wˈʌn mˈɑːdɚn ˈænɐlˌɪst, neɪˈɑːkoʊ mˈɪjædʒi, hɐz pɹəpˈoʊzd dˈæzaɪ wʌz sˈʌfɚɹɪŋ fɹʌm kˈɑːmplɛks pˈoʊsttɹɔːmˈæɾɪk stɹˈɛs dɪsˈoːɹdɚ wɛn hiː ɹˈoʊt ðə bˈʊk.
One modern analyst, Naoko Miyaji, has proposed Dazai was suffering from complex post-traumatic stress disorder when he wrote the book.