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Why neurosis is hard to treat

schopenhauer1 September 16, 2019 at 19:56 12350 views 50 comments
One of the main differences between psychosis and neurosis is that psychosis is a mental condition (like schizophrenia) which is defined by a "break" from reality- the person with psychosis loses touch with what is real and what is not. Further, the person doesn't know they have lost touch. For example, they might have hallucinations, hear things, believe people are following them, believe themselves to be all-powerful or all-weakened. They often talk to themselves in an imaginary world, etc.

However neurosis is a bit more tricky to define. It is a mental condition whereby the victim knows that their behavior and beliefs are abnormal or not "rational" but the belief and behavior persist anyways. A classic form of neurosis is obsessive-compulsive disorder (OCD). Another form of this might be something like a mild psychosomatic disorder (one "feels" like something is wrong, even though rationally, they "know" nothing could have actually changed). What is interesting about neurosis in particular is it is much harder to convey to someone who does not suffer from it.

Here is a scenario:
Every time you do an action (let's say send an email) and use a parenthesis in the email like this (), you believe that your brain only functions at half capacity as it would otherwise function. In other words, for this person, right when they send an email that contains a parenthesis, they feel their cognitive capacity has diminished and they cannot function at their work, their social life, nor daily living at the "normal" capacity that they felt prior to this event. The only way to get rid of this feeling is to repeat the same exact email but restructure it without the parenthesis. Once they have done this compulsion, they immediately get rid of the "stupid feeling" and their mind goes back to full capacity. The person was well aware that this makes no rational sense, and that physiologically, except for perhaps adrenaline of feeling "triggered" (that might actually be causing the diminished cognitive feeling), there is no real change. It was simply OCD coupled with a psychosomatic feeling that has a very immediate and negative impact for that person.

Now, someone who does not suffer from this neurosis would find this odd. No matter how much the person afflicted with this condition would explain it, the other people would just be perplexed at how this otherwise rational person would be feeling. For a vast majority not afflicted with a neurosis, indeed a neurotic disorder would seem very alien. They might even have more empathy for a fully psychotic person, as even though they may not understand the person, their break from reality is so strong, that it can be chalked up to that person having a severe mental breakdown. The neurotic person suffers nonetheless, and sometimes on a minute-by-minute basis, but people may have less understanding or empathy for this person, as their break doesn't look like a normal "break", but more of a manifestation of odd behaviors on an otherwise "well-adjusted" seeming fellow. Also note, for the neurotic person, they also full-well know what they are doing seems crazy and irrational.

Thus, I see the person with neurosis to often slip through the cracks of society, suffering silently. It would mean they are isolated, not understood, and perpetually in their own world. Most people throw out terms like "see someone", "cognitive-behavioral therapy", "medications", etc. Much of these are external ways of trying to deal with something that is very idiosyncratic and internal to the person who is experiencing the condition.

Perhaps @Bitter Crank has something interesting to add?

Comments (50)

TheMadFool September 17, 2019 at 03:52 #329714
Reply to schopenhauer1 It's the tip of the iceberg problem isn't it? Frank psychosis stands out like Gulliver in the land of the liliputs and we have learned to diagnose and treat it. 90% of the iceberg is hidden and represents the vast number of people who have neurotic traits. Your post made me realize that despite the claims of "great" progress and advancement by the medical community all they've done is plucked the low hanging fruit, shot the sitting duck while completely missing those ailments that are difficult to get a fix on.

However, it could be that neurosis isn't really a problem. People manage to take it in their stride and it doesn't cause personal or social disruptions to the degree warranting treatment or intervention.
Deleted User September 17, 2019 at 04:12 #329723
Quoting schopenhauer1
The only way to get rid of this feeling is to repeat the same exact email but restructure it without the parenthesis. Once they have done this compulsion, they immediately get rid of the "stupid feeling" and their mind goes back to full capacity. The person was well aware that this makes no rational sense, and that physiologically, except for perhaps adrenaline of feeling "triggered" (that might actually be causing the diminished cognitive feeling), there is no real change. It was simply OCD coupled with a psychosomatic feeling that has a very immediate and negative impact for that person.
This description, which I am not disagreeing with, has parallels with a lot of traditions, cultural habits and normal behavior. For example, all sorts of politeness, the not wearing of a tie in a corporate setting for a man, having the 'right' hairstyle, being in fashion in a variety of ways, bowing when meeting someone in certain cultures, all sorts of status behaviors with people who are (supposedly) higher and lower statuses...and so on.

These are all irrational behaviors that if not carried out give people anxiety. The different is that they are 'understood' and 'expected' by the various cultures or subcultures. One can see the neuroticness in big cities, say on the subway, where a bunch of different subcultures intermingle. There you will see people conforming to a wide variety of norms that look entirely differently, inlcude different ways of speaking, dressing, coiffing, standing, moving...and most of those people would feel extreme anxiety if they did not do all these things 'right'.

I would conclude that we have cultural neuroses and not only do these cause people stress, they are further used to ostracise people and create random hierarchies, and then they cost a lot of money, especially with clothes, the 'right car', trophy houses.........

TheMadFool September 17, 2019 at 04:25 #329725
Reply to Coben I think you've overstretched the definition of neurosis. It's not a cultural issue. In fact neurosis is defined in terms of not being part of cultural practice. Of course cultures differ and neurosis may be relative.
Deleted User September 17, 2019 at 04:37 #329727
Reply to TheMadFool I do understand that people doing those things are not diagnosed as neurotic. I am arguing that they are neurotic. That these are cultural neurosis. In fact I would make the case, for example, that the fashion industry through its various marketing strategies, tries to (successfully) create and sustain neurotic behavior. Individual neurotic behavior is seen as pathological, but collective neurotic behavior generally not so. But we have exactly the same structure psychologically.
TheMadFool September 17, 2019 at 04:42 #329729
Quoting Coben
I do understand that people doing those things are not diagnosed as neurotic. I am arguing that they are neurotic. That these are cultural neurosis. In fact I would make the case, for example, that the fashion industry through its various marketing strategies, tries to (successfully) create and sustain neurotic behavior. Individual neurotic behavior is seen as pathological, but collective neurotic behavior generally not so. But we have exactly the same structure psychologically.


I agree. It's just that cultural practices are excluded from neurosis as a diagnosis, just like belief in god is excluded from the definition of a delusion. If this isn't done then everyone is neurotic which makes neurosis-normal a pointless distinction to make.
Deleted User September 17, 2019 at 04:50 #329732
Reply to TheMadFoolThough in a sense it is an unfair distinction. You are pathologizing people who have neuroses that are not shared socially with other people, allowing people with power to utilize the anxieties of collective neurotics (most of us). If we started to call these collective neuroses for what they are, it might make slight inroads into ending them, at least for some people.

Right now in the US we have 80 million people on psychotropic meds. I certainly don't want to increase diagnosis to medication type paths, but we are already via psychiatry/pharma and the pathologization of emotions blurring the normal/pathological boundary.

