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[personal profile] odanu
This whole health care battle has me thinking about the structure of knowledge and how we know what we know. As a preface, when dealing with someone who is clearly psychotic, it can often be very difficult to separate out cultural and spiritual beliefs from delusions. Does a person who claims "I am psychic" believe that because it's true (somewhat rare), because they come from a culture where psychic ability is expected and they were raised to believe its true, or because they're delusional? Does a person who believes they have a direct connection with God believe that because it is part of religious teachings, or because they are hearing voices and need to have their medications readjusted? In a religious society, this is a very thorny question.

There are two ways of "knowing" things, through observation and critical thinking, and through faith and trust in authority. Most of us, as rationalizing animals (who fool ourselves into believing we're rational), use some combination of the two systems of knowing, even when we believe we are purely "rational" and using only the first system of knowledge. There can be pitfalls in the first way of knowing, simply from lack of information/data and resulting mis-characterization of the problems and solutions, but the system of knowledge from faith and authority is particularly susceptible to a variety of huge issues.

First of all, all faith boils down to trust in authority, whether that is trust in a book written by humans, or in the direct word of humans considered to have more knowledge or wisdom than oneself. There is an inherent danger that the authority has no more actual knowledge or wisdom than you do, and cannot actually provide you with useful guidance, or that the authority is deliberately leading you astray for purposes of their own.

Even in the sciences and social sciences, arguments from authority creep in, simply because there is far more knowledge available in the world than there is time or energy for any one person to build a complete knowledge system alone. In the sciences and social science, we largely fill this gap between direct observation and authority with rules of critical thinking, including vetting of resources and analysis of data sources, learning how to distinguish a reliable/valid source of data from an unreliable/invalid source.

The way of knowing through faith/authority, by contrast, deliberately subsumes one's own knowledge and critical thinking to the presumed knowledge and critical thinking of the authority in which we are expected to have faith. In many faith/authority systems, critical thinking and questioning of authority is not only a negative, but a dangerous negative with the disastrous result of being shunned or even killed.

As no human being is wholly rational or wholly faith/authority based, there is a long spectrum of data points from those who consciously reject all authorities other than their own senses and critical thinking,which can be disastrous if their senses are defective and/or their critical thinking is faulty, and those who consciously reject all critical thinking and rely only on their authorities of choice, usually faith leaders and books of faith, which can be disastrous if the faith leaders or books of faith are deliberately or accidentally encouraging their followers to believe things that are dangerous to believe (such as that global warming is a myth) or harmful (such as that some classes of human beings are categorically inferior to others in an absolute sense).

This brings me full circle to the psychology of ways of knowing. Some of the most effective methods for helping people recover from serious mental illness, in addition to correction of chemical imbalances in the brain, are simply instructions in how to utilize critical thinking skills. Cognitive Behavioral Therapy (CBT), for instance, is a highly effective short term therapy course that is extremely effective at addressing the rumination and distress of mood disorders such as major depression and bipolar disorder, as well as simple therapy for disruptive life events. It teaches people to structure knowledge about themselves and the world around them in a way that is subject to fact checking and reality testing, concepts that have often, and sadly, never been taught to the people who obtain this therapy.

And now we're back to delusional disorders and their relationship to faith/authority based knowledge systems. One of the traits most prevalent in the population of people with delusional disorders is a sort of free-floating anxiety/fear that someone/something is bad or out to get them. Those with delusional disorders who are most effective at managing those disorders develop a sort of fact-checking protocol to deal with their hallucinations, and build constant reminders to check their data into their daily routines. This is understandably very difficult when the data of one's senses is notoriously unreliable, but when achieved, those who have hallucinations and delusions can function extremely effectively.

What is startling to me about "faith based" belief systems that reject critical thinking, is that people without defective brain chemistry appear to deliberately induce over a lifetime of rejecting the evidence of their senses and denying their own brains' authority, a state that is remarkably similar to that of a person with a severe delusional disorder -- that what they "know" is in direct opposition to what their senses tell them. This necessarily with it induces the free floating anxiety/fear (and often the rage that goes with feeling threatened) that someone with full blown, unchallenged delusions lives with.

I have said all this to say that in the last few months, and especially this August, I have been particularly struck with the evident fear and anger of those who are fighting against the health care reform bills working their way through congress. Their desperate clinging to disproved assumptions and deliberate lies promulgated by their authorities (mostly political in this case) in the face of overwhelming evidence by any rational standard that they are fighting against their own interests (unless they are insurance company CEOs) indicates a chronic and severe induced state of delusion. It is particularly striking how, in the absence of argument against health care, certain buzz words have replaced rational thought: "socialism" "Obamacare" "fascist" (that one blows my mind, especially when juxtapositioned next to "socialism"), etc. so that those who have been taught to not use their own minds can be brought into an induced emotion with what amounts to a cue card.

I have to say that it is a fascinating, and worrisome, commentary on the sophistication of the corporate/political establishment understanding of mass psychology and the usefulness of encouraging a populace to deny their own ability to think in favor of authoritarianism.

* Just to be clear, I am not claiming that religious belief per se is inherently pathological, nor am I saying that it is necessarily pathological to rely on authority for some portion of one's knowledge. What I am saying is that when one rejects the evidence of one's senses and critical thinking stemming from that evidence wholly or mostly, in favor of a purely faith based system, there is a HUGE inherent risk that the authority one is relying on is going to lead one away from knowledge and into a state of mind where reality becomes unknowable and fear becomes a constant companion.

