Long had I lain thus, craving death,
|
When quietly the earth beneath
|
Gave way, and inch by inch, so great
|
At last had grown the crushing
weight,
|
Into the earth I sank till I
|
Full six feet under ground did lie,
|
And sank no more,—there is no weight
|
Can follow here, however great.
|
From off my breast I felt it roll,
|
And as it went my tortured soul
|
Burst forth and fled in such a gust
|
That all about me swirled the dust.
|
-Millay, Renascence
This is an excerpt
from a poem Jamison mentioned in her book; she said that it described her
cyclic journey into madness. I felt these lines were very representative of her
battle with moods, going from desiring death to having hypomania swirling about
her in a gusty, yet invigorating way. Jamison’s journey into madness, as she puts
it, and her recurring struggle with managing her intense moods, was the focus
of the book. I unquestionably learned a great deal from her; not only did I
acquire knowledge about manic-depressive illness (or bipolar, as it is referred
to in the DSM-IV-TR), but also about my own, personal and intrinsic beliefs
about the mental illness and its symptoms.
It seemed as if
Jamison’s very clear intention in writing the book was education: furthering
the public’s knowledge about the illness was a goal she had always worked for.
This goal became more evident after her conversation with Mogens Schou, where
the two related over having personal experience with the illness as their
driving force in learning more about it and helping those who have
manic-depressive disorder. I felt there was an underlying motivation, one of a more
personal nature, which also showed itself in Jamison’s overall intent in
writing the book. She mentioned numerous times her fear of ‘outing’ herself by
revealing her illness to her all of her colleagues, and to the general public,
for fear of having her clinical privileges rescinded, or for being termed
‘inappropriate,’ ‘unstable,’ or, ‘biased’ in her work. Throughout her life she
has experienced positive and negative reactions from friends and co-workers
when revealing her illness, and it seemed as if this book was another way to
reveal herself, and still see that she can be taken seriously as a professional
and as a person. I appreciated all reasons for her writing this book, and I am
sure there are more intentions in publishing it than what I named.
I have been in the
mental and behavioral health field for about four years, working with children
and adolescents. Although I have contact with adults (families and parents), I
usually do not obtain their psychiatric history, so I have not experienced
anyone who has described a full-blown manic episode. I have completed
assessments with children who I believe had hypomanic episodes; but the
symptoms in children can be displayed in very different ways than in adults. I
was intrigued from the very beginning, as part of me thought that there were
very few people who actually has such intense manic (and depressive) episodes.
Additionally, I had my own biases turned topsy turvy after reading this. I work
with people who have AHCCCS (Arizona’s version of Medicaid,) so many of the
people I work with on a daily basis do not have the higher education that
Jamison did, and I will admit that I had a personal assumption that people with
such a ferocious variety of mental illness would have difficulty functioning day
to day. Although she mentions the struggle to work, among other daily life
activities while in her depressive states, she generally can maintain her typical
day to day life activities, and I think she does so with grace. The fact that
she was able to obtain tenure in the midst of such an intense illness
definitely says that my initial thought was wrong, that people with mental
illness can handle and succeed in high stakes jobs that are filled with stress
and crucial obligations.
I would say the
biggest lesson I learned in reading this book, even before the lesson was
stated explicitly, was that of suicide and my thoughts connected to its
meaning. I grew up being told and thinking that suicide was a selfish way out,
and that one attempted suicide because it was easier than other ways of
treating or dealing with problems. I vividly recall Jamison stating that she
felt she was an immense and undue burden to her family, friends, and at times
colleagues and her psychiatrist. She felt that it would be better for them if
she no longer had to be watched and taken care of, and not to mention that she
didn’t see a purpose to live when she was experiencing her black depressions. While
reading this section I had a mini-epiphany, if you will. I realized that people
who are suicidal may not be thinking only of themselves, but of helping others
by ridding their loved ones from the turmoil and stress they feel they are
causing. Suicide may not always be a selfish act, I learned that the person may
feel they are being considerate of others while ridding themselves of their own
personal pain. For this reason alone I would highly recommend this book to
others. I feel that there is an abundance of reasons to recommend this book, in
addition to the aforementioned: advocacy to reduce stigma, education that
mental illness does not mean a person is bad (sometimes they have little or no
control over what we call symptoms), this book taught me to be a better friend,
and probably a better person (in reacting and interacting with others), and
lastly, I believe I have a renewed passion for my work and my life in general.
Initially I would
say I felt that her target audience was people who were interested in
manic-depressive disorder, but after completing the book I feel that her
audience is of a wider birth, perhaps extending to skeptics, those with the
illness, practitioners, and lay people who are looking for an honest memoir to
read. I feel like this would be an interesting read to spark an interest in
beginning social workers. I think she makes an excellent point, which all of us
need to remember about many mental illnesses, “It is an illness that it
biological in its origins, yet one that feels psychological in the experience
of it.” I think that we too often forget that point and at times believe that
people with such an illness are acting certain ways because they chose to, not
because their body is compelling them to do so.
Another aspect of
the book that I adored was her penchant for telling us that creative and
different people are not crazy. I loved that her undergraduate professor told
her that her Rorschach responses were creative and he praised her, instead of
condemning her for having such ‘out of the box’ remarks. I agree with her in
the sense that if we do find a gene that is connected to this illness and it
can be tested for before birth, that people may chose not to proceed with the
pregnancy, thus shrinking the potential number of such (possibly and potentially) great minds. It is a
personal belief that many of society’s greatest discoveries could have only been found by people who
don’t think like ‘normal’ people.
I am not very familiar with the disorder or being in remission from
it, but I did notice a pattern. She seemed to go into remission when she was
less stress (in London or Scotland), it was when she felt free and happy. I
wonder if remission is related to environment and if so how we can use this to
benefit treatment. Lastly, her discussion on wording, labeling, and stigma have
a very direct thread to class discussion. I enjoyed her idea of calling the
illness what the person who has it wants to call it. I think this adds to
the idea of empowering the person also.
I would highly recommend
this book to others. I thoroughly enjoyed reading it and I took a lot from
reading it. I am not sure that there is anything I would change about the book,
I think its strengths of teaching lessons we can all benefit from learning, and
whatever weaknesses it may have, are a lovely metaphor to her life, it is made
better only with both present.