The problem is that it is hard to be sure about the state of mind of the general population. They could be mostly completely brainwashed and controlled; or going along with the charade out of necessity while behind the scenes there is widespread shared disgust at the leadership; or they could be living terrified, isolated lives unable to speak about their private thoughts to anyone, even their families, out of fear of police informers. People do attempt to escape the country, though, so there is some dissent.
Overall I'd say NK is unique, and when it disintegrates the social effects probably won't be like anything we've seen before.
[1] http://en.wikipedia.org/wiki/Albania#Communist_Albania_.2819...