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Obsessive Compulsion – Time for a Meeting of Psychology and Religion?

Feeding an obsession

Feeding an obsession by Hirni Pathak via Flickr

Psychology

In psychoanalysis, obsession is a neurosis where one dwells on an issue, situation or another person to an extent that could be unhealthy and potentially destructive. In mainstream psychology, obsessive thoughts are usually regarded as irrational.

At best, obsessive people are a pain in the neck. But it can be far worse than that.

Obsession should not be confused with compulsion, the latter involving behavior. However, obsessive thinking is often accompanied with compulsive behavior—for example, a lonely, jealous and hateful internet stalker.

Psychologists see obsessive thought and compulsive behavior as flawed mechanisms where a person tries to avoid unconscious feelings of pain, guilt or inadequacy.

Contemporary psychology calls this unhealthy merging of thought, feeling and behavior Obsessive-Compulsive Disorder (OCD).

A classic literary example of obsessive-compulsive behavior is found in Shakespeare’s character Lady Macbeth, whose repeated hand washing bespeaks a crime and her related feelings of guilt and defilement.

Magnificent Obsession (1954 film)

Magnificent Obsession (1954 film) via Wikipedia

Theology

In Catholic theology, obsession refers to a person unduly influenced or harassed by evil spiritual powers or beings. This differs from possession, the belief that a person loses control over the body – but not the soul – as the devil seems to control them.¹

Psychological and theological perspectives on obsession could be combined to mutual advantage.

For instance, unresolved psychological complexes could be weak spots in a person’s psychological armor (usually called “sense of self” or “boundaries”), allowing demonic influences to actually cause or exacerbate conditions and behaviors which manifest as obsessive-compulsive behavior.

Put simply, evil might like to prey on psychological vulnerabilities. And I think it probably does. Or, rather, tries to.

¹ I say “seems to control” not to bracket the truth claim from a secular point of view but rather, to emphasize that Catholic theology believes the devil can never really control another person. These are two very different ideas.

Related » Mental Illness, Occam’s Razor, Shaman, Shamanism, Spiritual Attack, Tramp Souls, Undoing

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 London is seriously jinxed by the Scottish play (slippedisc.com)

 Survival game ‘We Happy Few’ for Xbox and PC delayed until summer (windowscentral.com)

 The Glenholme School Observes Mental Health Awareness Month (prweb.com)

 This tiny dog is a compulsive thief and he needs to be stopped (mashable.com)

 Is Video Game Addiction Unscientific Bullshit? (gizmodo.co.uk)

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Counter-discourse

Michel Foucault and Jean-Paul Sartre in a protest via Tumblr

The French philosopher and social historian Michel Foucault maintains that every social discourse contains one or more (small or large-p) politically generated truth claims. Foucault also believes that every discourse encounters a counter-discourse that challenges the original discourse’s legitimacy.

Foucault says that every discourse exists within a given body of social discourses. No truth claim is advanced in total isolation. So naturally, given the range of human opinion, every discourse meets resistance or challenge.

The idea of truth for Foucault is interesting. Instead of claiming to know or discern absolute truth (as religious leaders often do), Foucault suggests that truth is relative to power struggles in society, and to the discourses created within those struggles. So truth in a given area for Foucault often seems to be nothing more than the outcome of struggle among competing discourses. In short, social power produces, creates or, to employ Berger and Luckmann‘s sociological term, constructs notions of truth.

In 2009 A user at Yahoo! Answers, KeitHxS, asked what counter discourse means.

This might be dumb….but I’m working on some homework and it asks if there is any evidence of counter-discourse?

What exactly does counter discourse mean? Like an opposing view?¹

Most professors of semiotics would probably dislike this simple and clean idea of “opposing view.” But it does capture the essence of what counter-discourse means for Foucault. What it lacks, however, is the fullness of Foucault’s analysis of social discourse. On this, a fairly good summary can be found at Wikipedia:

In the humanities and in the social sciences, the term discourse describes a formal way of thinking that can be expressed through language, a social boundary that defines what can be said about a specific topic; as Judith Butler said, “the limits of acceptable speech”, the limits of possible truth.

Discourses are seen to affect our views on all things; it is not possible to avoid discourse. For example, two notably distinct discourses can be used about various guerrilla movements describing them either as “freedom fighters” or “terrorists“. In other words, the chosen discourse provides the vocabulary, expressions and perhaps also the style needed to communicate.

Discourses are embedded in different rhetorical genres and metagenres that constrain and enable them. That is language talking about language, for instance the American Psychiatric Association‘s DSMIV manual tells which terms have to be used in talking about mental health, thereby mediating meanings and dictating practices of the professionals of psychology and psychiatry.