I notice where we do not do this, and I think we avoid doing it around power and corporate use of anxiety.

There's an opportunity to empower people here. Right now neurosis and many other diagnoses are used to disempower people.

TheMadFool September 17, 2019 at 06:40 #329748
Quoting Coben
If we started to call these collective neuroses for what they are, it might make slight inroads into ending them, at least for some people.


I wonder though which choice is the correct one?

1. Call everyone neurotic (collective neurosis)

or

2. Call everyone normal

I personally don't have a preference but there is sense in maintaining the distinction between neuroses and normalcy. It, apart from giving psychiatrists something to do, helps some overcome by neurotic traits to seek help and get treatment.

As for collective neurosis it's important to be aware of it as it gives valuable insight on the human condition - sort of like an epiphany.
Deleted User September 17, 2019 at 06:57 #329751
Reply to TheMadFool We can keep the distinction up. Collective neuroses and individual neurosis. I think these are different phenomena. I just want the collective behavior recognized for what it is. Then it gives a tool to attack, for example, corporations that create and/or cynically utilize neuroses for their own gain. I certainly don't want psychiatrists to have a new set of customers. But in a sense they likely already have them. The collective neuroses cause more anxiety, those who are on the more anxious end of that group are more likely to be told they have anxiety disorders, for example. So they do benefit from other organizations creating neuroses.

It might also have a soothing effect on neurotics, when they start to see that 'normal' people act like they do, but it is considered normal because large groups share neuroses. I would guess that what we now call neuroses have a lot to do with modern culture, the detachment from nature, lack of meaningful work, lack of meaningful physical activity, and collective neuroses also. IOW we pathologize individuals when their anxiety is probably in large part more of a sociological event. Now critics of my position will say there are genetic factors. No doubt. But here's the thing: all that indicates is that some people are genetically more reactive to modern society's faults and lacks. Just because some people react in certain ways gets, as a rule, diagnosed and pathologized, in a sense as we used diagnose gays. They are a minority, so their difference is pathologial and we can call it a disease. But minority reactions to

the way things currently are..

may very well just be normal, but further out on the bell curve, reactions to problems in the society.

Now I am being polemical here. I don't really know what happens if we start viewing the categor of behaviors I called collective neuroses as neuroses. I don't know for sure what underlies much more modern humans anxiety and depression.

I think https://www.amazon.com/Lost-Connections-Uncovering-Depression-Unexpected/dp/163286830X
makes an excellent case that our problems are much more to do, in general, with our situations, and further that these can be changed on an individual and even societal level and without drugs and without pathologizing people and emotions.

So I would like to pathologize norms, for a while, and depathologize emotions, because emotions are being heartily pathologized in our society. Of course they always have been, but now technologies are coming in to crush them..
TheMadFool September 17, 2019 at 07:31 #329755
Reply to Coben I had a faint idea where you were heading with "collective neurosis" viz. this: "corporations that create and/or cynically utilize neuroses". You're right neuroses are parts of the psyche we least control and wouldn't corporations just love that?

I hope we're on the same page?

Manipulating the masses is feasible with collective neuroses.

You make an excellent point, broadening the scope of neuroses to include groups, even entire cultures.

I don't know if the term "neuorsis" is the best for this view on the collective though. Can we diagnose an entire culture to be sick?


Deleted User September 17, 2019 at 09:06 #329780
Reply to TheMadFool Well, it's not the entire culture, and there are degrees of it. And some cultural things do not create anxiety, they can create just joy or fun, or are rather neutral like many politeness phrases. But it might be a way to analyze culture. What creates neurotic relations to certain behaviors (and purchases), what does not?

etymology
neurosis (n.)
1776, "functional derangement arising from disorders of the nervous system (not caused by a lesion or injury)," coined by Scottish physician William Cullen (1710-1790) from Greek neuron "nerve" (see neuro-) + Modern Latin -osis "abnormal condition."


And there are people who do not buy the collective neuroses in most cultures and subcultures. There can be tremendous pressure, economic, peer, parental, religious to be neurotic, but often one can manage to at least minimize one's neurotic conformism. There is often a cost however.



TheMadFool September 17, 2019 at 09:34 #329792
Reply to CobenWell, the way you directed the discussion I'm led to believe, true to the term "neuorsis" whose definition you kindly provided, that collective neurosis is an illness - a weakness if you will, ripe for exploitation by the unscrupulous.

Then you said Quoting Coben
they can create just joy or fun, or are rather neutral like many politeness phrases.


That tells a different story and that "neurosis" may not be the right term to apply here.

Quoting Coben
And there are people who do not buy the collective neuroses in most cultures and subcultures. There can be tremendous pressure, economic, peer, parental, religious to be neurotic, but often one can manage to at least minimize one's neurotic conformism. There is often a cost however.


Then you said the above which again looks like you're trying to criticize cultural norms as an illness and that we should resist or defy them but at a cost.

We could say that collective neurosis applies to those social norms that can be used to exploit/harm us. You mentioned things like "right car" and it makes sense: Our desire to conform to a social standard makes us do irrational and, sometimes, harmful things. Is drug-abuse in children and young adults a collective neurosis?

Deleted User September 17, 2019 at 10:39 #329815
Quoting TheMadFool
Well, the way you directed the discussion I'm led to believe, true to the term "neuorsis" whose definition you kindly provided, that collective neurosis is an illness - a weakness if you will, ripe for exploitation by the unscrupulous.
I wouldn't say we have an illness, but we are affected by nurture. If mommy says trees are dangerous and screams when she see them, children will develop anxiety around trees, at least many. It's not that the children are sick, it's that they learn socially. Commericals with subtext and unconscious messages, fashion news, movies, and so on, are a form of nurture we learn from.Quoting TheMadFool
That tells a different story and that "neurosis" may not be the right term to apply here.
Well, the same behavior of someone fussing over something, like making fly fishing flies if they don't suffer or have anxiety around it, is not neurotic. So it is not the behavior, it is the suffering. Corportions tend to create anxiety and things like fashion are presented to us with the deeply embedded idea of potential failure, for example. So here we are dealing with neuroses, where unnecessary behavior is given an irrational importance coupled with anxiety.Quoting TheMadFool
Then you said the above which again looks like you're trying to criticize cultural norms as an illness and that we should resist or defy them but at a cost.
Cultural norms, ones that have no practical objective positive to them, are irrational or non-rational. If they cause anxiety, then they are neurosis creators.. If they don't then they are simply ornamental.Quoting TheMadFool
We could say that collective neurosis applies to those social norms that can be used to exploit/harm us. You mentioned things like "right car" and it makes sense: Our desire to conform to a social standard makes us do irrational and, sometimes, harmful things.
Yes, sort of you worded it here. Quoting TheMadFool
Is drug-abuse in children and young adults a collective neurosis?
I would think it is a symptom of collective neurosis in general. But can be, in certain subcultures, a collective neurosis. The whole artist/rock star self-abusive abusive archetype in that subculture is a collective neurosis, where it seems like to be creative and cool, you need to do drugs to excess. That book I mentioned above Lost Connections. Interestingly the same author has a book on the war on drugs and drug abuse. They found that a very large percentage of drug abusers were abused as children, sexually or via other violence, sometimes neglect. IOW it's not a disease or set of genes, it is a reaction to nurture.

