Posts Tagged ‘suicide’

‘Reflection takes a collective form through consultation.’

(Paul Lample in Revelation and Social Reality – page 212)

One evening, towards the end of last month, I gave a talk at Birmingham University, concerning a Bahá’í perspective on making sense of mental illness as derived from my own clinical experience. Even though I had two hours at my disposal, I still had more planned than I had time to say. This was partly because some of the comments and questions sparked a lengthier diversion than I had intended. Anyway, I thought I’d publish everything I intended to say on this blog.

The quote at the top defines what processes this sequence of posts will be exploring in more depth in terms of their positive impact upon helping people find meaning in their experiences when they are struggling to cope with psychotic phenomena.

But before we home in on those we need a helicopter view of the overall context of the problems and processes we’ll be examining here.

Trauma, Transliminality and Psychosis

Previous posts on this blog have explored the possible relationship between the factors captured by this diagram. The focus though right now will be on trauma and psychosis.

Hearing voices and strange but strongly held beliefs are two key supposedly correlated signs we will be looking at today. Thought disorder and extreme withdrawal from contact with other people are also taken to be signs. I don’t propose to delve into the validity of the label all too frequently attached when more two or more of these come together in distressing form. For anyone interested, see Mary Boyle’s Schizophrenia: a scientific delusion for a clear exposition of the sceptical case against the idea these form a real syndrome.

For an understanding of the evidence for a relationship between psychotic phenomena and trauma see Longden and Read’s The Role of Social Adversity in the Etiology of Psychosis. They deal extensively with this problem (pages 7-8):

Large-scale population studies have shown that associations between adversity and psychotic experience remain significant when controlling for possible confounders, including: family history of psychosis and other mental health problems (which negates the notion that psychosis only occurs in those genetically predisposed), age, sex, ethnicity, marital status, exposure to discrimination, other psychiatric diagnoses, education level, neuroticism, and substance use. Furthermore, the association has repeatedly demonstrated a dose-response relationship; that is, the likelihood of psychosis increases relative to the extent of adversity exposure.

Transliminality refers to the permeability of the filters surrounding our consciousness, whether that be from beneath (the brain’s subconscious) or above (some kind of transcendent level). Helpful analogies that illustrate the idea of such thresholds of access are our eye/brain system’s limited perception of light’s spectrum, a receiver such as a radio that only translates into intelligible sound the frequencies it is tuned into, or a transceiver such as a computer that can access and decode appropriate data stored in a cloud site as well on its own hard drive. Accessing outside those given ranges is taken to be impossible for the manmade devices. However whether the brain can access outside its normal range is a vex question. Good sources for evidence that this might be so can be found in Mario Beauregard’s The Spiritual Brain or in Irreducible Mind by the Kellys.

Ian’s Experiences of Psychosis

There are two people who were tormented by so-called psychotic phenomena from whom I learned a great deal more than they probably learned from me about what these are and how to deal with them. The lady in the poem above is one: Ian, whom I’ll consider in a moment, was another.

The lady had asked for help to deal with her childhood experiences of extreme abuse. Unlike with Ian, I do not have her permission to go into detail. However, what I can say to illustrate the depth of her problem is that the one-hour sessions dealing with her work on the abuse had to be divided into three roughly equal parts. The first part checked up on how things were going and that she wanted to continue the painful work. The second part looked at the abuse and her intensely painful memories of it, and the third part involved calming her down sufficiently after this to dispel the powerful and reactivated visual and auditory hallucinations of her father, the abuser.

I will look later in the sequence at one other indication of the painful and powerful hold the past abuse still had over her.

I can directly use Ian’s own words to convey the kinds of experiences he was grappling with. This is an extract from the transcript of a video interview which took place in late May 1993. Obviously P is me and I is Ian.

P. Could I ask you to describe at first how things were, say, a year ago before there was ever any question of our meeting and when things were not too good for you?

I.: Well, I’d got the voices nearly all the time. They used to wake me up at night, you know?

P.: Yeh. And can you say what kind of things they used to say, just as an example?

I.: `Get out of bed, you lazy bastard. Get up and wake up. Come flying with us. Go and jump in front of a train,’ you know?

P.: Right. And they were saying this to you constantly, were they?

I.: Constantly, yeh.

P.: Were they constant in the day?

I.: Yeh.

P.: Were they very loud?

I.: Yeh. They got loud when I was ill, you know, they got loud.

P.: Right. So, say last May, or last Spring, May, June, July, is this how it was with the voices . . .

I.: Yeh. They were pretty bad. They were loud, you know? They were right down in my ears. And – er – I was seeing things as well. I was seeing what I call the – the `Boss’, you know? He only come at night, yeh.

P.: Right. Where did you think these voices came from?

I.: The spirit world.

P.: So you thought they were ghosts of some kind, or . . .

