Mike Jay

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War may seem to favor those with a clear head and steady hand, but strategy is only half the battle. A sense of invincibility must be achieved in the combatants, at least until technology allows all the killing machines to be actual machines.

Human beings are no angels, but genocide and beheading, for instance, are not, thankfully, our default mode. Such heinous courses can be decided on by sober if sinister minds but their commission sometimes requires moods altered either by hysteria and brainwashing or, more simply, pharmaceuticals. The Nazis favored crystal meth and ISIS Captagon, these forms of amphetamine not only helpful with focus and energy but also able to disappear inhibitions.

Crimes against humanity can certainly occur without speed, but oftentimes you’ll find a pervasive drug culture in close proximity to such atrocities. It’s not the source of evil but a way to lubricate the war machine.

An excerpt from “Don’t Fight Sober,” Mike Jay’s London Review of Books piece on new volumes on the topic by Łukasz Kamieński and Norman Ohler:

The unreliable narratives that always build up around illicit drugs are compounded by the fog of war. Exaggeration, doubletalk and disinformation bend reality into mythic shapes. The image of the Captagon-crazed jihadi is reminiscent of the Assassins, whose story was imported to Europe by Marco Polo: they were said to have been brainwashed with a dose of hashish and persuaded by their fanatical leader that suicide missions would be rewarded with an eternity in paradise. Recent scholarship has established that ‘assassins’ (or ‘hashishin’) was a pejorative term applied to them by their enemies: in fact they were a strictly ascetic order whose adherents abstained from all drugs including alcohol. The appeal of the myth is obvious: if the drugs made them do it, their motives require no further investigation. Asked after the Bataclan attacks whether the killers had been on drugs, Montasser Alde’emeh, a Belgian-Palestinian expert on radicalisation, turned the question succinctly on its head: ‘Unfortunately, they don’t need it. Their ideology is their Captagon!’

In Shooting Up, a historical survey of drugs in warfare that grew out of his research into future military applications of biotechnology, Łukasz Kamieński lists some of the obstacles to getting the facts straight. State authorities tend to cloak drug use in secrecy, for tactical advantage and because it frequently conflicts with civilian norms and laws. Conversely it can be exaggerated to strike fear into the enemy, or the enemy’s success and morale can be imputed to it. When drugs are illegal, as they often are in modern irregular warfare, trafficking or consumption is routinely denied. The negative consequences of drug use are covered up or explained away as the result of injury or trauma, and longer-term sequels are buried within the complex of post-traumatic disorders. Soldiers aren’t fully informed of the properties and potency of the drugs they’re consuming. Different perceptions of their role circulate even among participants fighting side by side.

Kamieński confines the use of alcohol in war to his prologue and wisely so, or the rest of the book would risk becoming a footnote to it. A historical sweep from the Battle of Hastings to Waterloo or ancient Greece to Vietnam suggests that war has rarely been fought sober. This is unsurprising in view of the many different functions alcohol performs. It has always been an indispensable battlefield medicine and is still pressed into service today as antiseptic, analgesic, anaesthetic and post-trauma stimulant. It has a central role in boosting morale and small-group bonding; it can facilitate the private management of stress and injury; and it makes sleep possible where noise, discomfort or stress would otherwise prevent it. After the fighting is done, it becomes an aid to relaxation and recovery.

All these functions are subsidiary to its combat role and Kamieński’s particular interest, the extent to which drugs can transform soldiers into superhuman fighting machines.•

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In a Literary Review piece about Kyle Arnold’s new title, The Divine Madness Of Philip K. Dick, Mike Jay, who knows a thing or two about the delusions that bedevil us, writes about the insane inner world of the speed-typing, speed-taking visionary who lived during the latter stages of his life, quite appropriately, near the quasi-totalitarian theme park Disneyland, a land where mice talk and corporate propaganda is endlessly broadcast. Dick was a hypochondriac about the contents of his head, and it’s no surprise his life was littered with amphetamines, anorexia and anxiety, which drove his brilliance and abbreviated it.

