AN ANALYSIS AND CRITIQUE OF MANY POPULAR PSYCHOLOGICAL ‘SYNDROMES’
Author Elaine Showalter wrote in the Preface to the Paperback Edition of this 1997 book, “I anticipated that [this book] would upset some special-interest groups, and it did… But I didn’t predict that I would become the subject of conspiracy theories myself, that I would be accused of writing the book with secret ‘major corporate funding’ and… trying to ‘bolster a flagging career in academia.’ … On the other hand, I’ve had the opportunity to meet and correspond with many doctors, scientists, journalists, scholars, and government officials who have extended … my understanding of these syndromes… With regard to chronic fatigue syndrome, little has changed… As for Gulf War Syndrome, the real gulf is still the one between alleged cases and proven effects… With regard to recovered memories, ritual abuse charges and multiple personalities, however, the tide seems to have turned. Courts have continuing to reverse decisions… we have a long way still to go before credulity, superstition, and hysterical epidemics are on the wane.”
She explains in the first chapter, “hysteria has not died. It has simply been relabeled for a new era… When well-meaning crusaders see hysterical syndromes in the context of social crises and then publicize their views through modern communications networks, these misconceptions can give rise to epidemics and witch-hunts… As the panic reaches epidemic proportions, hysteria seeks out scapegoats and enemies—from unsympathetic doctors, abusive fathers, and working mothers to devil-worshipping sadists, curious extraterrestrials, and evil governments… I am a literary critic and a historian of medicine, rather than a psychiatrist. Above all, hysteria tells a story, and specialists in understanding and interpreting stories know ways to read it.” (Pg. 4-7) She adds, “Can we interrupt or halt these epidemics? I believe that we already have the power to control epidemic hysteria, though it will take dedication and persistence to counter sensational news reports, rumors, and fear. We must accept the interdependence between mind and body, and recognize hysterical syndromes as a universal psychopathology of everyday life before we can dismantle their stigmatizing mythologies.” (Pg. 12)
She clarifies, “I don’t regard hysteria as weakness, badness, feminine deceitfulness, or irresponsibility, but rather as a cultural symptom of anxiety and stress. The conflicts that produce hysterical symptoms are genuine and universal; hysterics are not liars and therapists and not villains… While I criticize some forms of therapy… I also see a vital place for psychotherapy, psychopharmacology, and psychological guidebooks in everyday life.” (Pg. 9) Later, she adds, “Redefining hysteria as a universal human response to emotional conflict is a better course than evading, denying, or projecting its realities.” (Pg. 17)
She states, “the feminist embrace of all abuse narratives and the treatment of all women as survivors have troubling implications. Claiming hysteria and admiring its victims may have had inspirational functions in the 1970s… Today’s feminists need models rather than martyrs; we need the courage to think as well as the courage to heal.” (Pg. 61)
She says, “I do not disparage the suffering of patients with CFS [Chronic Fatigue Syndrome]. Ther symptoms are genuine, whether psychologically or organically caused, or both… The syndrome is a reality that undoubtedly has a devasting effect on their lives, marriages, and families.” (Pg. 116-117) She continues, “Many well-informed, thoughtful, educated people in the U.S. and Europe are convinced they’ve read that an organic basis for CFS has been firmly established… Journalistic and medical refusal to investigate the most extreme claims … [have] fueled the epidemic… With this sort of special pleading and suspension of critical attention, how can readers assess claims or differentiate between contradictory narratives of the CFS epidemic?” (Pg. 126) Later, she adds, “Doctors may protect the self-esteem of their patients in the short run by prescribing placebos… But in the long run, such acquiescence only creates more hystories.” (Pg. 131)
Of Gulf War Syndrome [GWS], she comments, “Journalists could be more helpful by reminding readers of the atmosphere leading up to the Gulf War and the many forces that contributed to stress and disorientation for participants… Seventeen percent of Gulf War forces came from National Guard reserve units who had never expected to be on active duty, especially under such ominous conditions... Soldiers also had to deal with frightening gossip about the preventive medications offered to them.” (Pg. 140-141) She adds, “The suffering of Gulf War Syndrome IS real by any measure, and the symptoms caused by war neurosis are just as painful and incapacitating as those caused by chemicals, parasites, and smoke. But until we can acknowledge that … As charges of sinister conspiracy and high-level government cover-up move in to displace and supplant the medical debate, Guyf War Syndrome becomes an epidemic of suspicion, a plague of paranoia that threatens a greater malaise than even Vietnam.” (Pg. 142-143)
