“We are all mad here”
When I talk to friends about what is going on in the world today the one word I hear repeatedly is “madness”. We live in a society where mental illness is at epidemic proportions. War, riots, epidemics, school shootings and more bombard us daily until we don’t understand why we feel so depressed, anxious, and confused.
This paper looks at madness from an unlikely point of view, that of fictional characters in a cartoon movie made in 1951 by Walt Disney called Alice in Wonderland. If these characters were real people, acting out the way they did in the movie, there would be a mental health diagnosis for each one of them. After analyzing five characters from the movie, I have come up with a diagnosis for their behavior and thinking patterns.
Alice
“If I had a world of my own, everything would be nonsense. Nothing would be what it is because everything would be what it isn't. And contrariwise, what it is, it wouldn't be, and what it wouldn't be, it would. You see?"
It's only appropriate to start with Alice, the protagonist of the movie. Alice is a young girl about 10 years old with long blonde hair and a black ribbon tied at the top of her head. She wears a blue dress with a white apron, white stockings, and black shoes. She has beautiful big blue eyes and ruby-red lips. At the beginning of the story, she comes off as boarded with her life and wishes for a world of her own. She spends much time in a dream world lost in fantasy.
During Alice’s adventure in Wonderland, she speaks to animals and insects that speak back to her, she shrinks and enlarges herself to fit the space she is in and experiences a world full of madness. The story starts with Alice in a park supposedly reading a book but finding herself bored and daydreaming. She sees a white rabbit wearing clothes and carrying a big pocket watch saying, “I’m late, I’m late for a very important date”. She follows the rabbit down a rabbit hole, which is the beginning of her travels through Wonderland.
My diagnosis for Alice, if she were a real person, would be she suffers from a psychotic disorder (hallucinations) at the very least. She could possibly be diagnosed with schizophrenia. I mean let’s face it, floating cats and talking to caterpillars isn’t normal and could be considered a symptom of paranoid schizophrenia. There is actually a syndrome called AWS (Alice in Wonderland Syndrome) based on Alices’ behavior in the story. It describes a person with episodes of altered reality. An article about this syndrome states, “Patients with this syndrome describe feeling larger or smaller than normal and having other strange visual and auditory perceptions of the world” (Lizzy).
Alice’s brief Psychotic Disorder diagnosis is categorized using Diagnostic Criteria DSM-5 298.8 (F23) (auditory and/or visual hallucinations) from the DSM V manual. No DSM-5 criteria have been established for Alice in Wonderland syndrome.
White Rabbit
The White Rabbit is the first character Alice meets. Alice follows the rabbit into a hole that leads her to Wonderland. He is elderly and plump with pink eyes, thick black eyebrows, and a red nose. He wears glasses on his nose and carries a large watch. The White Rabbit is always in a hurry and constantly worrying. His famous line from the movie is “I’m late, I’m late for a very important date”. He appears to be jittery, fidgety, confused, and high-strung and was both timid and aggressive depending on the situation. My diagnosis is a generalized anxiety disorder.
The White Rabbits diagnosis is categorized using Diagnostic Criteria DSM-5 300.02 (F41.1) for Generalized Anxiety Disorder. This includes anxiety, worry that is difficult to control, restlessness, feeling keyed up or on edge, difficulty concentrating, and irritability.
Mad Hatter
"You're mad. Bonkers. Off your head...but I'll tell you a secret...all of the best people are."
The Mad Hatter is sort of the supervillain of Wonderland. He is a short little man who wears a large green top hat with white hair sticking out. He has a ticket tucked in the band of the hat that says, “10/6” on it. The 10/6 refers to the cost of a hat — 10 shillings and 6 pence, and later became the date and month to celebrate Mad Hatter Day (Mad Hatter Day).
He has bucked teeth and a rather grumpy face. He is very loud with a totally wacky personality. He has mood swings where he can be charming one minute and then burst with anger the next. He would be considered “mad” or “crazy” by anyone who met him. He always shows erratic behavior in everything he does. His name was taken from the idiom “mad as a hatter”, which was around before the story was even written. In the 1800’s lead in the hat-making process seeped into the wearer’s system and they went insane. My diagnosis for the Hatter is bipolar with some manic depression.