The opening:

Across dozens of novels and well over a hundred short stories, Philip K Dick worried away at one theme above all others: the world is not as it seems. He worked through every imaginable scenario: consensus reality was variously a set of implanted memories, a drug-induced hallucination, a time slip, a covert military simulation, an illusion projected by mega-corporations or extraterrestrials, or a test set by God. His typical protagonist was conspired against, drugged, hypnotised, paranoid, schizophrenic – or, possibly, the only person in possession of the truth.

The preoccupation all too clearly reflected the author’s life. Dick was a chronic doubter, tormented, like René Descartes, by the suspicion that the world was the creation of an evil demon ‘who has directed his entire effort to misleading me’. But cogito ergo sum was not enough to rescue someone who in 1972, during one of his frequent bouts of persecution mania, called the police to confess to being an android. Dick took scepticism to a level that he made his own. It became his brand, and since his death it has been franchised across popular culture. He isn’t credited on Hollywood blockbusters such as The Matrix (in which reality is a simulation created by machines from the future) or The Truman Show (about a reality TV programme in which all but the protagonist are complicit), but their mind-bending plot twists are his in all but name.

As Kyle Arnold acknowledges early in his lucid and accessible study, it would be impossible to investigate the roots of Dick’s cosmic doubt more doggedly than he did himself. He was ‘his own best psychobiographer”…

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The names Benjamin Franklin and Jenny McCarthy don’t usually squeeze into the same sentence, but they did both make a similar stand 290 years apart: They were anti-Vaxxers.

We know well of the blonde celebrity’s inane crusade linking vaccinations and autism, but America’s key-and-kite man similarly stood strong against smallpox inoculations in the early 1700s. Just as confounding was that the witch-burning enabler Cotton Mather was on the right side, spearheading the successful experiment which provoked violent dissent. The caveat is that Franklin was a mere 16 at the time, though it does remind that we all need to constantly question our beliefs despite our intellects or qualifications or allegiances.

Mike Jay, a wonderful thinker (see here and here and here) has written about this strange moment in history in a WSJ book review of Stephen Coss’ The Fever of 1721, which looks at how this roiling controversy anticipated aspects of the American Revolution. An excerpt:

Inoculation was commonplace across swaths of Africa, the Middle East and Asia, Mr. Coss explains, but this inclined the doctors of Enlightenment-era Europe to regard it as a primitive superstition. Such was the view of William Douglass, the only man in Boston with the letters “M.D.” after his name, who was convinced that “infusing such malignant filth” in a healthy subject was lethal folly. The only person Mather could persuade to perform the operation was a surgeon, Zabdiel Boylston, whose frontier upbringing made him sympathetic to native medicine and who was already pockmarked from a near-fatal case of the disease.

“Given that attempting inoculation constituted an almost complete leap of faith for Boylston,” Mr. Coss writes, “he spent surprisingly little time agonizing over it.” He knew personally just how savage the toll could be. On June 26, 1721, just as the epidemic began to rage in earnest, Boyston filled a quill with the fluid from an infected blister and scratched it into the skin of two family slaves and his own young son.

News of the experiment was greeted with public fury and terror that it would spread the contagion. A town-hall meeting was convened, at Dr. Douglass’s instigation, at which inoculation was condemned and banned. Mather’s house was firebombed with an incendiary device to which a note was attached: “I will inoculate you with this.”

The crisis was the making of James and Benjamin Franklin’s New-England Courant, which stoked the controversy with denunciations of Mather that drew parallels between his “infatuation” with inoculation and his onetime obsession with witchcraft. But as the death toll mounted, the ban on inoculation collapsed under the weight of public demand.

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Here are 50 ungated pieces of wonderful journalism from 2015, alphabetized by author name, which made me consider something new or reconsider old beliefs or just delighted me. (Some selections are from gated publications that allow a number of free articles per month.) If your excellent work isn’t on the list, that’s more my fault than yours.

