Treating the Terror Psychosis

America is afflicted with a debilitating ailment that has warped the collective national mind. Its symptoms are the experience of persistent delusions and a distorted sense of objective reality.
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America is afflicted with a debilitating ailment that has warped the collective national mind. Its symptoms are the experience of persistent delusions and a distorted sense of objective reality. The disorder impairs functioning since the subjective perception of the world does not match actual conditions. That marks the classic psychotic syndrome.

Psychosis can stem from trauma and acute stress. In our case, the traumatic event was 9/11. Characteristically, an experientially caused psychosis, as opposed to one with organic roots, is short-term. The terror psychosis is well into its second decade with no signs that it is ameliorating. That indicates the active presence of psychosocial factors that perpetuate the acute anxiety and apprehension associated with the original traumatic event. Those factors do not take the form of aftershocks. There have been no serious attacks against the United States over the past 13 years -- much less any that registered a facsimile of the damage produced by the precipitating shock. Those that have occurred have had domestic sources, and have been minor by several orders of magnitude.

Yet, think of the huge disparity between the actual threat and the response. The United States has sent armies to the farthest reaches of the globe in futile campaigns either to stamp out militant Islamic movements that had no direct role in attacking America (the Taliban -- Afghan and Pakistani variants) or to destroy a hostile regime whose only connection to the initial traumatic event was that it was Arab and hostile to the U.S. (espousing, in fact, an anti-religious political ideology) i.e. Saddam Hussein's Iraq. Smaller operations involving the American military have been launched in a few dozen countries spread from the Western Sahara to Mindanao even though the groups targeted have been local in organization and objective. We have built an elite army within an army in the form of the Special Operations Command (SOCOM). Numbering 60,000, they are designed to undertake select clandestine missions -- in principle; in practice, they are assigned a wide range of intelligence and political missions as well as commando-type ones. The force is almost as large as that which Imperial Britain deployed to police its far-flung empire.

All of this costs money -- dearly. In the process of prosecuting the Global War on Terror, the country has spent roughly 2 trillion dollars while assuming long term obligations in the magnitude of another 1.5-2 trillion.

Non-monetary costs include tens of thousands of American casualties -- dead, wounded, disabled. Many of those in the latter two categories have received scandalously negligent treatment. No one in a high position bothered to check on this system breakdown. Foreign casualties number in the hundreds of thousands. The erosion of American moral standing in the world has been aggravated by the conduct of torture as a calculated policy conceived and ordered in the Oval Office itself. Trampling on laws domestic and international has been companion to the violation of the rules of war. The latter range from the prohibition on unjustified aggression against a sovereign state ensconced in the United Nations Charter, to the United Nations Convention on Torture ( Article 5 of the UN Universal Declaration of Human Rights) to the arbitrary abduction and extradition of individuals abroad.

At home, the violations have been just as egregious. The massive, systematic electronic surveillance programs of the National Security Agency have made a mockery of the Fourth Amendment. The President has arrogated to himself the power to kill American citizens abroad without due process or even notification based on nothing more than him own determination and will. President Obama also signed a law that requires the Executive to arrest, imprison indefinitely, and otherwise punish any citizen whom it has determined presents a clear and imminent threat to the country's security without due process or even public notice of the actions taken. The undermining of the United States Constitutionally grounded legal system has extended to the Judiciary which has been a willing accomplice to these actions.

This pattern conforms to the profile of psychosis. Little of this stunning reality is recognized, understood and responded to by an adjustment of behavior. Delusion rules. Thus, behavior remains unchanged. The overshadowing delusion is that the United States is besieged by legions of Islamist enemies scaling the walls of the Republic bent on mayhem. Only the ingenious defenses that we have erected, and the valiant efforts of our warriors in Langley, Fort Meade, and in hundreds of outposts around the world, keep this diabolical foe at bay. Actual reality: there are a few hundred poorly organized, scattered remnants who have the intention and will even to imagine a direct attack on the United States. That small coterie lacks the means. In any case, they could not conceivably replicate anything like 9/11. In our world of delusion, any Islamist group which espouses an anti-American creed is declared a grave threat. What should be an international police exercise to apprehend criminals has been transmuted into a global war on fundamentalist Islam.

Hence, we have populated the world with ghosts and goblins like children who exercise their primordial fears by imaging monsters at the bottom of the cellar stairs. Their behavior is cathartic. The world of terror delusion has become a national theater of the scary -- however absurd.All of this scare-mongering creates a political climate where elected officials dread doing anything that could expose them to charges of being "soft on terrorism" and putting the country at risk. So they portray themselves as relentless in grim combat with a legion of would-be terrorists. Hence, you have a closed loop of continuous reinforcement between public fears and the actions of leaders that deepen them.


The mystery is that the psychosis has endured for so long. The first question to ask is whether there is a functional counterpart to the biological component which is the organic basis for the illness' resilience and persistence in Individuals, i.e. neurological abnormalities, and distortions in brain chemistry. This sustained loss of contact with reality is characteristic of delusional disorder in individuals. Often it is associated with the individual's isolation -- from other persons and from the external environment. Just the opposite, though, is the case with the collective psychosis we are examining. For delusions are reinforced through regular contact with other members of society. Here is a clue to one reason for the perpetuation of the delusional state of mind. There is massive reinforcement among persons sharing the same emotional experience, reacting to it the same way, attaching the same meanings, and coping with the same fears.