I.: I thought they were spirits, come from the spirit world for me, you know? And that they wanted me to go with them. I didn’t think that I was going to hurt myself by killing myself, you see? But something inside me just wouldn’t let me do it, you know?

P.: Yeh. You held back?

I.: I think it was because I was afraid of hurting myself.

P.: Right. Because you did say at the time that unless you actually did it instantly it wouldn’t really count, would it?

I.: No.

P.: Right. So it was very important to you that you didn’t end up injured or in a worse state.

I.: Yeh. It was important not to get injured. It had to be a certain thing, you know? And the Express train looked the part.

P.: Right.

In an earlier exchange that month on audiotape, in response to my question as to whether his ‘experiences . . . were shutting [him] out from the world and shutting [him] out from the future,’ he replied, ‘Yeh. I was living in a dream world, you know.’ He also described it in the same interview as ‘brainwashing.’ He said:

They were so loud that I couldn’t hold a conversation, you know. And I couldn’t listen to the radio. They just blocked everything out. And I couldn’t think because they just sidetracked me, you know, saying the same thing over and over and over.

In an interview in September of the following year, he clarified further by saying that he no longer did what the voices told him to do, as he had in the beginning. He knew now they were not spirits but the products of his own head. Even so it was still hard work to keep them at bay.

In working with people experiencing psychotic phenomena, I found it important to distinguish the experience, with which I never sought to argue, from the explanation, which could be modified in helpful ways, for instance here in terms of the power of the voices. It is possible that this will lead, as in Ian’s case, to a recognition that the voices come from inside the person’s own head. This though is neither necessary nor inevitable. It is sufficient that a more benign explanation of the voices is arrived at that gives them far less power and, if possible, reduces any malignity.

Ian’s Life

For those interested in the full back ground to his psychotic experiences and how far back in his life traumatic events and situations began helping to shape his sensibility I have included at the end here a brief summary, which I helped him write, of his life up to the point I worked with him.  

By the time I was 14 months old my mother was dying of tuberculosis and I was failing to thrive. I was abandoned by my dad. My aunt rescued me and took me to live with her. She applied to the courts to adopt me. My dad, at the 11th hour, began to contest this. The proceedings dragged on until I’d started school. My situation with my aunt was not secure until I was six years old.

When I was seven my grandfather died suddenly. I was extremely close to him.  The pain of that still haunts me.

When I was nine I was walking to school through a farmyard, when I saw the farmer hanging in his barn. Shortly after that, the voices started, but they were nice and friendly, and kept me company as I walked the hills near home.

I went down the mines as soon as I left school. I wasn’t happy with that and joined the army. Within the first couple of years a bullying sergeant major triggered a psychotic episode. The voices turned nasty. I heard the voice of the sergeant major mocking and insulting me all the time. I faked my way out the army hospital by denying I was hearing voices any longer.

The army didn’t know what to do with me. As they reckoned people with schizophrenia were antisocial, they decided a solitary job within the army would be the best thing for me. They came up with what they felt was the ideal solution: they’d train me to be a sniper. You spend long periods alone and when anyone comes along to disturb you, you kill them – a great idea in their view. There’d be none of that stressful social contact!

At least two incidents in which I was involved in the army left me with strong feelings of guilt. The pain of the deaths I caused, I know now,underlay the later experiences of psychosis.

I was discharged from the army after I was seriously injured walking towards a bomb. I did this deliberately. It was part of a pattern. From time to time I felt I didn’t deserve to live so I put myself in danger. If I lived I felt I was meant to live and maybe I deserved to do so. When the feeling built up again, as it kept on doing even in civvy street because the guilt about the deaths never left me, I’d play the same kind of Russian Roulette.

Once out of the army I used to do this by lying down on a railway line in the early hours of the morning. If no train came within a certain period of time, I reckoned I deserved to continue living.

After leaving the army my marriage broke up and I ended up living with someone with a serious drink problem. I held down three jobs, working all hours, in order to make ends meet and finance her habit. Eventually, I got completely exhausted and depressed. I couldn’t cope any longer and threw her out.

That didn’t finish it though. I was so convinced that she would die on the streets, I felt like I’d killed her. I became tortured by guilt. I shut himself away in my room with my dog. I survived on frozen chips for six weeks, until my boss became so concerned he got the police to break in. They found me completely psychotic, they say. I think I was determined to die this way. They sectioned me. That began an eight year history of sections, medications, with long and frequent admissions, until I felt that life had nothing to offer me.

At the end of this eight year period our work together began. At the end of the first phase, the May 1993 video interview took place.

We are now at a point to move onto examining how far we were able to help Ian make sense of his psychotic experiences in terms of his life history. More of that next time.


