![]() The illness that Josh most likely suffered from is psychotic depression (different than non-psychotic depression and requires different treatment) and/or schizophrenia. Between the drugs not working and Josh’s symptoms it suggests that Josh was misdiagnosed. Sadly, Josh’s actions do not align with the symptoms of depression. The drugs that are prescribed to Josh fall under this category. The debate between the link between serotonin and depression continues to this day, but the most common antidepressant medications prescribed are SSRI ( selective serotonin reuptake inhibitor) drugs. It is a simple explanation for the complex issue of depression. However, the link between serotonin and depression has been researched, debunked, supported, and theorized for years. Serotonin is thought to play a role in depression, and has been touted by the media as the cause of depression. All of these drugs focus around the neurotransmitter serotonin. It also reveals that the medication wasn’t working as planned and that Josh had begun taking increased doses. The report reveals that Josh has been on medication for almost a decade and he has been prescribed various anti-depressant medications including Fluoxetine, Amitriptyline, Duloxetine, and Phenelzine. However, the Psychiatric report contains the most vital information in regards to Josh’s mental condition. This information reveals that Josh is off his medication, as Chris would suggest later on in the game. Hill: It’s very dangerous to stop taking your drugs mid course Josh. The conversation also includes this important exchange:ĭr. Josh’s cellphone contains a conversation between Josh and his Psychiatrist in which the Psychiatrist advises Josh against moving forward with an unspecified plan of revenge. The Psycho’s lair contains the key items of Josh’s cellphone and the Psychiatric report. The real details of Josh’s mental state can only be acquired if Sam escapes the Psycho and finds the Psycho’s lair. During the reveal of the Psycho’s identity, Chris, another one of the eight protagonists and Josh’s best friend, will state “well he’s definitely off his meds.” This would be the player’s first indication of Josh’s mental state if they had failed to escape the Psycho while playing as Sam, the heroine of the story, earlier in the game. As the game continues he is revealed to be the antagonistic Psycho. He is initially described as thoughtful, loving and complex. He is the older brother of Hannah and Beth, who had disappeared a year prior to the main events of the game. The character of Josh, portrayed by Rami Malek, is revealed early in the game as one of the game’s eight protagonists. The game follows the horror genre formula, but it also slightly changes the common perception of mental illness if the player is able to piece all the clues given by the game together. However, the game creates sympathy for a character who suffers from mental health issues by not making the character truly evil, like the common trope, or the main major antagonist. The 2015 horror game Until Dawn, developed by Supermassive Games, seemingly follows the well-known trope of mental illness in its genre. ![]() The horror genre relies on the concept of fear and we have been conditioned to fear mental illness and its surrounding issues. Sadly, the over saturation of negative portrayals involving suffers of mental illness, usually in this genre, have created a stigma around mental health issues. This genre only succeeds because it feeds off of human fears and desires, and both of which originate in the mind. ![]() The issue of mental health is easily addressed by the horror genre because it relies on human psyche in order to illicit a response. The video game Outlast is set in a mental institution and the Baltimore State Hospital For The Criminally Insane is a setting for Silence of the Lambs. It is also not uncommon to have a mental health institution as a main setting. Famous examples include Michael Myers, a homicidal escaped psychiatric patient, from Halloween, the murderer Norman Bates, who suffers from dissociative identity disorder, from Psycho, and the character of Sweet Tooth, from the Twisted Metal games, is also depicted as an escaped psychiatric patient. It is common that the main antagonist suffers from some form of mental illness and does terrible things to the protagonists. Mental health is a common a theme tackled in the horror genre. ![]()
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