Showing posts sorted by date for query Schizophrenia. Sort by relevance Show all posts
Showing posts sorted by date for query Schizophrenia. Sort by relevance Show all posts

Saturday, August 8, 2026

Hikikomori

Hikikomori (pronounced hic-hee-kee-koh-moh-ree)

(1) A mode of behaviour in which an individual becomes a recluse from society, typically remaining isolated, sometimes for decades, in a single room at home.

(2) An individual exhibiting this behaviour for a sustained period.

1990s: From the Japanese noun 引きこもり or 引き籠もり (hikikomori), (literally “pulling inward; being confined”), from the verb hikikomoru (引きこもる).  The construct was 引く (hiku) (to pull, to draw back, to withdraw) + 籠る or こもる (komoru) (to shut oneself away; to remain secluded; to stay inside).  So, the literal translation is something like “to withdraw and remain shut in” but, used to mean “one who has withdrawn into seclusion”, the more common verbal shorthand is “shut in” (in the sense of “acute social withdrawal” or something in that vein).  Although once regarded as a uniquely Japanese phenomenon, it’s not now thought culturally specific, that perception a product of the condition and its extent first being widely documented in Japanese publications.  In Japan, the usual clipping is hikki.  Hikikomori is a noun; the noun plural is plural hikikomori or hikikomoris.

The element komoru is not recent; historically it referred not only to people but also generally to the concept of “being shut away or enclosed” or natural features such as a mountain at times when it was encircled by clouds or a land mass visible only at low tide (a tidal island or tombolo (a sand bar or path of dirt that connects this land to the coastline when the tide falls)).  More typically however it was use of individuals opting for whatever reason to “remain indoors” (such as those who, for religious reasons, might retreat to a mountain hermitage, either for a period of contemplation (that might last a lifetime) or to escape a society they had come to view as in some way “unsatisfactory”.  The concept of hikikomori is different in that those “afflicted” are not deemed to be motivated by a religious calling or philosophical position but instead “suffering” a visceral reaction to the condition of society or their life, manifesting as an urge to retreat from the outside world to a “safe” enclosed space.  This aligns with the modern use in psychiatry.

So use of the verb hikikomoru goes back generations but the noun hikikomori came into use only in the 1990s when the psychiatric sense was popularized in the book Shakaiteki Hikikomori: Owaranai Shishunki (Social Withdrawal: Adolescence Without End, 1998) by Japanese psychiatrist Dr Tamaki Saitō san (b 1961).  For reasons both structural and historic, it’s rare for concepts in psychiatry to have origins in Japan so hikikomori enjoys an unusual place in modern nosology (the characteristics or scientific understanding of a specific disease).  Internationally however, hikikomori “caught on” and became part of the standard jargon; that was not because there was any particular interest in categorizing uniquely Japanese phenomena but because clinicians in other places had for some time been aware the behaviour was not uncommon in their countries.  The Western media soon took an interest in hikikomoru because editors knew stories about “disaffected adolescents locking themselves in their bedrooms for years” would be good productive clickbait, readers likely to be attracted by tales of troubled geniuses or depressed emos.

The companion terms are the English language acronym NEET (Not in Employment, Education or Training) and the Japanese オタク (Otaku).  Otaku (best translated as “geek” or “nerd”, reflecting the bias in use towards computers or other tech) emerged from fandom community associated with Macross (a Japanese science fiction mecha anime media franchise), the use derived from お宅 (otaku) (you), from the honorific form (taku) (home), thus the notion of Macross being “your home” (ie one’s natural environment”).  From the Macross obsessives, use extended to “obsessive interest in something” (especially (and often exclusively) Japanese anime or manga).  While originally a derogatory term, fandom communities “reclaimed” otaku as a self-descriptor although it does continue to be applied disparagingly.  In the West, it tends to be neutral, used to refer to anyone with a strong interest (obsessive or not) in anime or manga.  NEET is applied not to all those “unemployed” but only those thought apathetic or who exhibit the characteristics of a hikikomori but in sub-groups, the play on words with the English “neat” (in the sense “excellent, desirable; interesting; cool”) prevails.

Mental Health Daily's choice of an image capturing the hikikomori experience.

The hikikomori came to be known as “the lost generation” and that it was a thing identified in the 1990s and celebrated (in a sense, that can be the right word) in Dr Saitō san’s 1998 book is interesting because it was the 1990s that came to be known as “the lost decade”).  Although there were of course the inevitable fluctuations in the growth curve, over the 40 years between 1949-1989, the trend for the Japanese economy in most indicative measures (GDP (gross domestic product), GNP (gross national product), RPP (relative purchasing power), AMWE (average male weekly earning), corporate profits, exports, trade surplus etc) tended upwards and while, given the country’s paucity of natural resources, that was an achievement in some ways even more remarkable than the Wirtschaftswunder (“economic miracle”) witnessed in the FRG (Bundesrepublik Deutschland (Federal Republic of Germany; the old West Germany, 1949-1990) over the same period, the stellar performance was not without consequences and some of those consequences triggered reactions.  The strength of Japanese economy was by the 1980s producing notable distortions in the world’s production and trading systems and that of course affected currencies, as aspect of the international system distorted still further by this happening at a time when currencies weren’t allowed to “float” to the extent now familiar, governments and central banks (in some places, for this purpose, the distinction between the two institutions not significant) sometimes literally “setting the rate” by fiat.  All this required trips to Tokyo by the US Treasury Secretary to negotiate the devaluation of the US dollar and it was in the 1970s & 1980s the deindustrialization of the US economy really began, later forces such as automation, computing, the CCP (Chinese Communist Party) proving most adept at capitalism and AI (artificial intelligence) being building blocks in what continues to evolve as the “new model”.  US politicians of course responded to this by inducing Japan, the FRG and others running substantial trade surpluses with the US to shift some production to the US and that to some extent reduced the imbalances but, factories and assembly lines in the 1980s not being what they were a generation earlier, US employment levels or incomes certainly weren't restored.