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A DWP disability assessment questionnaire. Photograph: Alamy

In yesterday’s Guardian there was yet more evidence of the distressing and shameful  failure of our benefits system to understand the very real needs of those coping with mental health problems. Adam Jacques, the disabled husband of a claimant, writes movingly of his experience of his wife’s acute distress at being refused access to the personal independence payment system:

There’s nothing quite like witnessing your wife tumble through a gaping chasm, to see that there’s something rotten at the heart of a welfare assessment system. From what we experienced, the wrong people are doing the wrong assessments with the wrong tools, using incorrect assumptions. And it left me reeling: how could this happen to my wife? I discovered that her experience is just the calamitous tip of a PIP-denying iceberg.

Below is a short extract: for the full post see link.

My wife tried to kill herself in March. She took an overdose – while I was watching TV in the next room. Cue, in short succession: 30 minutes of heart-stopping panic, a nerve-jangling ambulance trip to A&E, an admission to a secure mental health unit, and a longer stay recovering in a crisis house.

Acute episodes such as this can be a recurring reality for someone with a longstanding mental health condition. From her battles with depression and struggles to get out of bed in the mornings, to anxiety so overpowering that a trip on a bus triggers a blind panic, for my wife (let’s call her Bea) life is a titanic battle to stay afloat. She experiences overwhelming feelings of worthlessness, guilt and impulsive urges to self-harm that can flood her mind and distort her thinking. Socialising with friends is hard, while work in the past year has been out of the question. But she’s also incredibly smart, funny, kind and brave.

Mental health is complex, but something simple triggered Bea’s overdose: a devastating letter from a “decision-maker” at the Department for Work and Pensions (DWP), informing her that her claim for personal independence payment, a disability benefit, had been unsuccessful. She’s not the first, and won’t be the last, to experience the dismissive treatment that people with severe mental health conditions can undergo when accessing the benefits system. And PIP, as the benefit is called, is one of the worst offenders.

PIP is supposed to offset some of the extra costs of a disability. Applicants are evaluated by health workers from the private firms Atos or Capita, who forward their assessments to a DWP decision-maker – who scores you on “daily living” and “mobility” (you need at least eight points for each to qualify). Currently nearly 3 million people claim some element of PIP, and my wife expected to be one of them. As did her benefits adviser, an NHS psychiatrist and a psychologist. So, armed with a dossier of supporting medical documentation, Bea applied. That was last November. I’ve seen glaciers move faster. . .

I discovered that her experience is just the calamitous tip of a PIP-denying iceberg. While the DWP claims it doesn’t operate quotas to save money, figures released in April, covering just six months of 2016, showed an enormous expansion in claimants receiving zero points, up to 83,000. That’s only 10,000 fewer than in the previous 12 months.

This raises huge concerns about the assessment process – especially given that, when rejected by the DWP, 65% of applicants who appeal to a tribunal get the ruling reversed. A panel of welfare experts told the work and pensions select committee earlier this year that the whole process was “inherently flawed”, with medical evidence often ignored by officials during the initial assessment.

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So, as I asked at the end of the previous post, what chance do Christina and Stefan Grof stand in their efforts to prove the mystical component of psychosis?

I need to repeat the caveats I voiced at the start of this sequence about their book, The Stormy Search for the Self: understanding and living with spiritual emergency, so that I do not come across as easily taken in. It is not easy to tread the razor’s edge between the default positions of intransigent incredulity and irremediable gullibility, but here goes.

Their book has echoes for me of Hillman’s The Soul’s Code in that it combines deep insights with what read like wild flights of fancy and carefully substantiated accounts of concrete experience with vague waves at unspecified bodies of invisible evidence. Even so, so much of it is clearly derived from careful observation and direct experience, and goes a long way towards defining what look convincingly like spiritual manifestations which are currently dismissed as mere madness. It seemed important to flag the book up at this point.

I am going to focus on what I feel are their strongest points: concrete experiences that illustrate their perspective and their brave and, in my opinion, largely successful attempts to make a clear distinction between mystic and merely disturbed experiences, not that the latter are to be dismissed as meaningless. It’s just that their meaning is to be found in life events not in the transcendent.

First I’ll deal with their account of one person’s spiritual crisis. In the last post I’ll be looking at their scheme of diagnostic distinction.

Georgiana Houghton‘s ‘Glory Be to God’ (image scanned from ‘Spirit Drawings’ – the Courtauld Gallery)

A Concrete Example

What follows is a highly condensed summary of one person’s story. A key point to hold in mind is one the Grofs made earlier in the book (page 71):

Often, individuals benefit from their encounter with the divine but have problems with the environment. In some instances, people talk to those close to them about a powerful mystical state. If their family, friends, or therapists do not understand the healing potential of these dimensions, they may not treat them as valid or may automatically become concerned about the sanity of the loved one or client. If the person who has had the experience is at all hesitant about its validity or concerned about his or her state of mind, the concern of others may exaggerate these doubts, compromising, clouding, or obscuring the richness of the original feelings and sensations.

