Manic-Depressive Illness and Creativity

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Manic-Depressive Illness and Creativity Manic-Depressive Illness and Creativity Does some fine madness plague great artists? Several studies now show that creativity and mood disorders are linked by Kay Redfield Jamison en have called me mad,” wrote Edgar Allan Poe, “but the question is not yet settled, whether madness is or is not the loftiest intelligence— The Author whether much that is glorious—whether all that is profound—does not spring from disease of thought—from moods of mind exalted at KAY REDFIELD JAMISON the expense of the general intellect.” is professor of psychiatry at M the Johns Hopkins University Many people have long shared Poe’s suspicion that genius and insanity are entwined. In- School of Medicine. She deed, history holds countless examples of “that fine madness.” Scores of influential 18th- wrote Touched with Fire: and 19th-century poets, notably William Blake, Lord Byron and Alfred, Lord Tennyson, Manic-Depressive Illness and wrote about the extreme mood swings they endured. Modern American poets John Berry- the Artistic Temperament and man, Randall Jarrell, Robert Lowell, Sylvia Plath, Theodore Roethke, Delmore Schwartz co-authored the medical text and Anne Sexton were all hospitalized for either mania or depression during their lives. Manic-Depressive Illness. Jamison is a member of the And many painters and composers, among them Vincent van Gogh, Georgia O’Keeffe, National Advisory Council Charles Mingus and Robert Schumann, have been similarly afflicted. for Human Genome Re- Judging by current diagnostic criteria, it seems that most of these artists—and many oth- search and clinical director of ers besides—suffered from one of the major mood disorders, namely, manic-depressive ill- the Dana Consortium on the ness or major depression. Both are fairly common, very treatable and yet frequently lethal Genetic Basis of Manic-De- diseases. Major depression induces intense melancholic spells, whereas manic-depression, pressive Illness. She has also written and produced a series of public television specials about manic-depressive ill- Tennessee Williams ness and the arts. Van Gogh painted flowers while in the asylum at Saint-Rémy. Vincent van Gogh AP/WIDE WORLD PHOTOS 44 Mysteries of the Mind Reprinted from the February 1995 issue Copyright 1997 Scientific American, Inc. Ezra Pound agnum M -BRESSON TIER MANN AR T Anne Sexton I/BET HENRI C UP a strongly genetic disease, pitches pa- tuitive. Most manic-depressives do not eccentric as manic-depressive. All the tients repeatedly from depressed to hy- possess extraordinary imagination, and same, recent studies indicate that a high peractive and euphoric, or intensely ir- most accomplished artists do not suffer number of established artists—far more ritable, states. In its milder form, from recurring mood swings. To assume, than could be expected by chance— termed cyclothymia, manic-depression then, that such diseases usually promote meet the diagnostic criteria for manic- causes pronounced but not totally de- artistic talent wrongly reinforces simplis- depression or major depression given in bilitating changes in mood, behavior, tic notions of the “mad genius.” Worse the fourth edition of the Diagnostic and sleep, thought patterns and energy lev- yet, such a generalization trivializes a Statistical Manual of Mental Disorders els. Advanced cases are marked by dra- very serious medical condition and, to (DSM-IV). In fact, it seems that these matic, cyclic shifts. some degree, discredits individuality in diseases can sometimes enhance or oth- Could such disruptive diseases con- the arts as well. It would be wrong to erwise contribute to creativity in some vey certain creative advantages? Many label anyone who is unusually accom- people. people find that proposition counterin- plished, energetic, intense, moody or By virtue of their prevalence alone, it is clear that mood disorders do not nec- OS essarily breed genius. Indeed, 1 percent T Charles Mingus HO of the general population suffer from manic-depression, also called bipolar ORLD P disorder, and 5 percent from a major depression, or unipolar disorder, during AP/WIDE W their lifetime. Depression affects twice as many women as men and most of- ten, but not always, strikes later in life. Bipolar disorder afflicts equal numbers of women and men, and more than a third of all cases surface before age 20. Some 60 to 80 percent of all adoles- ARTISTS, writers and composers shown on these pages all most likely suffered from manic-depressive illness or major depressive illness, according to their let- ters and journals, medical records and ac- counts by their families and friends. Re- CHIVE cent studies indicate that the tempera- ments and cognitive styles associated with mood disorders can in fact enhance