Tuesday, September 8, 2020

DAILY SLICE OF LIFE - LISTENING WITHOUT HEARING



This essay is different than all I have written. It deals with a subject that I have been personally interested for over half a century. I am offering it to you with a plea and a hope that you might also start to look for the message when you enjoy the song.  EAM

“They did not listen.
They did not know how.”

         These words are taken from a very highly regarded ballad entitled, Starry, Starry Night, recorded in 1971 by Don McLean III, a very successful American songwriter and guitarist. The song was based on the life of the great Dutch modernist painter, Vincent Van Gogh, and on his most successful painting, Starry Night. The song has since been recorded by several hundreds of very well-respected international artists, ranging from the rapper Tupac Shakur to balladeers like Julio Iglesias, and in several languages that include English, French, German, Spanish, Italian and Hungarian.

         By his own admission, McLean was moved to write the song after he read a biography of Van Gogh and learnt of his serious mental afflictions and the turmoil he had been undergoing. The painting itself, was actually completed in 1889 while Van Gogh was an inpatient of a French asylum. It was meant to depict the night sky from his asylum room, and it resonated with the general public for its bold and vibrant colors, and swirling motions in the sky and in the surrounding vegetation. But the painting was in fact saying much more than its beauty, yet only a few very observant people were actually able to appreciate its true symbolism. For with each stroke of his brush, he was crying out in despair, drawing attention to his deep depression and to his constant preoccupation with suicide and with death. People were indeed listening, but were not hearing his message. They were looking, but not seeing his pain.

         I too, would readily have considered myself to be among the multitude until more than 50 years ago. In 1967, while I was a resident in Psychiatry in London, one of my teachers with whom I worked closely, drew my attention to the deep and intense relationship of the pain and disappointment that are often reflected in a wide range of artistic expressions we so often take for granted. He explained that since artists spend their whole lives giving expression to their deepest emotions in words and in art, it is natural that they would use them to give vent to their feelings of unhappiness and sorrow, and equally, their hopes and successes. He further noted that only the astutely trained observer is able to discern in every song, every piece of literature and every work of art, the deepest emotion of the artist at that moment. He lamented that we, as physicians who are concerned with human behavior and the human mind, are not spending as much time as we should, to understanding the reason behind a work of art, a song or literary work, and looking for ways to help these people cope when their cry for help.

      Since then, although I do not consider myself a true connoisseur of art, I have acquired the habit of examining the underlying reasons for their production by the artist. Each time that I am attracted by a song, or look at a painting or work of art, or read a book, I tend to take a brief moment to search out the reason and message as they affect me. On some occasions my diagnostic suspicion will be confirmed, but most of the time, for lack of experience, they remain as merely conjecture. For my own self however, because of my interest in medicine and in mental illnesses, I find myself eager to look more closely than others for any signs. I have come to believe that every good story does not only have a good plot, but also has a good reason for telling by the author.  

      Unfortunately, however because people generally prefer to avoid any information that tends to interfere with their own beliefs and status, they are discouraged from wanting to seek out any more than they need. They actively try to avoid any situation that contradicts their level of comfort, even when they may suspect that their own attitude might be itself questionable. They prefer to live by the safe principle of don’t ask, don’t tell, and in so doing, hope to avoid any position of uncertainty. Others, especially those with rigid, inflexible personalities, who find it very difficult to deal with any change, will be reluctant to even expose themselves to the possibility of a different perspective. The end result is that people are more likely to choose the easy way out and accept things as they appear superficially, rather than entertain any views that may be more consequential. It is not surprising therefore that most of us are happy just scratching the surface, and never bother to look under it.

      But the fundamental truth is that unpredictable, temperamental behavior is often associated with creativity, and many authorities insist that there may indeed be an overlap between them. Multiple, legitimate studies conducted in many countries have confirmed the higher incidence of severe mood disorders among the wide range of artistic expressions, and equally, abnormally high occurrences of depression, mania, drug abuse and suicide among all the creative population. Many people have actually argued that there is indeed only a fine line that separates creativity and madness, and that it does not take much to cross over. This concept has always existed and in fact accepted for thousands of years, as the following quotation by the great ancient Greek philosopher Aristotle confirms:

“No great mind has ever existed without some touch of madness.”

      The list of these people who have indeed suffered with some form of mental illness is formidable. They come from every section of the creative population, irrespective of sex, age or degree of success.

They include:

 Classic Painters:       Van Gogh, Gauguin, Picasso, Michelangelo.
Classic composers: Beethoven, Handel, Tchaikovsky, Rachmaninoff.
Popular composers: Irving Berlin, Noel Coward, Stephen Foster, Cole
                              Porter
Celebrities:            Elton John, Kurt Cobain, Michael Phelps, Herschel
                             Walker, Robin Williams, Kanye West

These are but a few of the countless number of people who have had to cope with severe emotional incapacity as they continued to live and give expression to their work. Many succumbed to the pressure and died earlier than they should, some gave up and chose isolation, while a few were able to deal with their afflictions and continue their work.

      But the real tragedy is that, because of the underlying attitude of don’t ask, don’t tell, the general audience who enjoyed their work and encouraged them to continue to do more, were completely unconcerned and oblivious to their cries for help. In the end many more of these artists died or suffered in silence, than ought to have done so, simply because we all prefer to:

“Listen to the song, but not hear the message.”

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