2005-05-28

False ascription of motivation

A classic example of the false ascription of motivation is
Freud’s ascription of sexual desire to “Dora”.
As of 2012-09-17, Wikipedia described it thusly:

[Ida Bauer (real name) was given the pseudonym “Dora” by Freud.
She] regularly babysat
the children of a married couple known only as Herr and Frau K.
Ida’s father was the lover of Frau K,
and (according to Ida, and believed by Freud),
Herr K himself had repeatedly propositioned Ida,
as early as when she was 14 years old.
(Freud, “Fragment of an Analysis of a Case of Hysteria (‘Dora’)”)

Ultimately, Freud sees Ida as
repressing a desire for her father,
a desire for Herr K,
and a desire for Frau K as well.

After only 11 weeks of therapy she broke off her therapy,
much to Freud’s disappointment.
Freud saw this as his failure as an analyst
and decided the whole treatment had failed.

After some time, however, Ida returned to see Freud
and explained how her symptoms had mostly cleared.
Freud had been the only person to believe her
regarding ‘Herr K’ and her father.
After the analysis, she chose to confront her tormentors
(her father, his lover and his lover’s husband).
When confronted, they confessed that she had been right all along
and following this,
most of her symptoms had cleared.

Freud’s interpretation

Through the analysis, Freud interprets Ida’s hysteria
as a manifestation of her jealousy
toward the relationship between Frau K and her father,
combined with the mixed feelings of Herr K’s sexual approach to her.[3]
Although Freud was disappointed with the initial results of the case,
he considered it important,
as it raised his awareness of the phenomenon of transference,
on which he blamed his seeming failures in the case.







The somewhat controversial psychologist Kevin MacDonald has written concerning this case:
Both Esterson (1992) and Lakoff and Coyne (1993, 83-86) show that
Freud’s famous analysis of the teenage Dora
(in which her rejection of the pedophilic sexual advances
of an older married man
is attributed to hysteria and sexual repression)

was based entirely on preconceived ideas and circular reasoning
in which
the patient’s negative emotional response
to the psychoanalytic hypothesis

is construed as
evidence for the hypothesis.


More completely, in Chapter Four of MacDonald’s The Culture of Critique
he added some piquant details concerning the case (emphasis added;
I go on to include several interesting thoughts of MacDonald about psychoanalysis besides his description of the case of Dora
contained in that chapter):
Freud used psychoanalysis to pathologize
female resistance to male sexual advances.
This is apparent in the famous analysis of the teenage Dora,
who rejected the advances of an older married man.
Dora’s father sent her to Freud because
he wanted her to accede to the man’s advances as an appeasement gesture
because the father was having an affair with the man’s wife.
Freud obligingly attributed Dora’s rejection to
repressing amorous desires toward the man.

...

Lakoff and Coyne (1993) conclude their discussion of Dora
by arguing that in general
psychoanalysis was characterized by
thought control, manipulation, and debasement of the analysand.


...

An important corollary of these findings is that
psychoanalysis has many features in common with brainwashing
(Bailey 1960, 1965; Salter 1998).
During training sessions,
any objection by the future psychoanalyst is viewed as
a resistance to be overcome (Sulloway 1979b).

...

[I]t is reasonable to conclude that
Freud’s real analysand was gentile culture,
and that
psychoanalysis was fundamentally an act of aggression
toward that culture.


I (the author of this blog) should add at this point that
I have no formal training whatsoever in psychology or psychoanalysis.
However, the views of MacDonald,
who has been professor of psychology at California State College at Long Beach for a number of years,
seem quite reasonable to me.


Labels:

2005-03-01

Psychiatry and psychology

2010


2010-02-10-NYT-DSM
Revising Book on Disorders of the Mind
By BENEDICT CAREY
New York Times, 2010-02-10

[1]
Far fewer children would get a diagnosis of bipolar disorder.
“Binge eating disorder” and “hypersexuality”
might become part of the everyday language.
And the way many mental disorders are diagnosed and treated
would be sharply revised.

[2]
These are a few of the changes proposed on Tuesday
by doctors charged with revising psychiatry’s encyclopedia of mental disorders,
the guidebook that largely determines where society draws the line
between normal and not normal, between eccentricity and illness,
between self-indulgence and self-destruction —
and, by extension, when and how patients should be treated.

[3]
The eagerly awaited revisions — to be published, if adopted,
in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, due in 2013 —
would be the first in a decade.

[4]
For months they have been the subject of
intense speculation and lobbying by advocacy groups,
and some proposed changes have already been widely discussed —
including folding the diagnosis of Asperger’s syndrome into a broader category, autism spectrum disorder.

[5]
But others,
including a proposed alternative for bipolar disorder in many children,
were unveiled on Tuesday.
Experts said the recommendations,
posted online at DSM5.org for public comment,
could bring rapid change in several areas.

[6]

“Anything you put in that book, any little change you make,
has huge implications not only for psychiatry
but for pharmaceutical marketing, research,
for the legal system,
for who’s considered to be normal or not,
for who’s considered disabled,”

said Dr. Michael First, a professor of psychiatry at Columbia University
who edited the fourth edition of the manual but is not involved in the fifth.