Discourse is closely linked to different theories of power and state, at least as long as defining discourses is seen to mean defining reality itself. This conception of discourse is largely derived from the work of French philosopher Michel Foucault.²

Foucault via Tumblr

The above mentions the very different connotations arising from terms like “freedom fighters” and “terrorists.” Another example can be found in the recent suicide of Aaron Swartz. Instead of calling Swartz a “hacker,” which would be a discourse with mostly negative connotations, there seems to have been a quick and almost general agreement within the media to designate him as an “activist,”  a much softer and respectful term than “hacker.”

Foucault’s belief that social power creates relative notions of truth is reminiscent of the idea that ‘might is right’, an idea that goes back at least to Plato. In the Republic Thrasymachus argues that notions of justice are in the interests of the stronger, and often unjust. Foucault’s view, however, differs in its subtlety and complexity.

Moreover, Foucault seems indifferent to making value judgements, at least at the theoretical level, and more concerned to simply outline his view of “what is.” This ironically creates another social discourse (that of the privileged intellectual, salaried by the university) that can be challenged by any number of counter-discourses.

While some maintain that Foucault’s idea of counter-discourse aligns his thinking with the Hegelian dialectic, Foucault himself argues against such a comparison.³

To bypass the sticky debate as to just what Hegel meant by the dialectic, it does seem fair to say that Hegel’s view involves a teleology in which a World Spirit progresses through history. Foucault, however, does not envision a master plan of teleological unfolding as found in Hegelian thought. Instead, his poststructural perspective is discontinuous and largely open-ended.

¹ http://answers.yahoo.com/question/index?qid=20101210165854AALeAQ0

² http://en.wikipedia.org/wiki/Discourse#The_humanities

³ For those interested in the Hegelian dialectic, this Wikipedia entry seems to clear up a lot of ambiguity created by many writers and professors. This ambiguity was reflected in our own 2008 entry, still visible at Yahoo! Answers. So funnily enough, one could argue that this 2013 entry is a counter-discourse to our 2008 entry.


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DSM-IV-TR

My wife reading in bed. And it wasn't because ...

My wife reading in bed. And it wasn’t because she was trying to get to sleep. (Photo credit: Wikipedia)

The DSM-IV-TR (The Diagnostic and Statistical Manual of Mental Disorders, Version IV with Text Revisions) is the most recent manual developed by the American Psychiatric Association, one used by health professionals to classify various psychological disorders, generally referred to as mental illnesses.

The DSM-IV-TR is used around the world, along with two other manuals (The ICD-10 produced by the World Health Organization and The Chinese Classification of Mental Disorders produced by the Chinese Society of Psychiatry).

Each diagnosis is number-coded and depending on the country, may be used by hospitals, clinics and insurance companies.

Some postmodern thinkers and particularly anti-psychiatry groups say that the DSM-IV-TR, along with its counterparts, constructs (as in creates) rather than classifies mental illnesses. For those unfamiliar with this idea, it might take a while to understand just what these thinkers are saying. But in a nutshell, postmodern critiques of the DSM-IV-TR argue that certain illnesses are, in a sense, created by the way that those with social power interpret unusual behaviors. In more common parlance, these thinkers say that those who benefit from the status quo tend to label certain people who behave differently from the social rules and expectations of the day.

These kinds of conceptual and historically based critiques of the DSM-IV-TR and of psychiatry, in general, tend to draw on the work of thinkers like Michel Foucault, Thomas Szaz, R. D. Laing, Ram Dass, David Lukoff, Stanislav Grof, L. Ron Hubbard (the founder of Scientology) and others.

Other critiques focus not so much on the issue of the DSM-IV-TR’s analytical validity but on the possibility of negligence by incompetent practitioners.

Debates also exist about the relation between psychiatric classification, on the one hand, and cultural, political and economic realities on the other hand, the most visible example being the link between pharmaceutical companies and the discipline of psychiatry, and a less visible example being political in-fighting among psychiatrists.

While some readily dismiss the DSM-IV-TR as a kind of 21st-century witch hunter’s manual,  we’d do well to remember that psychiatry (along with its diagnostic tools) is a developing science.¹ And human beings do live in a social and largely organizational world, and those who differ dramatically often do suffer, and in violent cases, cause others to suffer (or die).

The fact that psychiatry is a developing science is often overlooked or negatively construed by its more forceful critics, while embraced by its supporters. Regardless of one’s philosophical position on this point, sociologists will rightly note that the DSM-IV-TR still enjoys a high degree of societal legitimacy and legal power.

To this Ofer Zur, Ph.D. adds:

The DSM is a political not a scientific document. It pathologizes women, children, and minorities. It defines existentially normal behaviors as mental illnesses. It is a money making endeavor for psychiatry and other mental health professionals. It ‘dares’ to define what is normal and what is abnormal and who should be free or detained against their will…[one may find] a detailed critical article about the DSM at http://www.zurinstitute.com/dsmcritique.html » See in context

Related Posts » Corruption, Madness

¹ As I write this a new DSM V is currently being forged, among much debate and controversy. See http://en.wikipedia.org/wiki/DSM-5