|Robert Schumann's musical works show a striking relation between his mood states and his productivity.
He composed the most when hypomanic and the least when depressed.
Both of Schumann's parents were clinically depressed, and two other first-degree relatives committed suicide. Schumann himself attempted suicide twice and died in an insane asylum. One of his sons spent more than 30 years in a mental institution.
Studying the speech of hypomanic patients has revealed that they tend to rhyme and use other sound associations, such as alliteration, far more often than do unaffected individuals. They also use idiosyncratic words nearly three times as often as do control subjects. Moreover, in specific drills, they can list synonyms or form other word associations much more rapidly than is considered normal. It seems, then, that both the quantity and quality of thoughts build during hypomania. This speed increase may range from a very mild quickening to complete psychotic incoherence. It is not yet clear what causes this qualitative change in mental processing. Nevertheless, this altered cognitive state may well facilitate the formation of unique ideas and associations.
People with manic-depressive illness and those who are creatively accomplished share certain noncognitive features: the ability to function well on a few hours of sleep, the focus needed to work intensively, bold and restless attitudes, and an ability to experience a profound depth and variety of emotions. The less dramatic daily aspects of manic-depression might also provide creative advantage to some individuals. The manic-depressive temperament is, in a biological sense, an alert, sensitive system that reacts strongly and swiftly. It responds to the world with a wide range of emotional, perceptual, intellectual, behavioral and energy changes. In a sense, depression is a view of the world through a dark glass, and mania is that seen through a kaleidoscopeoften brilliant but fractured.
Where depression questions, ruminates and hesitates, mania answers with vigor and certainty. The constant transitions in and out of constricted and then expansive thoughts, subdued and then violent responses, grim and then ebullient moods, withdrawn and then outgoing stances, cold and then fiery states and the rapidity and fluidity of moves through such contrasting experiences can be painful and confusing. Ideally, though, such chaos in those able to transcend it or shape it to their will can provide a familiarity with transitions that is probably useful in artistic endeavors. This vantage readily accepts ambiguities and the counteracting forces in nature.
Extreme changes in mood exaggerate the normal tendency to have conflicting selves; the undulating, rhythmic and transitional moods and cognitive changes so characteristic of manic-depressive illness can blend or harness seemingly contradictory moods, observations and perceptions. Ultimately, these fluxes and yokings may reflect truth in humanity and nature more accurately than could a more fixed viewpoint. The "consistent attitude toward life" may not, as Byron scholar Jerome J. McGann of the University of Virginia points out, be as insightful as an ability to live with, and portray, constant change.
The ethical and societal implications of the association between mood disorders and creativity are important but poorly understood. Some treatment strategies pay insufficient heed to the benefits manic-depressive illness can bestow on some individuals. Certainly most manic-depressives seek relief from the disease, and lithium and anticonvulsant drugs are very effective therapies for manias and depressions. Nevertheless, these drugs can dampen a person's general intellect and limit his or her emotional and perceptual range. For this reason, many manic-depressive patients stop taking these medications.
Left untreated, however, manic-depressive illness often worsens over time and no one is creative when severely depressed, psychotic or dead. The attacks of both mania and depression tend to grow more frequent and more severe. Without regular treatment the disease eventually becomes less responsive to medication. In addition, bipolar and unipolar patients frequently abuse mood-altering substances, such as alcohol and illicit drugs, which can cause secondary medical and emotional burdens for manic-depressive and depressed patients.
Here is a list of famous manic depressives compiled by Kay Redfield Jamison, the author of this article.
The Case of Vincent van Gogh
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