  • Who Runs the Streets of New Orleans?” (David Amsden, The New York Times Magazine) As private and public sector missions increasingly overlap, here’s an engaging look at the privatization of some policing in the French Quarter.
  • In the Beginning” (Ross Andersen, Aeon) A bold and epic essay about the elusive search for the origins of the universe.
  • Ask Me Anything (Anonymous, Reddit) A 92-year-old German woman who was born into Nazism (and participated in it) sadly absolves herself of all blame while answering questions about that horrible time.
  • Rethinking Extinction” (Stewart Brand, Aeon) The Whole Earth Catalog founder thinks the chance of climate-change catastrophe overrated, arguing we should utilize biotech to repopulate dwindling species.
  • Anchorman: The Legend of Don Lemon” (Taffy Brodesser-Akner, GQ) A deeply entertaining look into the perplexing facehole of Jeff Zucker’s most gormless word-sayer and, by extension, the larger cable-news zeitgeist.
  • How Social Media Is Ruining Politics(Nicholas Carr, Politico) A lament that our shiny new tools have provided provocative trolls far more credibility than a centralized media ever allowed for.
  • Clans of the Cathode” (Tom Carson, The Baffler) One of our best culture critics looks at the meaning of various American sitcom families through the medium’s history.
  • The Black Family in the Age of Mass Incarceration” (Ta-Nehisi Coates, The Atlantic) The author examines the tragedy of the African-American community being turned into a penal colony, explaining the origins of the catastrophic policy failure.
  • Perfect Genetic Knowledge” (Dawn Field, Aeon) The essayist thinks about a future in which we’ve achieved “perfect knowledge” of whole-planet genetics.
  • A Strangely Funny Russian Genius” (Ian Frazier, The New York Review of Books) Daniil Kharms was a very funny writer, if you appreciate slapstick that ends in a body count.
  • Tomorrow’s Advance Man” (Tad Friend, The New Yorker) Profile of Silicon Valley strongman Marc Andreessen and his milieu, an enchanted land in which adults dream of riding unicorns.
  • Build-a-Brain” (Michael Graziano, Aeon) The neuroscientist’s ambitious thought experiment about machine intelligence is a piece I thought about continuously throughout the year.
  • Ask Me Anything (Stephen Hawking, Reddit) Among other things, the physicist warns that the real threat of superintelligent machines isn’t malice but relentless competence.
  • Engineering Humans for War” (Annie Jacobsen, The Atlantic) War is inhuman, it’s been said, and the Pentagon wants to make it more so by employing bleeding-edge biology and technology to create super soldiers.
  • The Wrong Head” (Mike Jay, London Review of Books) A look at insanity in 1840s France, which demonstrates that mental illness is often expressed in terms of the era in which it’s experienced.
  • Death Is Optional” (Daniel Kahneman and Noah Yuval Harari, Edge) Two of my favorite big thinkers discuss the road ahead, a highly automated tomorrow in which medicine, even mortality, may not be an egalitarian affair.
  • Where the Bodies Are Buried,” (Patrick Radden Keefe, The New Yorker) Ceasefires, even treaties, don’t completely conclude wars, as evidenced by this haunting revisitation of the heartbreaking IRA era.
  • Porntopia” (Molly Lambert, Grantland) The annual Adult Video News Awards in Las Vegas, the Oscars of oral, allows the writer to look into a funhouse-mirror reflection of America.
  • The Robots Are Coming” (John Lanchester, London Review of Books) A remarkably lucid explanation of how quickly AI may remake our lives and labor in the coming decades.
  • Last Girl in Larchmont” (Emily Nussbaum, The New Yorker) The great TV critic provides a postmortem of Joan Rivers and her singular (and sometimes disquieting) brand of feminism.
  • “President Obama & Marilynne Robinson: A Conversation, Part 1 & Part 2” (Barack Obama and Marilynne Robinson, New York Review of Books) Two monumental Americans discuss the state of the novel and the state of the union.
  • Ask Me Anything (Elizabeth Parrish, Reddit) The CEO of BioViva announces she’s patient zero for the company’s experimental age-reversing gene therapies. Strangest thing I read all year.
  • Why Alien Life Will Be Robotic” (Sir Martin Rees, Nautilus) The astronomer argues that ETs in our inhospitable universe have likely already transitioned into conscious machines.
  • Ask Me Anything (Anders Sandberg, Reddit) Heady conversation about existential risks, Transhumanism, economics, space travel and future technologies conducted by the Oxford researcher. 
  • Alien Rights” (Lizzie Wade, Aeon) Manifest Destiny will, sooner or later, became a space odyssey. What ethics should govern exploration of the final frontier?
  • Peeling Back the Layers of a Born Salesman’s Life” (Michael Wilson, The New York Times) The paper’s gifted crime writer pens a posthumous profile of a protean con man, a Zelig on the make who crossed paths with Abbie Hoffman, Otto Preminger and Annie Leibovitz, among others.
  • The Pop Star and the Prophet” (Sam York, BBC Magazine) Philosopher Jacques Attali, who predicted, back in the ’70s, the downfall of the music business, tells the writer he now foresees similar turbulence for manufacturing.