Karen’s Story

They begin by providing some background (pages 191-92):

[S]he had a difficult childhood; her mother committed suicide when she was three, and she grew up with an alcoholic father and his second wife. Leaving home in her late teens, she lived through periods of depression and struggled periodically with compulsive eating.

Assuming that her subsequent experiences were what they seem to be, and I do, then it is clear that just because there is trauma in someone’s background does mean that the unusual experiences they report are entirely reducible to some form of post-traumatic stress response any more than they can be explained satisfactorily simply in terms of brain malfunction. Whatever is going on in the brain is just a correlate but not a cause, and previous trauma may have rendered any filter susceptible to leaks from a transcendent reality. I am restraining myself from leaping too soon to that last and much desired conclusion.

Interestingly, it’s possible that there was an organic trigger to her spiritual crisis (page 192):

. . . [F]ive days before her episode, Karen had begun taking medication for an intestinal parasite, stopping as the daily experience started. . . . . It is difficult to accurately assess its role in the onset of this event. . . . Whatever the source, her crisis contained all the elements of a true spiritual emergency. It lasted three-and-a-half weeks and completely interrupted her ordinary functioning, necessitating twenty-four-hour attention.

Her friends asked the Grofs to become involved in her care so they were able to observe the whole situation as it unfolded.

That Karen was able to avoid being admitted to psychiatric hospital was down to the support of a wide circle of friends. That this meant that she did not have to take any medication is important, according to the Grofs and other sources. Anti-pychotic medication has the effect of blocking the very processes that a successful integration of the challenging experiences requires. They describe the lay nature of her support (pages 192-93):

[B]ecause of Karen’s obvious need and the reluctance of those around her to involve her in traditional psychiatric approaches, her care was largely improvised. Most of the people who became involved were not primarily dedicated to working with spiritual emergencies.

What were her experiences like during this period of what they call ‘spiritual emergency’?

Their description covers several pages (page 194-196). This is a very brief selection of some of the main aspects. To Karen her vision seemed clearer. She also ‘heard women’s voices telling her that she was entering a benign and important experience. . . .’ Observers noted that ‘heat radiated throughout Karen’s body and it was noted that ‘she saw visions of fire and fields of red, at times feeling herself consumed by flames. . . .’

What is also particularly interesting is her re-experience of previous life crises: ‘[S]he struggled through the physical and emotional pain of her own biological birth and repeatedly relived the delivery of her daughter,’ as well as confronting ‘death many times and in many forms, and her preoccupation with dying caused her sitters to become concerned about the possibility of a suicide attempt.’ She was too well protected for that to be a serious risk.

In the last post I will be linking a therapeutic technique the Grofs advocate, Holotropic Breathwork, with some of my own experiences. This makes their description of how this technique can uncover repressed memories of traumatic experiences all the more credible to me. More of that later. That Karen should have been triggered into such regressions is not therefore surprising to me.

By way of supporting her through this, ‘telling her that it was possible to experience death symbolically without actually dying physically, her sitters asked her to keep her eyes closed and encouraged her to fully experience the sequences of dying inwardly and to express the difficult emotions involved.’ It is significant for their model that encouragement and support in facing what we might otherwise be tempted to flee from helps. ‘She complied, and in a short time she moved past the intense confrontation with death to other experiences. . . .’

Given my interest in the relationship between apparently disturbed mental states and creativity, it was noteworthy that ‘[f]or several days, Karen tapped directly into a powerful stream of creativity, expressing many of her experiences in the form of songs. It was amazing to witness: after an inner theme would surface into awareness, she would either make up a song about it or recall one from memory, lustily singing herself through that phase of her process.’

They describe her during this period as ‘extremely psychic, highly sensitive, and acutely attuned to the world around her.’ For example she was ‘able to “see through” everyone around her, often anticipating their comments and actions.’

Georgiana Houghton‘s ‘The Glory of the Lord’ (image scanned from ‘Spirit Drawings’ – the Courtauld Gallery)


Things began to take a more positive turn (page 196):

After about two weeks, some of the difficult, painful states started to subside and Karen receive increasingly benevolent, light-filled experiences and felt more and more connected with a divine source.

Perhaps I need to clarify that I am not attempting to adduce this as evidence of the reality of the spiritual world. People like David Fontana and Leslie Kean have collated such evidence far better than I ever could, and sorted out the wheat from the chaff with honesty and discernment.

What I am hoping to do is use this as a demonstration that sometimes at least what could be written off as meaningless and irrational brain noise might not only be significantly related to early experiences in life, as the trauma work suggests, but also to a spiritual dimension whose reality our culture usually denies with the result that the experiences are pathologised. The outcome in this case strongly suggests that pathologising them needlessly prolongs them and blocks life-enhancing changes that would otherwise have resulted.

They go onto describe the end of the episode and its aftermath (ibid.):

. . . . As Karen began to come through her experience, she became less and less absorbed by her in the world and more interested in her daughter and the other people around her. She began to eat and sleep more regularly and was increasingly able to care for some of her daily needs. . . .