Of ‘Recovered Memory,’ she states, “I have come to doubt the validity or therapeutically recovered memories of sexual abuse, but I do not wish to belittle those who believe in their memories, People do not generate these confabulations out of an intention to deceive. They may need to define an identity, to work out anger toward the accused, or to respond to cultural pressures.” (Pg. 147) She points out, “If 5000 people---or 5 people, or one---are unjustly accused, that is important. It cannot be factored in as an allowable margin of error… In a situation where the alleged abuse is well in the past, there is all the more reason for caution and consideration. Surely confronting outraged parents cannot be easy or helpful for patients either.” (Pg. 156)
Of Multiple Personality Disorder, she asks, “What will happen next to multiple personalities?... the movement might split into a professional clinical group dominated by psychiatrists and a ‘populist alliance’ of parents and therapists… These groups will be competing for clients and health insurance funding… multiple personality had become a lifestyle with its own activities…” (Pg. 169-170)
Turning to Satanic Ritual Abuse (SRA), she observes, “It should come as no surprise that most adults recovering memories of SRA are women… Women also dominate the SRA subculture---that is, the people who have been most upset by allegations of satanic ritual abuse… Ironically, the SRA panic derives in large part from religious fundamentalists and political conservatives who are antagonistic to feminist goals... Why do so many intelligent, educated, concerned people believe these bizarre stories? The term ‘satanic ritual abuse’ is a large and messy one… its vagueness and inclusiveness make it seem plausible to many reasonable people who recall having read or heard something that may relate to it… Marginalized teenagers playing heavy metal music and tattooing themselves with skull s may alarm adults, but they are not the transgenerational secret satanists of rumor.” (Pg. 177-179) Later, she adds, “In the courts, satanic ritual abuse accusations are now facing more skeptical juries… Yet many others who have been accused remain imprisoned. Rather than accept the lack of evidence for their claims, many patients, therapists, and believers have expanded their definition of abuse… fascination with conspiracy bodes ill for the prospect that we will soon emerge from this darkness.” (Pg. 187-188)
Of Alien Abductions, she states, “From a narrative point of view, we might first notice how conveniently these plot elements avoid questions of evidence, objective confirmation, and proof. Abductions do not occur in front of witnesses, ufologists argue, because aliens want secrecy. They take place at night because the abductee’s absence is likely to go undetected and they can be disguised as dreams. Apart from the medical equipment, abductees recall little about the spaceships—which do not, for example, seem to have bathrooms or kitchens.” (Pg. 195) Later, she adds, ,”we can be sure that alien abduction myths will not be wiped out by the accumulation of negative evidence.” (Pg. 199)
She concludes, “We must exercise caution as a society when hystories take on that political, judicial form, when they stop being therapeutic and cross the line into accusation and prosecution. The problems and realities behind modern hystories are all too real… The conflicts women try to resolve with hystories are equally complex… But feminism can help us accept the struggle and resist regression into victimization… the hysterical epidemics of the 1990s have already gone on too long, and they continue to do damage: in distracting us from the real problems and cries of modern society, in undermining a respect for evidence and truth, and in helping support an atmosphere of conspiracy the suspicion… Men and women, therapists and patients, will need courage to face the hidden fantasies, myths, and anxieties that make up the current hysterical crucible; we must look into our own psyches rather to invisible enemies, devils, and alien invaders for the answers… I believe our human dignity demands that we face the truth.” (Pg. 205-207)
This book will be “must reading” for anyone studying these various topics.