A different definition of “fiction”

I was talking to a friend who works in a psych unit the other day, and he asked how I was dealing with the anti-vaxxers and other denialists. I told him that it was a little frustrated at times that there are so many people willing to ignore reality for fiction. He told me about a psychological concept called “fiction”. This is not fiction in the traditional sense. This is fiction in that a person has created a sort of reality around them that is real to them, maybe even tangible, even if all the evidence points to the contrary. You have probably seen examples of this in women who go to deliver a child and had convinced themselves all the time that they were not pregnant, even going on public record and saying that they had no clue (never mind the belly, the lack of a menstrual period, and other indicators of what reality was). You also see it too often in men who cheat on their wives and have convinced themselves that what they are doing is not wrong, or that there will be no consequences.

My thoughts went to the “Weirdo” John Stone of Age of Autism. He is convinced that I am someone else, someone employed by “Big Pharma”, and that I am in cahoots with a whole bunch of other people who are pro-vaccine. I’ve offered to him to become my “friend” on Facebook and get to see pictures of myself and my family, where I am working, and even my telephone number, but he has not agreed. Why? Because he is convinced that I am “despicable”. That, or he doesn’t want the fiction that he has created about me to be torn down. After all, if I turn out to be just a random guy and not who he thinks I am, there is no more boogeyman, no monster under his bed.

The Weirdo is not the only one, of course. There are plenty of leaders and followers in the anti-vaccine camp that have created a fiction around their lives. To many, their children were not autistic until the minutes or hours following their childhood vaccines. Even when they are shown videos of their children exhibiting autistic behaviors before vaccination, their fiction will not allow them to accept this. Their fiction dictates that vaccines and only vaccines cause autism, not their genes, not anything else. (Although some would concede that maybe the environment had something to do with it.)

In many, and very heated, discussions about vaccines (and even about science in general), public health officials and workers (and anyone in any way associated with the pharmaceutical industry) get compared to the Nazi regime which ruled Germany in the 1930’s and 1940’s. To take in and understand why that analogy is flawed, you have to understand what happened during that time in Europe. I won’t bore you with the history class, but I will tell you that public health working to save the lives of children today is nothing at all like what happened under the Nazi regime. We are not arbitrarily picking children and killing them en masse. We are not tying anyone down and performing medical experiments on them. We don’t believe that one ethnic or religious group is to blame for all of society’s ailments.

To be a person of science, and someone who believes in science, we cannot have the luxury of creating fictions around our lives. Sure, we may create mini-fictions to understand why someone like the weirdo or the kid may hate us with such a passion, but we pretty much accept reality for what it is. Personally, I believe the weirdo just has a psychosexual obsession with me, but that’s just me, and I’m no psychologist. That’s a very minor personal fiction compared to what he fantasizes believes about me, maybe. And I’ve told you about his obsession with Dorit Reiss as well. On the contrary, we need to live and accept the evidence and do something about it. Even those among us who believe in a higher power, I’m yet to find a true person of science who falls to their knees and prays instead of taking evidence-based action.

So how do you deal with a person or a group who is/are cocooned in their own fiction? With some, it will be just a matter of breaking down that fiction with facts. With others, there will be absolutely nothing you will be able to do. What they see as reality looks, feels, and even tastes like reality, so there cannot be anything else. In the case of the weirdo, it will not matter how many times I explain to him that I am not who he thinks I am, and that I’m not at all interested in him in the way that he seems to think I am interested in him… Which sends shivers down my spine.

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9 thoughts on “A different definition of “fiction”

  1. Pretty much any denialist position needs to be supported by creating this fiction. The strawmen always exist, but they are nebulous beings until the deniers can pin the fiction to a visible individual. Since that individual is in reality nothing at all like the strawman that’s been constructed, it’s essential that no factual details about the person ever be known.

    I’m not employed, but I’ve been accused of being a Big Pharma Shill (I did live next door to a drug company rep for a few years, but that’s as close as I’ve come!) I’m 53 years old and married for 25 years, but I’ve been accused of being a slut who uses abortion for birth control. On and on and on.

    But you know that when they start throwing the personal accusations against you, they’ve run out of arguments. It’s the last thread they can hold onto. If that snaps, they’ve got nothing, so they’re going to hang on it as tightly as they can.

  2. The posts on AoA have gotten more bizarre, so Stone fits right in there. That’s why you rarely see any of them venturing on to science blogs.

    Stone has nothing to say, except for his ridiculous defenses of his hero Andrew Wakefield. When he discusses the sessions and the final decision of the GMC to revoke Wakefield’s medical license, he lies. Stone attended many of those sessions and he may have read the complete transcripts (which are available on the internet and which I read). He’s delusional and devious because he believes that John Walker-Smith’s successful appeal to the High Court, vindicated Walker-Smith (it didn’t) and Walker-Smith’s medical license reinstatement…some how…some way…vindicates Wakefield.

    Now Professor Reiss, who is a relative “newbie”, but is a brilliant attorney argues point-by-point with Stone about English law and the GMC administrative hearing…and the sexist ignorant Stone is shown up for the dolt he is. So…he retaliates by repeated sliming and libeling Dorit on AoA. Lately, he has published reruns of his scurrilous hit pieces.

    You should be very glad that there is an ocean between you and Stone and there is an ocean and a continent between Dorit and Stone.

    • Actually, in some nations, libel is a serious criminal offense.
      Regrettably, many professionals are too busy to actually begin litigation and people then think that that which is unprotected speech is protected free speech.

    • On the contrary, John Stone should be the one everyday to get on his knees and thank The Almighty for the Atlantic and high ticket prices to the UK.

  3. There is only one problem. There is a difference between a fiction and a delusion.
    Therein lies the problem with quite a few antivaxers who are out there, they display all signs consistent with delusional thinking.
    “According to the DSM-IV-TR, persecutory delusions are the most common form of delusions in schizophrenia, where the person believes they are “being tormented, followed, sabotaged, tricked, spied on, or ridiculed.””

    Sound like any folks you know of?

    • Yeah, but are they bona fide schizophrenics? They’re delusional, yes, but not completely separated from reality. They still function.

      • Many, many schizophrenics do manage to function. Many, without their medication, though people are put off by their conversation.
        Many can be productive, with our without their medication for their entire lives. Others, their condition worsens and they become unemployable, frequently ending up homeless.
        Then, there are the few who become violent, which tends to poison public opinion of the mentally ill. But then, the public typically isn’t well informed enough to know that violence isn’t a common event with most mental illnesses. Most don’t care that many of the homeless are mentally ill.
        So, rather than getting the care that is needed, they roam the streets, become victims of crime, commit petty crimes and are considered a nuisance.

        And if they’re not getting their medications and living on the streets, you can be sure they’ve not gotten any booster immunizations.
        Now, isn’t that something to make an epidemiologist lose even more sleep over? A disease reservoir that is essentially invisible to all.

        • Not invisible to everyone. During the 2009 H1N1 epidemic, people went out vaccinating the homeless, and during the TB outbreak circa 1990, treating the homeless or intermittently homeless was the key to stopping it. (Yes, it was hard to get some of them through a months-long course of antibiotics, but it worked often enough to bring the disease rate back down.)

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