Chasing the Scream: The First and Last Days of the War of Drugs

is also an incredible read. I can't recommend it enough. Pretty much everything we have been told about drug abuse is not correct.
TheMadFool September 17, 2019 at 11:10 #329819
Reply to Coben I have to admit that collective neurosis is real and people need to be aware of how they may be unconsciously influenced by those who are in the know. It's liberating to realize that many social standards and beliefs could be hidden neuroses. Thanks.

Just one thing I'd like you to consider. What if these neuroses are necessary in the sense that besides the harmful effects of spreading unhealthy anxiety it also serves as a vehicle for the good stuff? You mentioned the rockstar drug-abuse archetype and while I agree this is harmful for children who then think drugs are cool, I also wonder whether drugs were necessary for the artist/rockstar to convey an important useful message about music/art.

You did say: Quoting Coben
And some cultural things do not create anxiety, they can create just joy or fun, or are rather neutral like many politeness phrases.


Could it be that collective neurosis is a necessary evil - unifying society through establishing common cultural norms but, unfortunately, also providing a window of opportunity to unhealthy anxiety-causing cultural practices/norms/standards?

Even if such is the case it's sensible to be aware of collective neurosis as it allows us to adopt the good and eschew the bad. All I'm saying is that both the good and bad maybe using the same access point in our minds and therefore collective neurosis is unavoidable but definitely manageable to some extent.
Deleted User September 17, 2019 at 11:25 #329822
Quoting TheMadFool
, I also wonder whether drugs were necessary for the artist/rockstar to convey an important useful message about music/art.
Actually I wasn't worried so much about the kids imitating. I think it is a myth that the drugs are necessary for their art. I am sure that the drugs influence the art, but if the talent is there it can come anyway. Further I think one of the reasons so many rock stars lose their creativity - as opposed to painters and novelists, for example - is their drug use. The drugs may, I say may, accelerate the creative process, but you are stealing from yourself when you do this. Because they destroy the creative centers when abused.Quoting TheMadFool
Could it be that collective neurosis is a necessary evil - unifying society through establishing common cultural norms but, unfortunately, also providing a window of opportunity to unhealthy anxiety-causing cultural practices/norms/standards?
I think collective practices can be bonding. Those would be the ones that are neutral or positive. The collective neuroses are damaging, though they may also be bonding. I think we can drop out the addition of more anxiety. Life is tough enough. We don't need to be worrying if people think we suck because we don't have the newest jeans.Quoting TheMadFool
All I'm saying is that both the good and bad maybe using the same access point in our minds and therefore collective neurosis is unavoidable but definitely manageable to some extent.
I think there are reasons why some people create collective ideas that hate emotions or bodies, or teach us to be anxious about things that are not important - until we are taught to hallucinate they are. I would like us to look at these people and organizations - which of course many do already, though not with the collective neurosis model, perhaps.





Daniel C September 17, 2019 at 11:52 #329826
Everything said about psychosis and neurosis is said against the background of normality. It has to be the criterion to determine what counts as psychotic and neurotic - as well as other so-called "psychopathological conditions". To me one of the biggest problems is to know what is "normal". One of the most basic aspects of this concept must be: according to / in line with the "norm". But, there are so many norms: and, they are really so "circumstantial". It seems to me to lead inevitably to the road of "many normals". But can that be the case? If not, then what will be the nature of the "one normal"? Taken as a concept, what will be its definition, denotation / connotation, its sense / reference etc? And, after having done an in depth conceptual analysis of the concept, will it be clear to anyone what "normal" really is, or will we end up knowing even less and only be able to point out how problematic the concept actually is?
Deleted User September 17, 2019 at 12:04 #329831
Reply to Daniel C And further if we look at the past normal would now often be diagnosable. And to put this another way, I think there is implicit in the contrast between norm and abnormal an approval of society. What if society is not conducive to homo sapians. Just as some ecological niche could be made problematic - and stressful - for an animal. The norm in that case should include people who are having emotional turmoil. But that's not the way it works, at least in practical terms, now.
TheMadFool September 17, 2019 at 13:27 #329852
Reply to Coben :ok: :up:
Daniel C September 17, 2019 at 16:02 #329887
But, there is also something else that bothers me about psychosis and neurosis. To diagnose you for either one of them the "medical man" evaluates you. In other words, to state that someone is neurotic, is not a factual statement. It is a value statement - derived from evaluate. Therefore to be neurotic can be neither true nor false, because only factual statements can have the properties of being "true" or "false". If that is the case, how can we ever know if its "true" if anyone is diagnosed with some type of neurosis? The "logic of language usage" doesn't allow us to know. In fact, to ask such a question is ipso facto a senseless question. Where does that leave us?
Deleted User September 17, 2019 at 21:30 #329977
Reply to Daniel C I agree with your concerns. I think the concept can be useful if the person themselves feels like they are not enjoying life as much as others who have similar lives. That on some level that person feels like something is wrong. They worry too much - by their own estimation - are somewhat depressed, too self-critical...these kinds of things. They someone gives them a label for this pattern plus some way to minimize it. Cogntive behavioral therapy has some effect. Dynamic therapies can have an effect. If the pattern is actually coming from a traumatic experience, there are other treatments. IOW labeling a pattern can also be part of a collaborative client/practitioner relation. I think there are all sorts of things one should avoid doing in that relationship, which many professional do do. But I don't think the noticing and labeling of a pattern like this is per se bad.
schopenhauer1 September 19, 2019 at 04:08 #330551
Quoting TheMadFool
However, it could be that neurosis isn't really a problem. People manage to take it in their stride and it doesn't cause personal or social disruptions to the degree warranting treatment or intervention.


I doubt that for the person experiencing it. But yes, someone can be "riddled" with neurotic behaviors and thoughts and live a daily life. But clearly that life is not optimal for the person experiencing it. My point was that it may even be more so as they are living in a double world of having the irrational belief/behavior but also knowing that they have it.
schopenhauer1 September 19, 2019 at 04:16 #330552
Quoting Coben
These are all irrational behaviors that if not carried out give people anxiety. The different is that they are 'understood' and 'expected' by the various cultures or subcultures. One can see the neuroticness in big cities, say on the subway, where a bunch of different subcultures intermingle. There you will see people conforming to a wide variety of norms that look entirely differently, inlcude different ways of speaking, dressing, coiffing, standing, moving...and most of those people would feel extreme anxiety if they did not do all these things 'right'.

