Psychology, Psychiatry and Writers Groups
The relationship between creativity and mental illness has long been studied, and
creative writing is frequently used for therapeutic purposes. Both
institutional and open-access
writers groups offer further opportunities for patients and
for researchers. An awareness of literary fashions and the current role of
writers groups will help maximise the benefits.
Writers and the Self
Subconsciously or otherwise, people may read
literature for psychological benefits. Zunshine (2006),
Mar, Oatley, Djikic, etc suggest that reading fiction is a kind of simulation
of social interactions. "After being given either fiction or non-fiction
from the New Yorker, those who read the fiction piece scored higher on a
test of social reasoning" ("The Psychologist", V21 No12, p.1030-1).
Compared to the general reading public and even to other creative people,
writers might have more need of these benefits
- "Nancy Andreasen has tracked 30 students from the University of
Iowa Writer's Workshop. 80% had mood disorders (30% is average amongst
similar people who are non-writers). 43% had some degree of
manic-depressive illness (10% is average). 2 committed suicide over the 15
years of the study" ("Psychology Today", April 1987)
- "A great many writers find relating both painfully difficult
and beside the point. The same qualities that make them writers -
self-direction, independence, intelligence, skepticism, a love of solitude
- also incline them in the direction of isolation, alienation and a
carelessness about relating." (Maisel, 1999)
Writing may be a more useful form of simulation than passive reading,
helping practitioners to
- analyse, prepare and anticipate human responses
- see other points of view
- create retrospective autobiographical
narratives to analyse their past and plan behavioural reprogramming. Some
writers create online personas, especially in the "fanfic" world - Fan
fiction and its communities have long been of interest to academic
researchers - see Henry Jenkins (1992)
Schizophrenia and depression are the mental illnesses most
linked to creativity in the historical context (Schuldberg, 2001). He suggests
that most often,
- artists who focus on emotions and feelings in their work are
manic-depressive. Sass writes that poets like William Blake, Lord Byron,
Shelley and Keats all suffered from manic-depressive illness
- artists who remove themselves from the world are more often
associated with schizophrenia. Creative people with schizophrenia often
experience a sense of alienation from the self, from their bodies and from
the world. They become hyper-self-conscious but are able to step outside
themselves, allowing a more cerebral form of creativity.
In the 27/3/2010 issue of New Scientist they mention that "when white matter
begins to break down in people with dementia, they often become more creative",
citing Rex Jung who thinks that chemical or structural aspects that slow
certain neural communication "might allow for the linkage of more
disparate ideas, more novelty, and more creativity".
Some symptomatic mental traits can also be seen as useful to writers, though the benefits
tend to be specialised.
- Obsession - writers need to be determined and focussed
- Detachment; asocial distancing - writers need to be observers ("a
poet even as falling down the stairs, will observe his fall" - Holub). A lack of
empathy may assist observation. Also, staying away from people frees up
more time for writing. Awareness of a lack of social empathy may result in
compensating strategies - increased observation, etc.
- Asocial self-revelation/freedom - freed from the constraints of
politeness and political correctness, writers might produce more
interesting (or at least provocative) work. This could be another compensating strategy, hoping to encourage a response.
- Decontextualised (field-independent) thinking - randomness, chaotic/original
thinking "outside the box", and finding unusual connections between things
may help with creativity.
- Multi-level thinking - a characteristic of some schizoid
thinking is the ability to see the underlying media without inferring
meaning, seeing pattern as well as plot; noticing fonts, wordplay.
- Sensitivity - Highly Sensitive Persons and "neurotic" people might see things that
others miss.
- Inhibition - excessive control may lead to an interest in
Formalism and Oulipo
- Private language - Unusual forms of expression may
result in interesting (albeit intractable) work.
The Writer in Society
"There have always been people in
societies and cultures who have different experiences of reality compared
with the majority, and there's always been an overlap between people who
have those gifts, or insights, and people who are identified as suffering
from mental illnesses" (Thomas, 2007). Social acceptance depends on the literary
trends of the period. Some literary styles align with particular mental
problems.
- Romanticism - trying to be at one with nature presupposes a split
between the mind and the world
- Modernism - reading Sass's "Madness and Modernism" one might
easily believe that modernism is dominated by schizoids
- Nouveau Roman - might suit the mind-blind
- Confessionalism - a school of poetry that merges well with
therapy - easier to do if you don't care what others think of you, or the
effects on family and friends
- Surrealism/Dada - these schools are based on random or
subconscious images
- Ermetismo (Hermeticism) - a school whose poems were
characterized by unorthodox structure, illogical sequences, and highly
subjective language.
- Elliptical poetry (a term coined in 1998 by Stephen Burt) - "Full of
illogic, of associative leaps, their poems resembled dreams, performances,
speeches, or pieces of music"
Patients might consider themselves lucky if they're born into a era whose literary style matches
their symptoms.
Currently there's no dominant literary mode. The Web has helped like-minded people
keep in touch, leading to a more fragmented literary scene where minority
genres more easily survive.
Social Integration
If writers are going to support themselves by writing nowadays, they will
need to teach, so social adaption is useful. It may also improve the
chances of wider publication. The risk from the writer's viewpoint is that if
(as Freud believed) their writing's a symptom, then it might disappear as they
become more "healthy". Several normalisation options are on offer
- "Asylum" - rather than change the writer to fit society, new
surroundings can be found to suit the writer. Some art colonies (and
academic settings) are big enough to be self-contained worlds within which
eccentricities are tolerated, even encouraged, creating their own norms
that visitors adapt to.
- Borderline cases - those with borderline symptoms may be more
strongly encouraged to tweak their style rather than adopt wholesale changes - e.g. writing a narratively normal
piece with a mad person safely compartmentalised as the main character; normalising the appearance of
their manuscripts and cover letters.