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Mike Jay has already demonstrated that mental illness is often expressed in the terms of the era in which it’s experienced. In a really smart London Review of Books piece about Laure Murat’s new title, The Man Who Thought He Was Napoleon: Towards a Political History of Madness, Jay writes of Philippe Pinel, a psychiatrist who reshaped and expanded the notion of insanity and its treatments in the wake of the French Revolution, when citizens who went mad often focused their anxieties on the guillotine, with one patient believing he’d been beheaded and subsequently had another victim’s skull attached to his neck.

In 1840, French heads became confused in a different sense, when Napoleon Bonaparte’s remains were laid to rest in an elaborate public ceremony, and soon enough, a quarter of all cases of mental illness in the nation were being diagnosed as delusions of grandeur. An excerpt:

Morbid terror of the guillotine was occasionally recorded in Bicêtre until the 1850s, but by that time it had been usurped by the most celebrated delusion of them all. On 15 December 1840 the remains of Napoleon Bonaparte, rumoured to be miraculously uncorrupted, were taken to the Invalides accompanied by vast crowds and laid to rest in a grandiose imperial ceremony. That same year, Bicêtre admitted at least a dozen Napoleons to its wards.

‘Delusions of grandeur’, of which believing oneself to be Napoleon became the archetype, rose to extraordinary medical and cultural prominence during the July Monarchy. By 1840 it accounted for a quarter of all diagnoses of insanity. It was a form of monomania, the term coined by Esquirol to describe an uncontrolled delusion or obsession (idée fixe) in one who might otherwise appear sane. He conceived it as a disease of the passions, a consequence of ‘self-love, vanity, pride and ambition’, and hence a moral failing as much as a pathology. Mad Napoleons were always irascible and imperious, reciting their interminable compositions, brooking no argument and demanding that everyone submit to their will. Doctors told tales of miraculous cures effected in the Pinelian manner by humouring them, but their blind rages were more commonly addressed with beatings, straitjackets, cold showers and solitary confinement.

During the 1830s monomania became a term of everyday speech, and delusions of grandeur inseparable from the Romantic spirit of the age. The return of Napoleon’s remains catalysed a sense that the era of heroism had passed, the passions of political struggle replaced by bourgeois dullness. Blockbuster novels traded in impossibly heroic narratives, their protagonists adopting grandiose false identities and concealing fateful secrets; Balzac claimed that what Napoleon ‘did with the sword, I will accomplish with the pen’. Characters embarked on fantastic quests that inevitably recalled Don Quixote, whom Esquirol had cited as the perfect example of the monomaniac. For some psychiatrists, ‘the impact of modern novels’ was itself becoming one of the leading causes of madness.

Napoleon – who declared during his final years on St Helena that ‘my life is a novel!’ – was the figure in whom reality and fantasy were conjoined. He was the apotheosis of Rousseau’s new man, who had transcended the limits of history and taken his place among the immortals. Unlike any sovereign before or since he was entirely self-made, and thus uniquely compelling to the delusional. A pretender to the monarchy would always remain just that, but a fake Napoleon might through supreme effort of will become the real thing.

