This paper by Johan Galtung analyzes the deep-rooted cultural, psychological, and structural drivers underlying U.S. foreign policy, conceptualizing them as collective “pathologies” that are projected globally through patterns of violence, domination, and exceptionalism. Using psychoanalytic metaphors and systems theory, Galtung identifies three interlinked complexes — Chosenness-Myths-Traumas (CMT), Dichotomy-Manicheism-Armageddon (DMA), and Repression-Projection (RP) — as embedded in the U.S. collective subconscious and shaping elite decision-making. He argues that these archetypal forces narrow foreign policy choices, sustain a worldview of “Good vs. Evil,” and normalize violent interventions while marginalizing nonviolent alternatives. Through ten case studies — including Hiroshima and Nagasaki, the Cold War, Vietnam, U.S. policy in Latin America, Israel-Palestine, and the Gulf War — the paper demonstrates how these deep structures reproduce global violence and inhibit rational, cooperative responses. Galtung concludes by calling for “therapies” to deconstruct these unconscious pathologies and foster new forms of dialogue, empathy, and multilateralism as pathways toward sustainable peace

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