Personalities

When I was a kid, I remember watching a lot of TV movies with my Mom that dealt with mental illness. I'm not sure if she was drawn to them in a masochistic way — they scared her, and she let me know — or if that was just the flavour of things at the time. It's probable I saw Sybil; I definitely remember seeing When Rabbit Howls*. What I remember most about these movies, was that the "patients," those in therapy or strapped to tables getting electro-shock therapy, were always women.

Debbie Nathan, in Sybil Exposed hypothesises that particular mental illness narratives, specifically Multiple Personality Disorder, can tell us about the cultural pressures facing women at the time.

The Sybil craze erupted during a fractured moment in history, when women pushed to go forward, even as the culture pulled back in fear. Sybil, with her brilliant and traumatized multiplicity, became a language of our conflict, our idiom of distress.

Of course, women and madness have always been conflated. Elaine Showalter's The Female Malady, should you be interested, is an excellent resource on the topic of not only women and madness, but how women personify madness. A year before Sybil came out, Phyllis Chesler published a study called Women and Madness. Chesler, as quoted by Showalter,

maintains that the women confined to American mental institutions are failed but heroic rebels against the constraints of a narrow femininity, pilgrims "on a doomed search for potency," whose insanity is a label applying to gender norms and violations, a penalty for "being 'female'" as well as for desiring or daring not to be."

Nathan places not only Sybil but her doctor and her biographer^**, as women caught in this junction of what femininity was supposed to be, and how each actually expressed themselves as women.

In a middle passage of Sybil Exposed, Nathan talks about Truman Capote's In Cold Blood, and how the invention of the "non-fiction novel" had an impact on the author of Sybil, Flora Schreiber. Nathan, too, takes a narrative approach to unveiling the real Sybil, Shirley Mason, and how Mason became (pseudonymously) famous for her dysfunction. Nathan follows Schreiber, Mason, and Mason's doctor, Connie Wilbur, from their childhoods through their respective deaths. It's a well-researched tour through the lives of three very different women, each interesting (or at least written in an interesting manner) in her own right. Sybil Exposed does suffer from time to time for being a bit too focused on readability. There are some awkward moments when Nathan tries to write like a novelist, and instead turns a very strange phrase. For example (and I'm sorry this made me laugh out loud): "For Flora and her contemporaries in the 1940s, Madison Avenue was the Wall Street of advertising." As well, there are scenes in which Nathan supposes to know what Flora Schreiber is thinking. Normally, this sort of conjecture wouldn't be much of a problem, but coming off a scene in which Schreiber is shown to falsify scenes in the name of sensation or narrative cohesion, this suddenly rings false.

Of course, the main "fiction" of Sybil Exposed is Shirley Mason's MPD diagnosis. It is truly shocking how Connie Wilbur extracted narratives of systemic abuse from Mason, most of which proved to be false. Under Wilbur's care, Shirley Mason became extremely addicted to several strong medications, derailing her promising scholastic career. Wilbur broke almost all the rules and ethics governing psychiatric care when dealing with Mason, growing too close to her, overdosing her, paying her bills, suggesting narratives, over-riding confessions of fakery, for her own fame. Despite the incredibly serious and permanent harm done to Mason, Wilbur isn't purely evil; since the reader has seen these characters grow up, they know nothing is so easily categorized. It is more that Wilbur's ambition gets the better of her. Nathan makes clear that Wilbur — and Mason and Schreiber — were operating at a time when ambitious women were mostly thwarted, where childless women were unnatural, and bad mothering was becoming the cause of most mental disorders.

Because Shirley Mason is dead, and many of Connie Wilbur's records were destroyed upon her death, there will always be missing pieces of the puzzle. Nathan supposes that pernicious anemia (a condition Mason really did have) was the main cause of most of Shirley Mason's original complaints, the symptoms of which were not fully understood when Mason was a young person. She was diagnosed as a hysteric instead.

Soon, Shirley would not know the difference between the bad feelings in her mind and the malfunctions in her body. All would combine, into a performance that eventually would become one of the most dramatic productions in the world[.]

Mason's life is a real study in tragedy, and not only in the fictionalised account initiated by her psychiatrist and propagated by her (first) biographer. Nathan smartly focuses on the personalities behind Sybil instead of the personalities that were ostensibly the symptoms of her illness.

