perm filename CHAP5[4,KMC]3 blob
sn#015030 filedate 1972-12-01 generic text, type T, neo UTF8
00100 A SYMBOL-PROCESSING THEORY OF THE PARANOID MODE
00150
00200
00300
00400
00500 OUR theory , a conjunction of hypotheses and auxiliary assumptions,
00600 POSTULATES A GROUP OF INTERACTING PROCESSES.
00700 These processes and their interactions involve
00800 SEVERAL auxiliary assumptions and presuppositions AS WILL BE APPARENT
00900 as the story unfolds.
01000
01100
01200 We presuppose a schema of action and non-action which TAKES THE FORM
01300 OF A PRACTICAL INFERENCE:
01400 AN AGENT A WANTS SITUATION S TO OBTAIN
01500 A BELIEVES THAT IN ORDER FOR S TO OBTAIN , A MUST DO X .
01600 THEREFORE A PLANS, TRIES OR PROCEEDS TO DO X.
01700 AN agent IS TAKEN here TO BE any intentionalistic system, person , procedure or
01800 strategy HAVING A PURPOSE. TO DO means to produce, prevent or allow
01900 something to happen AND WE PRESUPPOSE THE POWER TO DO X. X CAN BE MULTIPLE SEQUENTIAL OR CONCURRENT ACTIONS AND
02000 INCLUDES MENTAL ACTION (DECIDING, JUDGING) AS WELL AS PHYSICAL ACTION.
02100 It is also presupposed in this action-schema that , in doing X,
02200 A receives feedback as to whether S is coming about, i.e. whether
02300 doing X is successful or not in obtaining S.
02400
02500 IT IS COMMON CLINICAL KNOWLEDGE THAT THE PHENOMENA OF
02600 the paranoid mode can be found associated with a variety of physical
02700 disorders. For example, paranoid thinking can be found in patients
02800 with head injuries, hyperthyroidism hypothyroidism, uremia,
02900 pernicious anemia, cerebral arteriosclerosis, congestive heart
03000 failure, malaria and epilepsy. Also drug intoxications due to
03100 alcohol, amphetamines, marihuana and LSD can be accompanied by
03200 paranoid signs. To account for the association of paranoid thought
03300 with these physical states of illness, ONE MIGHT hypothesize that A
03400 mental system attempts to explain the illness state by constructing
03500 ACCUSATORY beliefs BLAMING other human agents as CAUSES OF THE
03600 ILLNESS STATE. But before making such an explanatory move,
03700 we must consider the elusive distinction between reasons and causes
03800 in explanations of human behavior.
03900
04000
04100 WHEN HUMAN ACTION IS TO BE
04200 explained, confusion easily arises between APPEALING TO reasons and
04300 APPEALING TO causes as has been discussed in detail by Toulmin [ ]. One view of
04400 the association of the paranoid mode with physical disorders might be
04500 that the physical illness simply causes the paranoia ,through some
04600 unknown mechanism, at a hardware level beyond the influence OF THE PROGRAMS OF A
04700 mental system and beyond voluntary control. That is, the resultant
04800 paranoid process represents something that happens to the system as
04900 patient, not something that it does as an active agent.
05000 ANOTHER view is that the paranoid mode CAN be explained in terms of
05100 reasons, justifications WHICH DESCRIBE AN AGENT'S INTENTIONS AND BELIEFS.
05200 If WE CONSIDER A PERSON TO BE the agent , does he recognize
05300 WHAT HE IS DOING OR TRYING TO DO? OR DOES IT JUST HAPPEN to him automatically
05400 without CONSCIOUS deliberation? This question raises a third view, namely that
05500 unrecognized reasons, ` compiled' versions of the program now
05600 inacessible to voluntary control, can function like causes. Once
05700 brought to consciousness in an `interpreted' version SUCH REASONS can be modified
05800 voluntarily through the AGENT'S REFLEXIVE talking to and instructing himself. THIS
05900 CONTRASTS WITH AN AGENTS INABILITY TO MODIFY CAUSES WHICH LIE BEYOND THE INFLUENCE OF INTERNAL ARGUMENTATION
06000 WITHIN THE SELF. Timeworn conundrums about concepts of free-will, determinism,
06100 responsibility, consciousness and the powers of mental action here
06200 plague us unless we stick closely to A COMPUTER ANALOGY WHICH MAKES A USEFUL DISTINCTION BETWEEN HARDWARE AND PROGRAM.