** Also, there are good arguments against specific provisions being proposed in the various bills working their way through congress. Those, however, are not what is being addressed in the vast majority of anti- health care protests. The majority of the anti- health care protests focus on the person of the President of the United States and of Congress, on poorly understood and incomplete arguments against "socialism" and "fascism", and on outright lies and misinterpretations of provisions in the bill designed to heighten primal fears.

Date: 2009-08-29 04:51 pm (UTC)
From: [identity profile] pagawne.livejournal.com
Yep, but few, except here will listen to you, you make too much sense.

Date: 2009-08-29 04:55 pm (UTC)
From: [identity profile] odanu.livejournal.com
Yeah, and I cross posted to my Facebook. My relatives are going to go batshit insane. I also used my open Dreamwidth account to link to twitter, where I've been active on the health care stuff. Armoring up for trolls.

Date: 2009-08-29 05:59 pm (UTC)
From: [identity profile] johnpalmer.livejournal.com
Does a person who believes they have a direct connection with God believe that because it is part of religious teachings, or because they are hearing voices and need to have their medications readjusted? In a religious society, this is a very thorny question.


A couple of things about this, out of context.

1) This is what freaked me out/scandalized me about Jesus Camp. Early on, the pastor leads the children in speaking in tongues, and hastens to reassure the camera that "(the girl the camera is focused on) is not in a trance; she's fully aware of what's going on around her."

And I was like "well, duh; you didn't do anything to draw her to the spirit; you got her to make random noises with her mouth".

This is scary stuff on a bunch of levels - people *can* connect to the spirit but not just by listening to an engaging speaker and then told to make random noises. (Whether you believe in the spirit world or not, people *can* enter an altered state of consciousness. But again, not just by saying "now, everyone, let's make noises!"

This is screwed up because some people will fake it, and think they have to keep faking it, or everyone else will know they're not connected. Some will feel despair that they can't make the connection, and throw themselves in deeper. And some will be excitable enough to either make a connection, or to be certain they have, and become zealots. Put them all in a group, and you can steer them away from real spiritual experiences by feeding them the spiritual equivalent of flavored cardboard.

2) I remember the best line from an abnormal psych book, regarding a discussion of why a particular woman is called crazy. "But don't other people hear voices too (during pre-hunting rituals)?" "You don't understand! She hears voices *at the wrong times*!" A fantastic encapsulation of the issues facing a mental health practitioner with cultural differences.

Date: 2009-08-29 06:44 pm (UTC)
From: [identity profile] johnpalmer.livejournal.com
This is good stuff, BTW. (My first response was just a couple of crystals from a supersaturated solution.

Ramble on....now's the time the time is now....

Date: 2009-08-29 08:15 pm (UTC)
From: [identity profile] 64tbird.livejournal.com
I love it when bits of my life all fall together!

Not only am I studying abnormal psychology (and the news has just filled my life with possible case studies) but the idea of "what we know and how we know it" was specifically brought up as a way of looking at our literature reading. (Namely, The Odyssey)

All to often our "way of knowing" is filtered through what we want to believe. I've done it, we've all done it. The critical thinking part has to include humility; we must be able to accept that even closely held beliefs may be incorrect when the facts are clearly presented.

Very few people are taught humility in our culture - it's a sign of weakness. Hand in hand with that, I think, is the ability to differentiate between debating facts logically, and discussing feelings/beliefs/emotional responses logically.

The only ridiculously clear example I have is in discussing the TV show Highlander with my friend Donna who was an editor on the show. She helped write the stories, helps keep the stories in line with who the characters were written to be. There are certain indisputable facts about the characters, and it's pointless to argue with her about them, because they are facts. However, she hates my favorite character, and we can debate that forever and a day. What he did and why - indisputable. Who he is now - totally up for debate.

The facts of the various plans are indisputable. People who want to debate them without reading them are Barney Frank's dining room tables. Whether or not we believe personally that there is need for health care insurance reform is totally up for debate.

And ... the phone rang so I have no idea what my point was...

I do know this: Insurance interferes in mental health care. Insurance is a business and simply has no part to play in deciding treatment for a client/patient, and yet they dictate the number of therapy sessions an insured person is allowed. If this was chemotherapy, would it be appropriate to say "We will only pay for three sessions and after that you are on your own"?

Date: 2009-08-30 11:12 am (UTC)
From: [identity profile] prophet-marcus.livejournal.com
I had one of these discussions about how we know things with a couple of Mormon missionaries last fall or winter. Surprisingly (thus exposing my own prejudice) one of them actually understood what I was talking about and at least claimed to have applied critical thinking to his faith and beliefs.

Yeah, the attacks against the health care reform initiative are embarrassingly pathetic. Extremists have settled on scare tactics as the tool of choice - probably because better tools can't be used effectively by extremists.

Date: 2009-09-03 05:55 pm (UTC)
From: [identity profile] krinndnz.livejournal.com
Have you read Jon Krakauer's book Under The Banner Of Heaven? In the final chapters, he touches on this issue, and I wish he'd had a chunk like this in there, talking more about faith and delusion.

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