cre- MANN AR T ativity in some individuals. BET Mysteries of the Mind 45 Copyright 1997 Scientific American, Inc. The Tainted Blood of the Tennysons lfred, Lord Tennyson (right), who experienced Modern medicine has confirmed that manic-de- A recurrent, debilitating depressions and pression and creativity tend to run in certain fami- probable hypomanic spells, often expressed fear lies. Studies of twins provide strong evidence that he might inherit the madness, or “taint of for the heritability of manic-depressive illness. blood,” in his family. His father, grandfather, If an identical twin has manic-depressive ill- two of his great-grandfathers as well as five ness, the other twin typically has a 70 to 100 of his seven brothers suffered from insanity, percent chance of also having the disease; if melancholia, uncontrollable rage or what is the other twin is fraternal, the chances are today known as manic-depressive illness. considerably lower (approximately 20 per- His brother Edward was confined to an asy- cent). A review of pairs of identical twins lum for nearly 60 years before he died from reared apart from birth—in which at least one MANN manic exhaustion. Lionel Tennyson, one of Al- had been diagnosed as manic-depressive— T fred’s two sons, displayed a mercurial tempera- found that in two thirds or more of the sets, the ill- ORBIS-BET ment, as did one of his three grandsons. ness was present in both twins. —K. R. J. C ELIZABETH MARY CHARLES (D'EYNCOURT) b. 1776 b. 1777 1784–1861 Recurrent bouts “Ferocious pessimism”; “Inherited his father’s instability of depression constant quarreling and fretfulness”; spendthrift and gloominess tendencies; expansive, grandiose activities and interests ELIZABETH FYTCHE GEORGE CLAYTON TENNYSON 1781–1865 1778–1831 Recurrent depressive illness Manic-depressive illness “Easy-going” and Vacillating moods “between frenzy and lethargy”; Rage, unstable moods and/or insanity “sweet tempered” spendthrift; alcoholic; “fits”; insanity GEORGE CHARLES MARY EDWARD SEPTIMUS CECILIA Died in 1808 –1879 1810 –1884 1813–1890 1815–1866 1817–1909 infancy, Addicted to laudanum; “...of a wild sort Confined in insane “Suffered from ner- “Mental disturbance 1806 “complete nervous break- of countenance”; asylum for almost 60 vous depression”; fre- and depression”; down”; had to be segregated obsessed with years; severe quent treatments for eccentric from outside world; extreme spiritualism melancholia; death melancholia; “the mood swings and from manic most morbid “recurrent fits of exhaustion of all the psychopathic Tennysons” depression” FREDERICK ALFRED EMILY ARTHUR MATILDA HORATIO 1807–1898 1809–1892 1811–1889 1814–1899 1816–1913 1819–1899 Irritability; eccentric; Recurrent depression that re- “Suffered much “Some mental derangement,” “Strange personality was violent temper and quired treatment; trances, possibly from depression”; occasionally attributed to legendary”; “rather unused volatile; obsessed epileptic but not thought so by one year in childhood accident; religious to this planet”; per- with spiritualism physician; possibly transient Crichton obsessions; “did not entirely ceived himself as vulner- hypomanic episodes; “dwelling Institution escape the black-blooded- able to the “weakness of the T in an element of gloom” for the Insane ness of the Tennysons” Tennysonian temperament” SOURCE: Adapted from Touched with Fire: Manic-Depressive Illness and the Artistic Temperament; based on biographies, autobiographical writings and letters. URNET LISA B cents and adults who commit suicide pression from normal periods of unhap- ductivity increases. Manics frequently have a history of bipolar or unipolar ill- piness, the common guidelines further become paranoid and irritable. More- ness. Before the late 1970s, when the require that these symptoms persist for over, their speech is often rapid, excit- drug lithium first became widely avail- a minimum of two to four weeks and able and intrusive, and their thoughts able, one person in five with manic-de- also that they significantly interfere with move quickly and fluidly from one topic pression committed suicide. a person’s everyday functioning. to another. They usually hold tremen- Major depression in both unipolar dous conviction about the correctness and bipolar disorders manifests itself Mood Elevation and importance of their own ideas as through apathy, lethargy, hopelessness, well. This grandiosity can contribute to sleep disturbances, slowed physical uring episodes of mania or hypo- poor judgment and impulsive behavior. movements and thinking, impaired Dmania (mild mania), bipolar pa- Hypomanics and manics generally memory and concentration, and a loss tients experience symptoms that are in have chaotic personal and professional of pleasure in typically enjoyable events. many ways the
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