Wilbur didn't just influence her patient; her work was to inform multitudes of other psychiatrists, and the hunt for ritual abuse reached epidemic and — in hindsight — very strange proportions. The media, owing to the sensation, happily jumped on board. As a child I just accepted that there were Satanists meeting in wooded areas, killing babies for their nefarious rituals. Remember, this wasn't a religious Dungeons & Dragons panic, these were medical practitioners who saw this as the cause of MPD, and they coaxed their patients into false memories of terrifyingly abusive parents, evil daycares, and cannibalistic branches of the KKK. After reading Sybil Exposed and The Psychopath Test I wonder what stage the psychiatric community is in now, and if we'll ever reach a point when we can stop getting it pretty amazingly wrong. We have to trust what's happening in the field now is correct, because there are a lot of people who need help, but it's scary to think about what will be Exposed in another 20 years.



I first came across mention of Sybil Exposed from Jessa Crispin's article on The Smart Set.

^*And would thereafter, and forever more, assume John Updike novels are about MPD.
^**On such a continuum, Plath's schizophrenic Ester Greenwood is not just a thinly-veiled portrait of the author, but representative of many women of the day.

She enters a depressive spiral in which non of the alternatives available to educated women seems satisfactory. Career women, like her editor-in-chief or the professors at her college, seem sexless and even freakish. Housewives [...] seem defeated and servile. (Showalter, 216)

Neither Flora (who like Ester was writing in New York in the 50s [and beyond]) nor Shirley ever married and none of the three ever had children.

Whatever You Say I Am

I was saying to a friend, recently, that I'm a lot harder on non-fiction than fiction. Even when I don't wholly enjoy a novel or short-story collection I don't tend to judge it too harshly. I like to talk fiction, move around inside it, make connections. With non-fiction, there's often a thesis in the setup (memoir isn't wholly excluded from this), and that invites critical inquisition of the text, even if the thesis as a whole is solid (see my unhappiness with Barbara Ehrenreich's Bright Sided). That's my theory on how I read, anyway.

The Psychopath Test danced right through all my argumentative tendencies, and stands as a solidly interesting read. Jon Ronson is an extremely talented writer and pure investigator. The Psychopath Test doesn't come from a single thesis, but rather the coalescing of several incidents and interviews that he'd done, which all seemed to make sense together in hindsight. For example, Ronson had interviewed "Tony" in Broadmoor psychiatric hospital for This American Life. Tony was living among serial killers and sex offenders as a consequence of claiming madness to get out of a jail sentence for aggravated assault. The psychiatrists at the time of his sentencing believed the quotes Tony had pulled from violent movies to be his own thoughts, and declared him insane. The NPR interview seemed pretty open and shut when I'd heard it years ago. Stupid kid does something stupid, and follows with stupid plot to Get Out of Jail Free. When he seems sane, the hospital thinks his treatment is working, and says they need to keep him. If he plays insane, he clearly needs to stay as well. Tony is stuck.

The Psychopath Test however, goes a bit further with Tony's story.
Seems Tony's doctors know very well that he faked his way into Broadmoor.

"Tony[...] did get here by faking mental illness because he thought it would be preferable to prison." [...]It was now the consensus. Tony's delusions --the ones he'd presented when he had been on remand in jail-- just, in retrospect, didn't ring true. [...]"Oh!" I thought, pleasantly surprised. "Good! That's great!" I had liked Tony when I met him but found myself feeling warier of him those past days so it was nice to have his story verified by an expert

However, the action of making up those stories in an attempt to escape prison, as well as many other indications have Tony diagnosed as a psychopath, according to the Hare Checklist.

But then I read Professor Maden's next line: "Most psychiatrists who have assessed him, and there have been a lot, have considered he is not mentally ill, but suffers from psychopathy."[...]Faking mental illness to get out of a prison sentence, he explained, is exactly the kind of deceitful and manipulative act you'd expect of a psychopath. Tony faking his brain going wrong was a sign that his brain had gone wrong.

The genesis and applications of the Hare Checklist, named after and created by pioneering psychologist Bob Hare, are ostensibly the main focus of the book. Ronson gives a thorough introduction to the history of the treatment and diagnosis of psychopaths, with pertinent peripheral information about psychiatry/psychology — and its opponents — in general (there's a very interesting chapter on the history of the DSM, which is going into its fifth edition). Ronson then takes the checklist on the road and investigates whether psychopaths are disproportionately represented in the top ranks of corporate executives. The Psychopath Test refuses to have a central thesis, rather Ronson simply and entertainingly reports the facts as he can find them, and the events as they happen. Both Scientologists and psychiatrists are treated with fairness, and neither escape scrutiny. Ronson gives enough of himself, though, to keep the book engaging and avoid being dry recantation of names and dates. This is simply an excellent, well-researched non-partisan look at a specific subset of psychiatric definitions.

