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.[ citation needed ]
Patients may be diagnosed as delusional when their grievances concern health care workers or health care institutions, even when the patient has no history of delusion. "A patient arriving claiming to have been injured by another health care professional is regarded as a crazy person who potentially could ruin the career of an innocent colleague." [4] [ unreliable source? ]
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 scandal in the United States involving the administration of President Richard Nixon from 1972 to 1974 that led to Nixon's resignation. The scandal stemmed from the Nixon administration's attempts to cover up its involvement in the June 17, 1972, break-in of the Democratic National Committee headquarters in Washington, D.C., at the Watergate Office Building.
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 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 generally 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 sexual partner is being unfaithful without having any real 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.
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 illness 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 that have a psychotic disorder, specifically schizophrenia.
Emergency psychiatry is the clinical application of psychiatry in emergency settings. Conditions requiring psychiatric interventions may include attempted suicide, substance abuse, depression, psychosis, violence or other rapid changes in behavior. Psychiatric emergency services are rendered by professionals in the fields of medicine, nursing, psychology and social work. The demand for emergency psychiatric services has rapidly increased throughout the world since the 1960s, especially in urban areas. Care for patients in situations involving emergency psychiatry is complex.
Grandiose delusions (GD), also known as delusions of grandeur or expansive delusions, are a subtype of delusion that occur in patients with a wide range of psychiatric disorders, including two-thirds of patients in a manic state of bipolar disorder, half of those with schizophrenia, patients with the grandiose subtype of delusional disorder, frequently in narcissistic personality disorder, and a substantial portion of those with substance abuse disorders. GDs are characterized by fantastical beliefs that one is famous, omnipotent, wealthy, or otherwise very powerful. The delusions are generally fantastic and typically have a religious, science fictional, or supernatural theme. There is a relative lack of research into GD, in contrast to persecutory delusions and auditory hallucinations. Around 10% of healthy people experience grandiose thoughts at some point in their lives but do not meet full criteria for a diagnosis of GD.
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, additionally known as shared psychosis or shared delusional disorder (SDD), is a rare psychiatric syndrome in which symptoms of a delusional belief, and sometimes hallucinations, are transmitted from one individual to another. The same syndrome shared by more than two people may be called folie à trois ('three') or quatre ('four'); and further, folie en famille or even folie à plusieurs.
A persecutory delusion is a type of delusional condition in which the affected person believes that harm is going to occur to oneself by a persecutor, despite a clear lack of evidence. The person may believe that they are being targeted by an individual or a group of people. Persecution delusions are very diverse in terms of content and vary from the possible, although improbable, to the completely bizarre. The delusion can be found in various disorders, being more usual in psychotic disorders.
A Truman Show delusion, also known as Truman syndrome, 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 God or a religious doctrine 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.