...



2010-02-28-Will-DSM
Handbook suggests that deviations from 'normality' are disorders
By George F. Will
Washington Post Op-Ed, 2010-02-28

[While the U.S. may no longer be able to compete with the rest of the world in producing manufactured goods,
it evidently leads the world in producing treatable “disorders.”
Way to go, shrinks.
Way to keep your business and income up.]




2010-08-15-NYT-Frances-Good-Grief
Good Grief
By ALLEN FRANCES
New York Times Op-Ed, 2010-08-15

...

The proposed change actually grows out of the best of intentions.
Researchers point out that, during bereavement,
some people develop an enduring case of major depression,
and clinicians hope that
by identifying such cases early
they could reduce the burdens of illness with treatment.


[The obvious question is:
What is the net cost differential?
How much money can be saved by treating these “disorders” early,
versus how much is spent on treating grief
that would just go away naturally, without cost or burden.]


This approach could help those grievers
who have severe and potentially dangerous symptoms —
for example,
delusional guilt over things done to or not done for the deceased,
suicidal desires to join the lost loved one,
morbid preoccupation with worthlessness,
restless agitation, drastic weight loss or a complete inability to function.
When things get this bad,
the need for a quick diagnosis and immediate treatment is obvious.
But people with such symptoms are rare,
and their condition can be diagnosed
using the criteria for major depression provided in the current manual,
the D.S.M. IV.

What is proposed for the D.S.M. 5 is
a radical expansion of the boundary for mental illness
that would cause psychiatry to intrude in the realm of normal grief.

...

[You know, we can go on endlessly driving up medical costs,
finding more and more aspects of life
that call for, in the eyes of some, medical treatment,
and keeping people alive, if not sentient, longer and longer,
the cost be damned.
Why stop with seventeen percent of GDP spent on health care?
Up, up, up with health care spending.

The needy and the greedy meet in the Democratic Party.]


















2011


2011-11-03-NYT-psychology-researcher-Stapel-commits-fraud
Fraud Case Seen as a Red Flag for Psychology Research
By BENEDICT CAREY
New York Times, 2011-11-03

























2013

2013-02-06-NYT-Opinionator-The-Stone-Gutting-the-limits-of-psychiatry
Depression and the Limits of Psychiatry
By GARY GUTTING
New York Times Opinionator, The Stone, 2013-02-06

I’ve recently been following the controversies about
revisions to the psychiatric definition of depression.
I’ve also been teaching a graduate seminar on Michel Foucault,
beginning with a reading of his “History of Madness.”
This massive volume tries to discover the origins of modern psychiatric practice
and raises questions about its meaning and validity.
The debate over depression is an excellent test case for Foucault’s critique.

At the center of that critique is Foucault’s claim that
modern psychiatry,
while purporting to be grounded in scientific truths,
is primarily a system of moral judgments.

“What we call psychiatric practice,” he says,
“is a certain moral tactic . . . covered over by the myths of positivism.”
Indeed, what psychiatry presents as the “liberation of the mad” (from mental illness)
is in fact a “gigantic moral imprisonment.”

Foucault may well be letting his rhetoric outstrip the truth,
but his essential point requires serious consideration.
Psychiatric practice does seem to be based on implicit moral assumptions
in addition to explicit empirical considerations,
and efforts to treat mental illness can be society’s way of controlling
what it views as immoral (or otherwise undesirable) behavior.

Not long ago,
homosexuals and women who rejected their stereotypical roles were judged “mentally ill,”
and there’s no guarantee that even today
psychiatry is free of similarly dubious judgments.
Much later, in a more subdued tone,
Foucault said that the point of his social critiques was
“not that everything is bad but that everything is dangerous.”
We can best take his critique of psychiatry in this moderated sense.

...

Foucault is, then, right:
psychiatric practice makes essential use of moral (and other evaluative) judgments.
Why is this dangerous?
Because, first of all,
psychiatrists as such have no special knowledge about how people should live.
They can, from their clinical experience,
give us crucial information about
the likely psychological consequences of living in various ways
(for sexual pleasure, for one’s children, for a political cause).
But they have no special insight into
what sorts of consequences make for a good human life.
It is, therefore, dangerous to make them privileged judges
of what syndromes should be labeled “mental illnesses.”

This is especially so because, like most professionals,
psychiatrists are more than ready to think that
just about everyone needs their services.
(As the psychologist Abraham Maslow said,
“If all you have is a hammer, everything looks like a nail”).
Another factor is the pressure the pharmaceutical industry puts on psychiatrists
to expand the use of psychotropic drugs.
The result has been the often criticized “medicalization”
of what had previously been accepted as normal behavior-
for example,
shyness, little boys unable to sit still in school, and milder forms of anxiety.

...

Philosophers of psychiatry have raised fundamental objections to
the DSM's assumption that
a diagnosis can be made solely from a clinical descriptions of symptoms,
with little or no attention to the underlying causes of the symptoms.


