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sn#046916 filedate 1973-06-06 generic text, type T, neo UTF8
00100 .SEC A SYMBOL-PROCESSING THEORY OF THE PARANOID MODE
00200
00300
00400 .SS Generalizations
00500
00600 A theory involves a conjunction of lawlike generalizations,
00700 hypotheses and auxiliary assumptions. The theory to be described
00800 postulates a structure or organization of interacting symbolic
00900 procedures. These procedures and their interactions are supplemented
01000 in the theory by a number of auxiliary assumptions and
01100 presuppositions which will become apparent as the story unfolds.
01200
01300
01400 I shall first presuppose a schema of intentionalistic action
01500 and non-action which takes the form of a practical inference:
01600 AN AGENT A WANTS SITUATION S TO OBTAIN
01700 A BELIEVES THAT IN ORDER FOR S TO OBTAIN, A MUST DO X
01800 THEREFORE A PLANS, TRIES OR PROCEEDS TO DO X
01900 .END
02000 An agent is taken here to be any intentionalistic system, person ,
02100 procedure or strategy. To do means to produce, prevent or allow
02200 something to happen. We presuppose the agent's power to do X. X can
02300 be multiple sequential or concurrent actions and includes mental
02400 action (e.g. deciding) as well as physical action(e.g.talking). It
02500 is also presupposed in this action-schema that , in doing X, A
02600 receives feedback as to whether S is coming about, i.e. whether
02700 doing X is successful or not in obtaining S.
02800
02900 It is established clinical knowledge that the phenomena of
03000 the paranoid mode can be found associated with a variety of physical
03100 disorders. For example, paranoid thinking can be found in patients
03200 with head injuries, hyperthyroidism hypothyroidism, uremia,
03300 pernicious anemia, cerebral arteriosclerosis, congestive heart
03400 failure, malaria and epilepsy. Also drug intoxications due to
03500 alcohol, amphetamines, marihuana and LSD can be accompanied by the
03600 paranoid mode. Thus the paranoid mode is not a disease but a way of
03700 processing information, a resource, which accompanies underlying
03800 disorders. To account for the association of paranoid thought with
03900 these physical states of illness, a psychological theorist might be
04000 tempted to hypothesize that an intentionalistic cognitive system
04100 would attempt to explain a physical illness state by constructing
04200 persecutory beliefs blaming other human agents for causing the
04300 ill-being of the disease state. But before making such an explanatory
04400 move, we must consider the elusive distinction between reasons and
04500 causes in explanations of human behavior.
04600
04700 When human action is to be explained, confusion easily arises
04800 between appealing to reasons and appealing to causes, as has been
04900 discussed in detail by Toulmin (1971). One view of the association of
05000 the paranoid mode with physical disorders might be that the physical
05100 illness simply causes the paranoia ,through some unknown mechanism,
05200 at a "hardware" level beyond the influence of the procedures of
05300 mental processes and beyond voluntary self-control. That is, the
05400 resultant paranoid process represents something that happens to a
05500 person as victim, not something that he does as an active agent.
05600 Another view is that the paranoid mode can be explained in terms of
05700 reasons, justifications which describe an agent's intentions and
05800 beliefs. Does a person as an agent recognize, monitor and control
05900 what he is doing or trying to do? Or does it just happen to him
06000 automatically without conscious deliberation? This question raises a
06100 third view, namely that unrecognized reasons, aspects of the program
06200 which are sealed off and inacessible to voluntary control, can
06300 function like causes. Once brought to consciousness such reasons can
06400 be modified voluntarily by the agent, as a language user, reflexively
06500 talking to and instructing himself. This second-order monitoring and
06600 control through language contrasts with an agent's inability to
06700 modify causes which lie beyond the influence of self-criticism and
06800 change through internal linguistically mediated argumentation.
06900 Timeworn conundrums about concepts of free-will, determinism,
07000 responsibility, consciousness and the powers of mental action here
07100 plague us unless we stick closely to a computer analogy which makes a
07200 clear and useful distinction between hardware, interpreter and
07300 programs.