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Last year, Mike Jay wrote a great essay for Aeon about people being driven to paranoia by the omnipresence of technology, but fear of “influence machines” stretches back much further than the information-sucking Internet. In a Public Domain Review piece, the same writer looks at the curious case of James Tilly Matthews, the first-recorded sufferer of paranoid schizophrenia, who believed in the 1790s that his mind–and the whole mad world–had fallen under the sway of a contraption called the “Air Loom.” It’s a subject Jay knows well. The opening:

“In 1810 John Haslam, a London apothecary, published the first ever book-length description of a mad person’s delusions. Until this point most medical case histories of what we now refer to as mental illness had amounted to a line or two at most, and more often just a single word such as ‘frenzied’ or ‘melancholy.’ But the opinions of James Tilly Matthews resisted any such summary. He described a previously unimagined world of futuristic machines, ‘magnetic spies’ and mass brainwashing, woven into a bizarre but undeniably well-informed narrative of the high politics behind the Napoleonic Wars.

Haslam titled his book Illustrations of Madness, and it was full of lessons for the nascent profession of ‘mad-doctoring,’ later to be known as psychiatry. But it was also written to settle a personal score. Haslam was the apothecary at the Royal Bethlem Hospital – in popular slang, Bedlam – where James Tilly Matthews had for the previous decade been confined as an incurable lunatic. Not everyone, however, believed that Matthews was mad. Haslam’s diagnosis had been contested by other doctors, and the governors of Bethlem had distanced themselves from it. He wrote his book in retaliation against his superiors; but as it turned out, his patient would have the last word.

Although Haslam has been relegated to a footnote in the history of psychiatry, his account of Matthews’ inner world is still cited as the first fully described case of what we now call paranoid schizophrenia, and in particular of an ‘influencing machine’: the belief, or delusion, that a covertly operated device is acting at a distance to control the subject’s mind and body. For everyone who has since had messages beamed at them by the CIA, MI5, Masonic lodges or UFOs, via dental fillings, mysterious implants, TV sets or surveillance satellites, James Tilly Matthews is patient zero.”

 

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I don’t use illegal drugs, and I don’t think you should, either. They’re bad for you. But that doesn’t mean I support any cockamamie “War on Drugs.” That’s just bad policy crashing into stark reality. I think if someone sells drugs to a minor, they should be given a prison sentence. Otherwise, the whole thing should be decriminalized. That doesn’t mean it should be legalized. Relatively mild substances like marijuana should be legal and arrests for other harder drugs should be met with out-patient rehab and community-service sentences, for both dealers and buyers. 

Of course, the situation is further complicated because you don’t have to do anything illegal to get a dangerous high. The number of Americans attaining painkillers, Oxy and others, with prescriptions is staggering. I don’t doubt these folks have pain, though usually it’s more mental than physical. The pusher got pushed by Big Pharma, and attempting to cage that monster will only cause more problems, especially with the Internet opening up global sales far too large to be prosecuted with precision.

Mike Jay, who wrote this brilliant article for Aeon last year, returns to the same publication with a piece that doesn’t try to make sense of this unwinnable war but to show how senseless it is in the light of history and the new normal. The opening:

“When the US President Richard Nixon announced his ‘war on drugs’ in 1971, there was no need to define the enemy. He meant, as everybody knew, the type of stuff you couldn’t buy in a drugstore. Drugs were trafficked exclusively on ‘the street’, within a subculture that was immediately identifiable (and never going to vote for Nixon anyway). His declaration of war was for the benefit the majority of voters who saw these drugs, and the people who used them, as a threat to their way of life. If any further clarification was needed, the drugs Nixon had in his sights were the kind that was illegal.

Today, such certainties seem quaint and distant. This May, the UN office on drugs and crime announced that at least 348 ‘legal highs’ are being traded on the global market, a number that dwarfs the total of illegal drugs. This loosely defined cohort of substances is no longer being passed surreptitiously among an underground network of ‘drug users’ but sold to anybody on the internet, at street markets and petrol stations. It is hardly a surprise these days when someone from any stratum of society – police chiefs, corporate executives, royalty – turns out to be a drug user. The war on drugs has conspicuously failed on its own terms: it has not reduced the prevalence of drugs in society, or the harms they cause, or the criminal economy they feed. But it has also, at a deeper level, become incoherent. What is a drug these days?

Consider, for example, the category of stimulants, into which the majority of ‘legal highs’ are bundled. In Nixon’s day there was, on the popular radar at least, only ‘speed’: amphetamine, manufactured by biker gangs for hippies and junkies. This unambiguously criminal trade still thrives, mostly in the more potent form of methamphetamine: the world knows its face from the US TV series Breaking Bad, though it is at least as prevalent these days in Prague, Bangkok or Cape Town. But there are now many stimulants whose provenance is far more ambiguous.

