The dark side of the self
AN UNQUIET MIND by Kay Redfield Jamison, Picador pounds 15.99
Sunday 02 June 1996
Kay Redfield Jamison was brought up in Washington in a military household. After a period of pathological mood disorder, she tried to kill herself by overdosing on lithium. Though not an anti-depressant, lithium is an anti-psychotic medication approved for use in mania and it can end a life just as effectively. Unknown to the young Jamison, the anti-depressant she was taking with lithium only encouraged her suicidal tendency.
Jamison is now a world expert on manic-depressive illness (what clinicians quaintly term "bipolar disorder"). She has lived with this demon for most of her adult years and, at 49, is currently Professor of Psychiatry at the John Hopkins University School of Medicine. "There will always be propelling, disturbing elements," Jamison writes of her own personality. But at least she has learned to control them, with the help of drugs. Tens of thousands of others have not been so lucky; the great clinical problem with manic depression (for which there is as yet no cure) is that patients often refuse to take the drugs which really do work. Usually, this is because they believe that to do so reveals a weakness.
Characterised by excessive mood swings, mania is va-va-vroom one moment (unrestrained shopping sprees; florid acts of generosity) and blank depression the next. Her confessional memoir, An Unquiet Mind, suggests that Jamison might have been good company when she was on the up. Glowing with the "light, lovely tincture of true mania", she could inspire a rare happiness in others. Then things slowed down as the psychosis took hold; very soon, life was just a cold, inward deadness.
Depression crept up on Jamison like a lengthening shadow. "For as long as I can remember I was frighteningly, although often wonderfully, beholden to moods," she writes. Her childhood manias (ping-pong, dissecting frogs, reading Gray's Anatomy at the age of 12) were warning signals; things began to go seriously wrong in her at the age of 28 when Jamison was hired as an assistant professor in the UCLA Department of Psychiatry. Fizzing over with energy ("antennae perked, eyes fast-forwarding and fly-faceted"), soon she was ravingly psychotic.
Convinced that Los Angeles was about to be invaded by rattlesnakes, Jamison cleared a chemist's of anti-venom kits. Irresistibly flirtatious (or so she thought) at a university garden party, she had unwittingly daubed her face with the gaudiest make-up. All this Jamison relates with a brave humour. The white-coated professors at UCLA are fondly recalled (the psychiatrist who was well-known for having "accidentally killed a rented circus elephant with LSD"); and Jamison describes her suicide attempt with a winning candour.
If she refused to take lithium again for so many years it was because her upbringing demanded a stoic approach to mood- swings: WASPs are not supposed to fall down. It's an astonishing moment when we learn that Jamison's own father, an Air Force officer, was himself probably a manic-depressive. Beneath his Brooks Brothers conservatism there lurked a man who knew the black chaos of life as well as its elations; did mania pass from father to daughter via a dangerous gene? Jamison is in no doubt that it did.
Superbly written, An Unquiet Mind recognises the poetic exhilaration of pure mania. Jamison says she does not resent her manic-depressive illness (now that lithium works so well for her) because it has made her test the limits of her mind. She also knows that the down side is awful beyond words. To witness a deep depression in someone is a frightening experience; as she says, one would put an animal to death for far less suffering. In so courageously putting her own life under the microscope, Jamison has written a compelling work of literature. She speaks both as the wounded healer and as one who has been touched by a most mysterious illness.
Film The critics but sneer but these unfashionable festive films are our favourites
TV We're so close to knowing what happened to Oliver Hughes, but a last-minute bluff crushes expectations
Arts & Ents blogs
- 1 Planes go hybrid-electric in important step to greener flight
- 2 Antonio Martin shooting: Police and protesters clash over teenager's death just five miles from Ferguson, Missouri
- 3 Northern Lights above Britain: Stunning Aurora Borealis illuminates Northumberland sky on Christmas Eve
- 4 British actor Idris Elba cannot star as James Bond because he is black, says shock jock Rush Limbaugh
- 5 New route to Mars could make manned mission much cheaper and easier
Christmas Day TV guide 2014: What to watch from Strictly Come Dancing to the story of Frozen
Cruel Woman in Black prank sees cinema-goers terrified by movie poster - watch their reactions
Best underrated Christmas movies: From Trading Places to While You Were Sleeping
Game of Thrones season five: First preview clip shows a beardy Tyrion, a moody Cersei and a distressed Arya
Christmas TV guide 2014: The best shows to watch from Doctor Who to Downton Abbey
Nigel Farage defends Kerry Smith 'ch***y' comment: 'If you are going for a Chinese, what do you say you’re going for?'
British actor Idris Elba cannot star as James Bond because he is black, says shock jock Rush Limbaugh
Rozanne Duncan: Ukip expels councillor for 'jaw-dropping' comments made in BBC TV interview
Germany anti-Islam protests: 17,000 march on Dresden against 'Islamification of the West'
Ukip member gets into Christmas spirit with Union Flag plea to Santa 'for our country back'
Panic Saturday: 13 million Britons spend £1.2bn – while 13 million others across the country live in poverty unable to afford food