The Martha Mitchell effect occurs when a medical professional labels a patient's accurate perception of real events as delusional, resulting in misdiagnosis. [1] [2]
The Martha Mitchell effect occurs when a medical professional labels a patient's accurate perception of real events as delusional, resulting in misdiagnosis. [1] [2]
According to Bell et al., "Sometimes, improbable reports are erroneously assumed to be symptoms of mental illness (Maher, 1998)", due to a "failure or inability to verify whether the events have actually taken place, no matter how improbable intuitively they might appear to the busy clinician". [3]
Examples of such situations are:
Quoting psychotherapist Joseph Berke, the authors report that, "even paranoids have enemies". [3] Delusions are "abnormal beliefs" and may be bizarre (considered impossible to be true), or non-bizarre (possible, but considered by the clinician as highly improbable). Beliefs about being poisoned, being followed, marital infidelity or a conspiracy in the workplace are examples of non-bizarre beliefs that may be considered delusions. [3] Any patient can be misdiagnosed by clinicians, especially patients with a history of paranoid delusions. [4]
Psychologist Brendan Maher named the effect after Martha Mitchell. [5] Mitchell was the wife of John Mitchell, United States Attorney General in the Nixon administration. When she alleged that White House officials were engaged in illegal activities, her claims were attributed to mental illness. Ultimately, however, the facts of the Watergate scandal vindicated her and garnered her the label "The Cassandra of Watergate".
Although it has been stated that many of her allegations remain unproven, even some of the extreme ones have been confirmed. She claimed to have been drugged and put under guard during a visit to California after her husband was summoned back to Washington, D.C., in order to prevent her from leaving the hotel or making phone calls to the news media. [6] James McCord confirmed in 1975 that her story was true, as reported in The New York Times . [7] More evidence supporting Mitchell's claims was published in a 2017 news article in Newsweek about the appointment of a U.S. ambassador. [8] In 2022, Netflix released a documentary titled The Martha Mitchell Effect . [9]
Paranoia is an instinct or thought process that is believed to be heavily influenced by anxiety, suspicion, or fear, often to the point of delusion and irrationality. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy concerning a perceived threat towards oneself. Paranoia is distinct from phobias, which also involve irrational fear, but usually no blame.
The Watergate scandal was a major political controversy in the United States during the presidency of Richard Nixon from 1972 to 1974, ultimately resulting in Nixon's resignation. The name originated from attempts by the Nixon administration to conceal its involvement in the June 17, 1972 break-in at the Democratic National Committee headquarters located in the Watergate Office Building in Washington, D.C.
John Newton Mitchell was the 67th Attorney General of the United States, serving under President Richard Nixon and was chairman of Nixon's 1968 and 1972 presidential campaigns. Prior to that, he had been a municipal bond lawyer and one of Nixon's associates. He was tried and convicted as a result of his involvement in the Watergate scandal.
A delusion is a false fixed belief that is not amenable to change in light of conflicting evidence. As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, hallucination, or some other misleading effects of perception, as individuals with those beliefs are able to change or readjust their beliefs upon reviewing the evidence. However:
Delusional disorder, traditionally synonymous with paranoia, is a mental illness in which a person has delusions, but with no accompanying prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect. Delusions are a specific symptom of psychosis. Delusions can be bizarre or non-bizarre in content; non-bizarre delusions are fixed false beliefs that involve situations that could occur in real life, such as being harmed or poisoned. Apart from their delusion or delusions, people with delusional disorder may continue to socialize and function in a normal manner and their behavior does not necessarily seem odd. However, the preoccupation with delusional ideas can be disruptive to their overall lives.
Pathological jealousy, also known as morbid jealousy, Othello syndrome, or delusional jealousy, is a psychological disorder in which a person is preoccupied with the thought that their spouse or romantic partner is being unfaithful without having any real or legitimate proof, along with socially unacceptable or abnormal behaviour related to these thoughts. The most common cited forms of psychopathology in morbid jealousy are delusions and obsessions. It is considered a subtype of delusional disorder.
A thought disorder (TD) is a disturbance in cognition which affects language, thought and communication. Psychiatric and psychological glossaries in 2015 and 2017 identified thought disorders as encompassing poverty of ideas, neologisms, paralogia, word salad, and delusions—all disturbances of thought content and form. Two specific terms have been suggested—content thought disorder (CTD) and formal thought disorder (FTD). CTD has been defined as a thought disturbance characterized by multiple fragmented delusions, and the term thought disorder is often used to refer to an FTD: a disruption of the form of thought. Also known as disorganized thinking, FTD results in disorganized speech and is recognized as a major feature of schizophrenia and other psychoses. Disorganized speech leads to an inference of disorganized thought. Thought disorders include derailment, pressured speech, poverty of speech, tangentiality, verbigeration, and thought blocking. One of the first known cases of thought disorders, or specifically OCD as it is known today, was in 1691. John Moore, who was a bishop, had a speech in front of Queen Mary II, about "religious melancholy."
