Friday 4 March 2011

The Sickness of the State

The Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Diseases (ICD) or any other classification system(s) for mental illness ought to consider a category for 'disorders of the State or government' for tyrannical regimes and so-called 'democracies' that oppress and harass people on a frequent basis.

I suspect the presentation will be an amalgamation of narcissistic & obsessive- compulsive personality disorder, delusional disorder, and paranoid disorder NOS (not otherwise specified).

Consider the following clinical features listed in DSM IV TR in relation to the arbitrary and authoritarian censorship practices of the Indian government

Narcissistic personality disorder:

- 'Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)' We all know that the power of the state far exceeds its merit.

- 'Has a sense of entitlement, i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations.' Manifested as the illegitimate exercise of authority.

- 'Is interpersonally exploitative, i.e., takes advantage of others to achieve his or her own ends.' Suppresses freedom of speech and expression allegedly to safeguard the interests of the 'nation' where nation = sarkar.

- 'Shows arrogant, haughty behaviors or attitudes' reflected in the fact that the government assumes the ability and right to decide what is right or wrong for millions of people.

Obsessive compulsive personality disorder:

- 'A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency...', "control" being the operative word.

Delusional disorder

- 'Delusional disorder is a psychiatric diagnosis denoting a psychotic mental disorder that is characterized by holding one or more non-bizarre delusions... Non-bizarre delusions are fixed beliefs that are certainly and definitely false, but that could possibly be plausible.

Specifically, to be a "delusion," a belief must be sustained despite what almost everyone else believes, and not be one ordinarily accepted by other members of the person's culture or subculture'*

* Such as the general public who may not share the government's belief that certain blogs are offensive, or that FTV corrupts the moral fabric of Indian society.

As for paranoid disorder NOS- consider the following diagnostic criteria specified by ICD-10 for paranoid personality disorder (four out of seven are relevant)

- 'Excessive sensitivity to setbacks and rebuffs

- tendency to bear grudges persistently, i.e. refusal to forgive insults and injuries or slights;

- tendency to experience excessive self-importance, manifest in a persistent self-referential attitude

- preoccupation with unsubstantiated "conspiratorial" explanations of events both immediate to the patient and in the world at large'

I rest my case.