I would conclude that we have cultural neuroses and not only do these cause people stress, they are further used to ostracise people and create random hierarchies, and then they cost a lot of money, especially with clothes, the 'right car', trophy houses.........


Although I agree with you, in spirit, how enculturation and mass media can shape cultural expectations and cause widespread anxieties, I do not think this shaping of culture or these anxieties are the same a person with an actual neurotic disorder. First off, in order for something to be a disorder, it has to be a major disruption to their life. It has to affect how one functions at things like work or social interactions. It has to be pervasive. It has to be something that one cannot simply walk away from and turn on and off. An example would be let's say that for someone who was simply "anal" about how their desk was organized, they might prefer it to be neat and tidy. Someone with an actual neurosis like OCD would have something like exact spots where things need to be. If they do not put something in that pattern or place, they think about it the whole day, they preseverate, they can't think clearly. In other words, they obsess. They feel a compulsion to go back and put it in the "right" place or pattern. That is an actual neurosis. To generalize it to how culture shapes anxieties would be to muddy the definition and significance of an actual neurosis with cultural practices.
schopenhauer1 September 19, 2019 at 04:23 #330553
Quoting Daniel C
Everything said about psychosis and neurosis is said against the background of normality. It has to be the criterion to determine what counts as psychotic and neurotic - as well as other so-called "psychopathological conditions". To me one of the biggest problems is to know what is "normal". One of the most basic aspects of this concept must be: according to / in line with the "norm". But, there are so many norms: and, they are really so "circumstantial". It seems to me to lead inevitably to the road of "many normals". But can that be the case? If not, then what will be the nature of the "one normal"? Taken as a concept, what will be its definition, denotation / connotation, its sense / reference etc? And, after having done an in depth conceptual analysis of the concept, will it be clear to anyone what "normal" really is, or will we end up knowing even less and only be able to point out how problematic the concept actually is?


I don't think it has much to do with normality, per se. Rather, someone with a neurotic disorder is believing or doing something they rather not do. It interrupts their thought process and ways of being that might otherwise take place without the disorder. In other words, a neurosis is not simply a different way of doing something that can be seen externally by others, but they themselves experience and can usually report the negative impact of the neurosis and would like it to not negatively impact them anymore.
TheMadFool September 19, 2019 at 04:29 #330554
Quoting schopenhauer1
I doubt that for the person experiencing it. But yes, someone can be "riddled" with neurotic behaviors and thoughts and live a daily life. But clearly that life is not optimal for the person experiencing it. My point was that it may even be more so as they are living in a double world of having the irrational belief/behavior but also knowing that they have it.


Maybe you set the bar so high that practically no one will be able to accomplish this so-called optimal life. I guess a difference between being realistic and being idealistic.
schopenhauer1 September 19, 2019 at 04:39 #330556
Quoting TheMadFool
Maybe you set the bar so high that practically no one will be able to accomplish this so-called optimal life. I guess a difference between being realistic and being idealistic.


Let me get you in a mindset then of the neurotic person...
The "average" person may close a door. They may check the handle and turn it to make sure it is locked. They go their merry way.

The "neurotic" person (this case OCD) may have something where they lock the door 4 times. If they lock it 3 or 5 times, they feel X sensation (in the moment) or they believe Y belief will happen (in the future. This present sensation or this belief about the future causes extreme anxiety and other sub-optimal experiences (not thinking clearly, extreme fear, hypochondria, etc.). The trigger of 3 or 5 (not the "right" number) has nothing to even do with the door itself being locked.. it's just that those numbers have "magical" or "superstitious" value for the neurotic person.. They cannot shake off the anxiety of not repeating the act without thinking that something bad is happening or will happen to that person. If they lock the door 3 or 5 times and then leave, they are wrought with anxiety, fear, delusions, irrational beliefs, etc. However, if they go back and repeat the sequence four times, the feeling immediately goes away. This is not something the person wants to feel or have to repeat, but they feel it and repeat it nonetheless. That is what I mean by not optimal.
Deleted User September 19, 2019 at 04:50 #330561
Quoting schopenhauer1
To generalize it to how culture shapes anxieties would be to muddy the definition and significance of an actual neurosis with cultural practices.
Yes, I am intentionally muddying the water. These cultural neuroses may be milder in individual cases, however they are vastly more widespread, cost unbelievable amounts of money for sufferers, shift power away from individuals, at least often, to corporations, distract people from seeking real solutions, contribute to global warming, pollution, and not just a little, contribute to class tensions and social hierarchies, and because they are norms are much harder for the people to consider extricating themselves from them - from seeking treatment. I can grant that individual effects are less, but the societal level damages from these cultural neuroses, while hard to track, I consider likely to be enormous and pernicious.

The people with the disorders have trouble primarily contained to their own suffering, and then on their family members. Collective neuroses also detrimentally affect people who are many degrees of separation from the individual sufferers. IOW you can be immune to the meme aspects of the collective neurosis in question but still suffer.

Quoting schopenhauer1
First off, in order for something to be a disorder, it has to be a major disruption to their life.
It's an interesting combination of something that is an anxiety disorder with a self-medication aspect. If they were not allowed to engage in the behaviors that, say, the corporations have suggested solve the problem, they would have more of the full blown disorder. IOW the symptoms would be much more visible.Quoting schopenhauer1
It has to be something that one cannot simply walk away from and turn on and off.
I don't think most people can walk away from these patterns. To move outside what they consider important norms creates trememdous anxiety and likely depression also. And further they will often be socially and even professionally punished for moving away.Quoting schopenhauer1
Someone with an actual neurosis like OCD would have something like exact spots where things need to be. If they do not put something in that pattern or place, they think about it the whole day, they preseverate, they can't think clearly. In other words, they obsess.
This section reminded me directly of mobile use, in general, and then also the specifics of social media participation. So ritual interaction with the object, with surfing, that the object has been checked, is nearby and then all the rituals of self-presentation of likeing the right things of getting liked for comments and the ongoing anxiety around all this. Again, since the activity does have a self-medication aspect, the disorder is less obvious than some of the disorders.Quoting schopenhauer1
They feel a compulsion to go back and put it in the "right" place or pattern.
Again, mobile use, but also hair style, make up, the way emotions need to be actively suppressed, certainly not expressed, and any let downs in this last, need to be 'explained' and 'reframed' and made up for.

Of course the neurosis sufferer - they no longer use neurosis in psychiatry, but I'll keep using the term since it has been used since the OP - tend not to have the additional anxiety about their oddness. They are not insiders, since having these collective neuroses makes one an insider. An OCD sufferer IS going to be judged. They will feel a sense of stigma, in addition to the underlying anxiety driving them. Cultural neuroses are based on anxiety creation - and consistent threat - with a way out. You conform. So there isn't the additional meta-anxiety of the disorder sufferer.

Many of the traditionally diagnosed can control their symptoms and function quite well on medication. Most of the collectively neurotic since the very pattern includes a self-medication aspect, can control their symptoms and function quite well.

