Citation

Abed RT. Br. Med. Bull. 2004; 72: 1-13.

Affiliation

Rotherham District General Hospital, Moorgate Road, Rotherham S60 2UD, UK. abedrt@btinternet.com

Copyright

(Copyright © 2004, British Council, Publisher Oxford University Press)

DOI

10.1093/bmb/ldh037

PMID

15767560

Abstract

Tyrannical states came into existence with the emergence of the state as a socio-political phenomenon a few thousand years ago and are, therefore, novel creations from the standpoint of human evolution. A recent and particularly virulent form of tyranny was invented during the twentieth century in the form of totalitarianism. Such states utilise physical and psychological coercion as their primary method of governance. It is proposed that this will have mental health consequences on both the rulers and the ruled. The psychological roots of tyrannical systems are explored and some of the possible socio-psychological effects are discussed. The Iraqi Ba'th regime is used as an exemplar of a third world totalitarian state. It is suggested that the prevention of mass violations of basic human rights should become an international responsibility and this may, therefore, require a redefinition of the concept of sovereignty. Furthermore, it is proposed that the international community should share the responsibility of assisting in the process of social repair in the aftermath of the fall of tyrannical states.

Language: en