Will Not As Strong As Steel

Bionic Dyscognitive Disorder

(a.k.a. Bionomanic Disorder; Bionic Dysphoria; Cybernetic¹ Dyscognitive Disorder; Cybernetic Schizotypal Disorder; Cyberpsychosis; Mechanization Stress Disorder; Post-Augmentation Stress Syndrome; Robolunacy.)

By whatever name it is known, bionic dyscognitive disorder is a severe mental health issue triggered by augmentation with non-biological technology (bionics). In various analyses, it can present with symptoms similar to a variety of other conditions, such as:

  • body integrity dysphoria (most common with the use of limb augmentations, in which cases it can trigger intense desire to remove the augmentation; some sufferers attempt this themselves, often fatally);
  • severe schizotypal disorders or schizophrenia (typically associated with neural interfaces or sensory augmentations);
  • post-traumatic stress syndrome-like symptoms associated with fictive memories of the augmentation procedure;
  • Cluster B borderline (typically antisocial) personality disorder; or
  • in the most extreme cases, a monothematic depersonalization delusion similar to the Cotard delusion, in which the sufferer perceives themselves as a robot, often including the belief that they are an automaton incapable of volition.

Bionic dyscognitive disorder also does not exist, insofar as no reputable iatropsychic professional has determined a neurophysiological cause for any case.

Rather, bionic dyscognitive disorder is a convenient label placed upon a variety of memetically-induced syndromes attributable to the high frequency of autotoxic and exotoxic anti-augmentation memeplexes found in primitive and primitivist societies, active at the conscious or subconscious level.

When one provides a limb augmentation to one with a deeply internalized subconscious belief that bionic augmentation is unnatural, one induces memetic body integrity dysphoria; when one provides certain types of neural interface to a patient with high risk factors for schizotypal disorders, the data input from the interface will be interpreted accordingly, and the result misdiagnosed as attributable to the augmentation rather than the underlying factors; when convinced that augmentation must necessarily be traumatic, the brain will obligingly perceive it as such; and in extreme cases, when submerged in vitalist memeplexes, the least stable will develop the delusion that augmentation is equivalent to mechanization.

(And, naturally, those on the borderline of borderline personality disorders may be tipped over the border by any enhancement to their personal armamentarium.)

On an individual basis, the recommended treatment for any of these issues is intensive corrective memetic therapy, preferably preceded by removal from the memetically toxic external environment. In the longer term, the only reliable course is to press for the adoption of Collegium standards of mental stability by all extra-Imperial augmenteries such that they will be appropriately watchful for those whose variously fragile mental states will be destabilized further in the process of augmentation.

See also: autoscient depersonalization disorder; social transition stress disorder; technical somatically-induced stress disorder.

– Manual of Mental Diagnostics, 271st ed.


  1. Yes, we know.

Notable Replies

  1. Avatar for JAPH JAPH says:

    Been playing Cyberpunk 2077?

  2. Avatar for avatar avatar says:

    Eh, I’ve been mocking that trope since Shadowrun 2nd ed. :sweat_smile:

  3. In all honesty, it’s a game balance thing. Otherwise there’s very little reason beyond “can’t afford it yet” to stick your thinky bits into a full body prosthetic.

  4. They seem to have changed stances in the latest update - it used to be that cyberpsychosis was not actually a thing - it was bad employers lying about PTSD. After this update, it’s a thing again (probably for game balance reasons…).

  5. Avatar for avatar avatar says:

    True. But as the worldbuilding geek that I am, I like my game balance things to come attached to better in-world explanations than that. :grin:

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