Should the quite unlikely happen and I can convince many people that this is all correct, the ocd sufferer, for example, will still be able to receive treatment for his or her disorder. They might, potentially, feel a bit less shame, as they realize that normal people have similar patterns, though perhaps to a lesser degree. And then those with power who create these collective neuroses, will be challenged in a new and different way.
BC September 19, 2019 at 05:52 #330568
Quoting TheMadFool
liliputs


Tragically, I can not congratulate you for being the first person to use "Lilliput" on the Philosophy forum. You did not capitalize this proper noun, and you misspelled it in two ways -- it has two 'L's and there is only one Lilliput. It's a place, like Tierra del Fuego. What you were reaching for and failed to grasp was "Lilliputians", the 6" high occupants of Lilliput. It's so painful.

If you stay after school and write "Lilliputians live in Lilliput" 100 times on the blackboard you will make me feel better. By the way, Gulliver's Travels have been previously referenced.

Quoting schopenhauer1
Perhaps Bitter Crank has something interesting to add?


I would, but I'm having a neurotic crisis. It's TheMadFool's fault -- he misspelled Lilliput. Everything was just fine until I noticed his egregious error. Had he spelled it correctly, or had I not noticed his post I would not be so terribly mentally disheveled right now.

This trauma will require bed rest. It's 12:52 a.m., so a good time to retire.
TheMadFool September 19, 2019 at 06:34 #330574
Quoting Bitter Crank
Tragically, I can not congratulate you for being the first person to use "Lilliput" on the Philosophy forum. You did not capitalize this proper noun, and you misspelled it in two ways -- it has two 'L's and there is only one Lilliput. It's a place, like Tierra del Fuego. What you were reaching for and failed to grasp was "Lilliputians", the 6" high occupants of Lilliput. It's so painful.


:rofl: I got tired of fighting with my phone's auto-correct. Thanks though.
TheMadFool September 19, 2019 at 06:42 #330576
Reply to schopenhauer1 I understand what you're trying to say. I'm not a psychiatrist but I think there's a reason why they created two categories viz. neuorsis and psychosis. The difference between them being the former is mild and manageable but the latter is severe and requires medication.

However there are cases of severe neuroses requiring treatment but I endorse the view that, in general, neuroses are simple quirks in personality than anything debilitative.
schopenhauer1 September 19, 2019 at 16:30 #330672
Quoting TheMadFool
However there are cases of severe neuroses requiring treatment but I endorse the view that, in general, neuroses are simple quirks in personality than anything debilitative.


But this is exactly the type of dismissive understanding I'm talking about. Neurosis, for the sufferer, is debillitative, it is just not as externally observable. But internally the sufferer is silently keeping themselves together. That's not to say this isn't a spectrum, but as you were saying, it's like an iceberg where people only see maybe a few odd behaviors. A lot of it is silent to others, but very present internally for the sufferer.

I think it is also interesting because I wonder if tribal societies manifest "OCD" as superstitions and sufferers of OCD in this society might be celebrated as "medicine men" in some tribal societies.
BC September 19, 2019 at 19:45 #330820
Quoting schopenhauer1
Perhaps Bitter Crank has something interesting to add?


Probably nothing very helpful.

There is a distinction between "neurosis" and "neuroticism", the former affecting one's life more than the latter. Also, "neurosis" is more of a psychoanalytic term than a medical one.

In basic terms, neurosis is a disorder involving obsessive thoughts or anxiety, while neuroticism is a personality trait that does not have the same negative impact on everyday living as an anxious condition. In modern non-medical texts, the two are often used with the same meaning, but this is inaccurate.


Neuroticism is considered a personality trait rather than a medical condition.
Neuroticism is a long-term tendency to be in a negative or anxious emotional state. It is not a medical condition but a personality trait. People often confuse this with neurosis.

Five traits make up the five-factor model of personality:

Neuroticism
extraversion
agreeability
conscientiousness
openness.

This model is used in personality evaluations and tests across a wide range of cultures.


Speaking for my self, I have experienced neurosis (depression, anxiety) and have had a fairly high level of neuroticism. For the last 8 years, I have experienced a sharp shift away from neuroticism. I have become less irritable, more tolerant, less anxious, more contented. I have felt much less depressed and anxious, but whether that is a result of declining neuroticism or effective medication, isn't clear.
BC September 19, 2019 at 20:15 #330842
Quoting schopenhauer1
Thus, I see the person with neurosis to often slip through the cracks of society, suffering silently. It would mean they are isolated, not understood, and perpetually in their own world. Most people throw out terms like "see someone", "cognitive-behavioral therapy", "medications", etc. Much of these are external ways of trying to deal with something that is very idiosyncratic and internal to the person who is experiencing the condition.


Neurosis or neuroticism... The difference doesn't matter that much. There is certainly a difference between the major psychoses (like bi-polar disorder or schizophrenia) and merely neurotic habits. Needing to check the stove, the faucets, the locked door, and the lights several times before one can leave the house is annoying to one's self (and others) but it is hardly life-threatening. Dealing with mild OCD isn't that difficult; more entrenched and severe OCD can be difficult to overcome.

Whether neurotic behavior, or neuroticism, rises to the the definition of "mental illness" or not, it is a significant factor in life outcomes. Isolation, depression, anxiety, high levels of emotional arousal (like anger) indirectly affect longevity, physical health, productivity, relationships, and so on.

I view personality as a combination of genetic determined traits, traits developed from infancy on up, shaped by good and/or bad experiences, given form by one's embodiment, one's milieu, and so on. By the time one reaches adulthood, the personality one has become is pretty much fixed. It has not hardened like concrete, but it isn't soft reshapeable clay, either.

If one can make significant changes in one's personality, I don't think it can be done without substantial changes in one's environment. IF one's family or relationship is a very negative factor, then an exit from that family or relationship is probably necessary. IF work is driving one crazy (bad jobs can do that) then one needs to leave that job. A well-trained and skilled therapist will be helpful, and therapy should have a long duration--like a year or 50 hours.

"Therapy means change, not adjustment." The difficulty shouldn't be soft-pedaled. It's hard, and it might take a crisis-kind of event to make the changes.
schopenhauer1 September 20, 2019 at 02:36 #330980
Quoting Bitter Crank
Speaking for my self, I have experienced neurosis (depression, anxiety) and have had a fairly high level of neuroticism. For the last 8 years, I have experienced a sharp shift away from neuroticism. I have become less irritable, more tolerant, less anxious, more contented. I have felt much less depressed and anxious, but whether that is a result of declining neuroticism or effective medication, isn't clear.


Yes, I understand the distinction. I am talking about neurosis not a neurotic personality.
schopenhauer1 September 20, 2019 at 02:42 #330983
Quoting Bitter Crank
Dealing with mild OCD isn't that difficult; more entrenched and severe OCD can be difficult to overcome.