06300
06400
06500 EACH OF THESE three views provides a SERVICEABLE perspective depending on HOW
06600 A disorder is to be explained and corrected. When paranoiD PROCESSES occur DURING
06700 amphetamine intoxication THEY MIGHT BE VIEWED AS BIOCHEMICALLY caused and
06800 beyond the PATIENT'S ABILITY to CONTROL VOLITIONALLY through
06900 internal reprogramming dialogues with HIMSELF. When a paranoid
07000 moment occurs in a normal person it can be viewed as having a reason
07100 or justification. If the paranoid belief is recognized as such,the
07200 agent has the power to revise or reject it. Between
07300 these extremes of drug-induced paranoid PROCESSES and the
07400 self-correctible paranoid moments of the normal person, lie cases of
07500 paranoid personalities, paranoid psychoses and THE PARANOID MODE ASSOCIATED
07600 with the major psychoses (SCHIZOPHRENIC AND MANIC-DEPRESSIVE). Current opinion has it that the major
07700 psychoses ARE A CONSEQUENCE OF unknown hardware causes and are beyond
07800 DELIBERATE voluntary control. But what are we to conclude about
07900 paranoid personalities and paranoid psychoses where NO HARDWARE
08000 disorder IS SUSPECTED? Are they to be considered patients to whom
08100 something is happening or are they agents whose behavior is a
08200 consequence of what they do? OR ARE THEY both agent and patient depending on
08300 ON HOW WE VIEW THE MOdifiability of their programs? We shall take the position that
08400 in normal, neurotic and psychotic PARANOID PROCESSES (independent of the major
08500 psychoses) the paranoid mode represents something that happens to a
08600 man as a consequence BOTH of something he does AND SOMETHING HE UNDERGOES. Thus he is both agent and
08700 patient WHOSE mental system HAS powers to do and capacities to
08800 undergo.
08900
09000
09100 FROM THIS STANDPOINT WE POSTULATE A DUALITY BETWEEN
09200 reasons and causes. That is, just as in an algorithm a procedure can
09300 serve as an input argument to another procedure, a reason can
09400 function as a cause in one context and as a justification in another.
09500 When a final cause, such as a consciously conceptualized intention,
09600 guides efficient causes we can say that human action is
09700 non-determinate since it is self-determinate and the power to make
09800 decisions freely AND CHANGE BELIEFS is non-illusory. When a reason is recognized to
09900 function as a cause and is acessible, it may be changed by another
10000 procedure which takes it as an argument. In this sense A TWO-LEVELED SYSTEM IS
10100 self-changeable and self-correcting, within limits.
10200
10300 THE MAJOR processes we postulate to govern the paranoid mode INVOLVE
10400 AN ORGANIZATION of symbol-processing PROCEDURES AT ONE LEVEL GOVERNED BY AN INTERPRETER
10500 AT ANOTHER LEVEL. WE SHALL SKETCH THE OPERATIONS OF THIS ORGANIZATION BRIEFLY.
10600 (1) THE INTERPRETER EXECUTES A CENSURING PROCEDURE WHICH JUDGES AN ACTION OR STATE TO BE
10700 WRONG ACCORDING TO ITS PARTICULAR BELIEF-VALUES.
10800 (2)THE INTERPRETER ATTEMPTS A SIMULATION OF ASSIGNING BLAME FOR THE WRONG.
10900 IF THE SELF ACCEPTS BLAME, THE TRIAL SIMULATION DETECTS A CONSEQUENT UNDERGOING OF SHAME.
11000 THE DETECTION SERVES AS A WARNING NOT TO EXECUTE THIS PROCEDURE SINCE IT WILL
11100 RESULT IN THE PAINFUL NEGATIVE AFFECT-STATE OF SHAME.
11200 (3) AN ALTERNATIVE PROCEDURE OF TRANSFERRING BLAME TO OTHERS
11300 IS SIMULATED AND FOUND NOT TO EVENTUATE IN A NEGATIVE AFFECT-STATE.
11400 WHEN EXECUTED IT operateS to deny that the Self is to blame for A WRONG and to
11500 project BLAME onto other human agents. Now it is not the Self who is
11600 wrong but IT IS THAT THE SELF IS WRONGED BY OTHERS.