The Japanese economy continued to flourish and the fear in the US was often expressed as “Japan taking over the world”.  That this might be done by the use of Japanese money was a thought bad enough but to add insult to injury, much of the money was in US dollars gained by Americans paying Japanese companies for the sort of stuff once manufactured in their now shuttered factories.  Against that threat, the world’s most potent military (a chunk of which was allocated to the defense of Japan) and an impressive arsenal of thermo-nuclear weapons able to be delivered anywhere on the planet was not a great deal of help.  What was a help was economic reality because by 1989 one part of the Japanese economy had developed into a disproportionately large bubble; at this bubble’s peak, the notional value of Tokyo real estate market was greater than the entire continental US.  Although obviously not something that could have been realized in the “real world” (ie had every piece of real estate in Tokyo been offered for sale at its nominal valuation), the numbers were indicative of one of economic history’s most notable imbalances.  In a kind of national hubris (an exuberance as “irrational” as anything seen since the Dutch “tulip bubble”), the combination of extreme over-confidence by speculators and ultra-loose credit policies by lenders had resulted in land values in Japanese cities (Tokyo the most extreme example) coming to be decoupled from economic reality (and, because of the “extrapolation effect” by which especially the value of commercial floor-space was calculated within markets), ultimately, basic mathematical reality too.

Hikikomore by 1gorman on Deviant Art.

An (extreme) example of a similar disconnection from reality would be Donald Trump (b 1946; POTUS 2017-2021 and since 2025) applying the metrics and methods of valuation (that for decades have served him well) to news cosmologists had used their new “big telescopes” to discover a “perfect Earth-like” planet (one of the so-called exoplanets (any planet located outside of our solar system)) a “mere” hundred light-years distant.  Obviously, this planet (or at least what it was a century ago). with an ideal climate, ample resources, stable geology etc, would contain much desirable real estate so the valuations attached to this unspoiled paradise would’ in other circumstances, be high.  There might be some uncertainly if it couldn’t be determined if the place had inhabitants (on Earth such folk have proved troublesome in land-grabs) but that’s just something speculators have to “factor in”.  The problem however is that however desirable might be the exoplanet’s lands and seas, they’re a “stranded asset” because of the distance from Earth; we cannot contemplate travelling a single light-year, let alone a hundred.

Safely tucked up: Lindsay Lohan in Hikikomori mode.

So distance can be an intrusive reality, “stranding an asset”.  That’s what the math in 1989 did to Japanese real estate values, the extrapolated numbers meaning floor space in office buildings became at once “the most expensive on the planet” and unrealizable as convertible into cash; the asset became stranded in its bubble.  Still, the frothy days of 1989 must trigger a warm glow of nostalgia among the few able to take their profits and “exit” before the crash of 1990.  When the “bubble burst”, the effects were profound because, unlike the Dutch “tulip bubble” now understood to have had relatively little long-term effect on the wider economy of the Netherlands, in Japan, the crash in the real estate market trigged a cascade of consequences affecting the stock market, over-exposed banks and the wider economy.  In retrospect, that it was a bubble seems so obvious but then, in retrospect, much often does: In 1989, the cumulative value of the Japanese property market was four times that of the US (the latter with more than twice the population and 25 times the land mass); metropolitan Tokyo alone was worth more than the entire continental US and the 1.15 km2 grounds of the Imperial Palace were valued at up to US$5.1 trillion (greater than the entire state of California).  So assets can become “stranded” in a number of ways but the concept is much the same: Whatever may appear the “book value”, if this number can never be translated to “real” economic value (not necessarily cash), that asset is stranded.  The Gaza strip is less distant from New York’s Trump Tower than the desirable real estate on an exoplanet a hundred light away but, with a population tiresomely showing no wish to go somewhere else so sea-front resorts can be built, it may as well be as distant.

Four episodes of Welcome to the N.H.K. (note the “Parental Warning” advisor stickers).

Among the most intriguing of the anime projects was Welcome to the N.H.K., based on a series of novellas by Tatsuhiko Takimoto san (b 1978).  Featuring a very anime-friendly cast of characters (with all that implies), as might be expected in a work about hikikomori, the text explored issues such as social isolation, depression, anxiety and existential dread but the novelty was the appearance of the mysterious N.H.K. (Nihon Hikikomori Kyoukai (Japan Hikikomori Association), a Masonic-like institution responsible for the increasing number of recluses “shut up” in their bedrooms.  The hook is the tale is that the N.H.K. is the shadowy creation of NHK (Nippon Hōsō Kyōkai (Japan Broadcasting Corporation)), the national public broadcaster.