Yeah, I think checking the stove a few times is one thing- it's when it gets irrational. Checking the stove a couple times is still tied to some rational outcome because the stove may actually cause damage if left on. What about if someone parks a car, but the tire has to be "just right" when it is parked. It is perfectly in the space, but the tire itself has to be a quarter inch to the right. If it isn't, the afflicted person will think about it all day. They cannot think about anything else. Then they go and move it, but each time, they are not hitting the "right" for tire placement. Either the person gives up and deals with the obsession internally, or they keep compulsing and manifest it externally. They may stop the compulsion but then they deal with the internal negative state. They give in and do the compulsion, they are are feeding the feedback loop and associating the ending of the negative feeling with the compulsion. Again, these are afflictions which are not as noticeable but cause considerable disruption.
TheMadFool September 20, 2019 at 03:53 #331004
Quoting schopenhauer1
But this is exactly the type of dismissive understanding I'm talking about. Neurosis, for the sufferer, is debillitative, it is just not as externally observable. But internally the sufferer is silently keeping themselves together. That's not to say this isn't a spectrum, but as you were saying, it's like an iceberg where people only see maybe a few odd behaviors. A lot of it is silent to others, but very present internally for the sufferer.

I think it is also interesting because I wonder if tribal societies manifest "OCD" as superstitions and sufferers of OCD in this society might be celebrated as "medicine men" in some tribal societies.


I read the wikipedia article on neurosis and I was wrong but not completely wrong about what neurosis is.

[quote=Wikpedia]Neurosis is a class of functional mental disorders involving chronic distress but neither delusions nor hallucinations.

Neurosis should not be mistaken for psychosis, which refers to a loss of touch with reality.

The definitive symptom is anxiety.

In Horney's view, mild anxiety disorders and full-blown personality disorders all fall under her basic scheme of neurosis as variations in the degree of severity and in the individual dynamics.The opposite of neurosis is a condition Horney calls self-realization, a state of being in which the person responds to the world with the full depth of his or her spontaneous feelings

Horney compares this process to an acorn that grows and becomes a tree: the acorn has had the potential for a tree inside it all along.
[/quote]

From what I read it appears that neurosis is a maladjustment to reality and anxiety results when the world doesn't satisfy the needs of a distorted self-image.

Also you'll notice that Horney compares the neurotic to an acorn that can become a tree i.e. retains the potential for what she describes as self-realization. In my world that means neurosis isn't such a bad thing to have compared to, say, schizophrenia. I think the better way of putting it would be neurosis is the least worst of many possible mental illnesses we can be afflicted by.

This doesn't mean that the suffering of neurotics can be ignored. It just means that there are other mental illnesses where the suffering is more. In terms of resource allocation we can see what that means - the neurotic is quite low on the priority list.


[quote=Wikpedia]The Diagnostic and Statistical Manual of Mental Disorders (DSM) eliminated the category "neurosis" in 1980, because of a decision by its editors to provide descriptions of behavior rather than descriptions of hidden psychological mechanisms. This change has been controversial[/quote]

It appears that the psychiatrists don't want to bother themselves with unprovable theories of how neurosis develops and just want to focus on observable behavior patterns like anxiety, OCD, phobias, etc. and how to treat them. It's a more scientific approach given that explaining the origins of neuroses is a shot in the dark. Nevertheless it violates a principle of medicine - that we treat the cause and not the symptoms.




BC September 20, 2019 at 05:20 #331043
Reply to schopenhauer1 People who have very rigid habits can make it work for them. They get to work on time, they get their work done. They get to the gym on time, they swim a mile, they bike 100 miles. They sleep well.

I don't know what all fits into the category of neuroses these days. I guess depression, anxiety, OCD, phobias, compulsions, etc. I've never understood what "borderline personality disorder" was -- is that counted as a neurosis?

"Neurosis" may be an obsolete word, but it seems to me useful to describe the set of screwy ideas that many people haul around, especially the self-defeating ideas, beliefs, habits, etc. that cause some people to fail again and again at projects that are well within their reach. (I know first hand of what I speak.) I've failed at a lot of stuff that was well within my operational capability.

Deleted User September 20, 2019 at 05:26 #331046
Quoting schopenhauer1
I think it is also interesting because I wonder if tribal societies manifest "OCD" as superstitions and sufferers of OCD in this society might be celebrated as "medicine men" in some tribal societies.

Can you link to something that supports this idea? I think this would actually support my thesis. If a pattern that causes suffering in one culture leads on to a position of authority in another culture, then ti makes parallels between what I have been calling collective neuroses and neurosis as traditionallly defined more likely.

I am skeptical that medicine men are sufferers of OCD, however.

TheMadFool September 20, 2019 at 07:44 #331101
Quoting schopenhauer1
I think it is also interesting because I wonder if tribal societies manifest "OCD" as superstitions and sufferers of OCD in this society might be celebrated as "medicine men" in some tribal societies.
Reply to Coben


This raises an interesting question. What is normal? After all the whole panoply of mental disorders is defined as deviations from the normal.

That OCD or other neurotic patients being celebrated as medicine men is true in some backward societies. Actually why stop at neurosis because presumably a medicine man, claiming all sorts of supernatural abilities, is psychotic. The proviso here is that this may not be entirely accurate. Think of Christians or Muslims or Jews. They're all normal people but to atheists, are suffering a delusion, a hallmark of schizophrenia. As you can see religious people are definitely NOT schizophrenic and their beliefs are simply cultural hand-me-downs. It's not a believer's fault/madness that s/he believes. You might want to look into that.

Also, what of the genius or hyper-intelligent person? Discoveries and innovations are usually the work of one or a few individual(s). Take planes for example. The man/woman who talks of flight in 1000 BC will surely be labeled insane and immediately sent to the asylum. Yet air transport is a reality today. I guess I'm saying that there's a very very, almost imperceptible, line between genius and madness. In effect this questions the very rationale of normal. In fact I think may great artists and scientists were/are neurotic.

I maybe a poor neurotic anxious, suffering, alone and sad in the 20th century but a great pioneering visionary in the 22nd century.
Deleted User September 20, 2019 at 11:23 #331184
Quoting TheMadFool
This raises an interesting question. What is normal? After all the whole panoply of mental disorders is defined as deviations from the normal.


I don't agree with everything I will quote Thomas Szasz on below, but your post made me think of his, and I thought he brings a bit to the thread as a whole.....