The bipolar diagnosis is categorized using Diagnostic Criteria 296.43 (F31.13) of the DSM V manual. It is a group of disorders that cause fluctuation in his mood, energy, and ability to function. The Mad Hatter has increased activity, poor concentration, and increased impulsivity that can change rapidly to elation and grandiosity. Mild depression disorder is categorized using Diagnostic Criteria 296.52 (F32. 0 F33). The symptoms are present enough to make a diagnosis but manageable with only minor impairment in social functioning.
Cheshire Cat
"Everyone's mad here." "You may have noticed that I'm not all there myself."
Alice meets the Cheshire Cat along her travels through Wonderland. First in the woods where she stops and asks him for directions home. Being the sly manipulative cat he is, he gives her directions to the Mad Hatter. He doesn’t so much do this out of meanness as self-pleasure and amusement. He can be treacherous when he wants to be or supportive if the mood hits him. Alice meets him again and this time he sends her to the Queen of Hearts without so much as a warning of how evil and crazy she is. Alice sees Cheshire Cat at the Queen’s place
The Cheshire Cat is a large purple and pink striped cat with a permanent wide grin firmly planted on his face. He has purple hair and yellow eyes and usually can be found sitting up in a tree. Part of his appearance is the fact that he can disappear and reappear at will. He just fades away and returns.
His behavior is confusing. He is mischievous and tricky one minute and whimsical the next but always unpredictable. He takes great pleasure in playing pranks with no care for the consequences or the harm it could do. In sending Alice to the Queen, he most certainly knew the Queen would kill her. He does this all for his own amusement.
My diagnosis for Cheshire Cat is an antisocial personality disorder. I also think he shows traits of being a sociopath. The antisocial personality disorder was categorized using Diagnostic Criteria DSM-5 301.7 (F60.2). The criteria are “Failure to obey laws and norms by engaging in behavior which results in a criminal arrest or would warrant criminal arrest, lying, deception, and manipulation, for-profit or self-amusement, impulsive behavior, blatantly disregard the safety of self or others, a pattern of irresponsibility and lack of remorse for actions” (Porter). There is no category for sociopath in the DSM manual. That conclusion would come by combining other traits found in the DSM manual for antisocial personality disorder and analyzing them together.
Queen of Hearts
The Queen of Hearts is a large, ugly woman with black hair and wears a gold crown. She wears mostly red and black as these are the colors of playing cards. She carries a wand shaped like a heart. The Queen is a playing card ruling a place where residents are all playing cards. She is the ruler of Wonderland and reigns with a tyrannical fist.
Alice meets the Queen when she entered Wonderland gardens. There are gardeners painting the white roses red so the Queen won’t be angry (they planted the wrong color and all roses have to be red). She speaks to Alice and Alice spoke back rather flippantly making the Queen angry and calls for Alice to be beheaded. The King interfered and calmed the Queen down. She also calls for the gardeners to be beheaded. This is her solution for anyone who irritates her for any reason.
“After a game of Croquet where the Cheshire Cat trips up the Queen, Alice is blamed and sent to the Kingdom's court. A tribunal ensues where most of the earlier characters turn up including the Mad Hatter and March Hare. Alice manages to escape the kingdom and runs into the doorknob revealing she has been sleeping the whole time. She finally manages to wake up dazed and confused with her sister but returns home happy with her family” (Bruce).
My diagnosis for the Queen of Hearts is Narcissistic Personality Disorder according to DSM V criteria 301.81 (F60.81), evidenced by the way she is completely self-absorbed, lacks empathy for others, believes that she is special and unique, requires excessive admiration, and has unreasonable expectations of how she should be treated” (Narcissistic).
There are probably other mental disorders that can be attributed to the characters in Alice, but I feel I would have to have more information to understand them. Even the disorders I bring forth in this paper are just guesses based on little information about each character from a children’s story. If I wanted to make a children’s story that kids would all enjoy, I too would make all the characters bonkers, cuckoo, and with a screw loose! That’s what would make it fun to listen to or read.
Alice
Brief Psychotic Disorder Diagnostic Criteria 298.8 (F23)
A. Presence of one (or more) of the following symptoms. At least one of these must be
(1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.
Note: Do not include a symptom if it is a culturally sanctioned response.
B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with
eventual full return to premorbid level of functioning.
C. The disturbance is not better explained by major depressive or bipolar disorder with
psychotic features or another psychotic disorder such as schizophrenia or catatonia,
and is not attributable to the physiological effects of a substance (e.g., a drug of abuse,
a medication) or another medical condition.
