WEDNESDAY, FEBRUARY 5, 2025
Two days later, this: We're going to start today's report with rare words of self-endorsement.
We revealed the framework for this week's rumination when we posted Monday morning's report. The one-word framework was this:
MADMEN
We said the commander isn't a madman. We said you could feel sure about that because there's no such clinical term.
We said the same thing about the commander's first lieutenant. Allegedly, he's the world's richest person. Employing a version of the king's English, he's also a visible nutcase.
He may be a visible nutcase, but he plainly isn't insane. We know that this visible nutcase isn't insane because no such diagnostic term exists in the DSM.
To our credit, we chose that one-word framework—MADMEN—and posted it Monday morning. Two days later, the commander has proposed that we the people send our nation's military overseas to make Gaza the 54th state, but also the world's largest golf course.
Before the commander made that proposal, the lieutenant added to his array of characterizations concerning USAID. In Monday afternoon's report, we linked you to four of his more thoughtful tweets about that federal agency.
As of yesterday, he had added a fifth. Please pardon this first lieutenant's French:
The first lieutenant's tweets
"USAID was a viper's nest of radical-left Marxists who hate America."
"USAID is evil."
“USAID is a criminal organization. Time for it to die.”
"USAID is a criminal organization."
"We spent the weekend feeding USAID into the wood chipper. Could [have] gone to some great parties. Did that instead."
To see that latest tweet, click here. That said, this fellow in question isn't a madman and he isn't insane or nuts, for the reason already stated.
On this morning's Morning Joe, Joe was unhelpfully AWOL Lucky for us, Anand Giridharadas was there.
In our view, Giridharadas is one of the clearest voices currently found within our failing nation's failing attempt at a discourse. Perhaps because he has too much hair, he hasn't attained his rightful place at the top of that (imitation of) discourse.
He comes to us by way of Shaker Heights and then Sidwell Friends. For more on his background, you can simply click this, or you might decide to click here.
This morning, Giridharadas said that our major newspapers have had a hard time finding the language to describe what Musk is doing as what it is—"a coup." In our view, a similar situation exists with respect to the language being explored this week right here at this site.
We went with MADMEN on Monday morning. Two days later, this!
We'll close today with a key point concerning the role of "aha moments" within our imperfect human discourse. First, though, we'll tell you this:
As we noted on Monday, there's no such lingo as madman or insane within the clinical discourse. As we noted, the very term "mental illness" is fairly widely eschewed, or so says the leading authority in this particular treatise:
Classification of mental disorders
The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.
[...]
Most international clinical documents avoid the term "mental illness," preferring the term "mental disorder." However, some use "mental illness" as the main overarching term to encompass mental disorders. Some consumer/survivor movement organizations oppose use of the term "mental illness" on the grounds that it supports the dominance of a medical model. The term "serious mental impairment" (SMI) is sometimes used to refer to more severe and long-lasting disorders while "mental health problems" may be used as a broader term, or to refer only to milder or more transient issues. Confusion often surrounds the ways and contexts in which these terms are used.
Confusion surrounds the contexts and ways! But around the world, most clinical documents don't even like to use the term "mental illness," or so says the leading authority.
For reasons which are spelled out elsewhere, clinical specialists tend to avoid that familiar term. They prefer the term "mental disorder."
For today, though, let it be said—possibly adding to the confusion, there seem to be (literally) hundreds of ways in which a person can fall victim to, or be in the grip of, some diagnosable "mental disorder." We'll start you off with the material offered below.
This material is drawn from the authority's lengthy treatise on "Mental disorder." We've done a bit of editing to keep the word count down:
Mental disorder
A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context. Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting. There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder is one aspect of mental health.
The causes of mental disorders are often unclear. Theories incorporate findings from a range of fields...
[...]
Disorders
There are many different categories of mental disorder, and many different facets of human behavior and personality that can become disordered.
Anxiety disorders...
Mood disorders...
Psychotic disorders...
Personality disorders...
Neurodevelopmental disorders...
Eating disorders...
Sleep disorders...
Sexuality related...
Other...
[Seven are listed, plus this:]
There are a number of uncommon psychiatric syndromes, which are often named after the person who first described them, such as Capgras syndrome, De Clerambault syndrome, Othello syndrome, Ganser syndrome, Cotard delusion, and Ekbom syndrome, and additional disorders such as the Couvade syndrome and Geschwind syndrome.
And so on from there. "Mental disorders are common," the treatise eventually states—and if you believe in this branch of medical science, you're almost forced to agree with some such assessment as that.
Forget about the percentage of people subject to some form of mental disorder at some given point in time. How many different disorders are there?
How many mental disorders are there? In that other treatise at the authority's site, we find ourselves told this:
Classification of mental disorders
The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.
The two most widely used psychiatric classification systems are chapter V of the International Classification of Diseases, 10th edition (ICD-10), produced by the World Health Organization (WHO); and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), produced by the American Psychiatric Association (APA).
[...]
DSM IV:
The DSM-IV was originally published in 1994 and listed more than 250 mental disorders...
The DSM-IV-TR (Text Revision, 2000) consisted of five axes (domains) on which disorder could be assessed...The axis classification system was removed in the DSM-5 and is now mostly of historical significance. The main categories of disorder in the [current] DSM-5 are:
[DSM-5]
Disorders usually first diagnosed in infancy, childhood or adolescence. *Disorders such as ADHD and epilepsy have also been referred to as developmental disorders and developmental disabilities.
Delirium, dementia, and amnesia and other cognitive disorders...
Mental disorders due to a general medical condition...
Substance-related disorders...
Schizophrenia and other psychotic disorders...
Mood disorders...
Anxiety disorders...
Somatoform disorders...
Factitious disorders ...
Dissociative disorders...
Sexual and gender dysphoria...
Eating disorders...
Sleep disorders...
Adjustment disorders...
Personality disorders...
Other conditions that may be a focus of clinical attention...
Again, we've done some editing there. But you're getting the general idea.
In short, there are currently many ways in which a person can not be a madman—can not be "mentally ill." Concerning the decision by our major news orgs to avoid this branch of medical science, we'll close today by offering this:
For years, we've been saying that the refusal to enter this realm is a marker of the immaturity of our journalistic and academic discourse. (We've also persistently said that it may be a good or a bad idea that our big news orgs have insisted on avoiding this dangerous realm.)
Having said that, also this:
Giridharadas has said that our major orgs have been avoiding the scary but accurate term, "coup." According to us, they've also avoided all suggestion that something may be clinically "wrong" with the commander and with the collection of apparently broken toys with whom he's been filling his playroom.
Those orgs have stayed away from even the most humanely couched suggestion that something might be clinically "wrong" with the commander or with his collection of toys. For today, we'll leave you with a suggestion:
On its face, this latest proposal by the commander is transparently crazy. Voters might be able to see that fact more clearly—might have experienced Merriam-Webster's "Aha moment" with respect to this commander's suit of clothes—if the guardians of our discourse had been able to find humane ways to suggest that possibility all along.
The sitting commander isn't a madman. On the other hand, this! Make way for the 54th state!
Tomorrow: Concerning the 1994 film, The Madness of King George