Rather as was the case with Fontana and his poltergeist investigation, as the vividness of the experiences receded, doubts beganset in (ibid.:)

As she became increasingly in touch with ordinary reality, Karen’s mind started to analyse her experiences, and she began to feel for the first time that she had been involved in a negative process. The only logical way of explaining these events to herself was that something had gone wrong, that perhaps she had truly lost her mind. Self-doubt is a common stage in spiritual emergencies, appearing when people begin to surface from the dramatic manifestations . . .

She was not blind to the positives in the end (page 197):

Two years later, when we discussed her experience with her, Karen said that she has mixed feelings about the episode. She is able to appreciate many aspects of what happened to her. She says that she has learnt a great deal of value about herself and her capacities, feeling that through her crisis she gained wisdom that she can tap any time. Karen has visited realms within herself that she previously had no idea were there, has felt enormous creativity flow through her, and has survived the previously frightening experiences of birth, death, and madness. Her depressions have disappeared, as well as her tendency toward compulsive overeating.

But her doubts persisted, and may have been to some extent fuelled by her family and friends’ reactions and the lack of informed support (page 198):

On the other hand, Karen also has some criticisms. Even though she could not have resisted the powerful states during her episode, she feels that she was unprepared for the hard, painful work involved. In spite of the fact that she received a great deal of assistance during the three weeks, she feels that she was not yet ready to venture forth into the daily world when she was required to do so by the exhaustion of the resources of those around her. Since that time, she has lacked contact with people with whom to further process her experiences. She considers herself somewhat “different” for having had the episode (an opinion also indirectly expressed by her family and some of her friends) and has tended to downgrade it by concentrating on its negative effects.

The support had to be reduced after the three-week peak period because the support network was burning out. The Grofs felt (ibid.:)

Many of these problems could have been avoided if Karen had had consistent and knowledgeable support immediately following her crisis, perhaps in a halfway house, and follow-up help – in the form of ongoing therapy, support groups, and spiritual practice – for a more extended period of time.

It is dangerous to extrapolate too wildly but I feel that in Karen’s story there are real grounds for hope. She recovered from an apparently devastating episode of mental disturbance without drugs. She demonstrated modest but lasting mental health gains in terms of no subsequent depression or compulsive eating. There is every reason to suppose given this experience and the evidence of Dr Sami Timimi’s study, adduced by James Davies in Cracked and described in the previous post, that an outcome like this could apply far more widely across the so-called psychotic spectrum. Yes, the intervention was time intensive, but it was brief and successful. This compares with long-term interventions involving medication resulting in symptoms that continue to simmer for years or even decades, blighting the whole life of the sufferer and the lives of close family.

The Grofs then explore models of help and aftercare, which I won’t go into now as the main focus I want to take is on their ideas of how to distinguish a spiritual emergency such as Karen’s from other forms of disturbance. This is clearly an important distinction to be able to make as the approaches taken when dealing with trauma-related disturbances and spiritual crises will be somewhat different, though Karen’s case implies there might well be an overlap.

However, all the evidence that has accumulated since they wrote suggests that all such so-called psychotic episodes are better dealt with in a non-diagnostic way, which is an issue that the Grofs do not fully address, probably because at the time of their writing placing spiritual emergency on the agenda seemed a more urgent issue, given that it was and still is doubly disparaged.

Now for the difficult distinction in the next post, along with a brief description of their recommended intervention.

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Tree Roots by Vincent van Gogh

Tomorrow I begin posting a short sequence on the idea of a ‘calling,’ by which is meant the powerful urge to fulfil a purpose which gives life meaning as the same time time as it dominates it entirely.  Republishing this post seemed a good preparation.

In the light of my ruminations on van Gogh after my trip to Amsterdam and the recent revelations about the rediscovered gun and his ear, the recent Guardian longer article by  came as a brilliant pulling of threads together into a coherent and compelling pattern. Below is a short extract: for the full post see link.

When Vincent van Gogh got out of hospital in January 1889, with a white bandage covering the place where his left ear had been, he immediately went back to work in his house next to a cafe in the southern French town of Arles. A still life he painted that month looks like a determined attempt to hold on to the things of this world, to quell his inner turbulence by concentrating on the solid facts of his life. Around a sturdy wooden table he has laid out a symbolic array of the simple pillars of his existence. Four onions. A medical self-help book. A candle. The pipe and tobacco he found steadying. A letter from his brother Theo. A teapot. And one more thing: a large, emptied bottle of absinthe.

Has he drunk the absinthe since leaving hospital? Does its emptiness represent a promise to swear off the stuff from now on?

The first thing to be said about this painting is that it is revolutionary. It is a new kind of art. The very idea that a collection of objects, painted with fiery brushstrokes in heightened luminous colours, with ridges of thick impasto in some places and bare canvas in others, can reveal the state of someone’s soul was utterly new. Van Gogh was its originator. In the months after this mostly self-taught Dutch artist in his mid 30s arrived in Arles in February 1888 he invented a new kind of art that would come to be called expressionism.