White Rabbit
Generalized Anxiety Disorder
Diagnostic Criteria 300.02 (F41.1)
A. Excessive anxiety and worry (apprehensive expectation), occurring more days than
not for at least 6 months, about a number of events or activities (such as work or school
performance).
B. The individual finds it difficult to control the worry.
C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the
past 6 months);
Note: Only one item is required in children.
1. Restlessness or feeling keyed up or on edge.
2. Being easily fatigued.
3. Difficulty concentrating or mind going blank.
4. Irritability.
5. Muscle tension.
6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying
sleep).
D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment
in social, occupational, or other important areas of functioning.
E. The disturbance is not attributable to the physiological effects of a substance (e.g., a
drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism).
F. The disturbance is not better explained by another mental disorder (e.g., anxiety or
worry about having panic attacks in panic disorder, negative evaluation in social anxiety
disorder [social phobia], contamination, or other obsessions in obsessive-compulsive
disorder, separation from attachment figures in separation anxiety disorder,
reminders of traumatic events in posttraumatic stress disorder, gaining weight in an
anorexia nervosa, physical complaints in somatic symptom disorder, perceived appearance
flaws in body dysmorphic disorder, having a serious illness in illness anxiety
disorder, or the content of delusional beliefs in schizophrenia or delusional disorder).
The Mad Hatter
Bipolar I Disorder
Diagnostic Criteria
For a diagnosis of bipolar I disorder, it is necessary to meet the following criteria for a manic
episode. The manic episode may have been preceded by and may be followed by hypo-
manic or major depressive episodes.
A. Period of abnormally and persistently elevated, expansive, or irritable mood
and abnormally and persistently increased goal-directed activity or energy, lasting at least
1 week and present most of the day, nearly every day (or any duration if
hospitalization is necessary).
B. During the period of mood disturbance and increased energy or activity, three (or
more) of the following symptoms (four if the mood is only irritable) are present to a
significant degree and represent a noticeable change from usual behavior:
1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).
3. More talkative than usual or pressured to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility (i.e., attention is too easily drawn to unimportant or irrelevant external
stimuli), as reported or observed.
6. Increase in goal-directed activity (either socially, at work or school, or sexually) or
psychomotor agitation (i.e., purposeless non-goal-directed activity).
7. Excessive involvement in activities that have a high potential for painful consequences
(e.g., engaging in unrestrained buying sprees, sexual indiscretions, or
foolish business investments).
C. The mood disturbance is sufficiently severe to cause marked impairment in social or
occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
D. The episode is not attributable to the physiological effects of a substance (e.g., a drug
of abuse, medication, or other treatment) or to another medical condition.
Note: A full manic episode that emerges during antidepressant treatment (e.g., medication, electroconvulsive therapy) but persists at a fully syndromic level beyond the
the physiological effect of that treatment is sufficient evidence for a manic episode and,
therefore, a bipolar I diagnosis.
The Cheshire Cat
Antisocial Personality Disorder
Diagnostic Criteria 301.7 (F60.2)
A. A pervasive pattern of disregard for and violation of the rights of others, occurring since
age 15 years, as indicated by three (or more) of the following:
1. Failure to conform to social norms with respect to lawful behaviors, as indicated by
repeatedly performing acts that are grounds for arrest.
2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for
personal profit or pleasure.
3. Impulsivity or failure to plan ahead.
4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
5. Reckless disregard for the safety of self or others.
6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior
or honor financial obligations.
7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt,
mistreated, or stolen from another.
B. The individual is at least age 18 years.
C. There is evidence of conduct disorder with onset before age 15 years.
D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder
The Queen of Hearts
Narcissistic Personality Disorder
Diagnostic Criteria 301.81 (F60.81)
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack
of empathy, beginning by early adulthood and present in a variety of contexts, as indicated
by five (or more) of the following:
1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents,
expects to be recognized as superior without commensurate achievements).
2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal
love.
3. Believes that he or she is “special” and unique and can only be understood by, or
should associate with, other special or high-status people (or institutions).
4. Requires excessive admiration.
5. Has a sense of entitlement (i.e., unreasonable expectations of especially favorable
treatment or automatic compliance with his or her expectations).
6. Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own
ends).
7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
8. Is often envious of others or believes that others are envious of him or her.
9. Shows arrogant, haughty behaviors or attitudes.