Deep Throat is the pseudonym given to the secret informant who provided information in 1972 to Bob Woodward, who shared it with Carl Bernstein. Woodward and Bernstein were reporters for The Washington Post, and Deep Throat provided key details about the involvement of U.S. president Richard Nixon's administration in what came to be known as the Watergate scandal. In 2005, 31 years after Nixon's resignation and 11 years after Nixon's death, a family attorney stated that former Federal Bureau of Investigation (FBI) Associate Director Mark Felt was Deep Throat. By then, Felt was suffering from dementia and had previously denied being Deep Throat, but Woodward and Bernstein then confirmed the attorney's claim.
Paranoid personality disorder (PPD) is a mental disorder characterized by paranoia, and a pervasive, long-standing suspiciousness and generalized mistrust of others. People with this personality disorder may be hypersensitive, easily insulted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. They are eager observers and they often think they are in danger and look for signs and threats of that danger, potentially not appreciating other interpretations or evidence.
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgment. There are some minor variations in the subdivision of the MSE and the sequence and names of MSE domains.
Martha Elizabeth Beall Mitchell was the wife of John N. Mitchell, United States Attorney General under President Richard Nixon. Her public comments and interviews during the Watergate scandal were frank and revealing.
Thought broadcasting is a type of delusional condition in which the affected person believes that others can hear their inner thoughts, despite a clear lack of evidence. The person may believe that either those nearby can perceive their thoughts or that they are being transmitted via mediums such as television, radio or the internet. Different people can experience thought broadcasting in different ways. Thought broadcasting is most commonly found among people who have a psychotic disorder, specifically schizophrenia.
The Watergate scandal refers to the burglary and illegal wiretapping of the headquarters of the Democratic National Committee, in the Watergate complex by members of President Richard Nixon's re-election campaign, and the subsequent cover-up of the break-in resulting in Nixon's resignation on August 9, 1974, as well as other abuses of power by the Nixon White House that were discovered during the course of the scandal.
Grandiose delusions (GDs), also known as delusions of grandeur or expansive delusions, are a subtype of delusion characterized by extraordinary belief that one is famous, omnipotent, wealthy, or otherwise very powerful. Grandiose delusions often have a religious, science fictional, or supernatural theme. Examples include the extraordinary belief that one is a deity or celebrity, or that one possesses extraordinary talents, accomplishments, or superpowers.
Morgellons is the informal name of a self-diagnosed, scientifically unsubstantiated skin condition in which individuals have sores that they believe contain fibrous material. Morgellons is not well understood, but the general medical consensus is that it is a form of delusional parasitosis, on the psychiatric spectrum. The sores are typically the result of compulsive scratching, and the fibers, when analysed, are consistently found to have originated from cotton and other textiles.
Folie à deux, also known as shared psychosis or shared delusional disorder (SDD), is a psychiatric syndrome in which symptoms of a delusional belief are "transmitted" from one individual to another.
A Truman Show delusion, also known as Truman syndrome or Truman disorder, is a type of delusion in which the person believes that their life is a staged reality show, or that they are being watched on cameras. The term was coined in 2008 on film boards by brothers Joel Gold and Ian Gold, a psychiatrist and a neurophilosopher, respectively, after the 1998 film The Truman Show.
A religious delusion is defined as a delusion, or fixed belief not amenable to change in light of conflicting evidence, involving religious themes or subject matter. Religious faith, meanwhile, is defined as a belief in a religious doctrine or higher power in the absence of evidence. Psychologists, scientists, and philosophers have debated the distinction between the two, which is subjective and cultural.
Stephen B. King is an American businessman and political activist who served as the United States Ambassador to the Czech Republic from 2017 to 2021. A member of the Republican Party, he is the founder of King Capital LLC, an equity investment and real estate company. He previously worked at the Federal Bureau of Investigation (FBI) as an agent and campaigned unsuccessfully in 1988 for his party's nomination for the U.S. Senate in Wisconsin. During the Nixon administration, while working for the Committee for the Re-Election of the President, King was involved in the kidnapping of Martha Mitchell, the wife of the then-Attorney General.
The Martha Mitchell Effect is an American Netflix original film, a documentary directed by Anne Alvergue and Debra McClutchy. The film was released on June 17, 2022.