What came to be called “Japan's Lost Decade” of the 1990s was marked severe economic stagnation, a “banking crisis” (bad loans left sitting on the books as if there was a prospect of repayment), a stock market collapse and deflation.  Between 1989-1991 the Nikkei 225 prime index would slump from near 39,000 to around 6,600 and in an era when many governments were fretting about apparently “entrenched” inflation, in Tokyo, what was being observed was deflation.  Central bankers at least know how to “fix” inflation (they engineer a recession), but deflation is a fabulous beast that convinces people not to spend because they know the same commodity will next week likely be cheaper; like the inverse process in an inflation-ridden state, deflation “feeds on itself” in a spiralling “feedback loop”.  Solutions proved elusive.  While central banks fighting inflation could continue raising interest rates until the pain of spending became too much for consumers, the concept of “negative interest rates” (ie one has to pay the bank to store one’s money) was of limited utility because savers’ “work arounds” to evade this would likely make the situation worse before it induced them to open the purse-strings.  Pulling the textbook off the shelf, after blowing off the dust, Japanese governments embarked on “fiscal stimulus programmes” that (with borrowed money) sustained banks continuing to loan to anyway insolvent borrowers, this creating both “zombie banks and “zombie companies”; institutions “not alive yet not quite dead”.  If anything is likely to stifle efficient resource reallocation in an economy, it’s having “zombies at scale”.  In a quirk of the uniqueness of the Japanese economy however, although government debt is now somewhere between 210-240% of GDP (the methods of calculation can vary) this is said “not to be a problem” because so much of the debt is in Yen and locally held (a benefit of all that saving induced by living in deflationary times).  Like the US government debt of US$40 trillion odd (120-135% of GDP), it may take some time before it’s confirmed whether or not these numbers are “a problem”.


Why I Became a Hikikomori (Shut-In), SillyPau explains.  Now we know.

All this happened in conjunction with GDP consistently under 1% and an aging population (a demographic trend that had become structural and continues to this day) and while those “salary men” in employment tended to remain so (although suffering “career stagnation”), the young, despite graduates being the most educated in history, faced what was dubbed the shūshoku hyōgaki (employment ice age), the jobs available for most being low paid, unstable and often non-permanent.  For a generation brought up with high expectations and a sense of unlimited possibilities, it was an unpleasant welcome to the new decade that would come to be called “the lost decade” and even that proved optimistic; by early in the twenty-first century the use had been updated to “lost decades” as the sluggishness persisted.  While it had come to be understood things were not going back to what they were in the happy days of 1989 (because what then was “was not real”), the young in particular still longed for something better.

Some continued their longing and some “just gave up”.  It was in the 1990s the “lost decade” produced the “lost generation” that came to be called the hikikomori, withdrawing from a society that seemed to offer little other than a dreary, meaningless existence.  By becoming recluses hardly ever leaving their bedrooms, maybe that was just another form of meaningless dreariness but at least it was on their terms and lent life some sense of “control”, illusory though that may have been.  According to Japanese researchers, the number of hikikomori had by 2024 grown to over a million and the phenomenon has, on a smaller scale, been noticed in other countries.  In Japan, having a million-odd modern-day hermits sitting in their bedrooms refusing to face the outside world remains unlikely to do much to stimulate the economy or the rapidly declining birth-rate.  Indeed, in mid-2026, the Ministry of Internal Affairs and Communications disclosed the population of domestic citizens had for the first time fallen below 120 million, a 0.76% decrease from the previous year; with 670,467 births against 1,593,475 deaths, deaths are outpacing births by more than two to one.

If something is happening in Japan, there will be anime documenting it in every aspect.  Titles include ReLIFE (2016), Recovery of an MMO Junkie (2017) and the ominous sounding Forbidden Deductions (2023).

Some have argued there is an element of technological determinism is all this.  Whether or not one chooses to label it “internet addiction”, there’s no doubt the ecosystem of the web and apps (especially hyper-realistic gaming) had made it possible as never before to lead a kind of fulfilling life without ever leaving one's bedroom.  With accommodating parents (an ample supply found in Japan) and a good internet connection, the bedroom can become one’s universe, a place without the awfulness one know lies beyond one’s four walls.  There is nothing new about those who either cannot cope with or have no wish to deal with the demands of modern society retreating to the margins but, for the first time in history, it has become possible for these recluses to exist in a rich, diverse, entertaining world that is wholly virtualized; relationships and even love affairs able to be conducted with AI (artificial intelligence) bots.  Because of the dynamics of the ways these bots can be constructed, many users (and by, implication, many hikikomori) probably find these relationships more satisfactory than anything experienced with one with a creature of flesh and blood; in many ways, for the tech industry, the COVID-19 pandemic was a “perfect storm”, contributing to some finding social isolation as “normalized”. The Japanese Government acknowledges hikikomori exists and defines it as something affecting people who have stayed at home for at least six months.

Hikikomori is discussed in the APA’s (American Psychiatric Association) DSM (Diagnostic and Statistical Manual of Mental Disorders) but not as a distinct mental disorder. Instead, it’s listed as a behavioral or psychosocial phenomenon that may occur in association with a variety of psychiatric conditions (and even, in some cases, without any diagnosable mental disorder).  In other words, the DSM treats hikikomori as a symptom rather than a pathology.  That would make sense to clinicians (if not all behavioural sociologists) and in DSM-5-TR (2022), hikikomori is mentioned in the section dealing with “Cultural Concepts of Distress”, the characteristics including (1) marked social withdrawal, (2) remaining at home (often confined to one room) for at least six months and (3) an association with significant functional impairment.  So, in the DSM, hikikomori is not classified as a separate diagnosis and clinicians are encouraged to consider whether the withdrawal is better explained by disorders such as: (1) autism spectrum disorder, (2) major depressive disorder, (3) schizophrenia spectrum disorders, (4) social anxiety disorder, (5) avoidant personality disorder or (6) OCD (obsessive-compulsive disorder).  If a patient seems not a good fit for any of those, helpfully, the DSM includes (7) other psychiatric illnesses and presumably, that cohort will be thought diagnostically the most interesting.  It would not be surprising if the profession settles on an acceptance of hikikomori as something transdiagnostic, a behavioral endpoint that can arise from various causes.

