Social processing errors among paranoid personalities

The present study tested clinical hypotheses about the social processing attributes of paranoid personalities (PP). Eighteen PPs and 18 normal controls (NC) viewed standardized role plays (Dodge, 1986) in which a provocation occurred but the protagonist's intention varied (i.e., ambiguous, accidental, hostile, or prosocial). Subjects identified the intention behind the action and then chose a response to that action (e.g., ignore what he did). The results indicated that PPs and NCs did not differ on intentioncue detection when the intention was clear, but PPs had a significantly higher rate of misreading ambiguous situations. Furthermore, when intentions were ambiguous, PPs were more likely than NCs to identify them as hostile intentions. Finally, PPs' reactions to the vignettes were different from normal controls' when the perceived intention was either prosocial or accidential. PPs were more likely to respond with anger and less likely to ignore the event, compared to NCs. These data provide initial support for clinical notions about the aberrant social processing of paranoid personalities.     

Reading and Writing: Psychoanalytical Treatment in a Case of Paranoia

Difficulties encountered in clinical work with psychoses require psychoanalytical approaches different from those used for treating neurosis. The authors use a clinical case of a paranoiac patient to highlight the role played by writing, drawing, and painting in the psychoanalytical treatment of psychosis. They also discuss the role of the reader-analyst in this patient’s transferential process, which led to the emergence of a new subjectivity.     

Through a glass darkly Some reflections on psychiatric nursing

Abstract

This paper is about ways of understanding some of the behaviour and events that occur in psychiatric wards. It is argued that a psychodynamic understanding of these events would help both staff and patients see some ‘meaning in madness’.     

But Is It a Basin? Science,Controversy, and Conspiracy in the Fight for Mirador,Guatemala

The ancient Maya city of Mirador, located in the northeastern corner of Guatemala's Maya Biosphere Reserve, is at the heart of a raging scientific and political controversy. On the surface, the conflict centers around the geological definition of a ‘basin’ surrounding the magnificent site. One side uses the existence of a basin—backed up by satellite images and analyses—to push for redrawing the boundaries of the reserve, arguing that the feature naturally delineates key archaeological and ecological sites and that current reserve management is failing the forests. The other side insists that there is no geological basin—a contention also backed by satellite images and analyses—and that redrawing the lines would undermine more than 20 years of conservation efforts. On both sides of the fight, rumors abound about secret agendas, manipulated data, backroom political deals, and other shady business. These conspiracy stories reveal how paranoid thought is simultaneously a powerful epistemology and a practical political strategy, both of which shape the production and interpretation of scientific facts. Rather than contrasting irrational political rumor with logical scientific fact, or considering the former as simply context for the latter, the case of Mirador demonstrates how the two are deeply entangled ways of acting on and making sense of a complex landscape.     

Concerning Madness and Human Suffering

Pastoral Psychology - Few behavioral scientists have attempted a penetrating examination of the problem of suffering. Eschewing its etiology as a moral issue, they have left it to philosophers and...     

Fundamentalism and Paranoia in Groups and Society

This paper will examine the concepts of fundamentalism and paranoia to contribute understanding to how extremist positions have developed. Fundamentalism is a rigid, dogmatic, and skewed view that dismisses other competing and conflicting viewpoints. Extreme feelings can only lead to extremist behavior. Fears in our inner selves will only fuel the fires of paranoia, encourage fundamentalist behavior, and lead to group conflicts. We will examine this on micro (group) and macro (society) levels.     

Counselling the (self?) diagnosed client: generative and reflective conversations

In this paper, we address the phenomenon of clients who present their concerns in the medicalised discourse of the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5). We contextualise this phenomenon, highlighting how a ‘diagnose-and-treat’ logic increasingly pervades everyday understandings and informs people's efforts to make sense of their concerns. We relate these cultural ways of sense-making to discursive counselling practice, noting possibilities for circumventing ‘discursive capture’ through reflective and generative dialogues. We then turn to two common ways in which clients present their concerns in counselling: (1) arriving self-diagnosed or diagnosed by another professional and (2) as a family in which parents present a child as having a mental disorder. We suggest ways of moving beyond medicalised discourse via resourceful and critically reflective conversations with clients.     