When I was in University I took a first-year psychology course as an option. One of the things our professor told us was that we would wind up diagnosing ourselves with all sorts of mental disorders when reading the text book. We were told to ignore this phenomenon (is there a name for it? I never knew), and do our best not to be concerned when we checked off symptoms of depression, bipolar disorder, or food related disorders. We were asked to leave naming of our psychoses and neuroses to the professionals. An interesting subtext of The Psychopath Test is how Jon Ronson begins to do just this, as he becomes more knowledgeable. No, he doesn't think he's a psychopath, but he discovers — he thinks — that he's in whatever the exact opposite category is. He's too anxious, too interested in other people, he feels fear more physically^*. At the same time, he begins diagnosing random people with psychopathy, after taking one class with Bob Hare. That, if anything, is one of the lingering and more important messages in The Psychopath Test: A little learning is a very dangerous thing.

^*It's theorized that psychopaths had a low or non-functioning amygdala. Once Ronson hears about this, he feels his go in to overdrive rather too often.

Stronger Voice

This is yet another Lainey recommendation, but it's likely I would have picked it up anyway: putting Millais' Ophelia on the cover is a good way to get my attention^*. And it's not just an allegory. Emma Forrest talks about Ophelia in her introduction to Your Voice in My Head. She was obsessed by the painting as a teen, riding her bike to the Tate to see it every weekend. It's clear early on that Forrest is my kind of gal.
   
There's something about a story of mental illness that draws me, though I'm often left frustrated and disappointed. Such memoirs often feel congratulatory (about the illness, not the recovery), and indulgent. I suppose it's easy for me to say, because I've comparatively not suffered much from bad brain chemistry, but I'm often left with the feeling that the illness is held up as the redeeming feature of the author's personality. The illness makes them "special," the illness is why we should pay attention, or the illness is why they're an artist in the first place. And maybe all of that's true, but it's also annoying. Not everyone with a mental illness is an artist (though I suppose there's the argument that many artists are mentally ill). Some people with mental illness are just as dull as anyone else. That's another reason I really like Emma Forrest. This book is about a particularly dark time in her life, but it's always extremely self-aware. Forrest is smart, talented, and funny first. It's a neat trick, too, because the book really is about her relationship to mental illness: her cutting, bulimia, mania, and depression. These traits, however, don't define Emma; her bipolar status is simply another part of her, not the sum total of her. This is a hopeful and important message, I think, to anyone struggling through diagnosis and treatment: your illness is not the entirety of you. Other memoirs might fail in this, making the illness the star, and the writer simply the host organism. (To be fair, I'm sure that in the middle of any mental illness it feels—more, probably is—all-consuming.)

Your Voice in My Head has gotten a lot of attention, because Forrest goes into great detail about her relationship with Colin Farrell (whom she does not name, but the world knows). I don't need to say much on that score, other than this is just one more thing that makes Forrest's experience very relateable: we haven't all dated movie stars, but a lot of us dated That Guy^†. That Guy comes on very strong, feels every emotion full-force, and then one day it's just done. And as all this is happening, Forrest's much treasured therapist, Dr. R, unexpectedly dies.

In a Turkish museum, Forrest has an hallucinogenic/imaginary conversation with the deceased Dr R, about his death, and the death of her relationship. "Losing you both was only the practice pain, wasn't it? For my mum and dad..." Her mind's Dr. R agrees. It's from this conversation the book takes its title. It's appropriate, as it's the most poignant moment, in a memoir full of honesty, intelligence, big emotion, and all-encompassing humour (which never feels out of place, even in the depths of emotional despair).

'When it happens,' he asks me, 'what will get you through?'
'Friends who love me.'
'And if your friends weren't there?'
'Music through headphones.'
'And if the music stopped?'
'A sermon by Rabbi Wolpe.'
'If there was no religion?'
'The mountains and the sky.'
'If you leave California?'
'Numbered streets to keep me walking.'
'If New York falls into the ocean?'
Your voice in my head.

^*The Canadian edition has Ophelia on the cover. Other editions don't seem to. Shame. It's a great image, and an important one to the author, that is not only the topic of the introduction, but a totem that Forrest carries through her life and references several times.
^**While I haven't mentioned it, this post is tagged "Jewish" because her religion is an important part of Emma Forrest's life, and she does talk about it in Your Voice in My Head. If you've got any inclination in that direction, the description of Rabbi Wolpe's sermon that comprises the entirety of Chapter 36 is a lovely and moving moment.
^†Or, I suppose, That Girl. Though given cultural norms, a dude who will feel is supposed to be compelling, while a girl that feels is needy, and to be avoided. YMMV, as always.