Pharmaceuticals such as modafinil and Adderall have become the stay-awake drugs of choice for students, shiftworkers and the jet-lagged: they can be bought without prescription via the internet, host to a vast and vigorously expanding grey zone between medical and illicit supply. Traditional stimulant plants such as khat or coca leaf remain legal and socially normalised in their places of origin, though they are banned as ‘drugs’ elsewhere. La hoja de coca no es droga! (the coca leaf is not a drug) has become the slogan behind which Andean coca-growers rally, as the UN attempts to eradicate their crops in an effort to block the global supply of cocaine. Meanwhile, caffeine has become the indispensable stimulant of modern life, freely available in concentrated forms such as double espressos and energy shots, and indeed sold legally at 100 per cent purity on the internet, with deadly consequences. ‘Legal’ and ‘illegal’ are no longer adequate terms for making sense of this hyperactive global market.”

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Here, in no particular order, are this year’s 20 selections. These pieces, which made me think or reconsider my opinions or just delighted me, are limited to ungated material that’s only a click away. (I included work from publications such as the New York Times which allow a certain amount of free articles per month.)

  • The Reality Show” (Mike Jay, Aeon) Brilliant essay that points out that the manifestations of mental illness are heavily influenced by the prevailing culture. In our case: ubiquitous technology.
  • Invisible Child–Girl in the Shadows: Dasani’s Homeless Life (Andrea Elliott, New York Times) A tale of two cities in present-day New York told through the story of a talented grade-school girl trying to make it through the hard knocks of class divisions. What’s expressed tacitly is that if the best and brightest homeless children only have a so-so shot at success, those less gifted have almost none. 
  • The Robots Are Here” (Tyler Cowen, Politico Magazine): The best distillation yet of the economist’s ideas about where the technological disruption will lead us as a society. I’m not completely on board with his forecasting, but this article is smart and provocative.
  • In Conversation: Antonin Scalia(Jennifer Senior, New York) Amazing interview with the Supreme Court Justice which reveals him to a stunning, and frightening, extent.
  • Return of the Oppressed (Peter Turchin, Aeon) The father of Cliodynanics forecasts a dark future for humanity thanks to spiraling wealth inequality.
  • Omens (Ross Andersen, Aeon) With a focus on philosopher Nick Bostrom, the writer wonders whether humans will survive into the deep future.
  • Thanksgiving in Mongolia(Ariel Levy, The New Yorker) Heartrending story of a reporter’s loss in a far-flung place is personal journalism at its finest.
  • Blockbuster Video: 1985-2013 (Alex Pappademas, Grantland): A master of the postmortem lays to rest not a person but a way of life which is disappearing brick by brick and mortar by mortar. 
  • The Corporate Mystique” (Judith Shulevitz, The New Republic) A reminder that a female CEO is not a replacement for a women’s movement.
  • The Global Swarm” (P.W. Singer, Foreign Policy) The author considers privacy as drones get smaller, smarter and seemingly unstoppable.
  • The Master” (Marc Fisher, The New Yorker) A profile of a predatory teacher is most interesting as an extreme psychological portrait of the cult mentality.
  • Why the World Faces Climate Chaos” (Martin Wolf, Financial Times) An attempt to understand why we cling to systems that doom us, that could make us the new dinosaurs.
  • The Hollywood Fast Life of Stalker Sarah” (Molly Knight, New York Times Magazine) Thoughtful article about celebrity in our age of decentralized media, in which fame has entered its long-tail phase, seemingly available to everyone and worth less than ever. 
  • Academy Fight Song(Thomas Frank, The Baffler) The author plays the role of designated mourner for common sense in U.S. higher education, which costs more now and returns less.
  • The Wastefulness of Automation(Frances Coppola, Pieria) A smart consideration of the disconnect of free-market societies that are also highly automated ones.