In the process he drove himself mad.

That probably sounds like a dangerously Romantic way of putting it to curators of On the Verge of Insanity: Van Gogh and His Illness, an exhibition at the Van Gogh Museum in Amsterdam. This sensational show – how strange to see the rusty gun, found in a field at Auvers-sur-Oise, that the museum is “80% sure” Van Gogh shot himself with, in 1890, at the age of just 37 – is full of fascinating documents that tell a sad story of a man struggling with his declining mental health until finally, in despair of ever getting well or living independently, he chose suicide. It presents a lucid narrative of the final phase of Van Gogh’s life. Yet it is ultimately a pedantic and misleading exhibition whose pursuit of clinical accuracy misses the mystery of Van Gogh’s life and art.

The straw man the curators want to tear down is the myth that Van Gogh’s genius lay in his “madness”, that he painted in the fever of hallucinations and took inspiration from illness.

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Given my preoccupation with trauma and creativity, amongst other cheerful issues, it will come as no surprise to hear that I am almost certain to buy this book on death and poets. As far as I can tell from the Guardian review its combination of wit and wisdom will be hard for me to resist. Below is a short extract: for the full article see link.

Not the lives of poets, which Dr Johnson wrote about, but their deaths – whether early or late, in bed or in battle, accidental or self-inflicted. It’s a great idea for a book but one that could easily descend into ghoulish sensationalism or slick postmortem psychologising. It helps that the authors are poets themselves, whose agenda isn’t to rubberneck or lecture but to interrogate the Romantic myth “that great poems come at a heavy – ultimately fatal – price”.

If their previous collaboration, Edgelands, in 2011, was a pilgrimage to neglected corners of the English landscape, this one sends them further afield, to wherever it was (Boston, Vienna or Hull) that a poet’s last hours were spent. The hope is that by being there they can learn something – about the life and work, and how the manner of a poet’s death can affect, for better or worse, an understanding of his or her poems.

Henry Wallis’s portrait of the death of Chatterton – splayed body, abandoned drafts, arsenic phial – glamorised the image of the poet as sacrificial victim. Chatterton was just 17. The consumptive Keats (“that drop of blood is my death-warrant”) lasted only eight years longer. As other early casualties followed (Shelley, Byron, Rimbaud, Verlaine), the legend of the poète maudit took hold. Dylan Thomas, dying at 39 in New York after claiming to have drunk “18 straight whiskies”, gave it new vigour. According to his widow Caitlin, his “ridiculous” investment in the idea of the doomed poet was a self-betrayal – what he really liked was warm slippers, pickled onions and checking the cricket scores.

In the 1960s, the myth took an even darker turn, with the idea that personal disaster is necessary for great writing, and that – as John Berryman put it – poets who experience every worst possible ordeal short of suicide are “extremely lucky”’. For most, including Berryman himself, the luck soon ran out: he, Sylvia Plath and Anne Sexton all killed themselves. (Randall Jarrell, who walked out in front of a car on a dark road, almost certainly did too.) The poet and critic Al Alvarez articulated the “extremist” thesis in his study The Savage God and was later teased for it by James Fenton (“He tells you, in the sombrest notes, / If poets want to get their oats / The first step is to slit their throats”). In reality, factors unrelated to poetry were often involved: drugs, alcohol, marital breakdown and depression, and in the cases of Plath and Berryman the precedent of a self-destructive father. But the myth lost none of its allure: Edgelife or Ledgelife meant pushing oneself to the limit and beyond in the service of art. Suicidal painters added to the thrill, as did rock stars then and since.

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Given my current exploration of mental health issues it seems appropriate to publish this sequence from 2012.

Inquest 1Inquest 2

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VG R composite

[H]e wanted to pave the way for . . . . that societal power which he was convinced lay with the common people.

It is this that makes van Gogh the forerunner par excellence of Modernism, or at any rate of the Modernist avant-garde.

Walther and Metzger in Van Gogh: the complete paintings – page 698

The recent revelations about the rediscovered gun, which the van Gogh Museum in Amsterdam thinks has an 80% chance of being the one with which he allegedly killed himself, and about van Gogh’s ear (about 20 days to go for this BBC iPlayer programme), as well as the recent Guardian long-read article by  on the latest exhibition of his work in Amsterdam, made it inevitable I would decide to republish my blog sequence of last year, which attempted to capture my complex and powerful responses to his work. This is the second of five posts scheduled to come out each day this week.

The previous post, after attempting to extricate itself from the myth, paused in the midst of a consideration of the reasons that motivated his art. Here we pick up that thread first before attempting to kill the suicide myth.