The Hikikomori: The Girl Who Couldn't Go Outside (2022) by Mark Vrankovich.

There is much thematic variation in hikikomori literature, ranging from the hopeful to the nihilistic.  There are also redemption tales.  In The Hikikomori: The Girl Who Couldn't Go Outside, Miko Nishimura san is a hikikomori who has become convinced she is the most insignificant person in Japan.  Crippled by anxiety, she never leaves her bedroom, occupying just about every waking moment playing racing games (she’s a most modern girl) on her computer.  However, a crisis ensues when the batteries in her wireless mouse die during a time when her parents are absent.  It’s made clear not many things could induce Miko san to leave the house but not being able to continue her gaming was such a rare  circumstance.  Miko san should of course have had spare batteries to hand (or, better still, used a wired mouse needing no batteries) but what’s done is done and can’t be undone and she knew she was compelled to make the terrifying trip to the shop to buy new batteries. As courageously she ventures forth, what unfolds is a tale intertwining contemporary Japanese culture, ancient magic powers and the finding of love.

Although in the west there’s a long tradition of “the recluse” (from the briefly installed Celestine V (circa 1212-1296; pope Jul-Dec 1294) to the film star Greta Garbo (1905–1990) and the multi-faceted Howard Hughes (1905–1976)) when in 1998 Dr Saitō san published his book, it seemed in the West fashionable to see hikikomori as something culturally specific, an example of one of the tradition-bound syndromes that delight writers who regard “Japanese weirdness” as the last acceptable form of the “orientalism” that was for decades a standard paradigm of academic and popular analysis of stuff east of Suez.  It’s still claimed (though increasingly unconvincingly) there are many of these “Japanese” syndromes relating to fields such as education, employment the family and attitude to psychiatric treatment but the modern view is that in these matters, between Japan and other cultures (certainly in East Asia), there are as many similarities as differences.  It has also become clear hikikomori–like behaviour exists in clinically significant numbers in a number of countries including South Korea, China, Hong Kong, Singapore, Spain, Italy, France, New Zealand, Canada, the US, Australia, the UK, Brazil and India.  Despite that, it is still most associated with Japan because it was there first identified (a la the “Spanish flu” process of 1919) but there’s no doubt the conjunction of the nation’s “lost decades” and the subsequent overlays of (1) the internet, (2) social media, (3) the COVID-19 pandemic and (4) consumer-packaged AI algorithms that made possible “life-like virtual relationships” created economic and social conditions that made the phenomenon both more prevalent and visible.

Monday, April 6, 2026

Scum

Scum (pronounced skuhm)

(1) A film or layer of foul or extraneous matter that forms on the surface of a liquid as a result of natural processes such as the greenish film of algae and similar vegetation on the surface of a stagnant pond.

(2) A layer of impure matter that forms on the surface of a liquid as the result of boiling or fermentation.

(3) As disparaging slang, a person though low, worthless, or evil (often as “scumbag” or “scumbucket”.

(4) Such persons collectively (often as “scum of the earth”).

(5) An alternative name for scoria, the slag or dross that remains after the smelting of metal from an ore.

1200–1250: From the Middle English scume, derived from the Middle Dutch schūme (foam, froth) cognate with German schaum, ultimately of Germanic origin, drawn from the Old High German scūm and Old French escume.  In Old Norse word was skum, thought derived from the primitive root (s)keu (to cover, conceal).  By the early fourteen century, the word scummer (shallow ladle for removing scum) had emerged in Middle Dutch, a borrowing from the Proto-Germanic skuma, the sense deteriorated from "thin layer atop liquid" to "film of dirt," then just "dirt" and from this use is derived the modern skim.  The meaning "lowest class of humanity" is from the 1580s; the familiar phrase “scum of the earth” from 1712.  In modern use, the English is scum, the French écume, the Spanish escuma, the Italian schiuma and the Dutch schuim.  Scum is a noun & verb, scumbag, scumbaggery, scumbagginess & scumbucket are nouns, and scumlike, scummy & scumbaggy are adjectives; the noun plural is scums.


Rendezvous: New Zealand-born cartoonist David Low's (1891-1963) famous take on the 1939 German-Soviet Nonaggression Pact.

The document usually is called the Nazi-Soviet Pact or Molotov-Ribbentrop Pact because it was signed by comrade Vyacheslav Molotov (1890–1986; Soviet foreign minister 1939-1949 & 1953-1956) and Joachim von Ribbentrop (1893–1946; Nazi foreign minister 1938-1945).  To illustrate the pact's cynical nature, Low depicted Adolf Hitler (1889-1945; Führer (leader) and German head of government 1933-1945 & head of state 1934-1945, left) exchanging artificial pleasantries with comrade Stalin (1878-1953; Soviet leader 1924-1953, right) both knowing it was only a matter of time before their nations would be at war.  Although Low at the time couldn't have known it, comrade Stalin (1878-1953; Soviet leader 1924-1953) was not unaware of public opinion and when presented with the pact's draft text, decided the rather flowery preamble extoling German-Soviet friendship was just too absurd, telling the visiting delegation that "...after years of pouring buckets of shit over each-other...", it'd be more convincing were the document to be as formal as possible.  Sensational as news of the pact was in 1939, what became more notorious still was the appended "secret protocol" which defined the line of delineation by which Poland would be "carved-up" between Germany and the USSR after the German invasion.  Because of geography and demographic reality, the line on the map was remarkably close to the Curzon Line, first proposed in 1919 by Lord Curzon (1859–1925; Viceroy of India 1899-1905 & UK Foreign Secretary 1919-1924) as the border between Soviet Russia and a reconstituted Poland.