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Andrew Marantz’s New Yorker article, “Unreality Star,” is a brilliant piece that works as the perfect companion to Mike Jay’s excellent Aeon essay, “Reality Show,” as both study the intersection of paranoid psychotic disorders and our contemporary culture, which is truly saturated with surveillance. It doesn’t take much today to imagine we might be the unwitting stars of a beer commercial, a dating game, a reality show–because, in a sense, we all are. The opening:

Soon after Nick Lotz enrolled at Ohio University, in the fall of 2007, he grew deeply anxious. He was overweight, and self-conscious around women; worse, he thought that everyone sensed his unease. People who once seemed like new friends gradually stopped returning his texts. He went out four or five nights a week, and drank to mask his discomfort, occasionally to the point of blacking out. After such episodes, he worried that he’d said, or typed, something that he should have kept private. He suspected that people were posting embarrassing videos of him online, though he couldn’t find any on Facebook.

Lotz, who wanted to be a filmmaker, largely ignored his classwork. Often, he’d draw the blinds of his dorm room and take Suboxone, an opiate that he bought from an older student, and sleep for days. Then he’d snort Adderall or Focalin and stay up all night, watching YouTube videos and working on screenplays. His laptop became his primary connection to the world. Online interactions were less taxing than face-to-face conversations, but they introduced new concerns: just as he monitored his friends’ Internet activity, he assumed that, whenever he clicked links on BuzzFeed or posted comments on Reddit, people were tracking him, too. When he surfed the Web, in a sleepless blur, every site seemed to contain a coded message about him.•

 

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Mike Jay’s Aeon piece, “The Reality Show,” about the nature of mental illness in a world guided by technology and covered in cameras, a place in which we’re always, to some extent, onstage, is probably the best essay I’ve read so far this year. The opening:

Clinical psychiatry papers rarely make much of a splash in the wider media, but it seems appropriate that a paper entitled “The Truman Show Delusion: Psychosis in the Global Village,” published in the May 2012 issue of Cognitive Neuropsychiatry, should have caused a global sensation. Its authors, the brothers Joel and Ian Gold, presented a striking series of cases in which individuals had become convinced that they were secretly being filmed for a reality TV show.

In one case, the subject travelled to New York, demanding to see the “director” of the film of his life, and wishing to check whether the World Trade Centre had been destroyed in reality or merely in the movie that was being assembled for his benefit. In another, a journalist who had been hospitalised during a manic episode became convinced that the medical scenario was fake and that he would be awarded a prize for covering the story once the truth was revealed. Another subject was actually working on a reality TV series but came to believe that his fellow crew members were secretly filming him, and was constantly expecting the This-Is-Your-Life moment when the cameras would flip and reveal that he was the true star of the show.

Few commentators were able to resist the idea that these cases — all diagnosed with schizophrenia or bipolar disorder, and treated with antipsychotic medication — were in some sense the tip of the iceberg, exposing a pathology in our culture as a whole. They were taken as extreme examples of a wider modern malaise: an obsession with celebrity turning us all into narcissistic stars of our own lives, or a media-saturated culture warping our sense of reality and blurring the line between fact and fiction. They seemed to capture the zeitgeist perfectly: cautionary tales for an age in which our experience of reality is manicured and customised in subtle and insidious ways, and everything from our junk mail to our online searches discreetly encourages us in the assumption that we are the centre of the universe.

But part of the reason that the Truman Show delusion seems so uncannily in tune with the times is that Hollywood blockbusters now regularly present narratives that, until recently, were confined to psychiatrists’ case notes and the clinical literature on paranoid psychosis. Popular culture hums with stories about technology that secretly observes and controls our thoughts, or in which reality is simulated with virtual constructs or implanted memories, and where the truth can be glimpsed only in distorted dream sequences or chance moments when the mask slips. A couple of decades ago, such beliefs would mark out fictional characters as crazy, more often than not homicidal maniacs. Today, they are more likely to identify a protagonist who, like Jim Carrey’s Truman Burbank, genuinely has stumbled onto a carefully orchestrated secret of which those around him are blandly unaware. These stories obviously resonate with our technology-saturated modernity. What’s less clear is why they so readily adopt a perspective that was, until recently, a hallmark of radical estrangement from reality. Does this suggest that media technologies are making us all paranoid? Or that paranoid delusions suddenly make more sense than they used to?•

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