‘Nature Viewed through a Temperament’

Exactly how, then, does he see the artist infusing his soul into his painting, if gross and unhelpful distortions are to be avoided?

One attempt at explanation might be in his discussion of a painter he calls Richard Wallace Rousseau[1] (page 219):

The dramatic effect in those paintings is something that, more than anything else in art, makes one understand ‘un coin de la nature vu à travers d’un temperament’ and ‘l’homme ajouté a la nature’ [‘a corner or nature viewed through a temperament’ and ‘man added to nature’]. One finds the same thing in say, portraits by Rembrandt. It is more than nature, something of a revelation.

He clearly finds it hard to pin down more precisely what he is attempting to get at here. He finds it in literature as well and has another equally unsuccessful go at exact definition there (page 272 again):

My strongest sympathies in the literary as well as in the artistic field are with those artists in whom I see the soul at work most strongly – . . . . I see something . . . . quite different from the masterly reproduction of the materials, something quite different from light and brown, something quite different from the colour – yet that something quite different is achieved by the precise rendering of the light effect, the material, the colour.

He uses George Eliot, one of my favourite writers, as an example:

What I am driving at, among other things, is that while Eliot is masterly in her execution, above and beyond that she also has a genius all of her own, about which I would say, perhaps one improves through reading these books, or perhaps these books have the power to make one sit up and take notice.

He has shifted of course from striving to pin down what’s in the painting or the narrative to the impact it has on the person experiencing the work of art. And perhaps that is the best that can be done. A work of art imbued with this quality will change those who encounter it fully for the better – a position not too far removed from the view of the purpose of art (‘Abdu’l-Bahá quoted in The Chosen Highway – page 167):

All art is a gift of the Holy Spirit. . . . When the Light of the Sun of Truth inspires the mind of a painter, he produces marvellous pictures. These are fulfilling their highest purpose, when showing forth the praise of God.

Not, though, a perspective upon which an art critic could build a lucrative career I expect.

Van Gogh seems to have had a profound suspicion of technique, seeing it as more of an obstacle to the true purpose of art if it was at all obvious (page 274):

Let us try to grasp the secrets of technique so well that people will be taken in and swear by all that is holy that we have no technique. Let our work be so [skilful] that it seems naïve and does not reek of our cleverness.

All of this was written before his encounter with Impressionism. The impact on him of that movement can only really be traced through his work. He was living with Theo in Paris at the time so there are very few letters to help us see inside his mind.

Very frustrating for me as a psychologist!

I am therefore relying largely upon the bridge passage written by the editor of the letters, Ronald de Leeuw, who summarises aspects of van Gogh’s radical new departure in style (pages 326):

Van Gogh’s highly original interpretation of Seurat’s pointillism, the use of separate dots of mixed colour, gradually paved the way for a strikingly individual and expressive method of applying colour in streaks and dashes, which would henceforth typify van Gogh’s brushstroke no less than his drawing style.

De Leeuw adds (page 327):

In Paris he seems for the first time to have broken free of the hold of Millet and the painters of rural life, flinging himself into the portrayal of urban scenes, of the cafes and boulevards, and of life in the new suburbs of Paris such as Asnière.

What constitutes one of the many ironies, when his letters are read with knowledge of his future, is that his antagonism to obvious technique was so dramatically overturned in his later paintings where his change of technique, not just of subject matter, is so radical it cannot be overlooked. Maybe, though, this is what he meant by seeming naïve.

A letter written in June 1888 seems to confirm this view, when he speaks of a painting he’s recently done (page 361):

There are many touches of yellow in the soil, neutral tones produced by mixing purple with yellow, but I couldn’t care less what the colours are in reality. I’d sooner do those naïve pictures out of old almanacs, old farmers almanacs where hail, snow, rain or fine weather are depicted in a wholly primitive manner …

The problem of course then is that being so skilfully naïve does not even look naïve any more. Still, it is this contrived and adroit naïvety that makes his paintings so striking and powerful when they succeed.

VG book stackMurder, Accident or Suicide

Sometimes though what he writes seems oddly prescient. I touched on one example almost at the start of this sequence of posts – his concern that he might die early and only have a few more years to live.

This has become a vexed question for biographers and art lovers alike.

I have four books on my desk right now. Three of them subscribe to the conventional view: he shot himself. I have the Taschen Van Gogh: the complete paintings (bought, incidentally, from a delightful second-hand bookshop in Glastonbury for the incredible price of £10), Simon Schama’s Power of Art, and the Penguin Letters of Vincent van Gogh.

Schama sees him as on the brink of success and reacting to its implied responsibilities (page 350):

It’s clear from his last letters that it was the thought of abandonment by Theo and Johannah, a terror of having to make his own way now that he was a recognised success – but still vulnerable, as indeed he would have been, to epileptic seizures and manic-depressive attacks – that made him pick up the gun rather than his brushes on 27 July. It was probably difficult to shoot himself with a shotgun [Naif and White Smith conclude from the available evidence that he was shot with a small calibre pistol – see below], and if he aimed for the heart, he didn’t hit the target.