Cautiously, comrade Stalin waited a couple of weeks to ensure the German victory was secure before sending the Red Army over the border, an act the Poles would remember as "a stab in the back".  The defense counsel at the first Nuremberg Trial (1945-1946) obtained a copy of the secret protocol and attempted to have it introduced as evidence but the judges denied the motion, the compromise being it could be referred to but the contents could not be discussed.  The irony of two Soviet judges dealing with the charges of a conspiracy to wage aggressive war (Count 1) and waging aggressive war (Count 2) when knowledge of the secret protocol (a conspiracy to invade Poland) was afoot attracted much comment.  One unmoved by the perception of cynicism was comrade Stalin for whom all politics was realpolitik.  At the Yalta Conference in February 1945, during the difficult negotiations over Polish borders, Molotov habitually would refer to “the Curzon Line” and the UK foreign secretary, Anthony Eden (1897–1977; thrice UK foreign secretary & prime minister 1955-1957), in a not untypically bitchy barb, observed the more common practice was to call it “the Molotov-Ribbentrop line”.  Call it whatever you like” replied Stalin, “we still think it's fair and just”.  Rarely did comrade Stalin much care to conceal the nature of the regime he crafted in his own image.      
 
The Society for Cutting Up Men: The S.C.U.M. Manifesto

S.C.U.M. Manifesto (post shooting, 1968 paperback Edition).

Although celebrated in popular culture as the summer of love, not everyone shared the hippie vibe in 1967.  The S.C.U.M. Manifesto was a radical feminist position paper by Valerie Solanas (1936-1988), self-published in 1967 with a commercial print-run a year later.  Although lacking robust theoretical underpinnings and criticized widely within the movement, it remains both feminism’s purest and most uncompromising work and an enduring landmark in the history of anarchist publishing.  In the abstract, S.C.U.M. suggested little more than the parlous state of the word being the fault of men, it was the task of women to repair the damage and this could be undertaken only if men were exterminated from planet Earth.  The internal logic was perfect.

As well as the Society for Cutting Up Men, Acronym Finder’s list of the use of SCUM as an acronym includes (1) Subculture Urban Marketing, (2) Santa Clara United Methodist, (3) Sensitive Caring Urban Male (though being one of those wouldn’t save them and they’re as likely (after ordering their Venti Iced Caramel Macchiato with almond milk and an extra shot of espresso) as a (4) Self-Centered Urban Male to get Solanas’ “six-inch blade” between the ribs), (5) Southern California Unified Malacologists (malacology is the study of molluscs), (6) South Coast United Motorcyclist and (7) Socialist Cover-Up Media (how Fox News and those in the MAGA (Make America Great Again) cult think of the “fake news media).

The use of Scum as an acronym for Society for Cutting Up Men existed in printed form from 1967 (though not in the manifesto’s text) although Solanas later denied the connection, adding that S.C.U.M. never existed as an organization and was just “…a literary device”.  The latter does appear true, S.C.U.M. never having a structure or membership, operating more as Solanas’ catchy marketing label for her views; dubbing it a literary device might seem pretentious but, given her world-view, descending to the mercantile would have felt grubby.  That said, when selling the original manifesto, women were charged US$1, men US$2.  While perhaps not as elegant an opening passage as a Jean-Jacques Rousseau (1712–1778) might have penned, Solanas’ words were certainly succinct.  "Life in this society being, at best, an utter bore and no aspect of society being at all relevant to women, there remains to civic-minded, responsible, thrill-seeking females only to overthrow the government, eliminate the money system, institute complete automation and eliminate the male sex.”  Ominously, “If S.C.U.M. ever strikes” she added, “it will be in the dark with a six-inch blade.”  No ambiguity there, men would know what to expect.

On set, 1967, Andy Warhol (1928-1987) & Nico (1938-1988).

Author and work were still little-known outside anarchist circles when, on 3 June 1968, Solanas attempted to murder pop-artist Andy Warhol, firing three shots, one finding the target.  The year 1968 was in the US a time of violence and tumult but amid it all, the celebrity connection and the bizarre circumstances ensured this one crime would attract widespread coverage.  Valerie Solanas with her two guns had entered Mr Warhol’s sixth-floor office at 33 Union Square West convinced he was intent on stealing the manuscript of the play Up Your Ass she’d repeatedly tried to persuade him to produce.  Warhol and his staff had reviewed the work and decided it simply wasn’t very good (Warhol giving the the back-handed compliment of it being "well-typed") but because he’d “misplaced” the manuscript (it was later discovered in a trunk) Solanas concluded that was just a trick and he was going to steal what she thought of as her brilliant play, claiming it as her own.  Although she’d for some time hovered around the fringes of the Warhol “Factory”, she seems not to have had much success as an advocate.  Her S.C.U.M. Manifesto envisioned a world without men which was at the time heady stuff with a certain mid-1960s appeal but Warhol also declined her offer to become a member of the Scum’s “Men’s Auxiliary” (a group for men sufficiently sympathetic to Scum’s aims to begin “working diligently to eliminate themselves.”)  As offers go, it really wasn't compelling.

