by Jessie Roberts
Mike Jay examines how culture and technology affect our understanding of psychotic delusions:
Persecutory delusions, for example, can be found throughout history and across cultures; but within this category a desert nomad is more likely to believe that he is being buried alive in sand by a djinn, and an urban American that he has been implanted with a microchip and is being monitored by the CIA. ‘For an illness that is often characterised as a break with reality,’ [researchers Joel and Ian Gold] observe, ‘psychosis keeps remarkably up to date.’ Rather than being estranged from the culture around them, psychotic subjects can be seen as consumed by it: unable to establish the boundaries of the self, they are at the mercy of their often heightened sensitivity to social threats.
Jay notes that, for Evelyn Waugh, the experiences of fiction-writing and paranoid delusions were not mutually exclusive:
In 1954, the English novelist Evelyn Waugh suffered a psychotic episode during which he thought he was persecuted by a cast of disembodied voices who were discussing his personality defects and spreading malicious rumours about him. He became convinced that the voices were being orchestrated by the producers of a recent BBC radio interview, whose questions he had found impertinent; he explained their ability to follow him wherever he went by invoking some hidden technology along the lines of a radionics ‘black box’, an enthusiasm of one of his neighbours. His delusions became increasingly florid but, as Waugh described it later, ‘it was not in the least like losing one’s reason… I was rationalising all the time, it was simply one’s reason working hard on the wrong premises.’
Waugh turned the experience into a brilliant comic novel, The Ordeal of Gilbert Pinfold (1957). Its protagonist is a pompous but brittle writer in late middle age, whose paranoia about the modern world is fed by an escalating regime of liqueurs and sedatives until it erupts in full-blown persecution mania (a familiar companion for Waugh, who abbreviated it discreetly to ‘pm’ in letters to his wife). Although the novel smoothes the edges of Waugh’s bizarre associations and winks knowingly at Pinfold’s surreal predicament, the fictionalisation blurs into the narrative that emerged during Waugh’s psychosis: even for his close friends, it was impossible to tell exactly where the first ended and the second began.
The Dish 