The first phase of macrosocial disease, i.e. social hysterization, is the opening through which pathocracy manifests. Such a period of societal spiritual crisis is associated with the exhausting of the ideational, moral, and religious values heretofore nourishing the society in question. Individuals and groups grow increasingly self-serving, and the links of moral duty and social networks loosen. People become concerned with trifling things, ignoring more important issues such as commitment to the future, or involvement in public matters.

The most characteristic feature of such a period is widespread hysteria, like that of the quarter century in Europe preceding WWI. "Happy" times of peace are necessarily dependant on social injustice, and children of the privileged class learn early to repress ideas that they and their families are benefiting from the injustice of others. Such unconscious defense mechanisms cause these individuals to disparage the values of those whose work they exploit. These processes lead to an hysterical state of inhibited logic and reasoning. This rigidity of thought then gets passed on to the next generation to an even greater degree.

The hysterical patterns finally get passed from the ruling class to the less privileged classes. This characteristic contempt for factual criticism, for normal thought patterns and nations, obviates the need for media censorship. A pathologically hypersensitive censor lives within each citizen. This has been repeatedly demonstrated by the American media in relation to the omissions and distortions of the Kean-Zelikow 911 Commission Report, the propaganda leading to the Iraq war, the death toll of Iraqi citizens, the reality in Palestine.

"When three "egos" govern - egoism, egotism, and egocentrism - the feeling of social links and responsibility toward others disappear, and the society in question splinters into groups ever more hostile to each other. When a hysterical environment stops differentiating the opinions of limited, not-quite-normal people from those of normal, reasonable persons, this opens the door for activation of the pathological factors of a various nature to enter in." (Lobaczewski, 177)

This hysteroidal phase is often followed by a period of war, revolution, genocide, and the fall of empires: pathocracy.

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