- Drugs - these may be offered to make life easier, but they may
dull writing. Schuldberg suggests that drugs blunt the creativity of
patients with manic-depressive illness more than that of schizophrenic
patients.
- CBT - behaviour change (e.g. being encouraged to meet people)
may take the edge off writing or use up time.
Some neurotic people have a high tolerance for loneliness, and may find
writing a useful way to gain esteem while being alone. Socialising may not
"cure" writing, it may merely take away the opportunities for writing, leading
eventually to lowered self-esteem. However, socialising with writers
is less problematic.
Writers Groups
"Seizing on a traditional trope of the poet as exceptional
individual, certain individuals receiving health-care who feel themselves
to be exceptional apparently adopt poetic discourse as part of that role",
(Fiona Sampson, in "Kicking Daffodils", 1997). Some writers groups exist solely for
people with diagnosed mental problems (see Survivors Poetry, etc). These
and private study can help a writer's inner development, but before the
writer emerges fully into society they can join a halfway house - a more public
writers' group. The semi-structured discourse within a restricted domain
coupled with tolerance of quirks makes such groups a welcoming environment. They range from one-off events to Master's degrees.
- Amateur - Local writers groups are as popular as ever. Some focus more on
literary appreciation than production. Their repetitive, undemanding format offers newcomers
the chance to hone social and literary skills prepared in isolation. They usually have annual membership
fees. In the bigger cities there are performance venues too, with open-mike
sessions. Weekend and week-long residential courses are increasingly popular.
- Academic - There are creative writing evening classes in most
towns. UK universities are slowly catching up with their US counterparts (over 800 degree programs in creative writing exist
in the States). Some are part-time with low-residency options.
Technical competence, commercial success, emotional
authority and educational status all contribute to a complex web of
interaction in a group. In an educational context the tutors have a potential conflict between
academic assessment and encouraging self-discovery. Autobiographical
writing is an exploitable grey area, especially when authenticity is considered a
positive literary feature.
"Creative Non-fiction" (encompassing autobiography and personal essay) is on the increase.
How writers can use a public writers group as a support group
At one
writers group I attended in the 80s, a subset huddled at the tea-break who
seemed to have little in common. I later found out that they'd all been to
the same local mental hospital. Therapy professionals who recommend patients to go to particular groups should
perhaps attend one first - their atmosphere can vary a lot. Some groups offer tea and
biscuits and companionship with a stable membership, others are competitive hot-houses. Some benefits of
using writers groups are that they're cheaper than evening classes, casual, less committal, and (as
opposed to self-help therapy groups) the person is not
stigmatised as a patient. However, the
writers need to be self-analytical enough to exploit the benefits, and meetings
can be rather unstructured with difficult members. Advice
includes
- trying an online group first.
- being prepared to face robust criticism that judges commercial
potential more than depth of insight. Nervousness is common when presenting
work, and crying's not unknown.
- looking upon all expression (comments as well as explicit self-analysis pieces) as revelation. The more gestures, the more that's said and
written, the more there is to analyse.
- monitoring how much you speak in proportion to how much others speak, and
checking the proportion of positive comments you make compared to negative ones.
- playing the game of wanting to be a writer, wanting to be published.
- studying theory in order to
defend idiosyncrasies on theoretical grounds. Finding an appropriate style.
Finding role models. Mixing theory with person-centred comments.
- going to the pub with members afterwards to get more varied feedback.
How psychologists can use writers groups
Less well covered than links between
creativity and mental health is the group dynamics of writers groups. It's
a mutually beneficial topic. A university creative writing course might
welcome multi-disciplinary interest from a psychology department, hoping to
improve students' ability to benefit from (and run) workshops. Topics could
include strudying
- how a writer's style influences the type of criticism they offer, and
their dominance.
- how a person's psychological type affects their chosen genre -
is fragmented work a reflection of, or reaction to, personality?
- how genre affect happiness/survival statistics - are confessional poets
happier than similar people who don't write?
- workshop dynamics
(the different types of leadership and dissent) and how groups reach consensus
on a text.
The morality of using a
writers group in this way needs to be addressed. There are precedents (in
literature as well as psychology - in the US particularly, writing tutors
use teaching contexts as subject matter for their poems and stories
nowadays), and the group organisers are often willing to volunteer. The organisers
of writers group who I've met are used to one-off visits and bouts of strange behaviour.
References
- Richard M. Berlin (ed) (2008), "Poets on Prozac: Mental Illness,
Treatment and the Creative Process", John Hopkins University Press
- Vicki Betram (ed) (1997), "Kicking Daffodils", Edinburgh
University Press p.261
- Stephen Burt (2009),
"The Boston Review"
May/June 2009
- Kay Redfield Jamison (1993), "Touched with Fire:
Manic-Depressive Illness and the Artistic Temperament", Simon & Schuster
Adult Publishing Group
- Henry Jenkins (1992), "Textual Poachers", Routledge
- J.C. Kaufman and S.B. Kaufman (2009), "The Psychology of Creative Writing",
Cambridge University Press
- Eric Maisel (1999), "Living the Writer's Life", Watson-Guptill,
p.125
- Louis A. Sass (1992), "Madness and Modernism", Harvard
University Press
- David Schuldberg (2001) Infinite
Mind: Art and Madness
- Philip Thomas (2007) The
Independent, Sunday, 18 March 2007
- Lisa Zunshine (2006) "Why We Read Fiction: Theory of Mind and the Novel", Ohio State University Press
- The National Association
for Poetry Therapy and the National Federation for
Biblio/Poetry Therapy have information on training
- The UK's Poetry Society were/are involved with various projects
- see their
healthcare page.
- Survivor's poetry
Tim Love
January 2010