Walther and Metzger, the authors of the Taschen volume, even go so far as to claim (page 694): ‘In the course of time, Vincent’s plan to increase the value of his paintings by killing himself was to prove a success.’ The Letters simply state in the biographical outline (page xxxi): ‘he shoots himself in the chest on 27 July and dies on 29 July in Theo’s presence.’

Alongside these books is Van Gogh: The Life by Steven Naifeh and Gregory White Smith. It is in the minority, holding the view that he was accidentally shot by René Secrétan, a member of a gang of youth who used to tease and bully van Gogh remorsely.

The murder or shooting by persons unknown has been a theory lurking in the background since the time of his death and I have been aware of it since I first took an interest in van Gogh. Till I read this book I tended to dismiss it as just another conspiracy theory.

However, they marshall a plausible pile of evidence to call the suicide verdict seriously into question. I don’t propose to rehearse it all here. The details are spelt out at length in their appendix: A Note on Vincent’s Fatal Wounding (pages 869–880). As well as the telling fact that no gun was ever found, they include his preoccupation in his letters with drowning as a method for suicide; his knowledge of effective poisons; his dislike of guns; his ‘hesitant, half-hearted and oddly hedged’ confessions of suicide as reported at the time; his failure to finish himself off with a second shot; and perhaps most crucially:

the oddities of Vincent’s wound as reported by the doctors who examined it: that the shot was to the body not to the head: that the bullet entered from an unusual, oblique angle – not straight on as one would expect in a suicide; and that the shot appeared to have been fired from ‘too far out’ for Vincent to have pulled the trigger.

'Daubigny's Garden' (image scanned from the Taschen 'Complete Paintings')

‘Daubigny’s Garden’ (image scanned from the Taschen ‘Complete Paintings’)

Their summary of what they conclude on the basis of this evidence, which they feel resolves these and other anomalies in the widely accepted account, is this (page 873-74):

The shot that killed Vincent van Gogh was probably fired not in a wheat field, but in or near a farmyard on the road to Chaponval like the one described by Madame Liberge [daughter of the owner of what used to be the painter Daubigny’s house, a favourite painting spot] and Madame Baize [an Auvers resident]. Moreover, the gun that delivered the fatal blow was probably not brought into that farmyard by Vincent van Gogh, who knew nothing about guns and had no need of one, but by René Secrétan, who rarely went anywhere without his .380-calibre peashooter. The two may have encountered each other by accident on the Chaponval road, or they may have been returning from their favourite watering hole together. Gaston [René’s brother] was almost certainly with them, as Vincent would have avoided René, whether alone or in the hostile company of his followers.

René had a history of teasing Vincent in a way intended to provoke him to anger. Vincent had a history of violent outbursts, especially when under the influence of alcohol. Once the gun in René’s rucksack was produced, anything could have happened – intentional or accidental – between a reckless teenager with fantasies of the Wild West, an inebriated artist who knew nothing about guns, and an antiquated pistol with a tendency to malfunction.

Wounded, Vincent must have stumbled into the street as soon as he was able and headed towards the Ravoux Inn, leaving behind whatever painting gear he’d brought. At first, he may have had no idea how seriously he was hurt. The wound did not bleed profusely. But once the initial shock wore off, the pain in his abdominal injury had to be excruciating. The Secrétan brothers would have been terrified. Whether they tried to give Vincent assistance cannot be known. But they apparently had the time and presence of mind to collect the pistol and all of Vincent’s belongings before heading off into the gathering dusk – so that when Madame Baize’s grandfather showed up soon afterwards to investigate (if he did), he found only an empty farmyard and a dungheap.

While I accept that the forensic skills required to come to a firm conclusion about a crime, especially one so long ago, are not necessarily part of every scholar’s armoury, I have to say that reading their meticulously researched body of evidence I have now changed my mind and am persuaded that they have a strong case. I do not now accept as a fact the idea of van Gogh’s suicide. Everyone will obviously have to come to his or her own conclusion on the basis of the evidence different authors with different ideas quote as compelling. For my part, another myth has just bitten the dust and my relationship to the paintings is all the richer for it.

Before moving on, I probably need to record a caveat here about taking this new perspective too simplistically. While I do not think now that van Gogh shot himself, I am very aware that throughout his life he did put himself at risk in a way that suggests there was a self-destructive element in his nature. The next post focus on my encounters with four paintings, before the final two posts attempt to deal with a more objective sense of what his art might be about, his mental state and the nature of his spirituality.

Not a lot more to say then really!


[1] The only Rousseau I can find with a painting of the title van Gogh refers to as Á Lisière du Bois is Theodore Rousseau. It is not unusual for van Gogh in his letters to refer to people by the wrong name or give the wrong titles to books etc.

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