New York Daily News, 4 June 1968.

Not best pleased by the headline, “Actress Shoots Andy Warhol”, Solanas demanded a retraction claiming that she was "a writer, not an actress."  The paper had based the headline on her appearance in Warhol's films I, a Man (1967) and Bike Boy (1967).  Warhol later admitted he'd cast her in I, a Man (for which she received a US$25 fee) in the hope she'd stop nagging him about the play she'd written.  She never complained about anything else the press wrote about her but apparently the label "actress" was beyond the pale.

Solanas’ state of mind about the fate of her intellectual property can be explained by it being no secret Warhol was inclined to “use” (the words “borrow”, “appropriate” “steal” also often used but “sample” was not yet a thing) and rebrand it all as “his art”.  For weeks leading up to the attempt on his life, repeatedly she’d called his office with first requests and then demands about her manuscript, culminating with threats at which point Warhol stopped taking her calls; the next call she made was in person and she shot him and an art gallery owner with who he was discussing an exhibition (he (as collateral damage) received minor injuries); Warhol was declared dead but paramedics arrived to stabilize him.  Calmly, Solanas left the building and several hours later, approached a policeman in Times Square, handed over her two guns and told him: “He had too much control over my life.  Unsurprisingly, a judge ordered a psychiatric evaluation and she received a diagnosis of paranoid schizophrenia but despite this, she was found competent to stand trial and pleaded guilty to “reckless assault with intent to harm”; sentenced to three years incarceration (including time served) in the Matteawan Hospital for the Criminally Insane (1892-1977); she was released late in 1971.  Solanas never renounced the S.C.U.M. manifesto nor lost faith in its capacity to change the world but her her mental health continued to decline and reports indicate she became increasingly paranoid and unstable. She spent her last years in a single-occupancy welfare hotel in San Francisco, where, alone, she died in 1988, the official cause of death listed as "pneumonia".  
  
A (fake) montage of Lindsay Lohan as Andy Warhol (1928–1987) might have rendered.  Ms Lohan was not yet 12 months old when Warhol died (the start of her modeling career still two years off) but had he lived another two decades he'd almost certainly have painted her.

Ms Solanas' infamy lasted beyond fifteen minutes and one unintended consequence of her act was the S.C.U.M. Manifesto finally finding a commercial publisher, thus becoming what is publishing is known as succès de scandale (a work which owes its success or very existence to some notoriety or scandalous element).  In certain feminist and anarchist circles she remains a cult figure although, it takes some intellectual gymnastics to trace a lineal path from her manifesto to the work of even the more radical of the later-wave feminists such as Andrea Dworkin (1946-2005), Susan Brownmiller (b 1935) or Catharine MacKinnon (b 1946).  Solanas to this day still is usually described as a “feminist” or “radical feminist” but, given the implication of the manifesto, it would seem more accurate to label her a misandrist (one who exhibits a hatred of or a prejudice against men), a world view which attracts many because, to be fair, there are any number of reasons to hate men.  Although one suspects among women the "all men are bastards" school of thought is ancient, the noun "misandry" was a late nineteenth century formation, the construct being mis- (in the sense of “hatred”) + -andry (men), by analogy with the more commonly used misogyny (hatred of or a prejudice against women); the inspiration was the Ancient Greek μισανδρία (misandría), the construct being μισέω (miséō) (hate) + νήρ (anr) (man).


Cause and effect: The (attempted) murder weapon (Beretta M1935 automatic in .32ACP, left) and Warhol's post-operative torso (right).

Warhol required surgery to his spleen, stomach, liver, esophagus and lungs; the damage he suffered to a range of internal organs not uncommon among those shot at close range; the bullet ricocheted off a rib, accounting for the lateral trajectory.  Although the Beretta M1935 automatic (in .32ACP) she used is not regarded as a “big calibre” (the .32 listed by most as a “small bore”), a single shot from one, especially at close-range, can be lethal and an wound from even a smaller load (like the .22 she was also carrying) can be fatal.  In the context of handguns, a “big calibre” load usually is defined as one with a diameter of .40 inches (10mm) or larger and of those there are many including .44, .45 & .50 although “magnum” versions of smaller bore ammunition (.22, .357 etc) can match many larger loads in “stopping power”.  Interviewed later, Warhol reflected: “Before I was shot [June, 1968], I always thought that I was more half-there than all-there - I always suspected that I was watching TV instead of living life. People sometimes say that the way things happen in the movies is unreal, but actually it’s the way things happen to you in life that’s unreal. The movies make emotions look so strong and real, whereas when things really do happen to you, it’s like watching television - you don’t feel anything. Right when I was being shot and ever since, I knew that I was watching television. The channels switch, but it’s all television.

Gun (1982), synthetic polymer paint and silkscreen ink on canvas by Andy Warhol.

Artistically, the shooting had consequences.  Warhol became more guarded, abandoning projects like filmmaking which required so much contact with people and stopping the production of controversial art which might attract more murderous types and focusing on business, in 1969 founding what in 1969 became Interview magazine.  Although there had in his previous output been evidence of an interest in death and violence, after the shooting, often he would visited the theme of death, painting a series of skulls and one of guns, a weapon with which he now had an intensely personal connection.  He was certainly not unaware what happened that day in June 1968 was a turning point in his life, some twenty years later noting in his diary: “I said that I wasn’t creative since I was shot, because after that I stopped seeing creepy people.