07400
07500 Each of these three views provides a serviceable perspective
07600 depending on how a disorder is to be explained and corrected. When
07700 paranoid processes occur during amphetamine intoxication they might
07800 be viewed as biochemically caused and beyond the patient's ability to
07900 control volitionally through internal self-correcting dialogues with
08000 himself. When a paranoid moment occurs in a normal person it can be
08100 viewed as having a reason or justification. If the paranoid belief
08200 is recognized as such, a person has the power to revise or reject it
08300 through internal debate. Between these extremes of drug-induced
08400 paranoid processes and the self-correctible paranoid moments of the
08500 normal person, lie cases of paranoid personalities, paranoid
08600 reactions and the paranoid mode associated with the major psychoses
08700 (schizophrenic and manic-depressive). One opinion has it that the
08800 major psychoses are a consequence of unknown "hardware" causes and
08900 are beyond deliberate voluntary control. But what are we to
09000 conclude about paranoid personalities and paranoid reactions where no
09100 hardware disorder is detectable or suspected? Are such persons to be
09200 considered patients to whom something is mechanically happening or
09300 are they agents whose behavior is a consequence of what they do? Or
09400 are they both agent and patient depending on on how one views the
09500 self-modifiability of their symbolic processing? In these enigmatic
09600 cases we shall take the position that in normal, neurotic and
09700 psychotic paranoid processes (independent of the major psychoses) the
09800 paranoid mode represents something that happens to a man as a
09900 consequence of what he has undergone,of something he now does and
10000 something he now undergoes. Thus he is both agent and victim whose
10100 mental processes have powers to do and liabilities to undergo. His
10200 liabilities are reflexive in that he is victim to and can succumb to,
10300 his own symbolic structures.
10400
10500 From this standpoint I would postulate a duality between
10600 reasons and causes. That is, just as in an algorithm a procedure can
10700 serve as an input argument to another procedure, a reason can
10800 function as a cause in one context and as a justification in another.
10900 When a final cause, such as a consciously conceptualized intention,
11000 guides efficient causes we can say that human action is
11100 non-determinate since it is self-determinate. Thus the power to make
11200 some decisions freely and to change one's mind is non-illusory. When
11300 a reason is recognized to function as a cause and is accessible to
11400 self-monitoring, it may be changed by another procedure which takes
11500 it as an argument. In this sense a two-levelled system involving an
11600 interpreter and its programs is self- changeable and self-correcting,
11700 within limits.
11800
11900 The major processes here postulated to govern the paranoid
12000 mode involve an organization of symbol-processing procedures at one
12100 level governed by an interpreter at another level. We shall sketch
12200 the operations of this organization briefly. First:
12300 (1) The interpreter executes a `consciencing' procedure which
12400 judges an action, desire or state of the self to be wrong or
12500 defective according to criteria of sanctioning beliefs. A censuring
12600 process then attempts to assign blame to an agent for the wrong.
12700 (2)The interpreter attempts a simulation of assigning blame
12800 to the self. If the self accepts blame, the trial simulation detects
12900 an affect-signal of shame warning of an eventual undergoing of
13000 humiliation for personal failure or imperfection. The detection in
13100 the simulation serves as an anticipatory warning not to actually
13200 execute this procedure since it will result in the painful
13300 re-experiencing of a negative affect-state of humiliation.
13400 (3) An alternative procedure of assigning blame to others is
13500 next simulated and found not to eventuate in a painful affect-state.
13600 Hence it is executed. It operates to repudiate that the self is to
13700 blame for a wrong and to ascribe blame to other human agents. Now it
13800 is not the self who is responsible for a wrong but it is that the
13900 self is wronged by others. These strategies are inefficient and only
14000 partially effective as an escape since the outward conduct generated
14100 result in the self rpeatedly undergoing criticisms and condemnations
14200 from others which can lead to shame and humiliation. The locus of the
14300 censure is shifted from the self to others but the intended actions
14400 designed to contend with others have paradoxical repercussions which
14500 result in what the self is internally trying to avoid.
14600
14700 (4) Since others are now believed to have intentions to wrong
14800 the self, procedures for the detection of malevolence in the input
14900 from others, as individuals or as part of a conspiracy, achieve a
15000 first priority.
15100
15200
15300 (5) If the input procedures succeed in detecting malevolence,
15400 output strategies are executed in an attempt to reduce the other's
15500 malevolent effects on the self.
15600 (6) An evaluation is made regarding the success or
15700 failure of the output procedures.
15800 (7) If benevolence is detected in the input, an attempt is made
15900 to tell one's story seeking self-affirmation from the other.
16000 (8) If the input is deemed neutral, a neutral nonparanoid
16100 response is given.
16200 The above description attempts to summarize in somewhat loose
16300 prose a complex series of postulated operations in an organization of
16400 symbol-processing procedures. The details of these procedures and
16500 their interactions will be made explicit when the algorithm is
16600 described (see p ).
16700 The theory is further circumscribed in that it attempts to
16800 explain only certain phenomena of a particular type of episode.It
16900 does not attempt to explain, for example, why the censuring process
17000 condemns particular actions or states as wrongs nor how any of these
17100 procedures develop over time in the person's socialization
17200 experience. Thus it does not provide an ontogenetic explanation of
17300 how an organization of processes came to be the way it is. The model
17400 offers an explanation only of how the organization operates in the
17500 ethogenesis of conduct and character occuring in the present.
