Paranoia speaks to a deeper drive than fear. Paranoia is a defiant charge to a cold, unfeeling cosmos: Hear me! I exist! I'm important! Because after all, if someone is actually orchestrating the chaos of the universe against you personally, then you do matter. When no one seems to care anymore, at least enemies give you the comforting illusion that you count.

Chapter 1 Operation: Cooperation! (p. 31) - From the Notebooks of Dr. Brain (2007)