“If you talk to God, you are praying. If God talks to you, you have schizophrenia”
? Thomas S. Szasz


“The plague of mankind is the fear and rejection of diversity: monotheism, monarchy, monogamy and, in our age, monomedicine. The belief that there is only one right way to live, only one right way to regulate religious, political, sexual, medical affairs is the root cause of the greatest threat to man: members of his own species, bent on ensuring his salvation, security, and sanity. ”
? Thomas Szasz


“Doubt is to certainty as neurosis is to psychosis. The neurotic is in doubt and has fears about persons and things; the psychotic has convictions and makes claims about them. In short, the neurotic has problems, the psychotic has solutions.”
? Thomas Stephen Szasz

“Classifying thoughts, feelings and behaviors as diseases is a logical and semantic error, like classifying whale as fish.”
? Thomas Szasz



“The primary problem with modern psychiatry is its reduction of mental illness to bodily dysfunction. Objectification of those identified as mentally ill, by insisting on the somatic nature of their illness, may apparently simplify matters and help protect those trying to provide care from the pain experienced by those needing support. But psychiatric assessment too often fails to appreciate personal and social precursors of mental illness by avoiding or not taking account of such psychosocial considerations. Mainstream psychiatry acts on the somatic hypothesis of mental illness to the detriment of understanding people's problems.”
? Thomas Szasz, The Myth of Mental Illness: Foundations of a Theory of Personal Conduct
schopenhauer1 September 20, 2019 at 13:04 #331241
Quoting Bitter Crank
People who have very rigid habits can make it work for them. They get to work on time, they get their work done. They get to the gym on time, they swim a mile, they bike 100 miles. They sleep well.


Sometimes this can get quite severe..Think people like Howard Hughes. Let's take OCD again.. Imagine that every you did X arbitrary (but overvalued) triggering event, you felt Y (psychosomatic) affect. So every time you mistakenly hit something with your left hand, the whole rest of the day you felt mentally impaired, like you cannot access your own memory or cognitive capacities to reason. Your whole mind seems to slow down. However, if you immediately hit the object with your right hand, your brain goes back to functioning normally. Let's say this triggering event happens frequently throughout the day. This will become mentally taxing for that person.

People on the outside, might not even realize what's going on. Even if the person was to explain it to others or even a therapist, the experience would be so alien to them, it would be hard to find a solution that properly fits the internal world of the patient. The therapist would have no idea what it really feels like to go through the angst of having a diminished mental capacity based on some triggering event. They might say to just let the feeling ride out without compusling but then the person is "stuck" in that mode for the whole day.. possibly not wearing off and impeding the immediate tasks at hand. These are the reasons neurosis is quite tricky. It is the alieness of the idiosyncratic, internal feeling of the sufferer and the inability for others to really understand this world and thus to help them. They don't even really understand what's going on internally. There is a disconnect of the world of the OCD afflicted person and the people that are observing and listening to them on the outside. And, since each OCD sufferer might have a different manifestation, it is even that much harder as the nuances of each world is different. This is probably why people with more traditional forms of OCD would be more easily treated- people with religious scrupulosity, people who wash their hands a certain number of times, etc. The more individualized, different, and delusional the obsession/symptom, the more isolating, and harder to understand and treat from those on the outside.
schopenhauer1 September 20, 2019 at 13:08 #331244
Quoting Coben
Can you link to something that supports this idea? I think this would actually support my thesis. If a pattern that causes suffering in one culture leads on to a position of authority in another culture, then ti makes parallels between what I have been calling collective neuroses and neurosis as traditionallly defined more likely.

I am skeptical that medicine men are sufferers of OCD, however.


No I can't. This was just an idea I had. Do tribal people suffer neuroses like OCD? If so, is it just treated differently by those people?
schopenhauer1 September 20, 2019 at 13:11 #331245
Quoting TheMadFool
I maybe a poor neurotic anxious, suffering, alone and sad in the 20th century but a great pioneering visionary in the 22nd century.


Ha, I would say we must separate personality-types from idiosyncratic and self-evaluated negative patterns. Someone like a Tesla for example was a bit "out there" with his ideas.. but a lot of them were spot on true for how electricity can be harnessed. That perhaps is a personality-related thing. However, he also seemed to have an actual neurotic disorder of OCD. He counted things in three, he was germaphobic. These are like mental baggage that impeded perhaps his abilities socially, and certainly took up mental space. I would guess even Tesla would not have wanted to deal with them.
Deleted User September 20, 2019 at 14:12 #331286
Reply to schopenhauer1 I did find this. I can't see the whole article...
Could obsessive-compulsive disorder have originated as a group-selected adaptive trait in traditional societies?
Polimeni J1, Reiss JP, Sareen J.
Author information
Abstract

Obsessive-compulsive disorder (OCD) possesses distinctive characteristics inviting evolutionary and anthropological explanations. A genetically based condition with low fecundity persisting through generations is paradoxical. The concept of group selection is an evolutionary principle capable of clarifying the perplexing epidemiology of OCD. Using a group-selection paradigm, the authors propose that OCD reflects an ancient form of behavioural specialization. The majority of compulsions such as checking, washing, counting, needing to confess, hoarding and requiring precision, all carry the potential to benefit society. Focussing primarily on hunting and gathering cultures, the potential evolutionary advantages of OCD are explored.


It's just a hypothesis, but if you read the verbs they mention one can see how they might benefit the group.
schopenhauer1 September 20, 2019 at 14:47 #331300
Quoting Coben
It's just a hypothesis, but if you read the verbs they mention one can see how they might benefit the group.


Oh, I really like that one! That is an interesting idea to explore- is OCD a maladaptive version of what might have been beneficial in the adaptionary setting in more limited capacities. It's an overabundance of traits that if balanced, were necessary for survival. Someone with a tendency for precision, counting, hoarding could have been useful. This trait taken too far and in the wrong setting can be deleterious to the person who has this trait.
Deleted User September 20, 2019 at 16:14 #331342
Reply to schopenhauer1 I think it might have even been useful if they were out of balance. They were the one who checked the sentries, the nets, the cave opening many times. They were mostly a pain in the ass, but once in a while they saved the whole tribe.
schopenhauer1 September 20, 2019 at 16:43 #331353
Quoting Coben
I think it might have even been useful if they were out of balance. They were the one who checked the sentries, the nets, the cave opening many times. They were mostly a pain in the ass, but once in a while they saved the whole tribe.


Good point. But that's not the whole experience of OCD. It's when one is caught in an aggressive loop that this now has no positive impact for the individual. There's people who take the phrase literally, "step on a crack and break your mother's back". You think that's balanced? They persistently find a pattern to "undo" the stepping on the crack as this might cause future harm for someone. Living with this anxiety of "changing the world" is too stressful to overcome the compulsion to go back and "not" step on the cracks in the right pattern.
BC September 20, 2019 at 17:20 #331367
Reply to schopenhauer1 All of these conditions exist on a continuum, of course. Over on the left side of the continuum are habits and practices that are helpful. On the opposite side, these beneficial habits and practices have become crippling compulsions. On the left side one has a few superstitious behaviors like not walking under ladders (probably a sensible precaution anyway). On the other end of the continuum superstitions become threatening delusions.

Brains turn repeated behavior into habits, strongly followed practices, rote behaviors, and so on. It isn't just us -- it happens to other animals too. Domestic animals develop habits that can become minor problems -- the dog's insistence that a snack be handed to her in a certain way, and no other way. Typing is a very rigid habit -- so rigid that one can feel an error in one's fingers (if one does enough of it). Back when the telegraph was an important communication tool, operators could identify each other by the way their hands operated the equipment. This was useful during WWII when intelligence officers listened to radio-telegraph transmission from German-occupied countries: the identity of the telegraph operator was recognizable by the habitual way the telegraph key was operated.

