Friday 13 October 2017

Despotic diagnosis disorder

I learnt a new word today - "drapetomania."*

Drapetomania was a psychological disorder invented by the American physician Samuel A Cartwright, to account for the fact that some slaves tried to escape from their owners. Cartwright speculated that these unaccountable symptoms must have been triggered by slave owners who "made themselves too familiar with [slaves], treating them as equals" and prescribed the remedy of "whipping the devil out of them" (the slaves, not the over-familiar slave owners).

It's an extreme example of medicalising behaviour which challenges existing power relations. Other examples which spring to mind are the abuse of psychiatry to silence dissent in the Soviet Union (a practice which now seems to be enjoying a revival under Putin and his fellow authoritarian leaders in different parts of the former USSR) and the made-up diagnosis of "hysteria" as a catch-all term to pathologise women who were uppity, unhappy, or otherwise failing to comply with male expectations.

There are less dramatic, but still sinister, pathologies being invented in the our own age. In 2012, Bruce Levine warned about children being given a new diagnosis - "opposition defiant disorder", complete with the auto-stigmatising acronym "ODD."
Of course, a stroppy kid who fails to comply with the requests of even a reasonable authority figure might just be a little brat, but that's not really a medical diagnosis. There are cases when adult authority figures are anything but reasonable and throwing a major strop would be a completely reasonable response from a sane child.

This is how authoritarian whims are camouflaged as objective judgements. Which brings me, in a roundabout way, to Donald J Trump. Most of the outrageous antics coming from the Trump White House seem designed to distract from more important things (for example policies which are either failing to happen, or which would be unpopular if people stopped thinking about the latest 3am Tweet for long enough to think about what the guy's actually doing). However, some of his outbursts do also shine a light on the sort of power relations behind labels like drapetomania, hysteria and ODD

The authoritarian mindset is all about enforcing certain norms of behaviour and swiftly punishing transgressors - in Trump's mind it's perfectly OK to try and get NFL players who take a knee to protest against police brutality, fired. But Trump himself is all about flouting norms, being more outrageous, offensive and abusive than all you other losers, because he can. His behaviour here is a useful reminder of the hypocrisy at the heart of most** authoritarianism - the less powerful are punished for putting a toe out of line, while unreasonable authority figures get to stomp all over the rules at will.

In the Trump clown show, the hypocrisy is out there. If you want to disguise and embed such blatant double standards in a whole society, it helps to have a science-y sounding diagnosis to explain why the powerless must be mad if they expect to get away with half the stuff their "betters" do as a matter of course. I'd diagnose this ailment as form of social perversion, and I'm calling it Despotic Diagnosis Disorder until somebody comes up with a better name.





**Not all - I guess there have been, and are, ascetic authoritarians who practice self-discipline whilst also disciplining others - Savonarola, warrior monks, abusive Christian Brothers and nuns in Catholic institutions, presumably living frugal lives of self-denial, while battering the living bejesus out of the unfortunate children in their care...







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