Monday, December 22, 2025

Psychosis

Psychosis (pronounced sahy-koh-sis)

In psychiatry, a severe mental disorder (sometimes with physical damage to the brain), more serious than neurosis, characterized by disorganized thought processes, disorientation in time and space, hallucinations, delusions and a disconnection from reality.  Paranoia, manic depression, megalomania, and schizophrenia are all psychoses.

1847: From the New Latin & Late Greek psȳ́chōsis, the construct being psycho- + -osis, the source being the Ancient Greek ψύχωσις (psúkhōsis) (animation, principle of life), psych from the Ancient Greek ψυχή (psukh or psykhē) (mind, life, soul).  The suffix –osis is from the Ancient Greek -ωσις (-ōsis) (state, abnormal condition or action), from -όω (-óō) (stem verbs) + -σις (-sis); -oses was the plural form and corresponding adjectives are formed using –otic, thus respectively producing psychoses and psychotic.  The Ancient Greek psykhosis meant "a giving of life; animation; principle of life".  In English, the original 1847 construction meant "mental affection or derangement" while the adjective psychotic (of or pertaining to psychosis) dates from 1889, coined from psychosis, on the model of neurotic/neurosis and ultimately from the Ancient Greek psykhē (understanding, the mind (as the seat of thought), faculty of reason).

In clinical use there are many derived forms (with meanings more precise than is often the case when such words migrate to general use) including antipsychotic, micropsychotic, neuropsychotic, nonpsychotic, postpsychotic, prepsychotic, propsychotic, protopsychotic, quasipsychotic, semipsychotic & unpsychotic.  The useful portmanteau word sarchotic (the construct a blend of sarcastic + psychotic) is used to describe a statement so distrubingly sarcastic it can't be certain if the remark is intended to be humerous or the person making it genuinely is psychotic and even then there are graduations for which the adverb is used, the comparative being "more psychotically" and the superlative "most psychotically".  Psychosis & psychoticism are nouns, psychotic is a noun & adjective and psychotically is an adverb; the noun plural is psychoses.

Psychosis and the DSM

The word psychosis was a mid-nineteenth century creation necessitated by early psychiatry’s separation of psychiatric conditions from neurological disorders.  Originally a generalized concept to refer to psychiatric disorders, gradually it became one of the major classes of mental illness, assumed to be the result of a disease process, and, more recently, to a symptom present in many psychiatric disorders.  During this evolution, the diagnostic criteria shifted from the severity of the clinical manifestations and the degree of impairment in social functioning to the presence of one or more symptoms in a set of psychopathological symptoms.  By the early twentieth century, the concept of neurosis (which once embraced both the psychiatric and the neurological disorders), became restricted to one major class of psychiatric disease whereas psychosis (which once embraced all psychiatric disorders) became restricted to the other.

The first consensus-based classification with a description of diagnostic terms was in the first edition (DSM-I (1952)) of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) in which mental disorders were divided into two classes of illness: (1) organic disorders, caused by or associated with impairment of brain tissue function; and (2) disorders of psychogenic origin without clearly defined physical cause or structural changes in the brain.  When DSM-II (1968) was released, the classifications were revised with mental disorders now classed as (1) psychoses and (2) neuroses, personality disorders, and other non-psychotic mental disorders.  Psychosis was defined as a mental disorder in which mental functioning is impaired to the degree that it interferes with the patient's ability to meet the ordinary demands of life and recognize reality.

Advances in both neurology and psychiatry led to an extensive revision in DSM-III (1980).  Radically, all traditional dichotomies (organic versus functional, psychotic versus neurotic etc) were discarded with psychiatric syndromes assigned to one of fifteen categories of disease.  At the labelling level, the term psychotic was used to describe a patient at a given time, or a mental disorder in which at some time during its course, all patients evaluate incorrectly the accuracy of their perceptions and thoughts but the editors emphasized it should not be applied to patients suffering only minor distortions of reality, regardless of how exactly they might fulfil the clinical criteria.  The revisions in DSM-III-R (1987) extended only to slight changes in terminology.

Mirroring the changes in diagnostic criteria published by the WHO, DSM-IV (1994) noted the diagnosis of psychosis should no longer be based on the severity of the functional impairment but rather on the presence of certain symptoms which included delusions, hallucinations, disorganized speech and grossly disorganized or catatonic behavior.  This emphasis on psychoses being spectrum conditions was continued in DSM-5 (2013) with schizoid (personality) disorder and schizophrenia defining its mild and severe ends.  Additionally, a more precise diagnostic framework was defined in which patients were assessed in terms both of symptoms and duration of suffering.

Two examples of "schizophrenia art".

My Eyes in the Time of Apparition (1913) by August Natterer (1868-1938).