Cultural Mistrust and the Clinical Diagnosis of Paranoid Schizophrenia in African American Patients

This study examined agreement between clinical diagnoses and research diagnoses of schizophrenia for a sample of African American patients recently admitted to a psychiatric hospital. It also examined the association of cultural mistrust with disagreement between clinical diagnoses and research diagnoses of the paranoid subtype of schizophrenia. Complete data was available for 118 (77%) of the 154 cases from the original sample. Agreement among the different sources of diagnoses was poor in 5 out of 6 comparisons. The lack of agreement can be attributed, in part, to the fact there were significantly more cases of schizophrenia using clinical diagnoses than those using SCID or best estimate methods. Contrary to the hypothesis, however, level of cultural mistrust did not predict the excess in clinical diagnoses of paranoid schizophrenia. Cultural mistrust was positively associated with the odds of a diagnosis of paranoid schizophrenia by the best estimate method. The implications of the results for the diagnosis and treatment of African American patients are discussed.     

Life Experience Is Not a Disease or Why Medicalizing Madness Is Counterproductive to Recovery

Abstract

The author draws on her personal experience as the family member of an individual with mental illness, on her anthropological research and on that of others to argue that medicalizing madness can be counterproductive to recovery. The medical model is sometimes used in a way that strips away the meaning of the illness experience. Analogies drawn to diseases do not help the understanding of mental illness. Psychiatry is a social practice embedded in a social milieu and that renders it less than objective. It is useful to recognize that the experiences called symptoms have meaning and may have positive and pleasurable aspects.     

“Something There is That Doesn't Love a Wall”: Queer Theologies and Reparative Readings

A set of recent conversations among scholars working in queer cultural and literary theory has focused on the trope of reparative reading. Reparative readings, usually contrasted with the “paranoid” criticism of those working in the Butlerian tradition, are often informed by the writings of Eve Kosofsky Sedgwick. This article explores the “reparative turn” in the context of Christian queer theologies, and suggests that it may include practices of “sociability with the dead”: both listening to and honouring the abjected past of queer ancestors, and continuing to be in conversation with the damaging and hurtful parts of the Christian tradition as a means of holding them accountable.     

Philosophy, the “unknown knowns,” and the public use of reason

There are not only true or false solutions, there are also false questions. The task of philosophy is not to provide answers or solutions, but to submit to critical analysis the questions themselves, to make us see how the very way we perceive a problem is an obstacle to its solution. This holds especially for today’s public debates on ecological threats, on lack of faith, on democracy and the “war on terror”, in which the “unknown knowns”, the silent presuppositions we are not aware of, determine our acts.     

The Impact of Rumination on State Paranoid Ideation in a Nonclinical Sample

Cognitive-behavioral models of paranoia have emphasized the potential role of perseverative thinking styles, such as rumination or worry, in the development, maintenance and exacerbation of paranoid beliefs. This study aimed to experimentally test the hypothesis that rumination may play a role in the maintenance or exacerbation of state paranoid ideation. Following a paranoia induction, 37 nonclinical participants were randomly assigned to either a rumination task or a distraction control condition. In accord with main hypothesis, rumination was associated with maintained levels of paranoia, whereas distraction was associated with a decrease in levels of paranoia. These findings suggest that perseverative thinking may play a role in the maintenance of paranoid ideas, which may have implications for our understanding of the maintenance of paranoia and persecutory delusions in the clinical population. Furthermore, the study used a novel experimental paradigm for inducing paranoia, which may prove valuable for future research aiming to elicit paranoid thoughts and feelings in vivo.     

理想与癫狂——王莽改制的思想史意义与政治史意义

王莽改制作为儒家理想主义运动的产物,其历史意义是双重的。从思想史的角度看,改制事件彰显了儒家政治思想中的癫狂性格;从政治史的角度看,事件向人们提供了观察中国古代政治生活之本性的契机。