But the critical factor is of a different nature. It is the agency of those who stoke the emotions, who propagate the myth of a larger meaning, who direct the febrile energies of the mass in a particular direction against a particular target. That is pretty much what has happened in America over the past 13 years.

The instigators of the delusional break from reality have been our leaders -- in government, in the media, among those who are profiting handsomely from the GWOT, and (perhaps saddest of all) the political class and intellectual elites generally who have been either accessories to the plunge into a world of delusion or skillful beneficiaries in status and acclaim. Together, they are the culpable parties who have sealed the country into a bubble of illusion so well insulated from reality that it has become our semi-permanent residence.

The story features two successive presidents who have misled the public into believing that the threat is far greater, more pervasive, and menacing that in fact it ever has been. They bear the primary responsibility, All the details are now known. That many studiously avoid them in no way negates that basic truth. Our leaders' motives are a bit more complicated -- less so for Bush than for Obama. Obama is the more elusive figure. For one thing, the discrepancy between much of his rhetoric and his actions is enormous -- even by normal political standards. In addition, his tolerance for contradiction suggests a narcissistic personality whose spoken convictions are genuine but only at the moment they are declared. The record, though, speaks for itself. He has continued the GWOT bequeathed to him by his predecessor with only minor modifications. Obama extended greatly the geographic scope of the subterranean war conducted by the Special Operations Command. He expanded the use of drones several fold. He introduced targeted assassinations and 'signature' killings of suspects. On the domestic front, Obama actually has taken more aggressive steps re, surveillance and spying than had the Bush administration. The assault on the Bill of Rights has reached unprecedented levels -- including the aforementioned killing of Americans abroad without due process.

The net effect of Obama's twin policies of keeping the GWOT at full throttle, without any discussion of purposes and premises, and the sweeping under the rug of everything unsavory, has been to favor the creation of delusional myths about the entire era. America's essential purity was reaffirmed, the justness of America's cause inscribed in the national memory book, all sins expunged, and thereby all critics were delegitimized. The two primary tools for accomplishing these purposes were to make the horror of 9/11 the central reality of the contemporary American experience (roughly analogous to the way that current Israeli leaders use the Holocaust), and to keep percolating the fear of lurking terrorism (a la the Evil One in the panoply of the Medieval Church).

Rituals to memorialize 9/11 have been instituted that keep prominent the emotions and meanings of 9/11. Remembrance ceremonies are natural. The graphic reenactments through endless repetition and dramatization of the moving imagery, though, borders on being the functional counterpart to the Passion Plays designed to revivify the Christ narrative among the Faithful. In a more minor key, the choreographed celebration of our uniformed soldiers at sporting events serves the same purpose. It is akin to saying Grace before indulging in a sumptuous meal. Omnipresent American flags -- from lapel pins to the 30 foot banners that wave above car dealers -- are like the crosses that symbolize our collective ordeal and abiding faith. Thereby, the saliency of the War on Terror for individuals and for the nation is maintained -- and, with it, susceptibility to the implanting of the delusions that are integral to it. In short, psychotic elements are insinuated into the American psyche.

The media have been a full and witting partner in this dubious project. Profit, laziness and fear of confrontation have carried the day -- all cemented by conformist thinkers who share the primitive emotions provoked by 9/11 which haunt the country. A bipartisan corps of timid politicians has found it convenient to go along with the myth-making; it has helped that the absence of alertness and backbone has made most of them amenable participants in the collective delusion. They share it. As for professional associations, academic or otherwise, they have been silenced by their past complicity (e.g. the bar associations) or joined in the scavenging of GWOT victuals, e.g. the think tank world or simply bartered their ethics for a role in the big game, e.g. the American Psychological Association -- albeit a role that places it well below the salt at the feast.

In effect, every public institution and its principals has been compromised. They all have been party to shameful acts as active or passive accessories. That is so for FISA judges, Federal District judges, officials throughout the Executive Branch, elected officials and their staffers, newspaper editors (including The New York Times) and an army of commentators. Their silence now permits the continuation of most of these shameful practices. That solidarity of the culpable and weak keeps intact the world of delusion. It sustains the psychosis.

The tension associated with the psychotic individual's encounter with objective reality does not arise if the dominant element of that reality is the attitudes and expressed opinions of others who share the underlying delusions. Their subjective state is a crucial part of the external environment. Reality testing, in these circumstances, leads to conformity in viewing the world through the delusional prism -- rather than it being a potential corrective.


The terror psychosis is now so deeply entrenched in the American psyche as to obviate any possible treatment. There is no such thing as societal psycho-pharmacology; and, in any case, there are multiple other drugs or placebos in wide use that would counteract them. Therapy is out of the question since there is no one to lead it. An exceptional President could perhaps produce some melioration but that person is non-existent. Anyway, therapy could only work if the patient wants to change. There is abundant evidence that self-absorbed Americans are too preoccupied with other problems to appreciate the damage that is being done -- including the exacerbation of those other problems.


1.The latest, and most disturbing revelations are detailed in James Risen's Pay Any Price (New York: HBH 2014)

2.Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.

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