So maybe it isn't surprising that habit prone brains sometimes go overboard and turn habits into compulsions.

I'm not sure what tips a habit (checking to make sure the stove is off, the car is locked...) into a compulsion; I suppose it is stress. We experience stress when many aspects of our lives start becoming unhinged. Too much chaos; too many unpredictable events happening; disturbing events popping up all over the place. Establishing a secure zone (one's apartment) by multiple checks to make sure everything is OK when one leaves relieves stress a bit, so the checking becomes fixed.
schopenhauer1 September 20, 2019 at 17:30 #331374
Quoting Bitter Crank
I'm not sure what tips a habit (checking to make sure the stove is off, the car is locked...) into a compulsion; I suppose it is stress. We experience stress when many aspects of our lives start becoming unhinged. Too much chaos; too many unpredictable events happening; disturbing events popping up all over the place. Establishing a secure zone (one's apartment) by multiple checks to make sure everything is OK when one leaves relieves stress a bit, so the checking becomes fixed.


I think stress is a huge factor, but more in the fact that it magnifies the compulsive affects that are already there in the OCD person. For example, a job interview would most likely increase the symptoms as now there is something at stake and things have to be done a certain way to ensure it. But, the initial compulsion might come from uncertainty. So let us say that the OCD person took the spoon from the drawer and used it to scoop sugar in a cup of coffee.. He did not stir the coffee with the spoon. There is no residual sugar on the spoon either (maybe microscopic grain or two). The person used the handle of the spoon but did not touch the spoon part itself. The person deems 50/50 to put back or in the washing machine. He puts it in washing machine. He goes to other room. Now he obsesses that was the wrong move. The right move was the drawer. But maybe it was too used.. But either way, the logic is long gone, and now it is simply an angsty residual feeling. The idea of the spoon being put in "wrong" place is all prevading and hours go by with this feeling. Finally, the person moves the spoon. It didn't work and tries another combination..wash the spoon manually then use again, then wash again, then put in drawer. You can see how this initial feeling of uncertainty started the whole thing, even if that was long ago not the issue at stake anymore but what to do with the "wrong decision" that was made.
BC September 20, 2019 at 18:15 #331405
Reply to schopenhauer1 You seem to have a lot of familiarity with the details of OCD thinking -- are you OCD?

I am quite certain that OCD is real and can be disabling, but an interesting aspect of most mental illnesses is that most of the features of MI are manifested in mild form by people who are not, by any definition, mentally disturbed. OCD is a good example. Take your spoon: you have to decide what to do with it. I've had to pause to think about it -- is the spoon I measured baking powder with still clean, or not? The answer is an irrational "no". How about the tops of canned food; after using the can opener on them, some of the juice gets on top of the can, then runs back into the can. Oh oh, is that still clean?

Some of us have scarcely conscious obsessions about 'ritualistic purity', superstitions about what can be touched by what. One sees this in young children, sometimes -- the potato can't touch the carrots on their plate. Children often dislike texture contrasts -- so horror of horrors, no shredded vegetables and chopped nuts mixed into the Jello. These superstitions can resemble the kosher rules of the ultra-orthodox--all sorts of restrictions.

I am annoyed at church events when someone collects the unused silverware from the tables and wants to put it back in the drawers. NO! NO! Look, it's been handled at least twice (putting it on the table, taking it off) and who the hell knows how many more times. Just run it through the wash. Same with glasses. Here comes somebody carrying glasses with their fingers inside the glasses saying they are clean. The machine is doing the washing, and it doesn't care if it has a few more to clean. I just follow the rule of "once touched, into the washing machine".

We make irrational exceptions to our cleanliness rules. We may worry if someone's hands were washed before slicing a loaf of bread, but aren't worried enough about cleanliness to prevent us from having sex with a stranger.

Point is, despite what we may think we are, we are pretty irrational, frequently given to thoughts and behaviors which do not pass muster as "rational", "reasonable", or "sensible".
schopenhauer1 September 20, 2019 at 23:44 #331615
Quoting Bitter Crank
I am quite certain that OCD is real and can be disabling, but an interesting aspect of most mental illnesses is that most of the features of MI are manifested in mild form by people who are not, by any definition, mentally disturbed. OCD is a good example. Take your spoon: you have to decide what to do with it. I've had to pause to think about it -- is the spoon I measured baking powder with still clean, or not? The answer is an irrational "no". How about the tops of canned food; after using the can opener on them, some of the juice gets on top of the can, then runs back into the can. Oh oh, is that still clean?


Yes, this is a good observation. Much of the OCD symptoms are a spectrum, and even non MI people, might have a touch of it on the very weak part of the spectrum. It is these uncertainties that seem to be the birthing places for the more pronounced and actual MI manifestations.

Quoting Bitter Crank
I am annoyed at church events when someone collects the unused silverware from the tables and wants to put it back in the drawers. NO! NO! Look, it's been handled at least twice (putting it on the table, taking it off) and who the hell knows how many more times. Just run it through the wash. Same with glasses. Here comes somebody carrying glasses with their fingers inside the glasses saying they are clean. The machine is doing the washing, and it doesn't care if it has a few more to clean. I just follow the rule of "once touched, into the washing machine".


Right so the uncertainty ground is already fertile in a "well-adjusted" mind let alone one prone to OCD. These uncertanties could be the start of OCD tendencies, though that's just a theory.

Quoting Bitter Crank
We make irrational exceptions to our cleanliness rules. We may worry if someone's hands were washed before slicing a loaf of bread, but aren't worried enough about cleanliness to prevent us from having sex with a stranger.

Point is, despite what we may think we are, we are pretty irrational, frequently given to thoughts and behaviors which do not pass muster as "rational", "reasonable", or "sensible".


Agreed. So what to do about them?
BC September 21, 2019 at 00:56 #331680
Quoting schopenhauer1
Agreed. So what to do about them?


We cope as well as we can. (Not much option, really.). I spent a number of years being somewhat dysfunctional. Not so dysfunctional that I couldn't work, but dysfunctional enough that I wasn't working close to standard. Dysfunctional enough that I was a problem to myself--hard to live with. I was fairly reckless for a time--not a good example of self-control and probity.

I took anti-depressants and Xanax or Ativan for decades. I received psychotherapy. I "coped" more or less. I never did find THE WAY to feel really good. But... I did get better, eventually. I can't claim credit because the relief came long after psychotherapy and I still take a low dose of antidepressant (Effexor). Maybe 8 or 9 years ago or so, I just started to feel a lot better. It wasn't anything I did that made it better. It was like a switch was thrown and all the sturm and drang evaporated.

If I could put whatever it was in a bottle and sell it, I would have a blockbuster drug. Alas.