17600 Some evidence bearing on the postulated processes will now be
17700 discussed. The processes of (4),which attempt to cope with a
17800 malevolent other, receive evidential support from observations of
17900 normal, neurotic and psychotic paranoias. The agent may report his
18000 self-monitoring directly to an observer commenting that his, for
18100 example, hostile remarks are intended to retaliate for a believed
18200 wrong at the hands of the other. ("I want him to feel bad and to
18300 leave me alone".) The output actions of the paranoid mode can be
18400 grouped into reducing persecution by retribution or by withdrawal.
18500 Retribution is intended to drive the other away while withdrawal
18600 removes the self from the sphere of the other. We are not aware of
18700 any experimental evidence bearing on this point. Perhaps the clinical
18800 and everyday observations are sufficient enough not to require any.
18900 The intensive scan for malevolence postulated in (3) has both
19000 clinical and experimental evidence in its behalf. Clinicians are
19100 familiar with the darting eye-movements of psychotic paranoids.
19200 Patients themselves report their hypervigilance as intended to detect
19300 signs of malevolence. Silverman [ ] and Venables [ ] have reported
19400 experiments indicating that paranoid schizophrenics more extensively
19500 scan their visual fields and have a greater breadth of attention than
19600 other schizophrenic patients.
19700 In considering the processes postulated in (2) and (1),
19800 direct evidence is hard to come by and thus the postulates are on
19900 shakier ground. Since antiquity it has been a common observation that
20000 paranoids tend to accuse others of actions and states which hold true
20100 for themselves according an outside observer. As Newton, in a classic
20200 paranoid clash, said about Leibniz 300 years ago: "he himself is
20300 guilty of what he complains of in others"[ Manuel]. A process of
20400 ascription has also been offered to account for the particular
20500 selectivity involved in the hypersensitivity to criticism. That is,
20600 why does a man believe others will ridicule him about his appearance
20700 unless some part of himself believes his appearance to be defective.
20800 An alternative view is that the selectivity stems from an agent,
20900 uncertain of himself and observing how others in his community are
21000 censured and ridiculed, expects the same to be applied to him.
21100 The obscurity of the relation between what the self expects
21200 as malevolence and the self's own properties is well illustrated in
21300 hypotheses which have attempted to explain the paranoid mode as a
21400 consequence of homosexual conflict. It has long been observed that
21500 some (not all) paranoid patients are excessively concerned with the
21600 topic of homosexuality. Several studies of hospitalized paranoid
21700 schizophrenics show them to be preoccupied with homosexuality far
21800 more than the nonpsychotic controls.(See Klaf and Davis [ ],etc) Such
21900 evidence may be interpreted as having generative implications for
22000 certain cases. As a special case in a more general theory of avoiding
22100 humiliation, if homosexual interests are evaluated by the censuring
22200 process as wrong, then the ethogenesis of the paranoid mode on these
22300 grounds becomes plausible. There is also a nonnegligible probability
22400 that an agent, doubtful of his own sexuality, might expect to be
22500 accused of homosexuality in a community which censures homosexuality.
22600 In such a community homosexuals trying to "pass" are of necessity
22700 suspicious and a bit paranoid since like the spy in hostile
22800 territory, they must be on guard against stigmatizing detection.
22900 It is obvious that self-censuring processes contribute to the
23000 regulation of human conduct. But are distortions of self-censuring
23100 and blaming processes "really" the ethogenic core of the paranoid
23200 mode? Heilbrun and Norbert have shown that paranoid schizophrenics
23300 are more sensitive to maternal censure as measured by the disruption
23400 of a cognitive task by a tape-recording of a mother censuring her
23500 son. [ ] (Give anecdotal examples? Spassky-Fischer, Hofstader,
23600 Fowles, Corvo)
23700 .SS Initial Conditions
23800 When a theory is embodied in a concrete operating model,
23900 representations of lawlike generalizations are combined with
24000 representations of singular conditions, usually termed "initial
24100 conditions". In constructing a simulation one can attempt to
24200 reproduce the behavior of an actual individual who is a member of
24300 some well-defined class. Another approach, which we adopted, is to
24400 construct a hypothetical individual whose behavior will cause him to
24500 be placed in a certain class, in this case the class "paranoid". The
24600 singular statements describing our hypothetical individual follow.
24700 He is a 28 year old single Protestant male who works as a
24800 stockclerk at Sears, a large department store. He has no siblings and
24900 lives alone, seldom seeing his parents. He is sensitive about his
25000 parents, his religion and about sex. His hobby is gambling on
25100 horseracing, both at tracks and through bookies. A few months ago he
25200 became involved in a severe quarrel with a bookie, claiming the
25300 bookie did not pay off a bet. After the quarrel it occurred to him
25400 that bookies pay protection to the underworld and that this bookie
25500 might gain revenge by having him injured or killed by the Mafia. He
25600 is eager to tell his story and to get help in protecting him from the
25700 underworld. He is willing to answer questions about non- sensitive
25800 areas of his life and offers hints about his delusional system in an
25900 attempt to feel out the interviewer's attitude towards him.