11700
11800 (4)Since others are now believed TO HAVE EVIL INTENTIONS TO WRONG THE SELF
11900 procedures for the detection of malevolence in the input
12000 ARE GIVEN A FIRST priority IN THE INPUT STRATEGIES.
12100
12200
12300 (5) IF THE INPUT STRATEGIES SUCCEED IN detecting malevolence,
12400 OUTPUT STRATEGIES ARE EXECUTED TO REDUCE THE EFFECTS OF THE MALEVOLENT OTHER.
12410 (6) FINALLY AN EVLAUATION IS MADE
12500 REGARDING THE the success or failure of the output strategies.
12600 THE ABOVE DESCRIPTION attempts to summarize in somewhat vague prose a complex series of
12700 POSTULATED interactions IN AN ORGANIZATION OF symbol-processing procedures. The
12800 details of these procedures and their interactions will be made
12900 explicit when the algorithm is described (see p ). The theory is
13000 circumscribed in that it attempts to explain only certain
13100 phenomena.It does not attempt to explain, for example, why the
13200 censuring process condemns particular actions or states as
13300 wrongs nor how any of these procedures develop over time in the
13400 enculturation experience. Thus it does not provide an ontogenetic
13500 explanation of how AN ORGANIZATION OF processes came to be the way it is
13600 The MOdel offers an explanation only of how the ORGANIZATION can be
13700 viewed to operate in the present.
13710 SOME EVIDENCE BEARING ON THE POSTULATED PROCESSES WILL NOW BE DISCUSSED.
13900 THE PROCESSES WILL BE CONSIDERED IN THE ORDER OF THEIR OBSERVABILITY.
14100 THE PROCESSES of (4), the reduction of persecution, receive evidential
14200 support from observations of normal, neurotic and psychotic
14300 paranoias. The agent may report directly to an observer that his, for
14400 example, hostile remarks are intended to retaliate for a believed
14500 wrong at the hands of the other. `I want him to feel bad and to leave
14600 me alone'. The output behaviors of the paranoid mode can be grouped
14700 into reducing persecution by retribution or by withdrawal.
14800 Retribution is intended to drive the other away while withdrawal
14900 removes the Self from the sphere of the other. We are not aware of
15000 any experimental evidence bearing on this point and perhaps the
15100 clinical and everday obsevations are sufficient not to require any.
15200 The intensive scan for malevolence postulated in (3) has both
15300 clinical and experimental evidence in its behalf. Clinicians are
15400 familiar with the darting eye-movements of psychotic paranoids.
15500 Patients themselves report their hypervigilance as intended to detect
15600 signs of malevolence. Silverman [ ] and venables [ ] have reported
15700 experiments indicating that paranoid schizophrenics more extensively
15800 scan their visual fields and have a greater breadth of attention than
15900 other schizophrenic patients. As we move farther from observation
16000 in considering the processes postulated in (2) and (1), the grounds
16100 become more shaky. Projection is a century-old concept which has
16200 been used to account for the common clinical observation that
16300 paranoid patients accuse others of actions and states which hold true
16400 for themselves according an outside observer. As Leibniz said about
16500 Newton 300 years ago `he himself is guilty of what he complains of in
16600 others'. A process of projection has also been offered to account for
16700 the particular selectivity involved in the hypersensitivity to
16800 criticism. That is, why does a man believe others will ridicule him
16900 about his appearance unless some part of himself believes his
17000 appearance to be defective. The counter-argument is that the
17100 selectivity stems from the agent observing how others in his
17200 subculture are ridiculed and expects the same to be applied to him.
17300 The obscurity of the relation between what the Self expects as
17400 malevolence and the Self's own properties is well illustrated in
17500 hypotheses which attempt to explain the paranoid mode as a
17600 consequence of homosexual conflict. It has long been observed that
17700 some (not all) paranoid patients are excessively concerned with the
17800 topic of homosexuality. Several studies of hospitalized paranoid
17900 schizophrenics show them to be preoccupied with homosexuality far
18000 more than the nonpsychotic controls.(See Klaf and Davis [ ],etc) Such
18100 evidence may be interpreted as having causal implications for certain
18200 cases. In a more general theory , if homosexual interests come under
18300 the Self-censuring process, then the causal relation becomes
18400 plausible but no more than that. It is equally plausible that an
18500 agent expects to be accused of homosexuality because in his culture
18600 that is a common means of ridicule regardless of the actual nature of
18700 the transgression determined by the Self-censuring process. It is
18800 obvious that something commonly called conscience regulates human
18900 behaviour. But can a Self-censuring process be so severe as to be
19000 responsible for the pathological procedures of the paranoid mode? Why
19100 do some mental systems develop this way and not others? Of that about
19200 which one cannot speak, one must be silent.