DSM-VI: Reality TV Disorder?
You know how I like to pick apart professionals who make all sorts of logical fallacies when suggesting new diagnoses off the cuff because they’ve personally seen a rise of such cases. Sorry, it’s my failing, and I’m working on it. But in the meantime…
It’s funny, but once you start thinking you’re an expert on a new disorder (that you either created from your imagination — or your patients’ imaginations, or helped to do so), suddenly people start flocking to you for help. I call it the “moth to the light” phenomenon. Then you think it’s a “real” diagnosis, because suddenly of all the people who come to see you. Can you say “self-fulfilling prophecy?”
Meet Joel and Ian Gold — brothers and psychiatrists — who believe in something they call the Truman Show Delusion:
While traditionalists insist that this delusion offers nothing new — it is no different from, say, a deranged man who believes that the CIA has planted a microchip in his tooth — the Gold brothers argue otherwise. […]
He also says that The Truman Show had an impact on patients that other films did not, no matter how powerful they were. “I never heard people say, ‘ The Godfather, that’s my life.’ ”
Sure. And if we start diagnosing people based upon how much they identify with a particular movie, wow, we’ll have tens of thousands of new diagnoses tomorrow! In fact, I see so many teenage and young adult men who think they’re Batman and really identify with that character, I’m officially coining the “Batman Delusion.” (You heard it here first.)
I mean, who cares — from a diagnostic standpoint — what the delusion is? The specific delusion helps inform psychotherapy treatment, but it doesn’t tell a professional, “Oh, he thinks he’s the King of the World, that means 20 mg of Prozac.” And in terms of psychotherapy techniques or specific treatments for a particular delusion, well, our level of science and data isn’t anywhere near that level.
So while intellectually, this may be a fun and interesting exercise to suggest the Truman Show Delusion is something new and diagnosable, it’s really nothing more — in my mind — than professional grandstanding.
Excuse me, but there’s a couple of emails from people now in my inbox wanting to get treatment for my new Batman Delusion. I have some replies to get working on.
Read the full article over at the National Post: Reality bites: Patients believe their lives are on TV: MDs
Grohol, J. (2008). DSM-VI: Reality TV Disorder?. Psych Central. Retrieved on December 10, 2016, from http://psychcentral.com/blog/archives/2008/07/21/dsm-vi-reality-tv-disorder/