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Plague Mind

Content warning: contains mentions of mental trauma and suicide
The plague affected us all, but we each lived a different experience, depending on who we lost and what we had to do to survive. Some people survived, but now they can't thrive, because the plague has settled on their minds.
— Traks, Daffodil order cleric
Having plague mind feels like there's an ambush predator after you. I never know what will trigger it: a smell, a voice, a place. And what's worse, what triggers plague mind one day doesn't trigger it the next. So I just ended up avoiding everything. Until Traks started helping me out.
— Skrarkit, a ratfolk with plague mind

Causes

Many of those who survived the plague had to live either through the disease themselves or watched their loved ones go through it. During the plague years, people lived in a permanent state of doubt and fear. This, together with the constant state of mourning for lost ones caused deep mental injuries in survivors. These people had to keep on going while their loved ones and their lives as they knew them disappeared right before their eyes, year after year.

Symptoms

The main symptom plague minded people experience is the partial or full re-living of experiences from the plague years, such as unwanted and recurrent memories, sensory or mental flashbacks, or nightmares of plague events.   This typically leads to a host of associated behaviours and conditions, including:
  • Changes to the affectiveness of a person, typically avoidance or shunning of emotions
  • Emotionally unstable, will often suffer from anxiety, concentration, or emotional outbursts
  • Memory loss, particularly around events during the plague

Treatment

So far, there is no one way of treating plague minded people. The general advice is patience, generating new memories and experiences so that they stop associating common daily things with the plague, and to talk with them about the plague to identify which issues cause them the greatest suffering.   Some plague minded people do not wish to talk with people until they find someone who is also experiencing plague mind. This has led to some daffodils creating groups of people for them to assemble and talk about what works for them in getting through life.  
I can't decide if I want to forget, if I can't forget, or if I have already forgotten too much. And then, there's the nightmares about Emerald City...
— Iomle Gadru, talking to her group

Cultural Reception


Plague mind has only started to be recognized as a disease, mostly by the surviving daffodil order members. While the Daffodil Order is in disarray, their members do not need a leader to tell them that helping those who have survived the plague is the most important thing anyone can do now. As such, many members have started noticing common symptoms and reactions from a section of the population. Different sections of the surviving order started to give it a name, and whilst nowadays the accepted name seems to be "Plague Mind", the other names are still widely used.     Outside of the daffodil order, plague minded people often find incomprehension from other survivors, who cannot comprehend why do they distance themselves from those who they used to love. Few plague minded people talk about the issues they experience and prefer to simply retreat themselves from society to avoid reliving plague experiences, but ironically, they also do this to protect those they care for, as they fear what they may say or do while they relive experiences, whether partially or fully.      
 

Related articles

Other Names

Survivors' trauma
Plague memory
Traumatic Mental-Plague Scars
Plague flashbacks
Invisible plague

Type
Mental
Origin
Natural
Cycle
Chronic, Acquired
Rarity
Uncommon
Danger to life

Low, but some plague minded people have been known to commit suicide

Frequency

No one knows, but many daffodil members suspect it to be high, perhaps as high as 15% of the surviving Tiel population

D     ear Traks Moltenbash,     If this letter has reached you, along with four other letters, and two packages, please note I promised the carrier one month of flour to make bread, and two sheep, one male and one female. I hope you and the members you had left in Oloriar Steppe are managing. As usual, I write to you seeking your insight.   I am writing to you to discuss plague memory. I am not sure how do you call in in Oloriar Steppe, but I am sure you have encountered these individuals. They seem to retreat from society, avoiding things and people, their behaviour is erratic and sometimes even aggressive.   It is not easy to detect some of these people, as they may start avoiding people who remind them of specific plague events. However, it is precisely these people who can detect changes in behaviour or memory loss. I wonder if you have found a method of detecting said people in your community. I want to help as many people as we can, but I don't know how many people are in need of help.   One thing that I have noticed is that if they are told about other people in their community who are also experiencing these issues, they tend to be amenable to talking with them.   Any advice you can offer on this topic would be greatly appreciated. Now that the plague is gone, I fear this is the next great challenge the order is faced with. I fear we are as ill-prepared for it as we were for the plague. I pray every day that we do not fail again.   Most humbly,
Odni Lenwack.


Cover image: by Stefan Keller

Comments

Author's Notes

The original version of this article was created as an entry for World Anvil's flagship Summer Camp 2019 event, specifically for prompt #20:
"Write about a mental illness in your world and how people respond to this."
  You can view my other entries from the competition here, or check out all past World Anvil competitions here.   This article and the world I am writing about have been created using Pathfinder as a base. This is a homebrew setting, inspired by Paizo's wonderful lore and creations.


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Jul 25, 2019 12:38

It is interesting to see how much of your world is impacted by this plague. The image is pretty haunting and sets a good mood for the article. One thing I noticed is that you hint that people are afraid of what they might do to their family, but no real mention of violence besides the suicide. Are there instances where people have been hurt having one of those flashbacks? Or is this more of a fear they have despite it being something that has never actually happened?   It seems that the Daffodil order is a clerical order? Does this only impact them and has nothing to do with what actual race they are? Curious if anyone has created theories why that would be?   Just a few questions....I know most is private, so I tried to keep it in perspective of the article.   Great Job!

Jul 25, 2019 18:55 by Grace Gittel Lewis

Alright, I'm extremely curious as to why I get a multipass whenever I try to visit 13's world page. I've only held off following since I can't view it!
 

Many of those who survived the plague had to live either through the disease themselves or saw their loved ones go through it.
Completely subjective, but I feel as if this sentence is a bit awkward. Simply changing "saw" to "watched" here seems— at least in my head— to flow much smoother. Optionally, changing "go" to "suffer."
 
This has led to some daffodils creating groups...
Daffodils? What are daffodils? (besides flowers). A tooltip may help!
 
...what works for them in getting through with life.
This implies suicide or death. I'd drop "with," as from the context I doubt that's what you meant.
  You use the term "plague experiences" or similar terms often here— and this is another subjective one— but I think that using the term "plague years"— which you used in the beginning of this article— may work better. For an example in PTSD, you don't refer to experiences as "Afghanistan experiences;" it's either "Wartime experiences" or "experiences from Afghanistan." So "experiences from the plague years", "plaguetime experiences," or similar may flow better.
  From my understanding, Plague Mind is PTSD. If this is a correct conclusion, then I have understood the mental illness. In that vein— I do think it could be interesting to mention other cases of PTSD that aren't plague related— as I imagine some knowledgeable persons in your world may note similarities between them. It could be fun to see how they rationalize this as a "separate" mental illness despite being the same thing!

Jul 26, 2019 04:14

Hi there my first language is not English but I think I understand it well enough but can't really point you about the phases as already Garret did it. I think the disease you are talking about is schizophrenia like the part that the plague minded only talk to others with the condition and the "daffodil order" trying to create this special groups. I like it because is an "unknown" disease that is not so dangerous for the population in general but is already in the in the sights of a healthcare organization. You repeat this behavior in the next part of the article, I suggest write about the ones not having the problem how they see, treat or think about the ones are ill. Good Work!!