hypersensitivity to criticism. That is, why does a man believe
20000 others will ridicule him about his appearance unless some part of
20100 himself believes his appearance to be defective. An alternative view
20200 is that the selectivity stems from an agent, uncertain of himself and
20300 observing how others in his community are censured and ridiculed,
20400 expects the same to be applied to him.
20500 The obscurity of the relation between what the self expects
20600 as malevolence and the self's own properties is well illustrated in
20700 hypotheses which have attempted to explain the paranoid mode as a
20800 consequence of homosexual conflict. It has long been observed that
20900 some (not all) paranoid patients are excessively concerned with the
21000 topic of homosexuality. Several studies of hospitalized paranoid
21100 schizophrenics show them to be preoccupied with homosexuality far
21200 more than the nonpsychotic controls.(See Klaf and Davis [ ],etc) Such
21300 evidence may be interpreted as having generative implications for certain
21400 cases. As a special case in a more general theory of avoiding humiliation, if homosexual interests are
21500 evaluated by the censuring process as wrong, then a genesis of the paranoid mode
21600 on these grounds becomes plausible. It is also plausible that an
21700 agent, doubtful of his own sexuality, might expect to be accused of homosexuality in a community
21800 which censures homosexuality. In such a community homosexuals trying to
21900 "pass" are of necessity suspicious and a bit paranoid since like the
22000 spy in hostile territory, they must be on guard against stigmatizing detection.
22100 It is obvious that self-censuring processes contribute to the
22200 regulation of human behavior. But are distortions of censuring and blaming processes
22300 "really" the generative core of
22400 the paranoid mode? Heilbrun and Norbert have shown that paranoid
22500 schizophrenics are more sensitive to maternal censure as measured by
22600 the disruption of a cognitive task by a tape-recording of a mother
22700 censuring her son. [ ]
22800 (DESCRIBE INITIAL CONDITIONS OF PARRY HERE)