The life of German artist August Natterer began innocuously enough, studying engineering, travelling extensively, marrying and building a successful career as an electrician.  However, in his thirties, he began to experience anxiety attacks and delusions and in 1907 suffered a hallucination in which thousands of images flashed before his eyes in little more than thirty minutes.  So affected by the experience that he attempted suicide, he was admitted to an asylum and would spend the remaining quarter-century of his life in and out of institutes for the insane.  In the literature, Natterer is referred to as Neter, a pseudonym used by his psychiatrist to protect patient and family from the social stigma then associated with mental illness.  He described the 1907 hallucination as a vision of the Last Judgment which he described as:

"...10,000 images flashed by in half an hour.  I saw a white spot in the clouds absolutely close – all the clouds paused – then the white spot departed and stood all the time like a board in the sky. On the same board or the screen or stage now images as quick as a flash followed each other, about 10,000 in half an hour… God himself occurred, the witch, who created the world – in between worldly visions: images of war, continents, memorials, castles, beautiful castles, just the glory of the world – but all of this to see in supernal images. They were at least twenty meters big, clear to observe, almost without color like photographs… The images were epiphanies of the Last Judgment. Christ couldn't fulfil the salvation because he was crucified early... God revealed them to me to accomplish the salvation."

After his suicide attempt and committal to the first of what would be several mental asylums, Natterer thereafter maintained that he was the illegitimate child of Emperor Napoleon I (Napoleon Bonaparte (1769–1821; leader of the French Republic 1799-1804 & Emperor of the French from 1804-1814 & 1815)) and "Redeemer of the World".  The vision inspired Natterer to a prolific production of drawings, all documenting images and ideas seen in the vision, one especially interesting to those studying psychosis and schizophrenia being My Eyes in the Time of Apparition (1913), two eyes bloodshot and wide-open eyes staring from the page.  The irises of the eyes do not match.

The Scream (1893), oil, tempera & paste on cardboard, by Edvard Munch (1863-1944), National Gallery of Norway.

Norwegian Edvard Munch was one of a number of artists modern psychiatrists have written of as having both genetic and environmental predispositions to mental illness, schizophrenia in particular; one of Munch’s sisters had schizophrenia, his father suffered from depression, his mother and another sister dying from tuberculosis when he was young.  Munch though was a realist, once telling an interviewer, “I cannot get rid of my illnesses, for there is a lot in my art that exists only because of them.”  The idea of affliction as a source or artistic inspiration appears often in the literature of art, music and such and in that it's something of a parallel with those who produce their finest work while living under political oppression; unpleasant as that can be, reform can see careers suffer, famous dissidents abruptly left as "rebels without a cause" after the fall of the Soviet Union (1922-1991) and a generation of the UK's activists found grist for their mills less prolific after the Tory Party had Margaret Thatcher (1925–2013; UK prime-minister 1979-1990) walk the political plank.  Where one door closes however, another sometimes opens and in John Major (b 1943; UK prime-minister 1990-1997) the comedians found a rich vein of material.    

His was a troubled life and in 1908, following a psychotic break exacerbated by alcoholism, Munch was admitted to a mental health clinic, later diagnosed with neurasthenia, a clinical condition now known to be closely associated with hypochondria and hysteria.  Adding to his problems, the Nazis labelled Munch’s style “degenerate art” and in 1937 confiscated many of his works but their disapprobation had less of an influence on his painting than his schizophrenia, his output continuing to feature figures obviously tortured by anguish and despair.  The apparently frantic strokes of the brush and his seemingly chaotic pallet of colors have long intrigued both critics and clinicians seeing insight into his state of mind, the idea being his paintings provide something of a visual representation of how schizophrenia might lead individuals to see the world.

Lindsay Lohan, following Edvard Munch, rendered by Vovsoft in comicbook style.

Endlessly reproduced, the subject of numerous memes and the inspiration for many re-interpretations, The Scream is Munch’s most famous work and the most emblematic of what now casually is called “schizophrenic art” (unfortunately often conflated with “art by schizophrenics”).  For decades it has been the chosen artistic representation for the angst-ridden modern human condition, the artist in 1890 noting in his diary a still vivid memory: “I was walking along the road with two friends—the sun went down—I felt a gust of melancholy—suddenly the sky turned a bloody red... I felt this big, infinite scream through nature.  That entry was written some years after the sight and before painting The Scream in 1893 but the moment stayed with him because his vision of the sky caused him to “tremble with pain and angst” and he felt he heard his “…scream passing endlessly through the world.  For historians those fragment of memory proved of interest and in his book Krakatoa:The Day the World Exploded (2003), detailing the 1883 eruption of the Indonesian volcano Krakatoa, Simon Winchester (b 1944) connected the “blood red” Norwegian sky with the fiery sunsets created by the ash from the explosion circulating the planet, high in the atmosphere.

Krakatoa: The Day the world exploded.

The idea of a link between the catastrophic geological event and the painting had long intrigued art historians who understood such a sight would have appeared “surreal”, decades before the surrealism movement became established and that it was a natural phenomenon is well-supported by theoretical modelling.  Between 20 May-21 October 1883, Krakatau, a volcanic island in the Sunda Strait, erupted, the “main event” happening on 27 August, during which over two-thirds of the island and its surrounding archipelago was destroyed, the remnants subsequently collapsing into a caldera (in volcanology, a large crater formed by collapse of the cone or edifice of a volcano).  The event created a large tsunami which, much diminished, reached the Atlantic and it’s believed that day’s third explosion was history’s loudest known sound.  What Edvard Munch is thought to have seen is the evening light of the sun being colored by the millions of tons of sulfur dioxide and volcanic dust blasted high into the atmosphere, circulating there for years including over Oslo when the artist was taking his walk.  Nor was he wholly wrong in suggesting “a scream passing” because such was energy generated by the explosion, the acoustic pressure wave circled the globe at least three times.