[I am not a psychiatrist.
But as a layperson, to me
that view seems to bespeak a combination of ignorance and arrogance.]


...

As Foucault might have said,
the psyche is too important to be left to the psychiatrists.




2013-05-07-NYT-psychiatrys-new-guide-falls-short-experts-say
Psychiatry’s Guide Is Out of Touch With Science, Experts Say
By PAM BELLUCK and BENEDICT CAREY
New York Times, 2013-05-07

Just weeks before the long-awaited publication of a new edition of the so-called bible of mental disorders, the federal government’s most prominent psychiatric expert has said the book suffers from a scientific “lack of validity.”

The expert, Dr. Thomas R. Insel, director of the National Institute of Mental Health, said in an interview Monday that his goal was to reshape the direction of psychiatric research to focus on biology, genetics and neuroscience so that scientists can define disorders by their causes, rather than their symptoms.

While the Diagnostic and Statistical Manual of Mental Disorders, or D.S.M., is the best tool now available for clinicians treating patients and should not be tossed out, he said, it does not reflect the complexity of many disorders, and its way of categorizing mental illnesses should not guide research.

“As long as the research community takes the D.S.M. to be a bible, we’ll never make progress,” Dr. Insel said, adding, “People think that everything has to match D.S.M. criteria, but you know what? Biology never read that book.”

The revision, known as the D.S.M.-5, is the first major reissue since 1994. It has stirred unprecedented questioning from the public, patient groups and, most fundamentally, senior figures in psychiatry who have challenged not only decisions about specific diagnoses but the scientific basis of the entire enterprise. Basic research into the biology of mental disorders and treatment has stalled, they say, confounded by the labyrinth of the brain.

Decades of spending on neuroscience have taught scientists mostly what they do not know, undermining some of their most elemental assumptions. Genetic glitches that appear to increase the risk of schizophrenia in one person may predispose others to autism-like symptoms, or bipolar disorder. The mechanisms of the field’s most commonly used drugs — antidepressants like Prozac, and antipsychosis medications like Zyprexa — have revealed nothing about the causes of those disorders. And major drugmakers have scaled back psychiatric drug development, having virtually no new biological “targets” to shoot for.

Dr. Insel is one of a growing number of scientists who think that the field needs an entirely new paradigm for understanding mental disorders, though neither he nor anyone else knows exactly what it will look like.

Even the chairman of the task force making revisions to the D.S.M., Dr. David J. Kupfer, a professor of psychiatry at the University of Pittsburgh, said the new manual was faced with doing the best it could with the scientific evidence available.

“The problem that we’ve had in dealing with the data that we’ve had over the five to 10 years since we began the revision process of D.S.M.-5 is a failure of our neuroscience and biology to give us the level of diagnostic criteria, a level of sensitivity and specificity that we would be able to introduce into the diagnostic manual,” Dr. Kupfer said.

The creators of the D.S.M. in the 1960s and ’70s “were real heroes at the time,” said Dr. Steven E. Hyman, a psychiatrist and neuroscientist at the Broad Institute and a former director at the National Institute of Mental Health. “They chose a model in which all psychiatric illnesses were represented as categories discontinuous with ‘normal.’ But this is totally wrong in a way they couldn’t have imagined. So in fact what they produced was an absolute scientific nightmare. Many people who get one diagnosis get five diagnoses, but they don’t have five diseases — they have one underlying condition.”

Dr. Hyman, Dr. Insel and other experts said they hoped that the science of psychiatry would follow the direction of cancer research, which is moving from classifying tumors by where they occur in the body to characterizing them by their genetic and molecular signatures.

About two years ago, to spur a move in that direction, Dr. Insel started a federal project called Research Domain Criteria, or RDoC, which he highlighted in a blog post last week. Dr. Insel said in the blog that the National Institute of Mental Health would be “reorienting its research away from D.S.M. categories” because “patients with mental disorders deserve better.” His commentary has created ripples throughout the mental health community.

Dr. Insel said in the interview that his motivation was not to disparage the D.S.M. as a clinical tool, but to encourage researchers and especially outside reviewers who screen proposals for financing from his agency to disregard its categories and investigate the biological underpinnings of disorders instead. He said he had heard from scientists whose proposals to study processes common to depression, schizophrenia and psychosis were rejected by grant reviewers because they cut across D.S.M. disease categories.

“They didn’t get it,” Dr. Insel said of the reviewers. “What we’re trying to do with RDoC is say actually this is a fresh way to think about it.” He added that he hoped researchers would also participate in projects funded through the Obama administration’s new brain initiative.

Dr. Michael First, a psychiatry professor at Columbia who edited the last edition of the manual, said, “RDoC is clearly the way of the future,” although it would take years to get results that could apply to patients. In the meantime, he said, “RDoC can’t do what the D.S.M. does. The D.S.M. is what clinicians use. Patients will always come into offices with symptoms.”

For at least a decade, Dr. First and others said, patients will continue to be diagnosed with D.S.M. categories as a guide, and insurance companies will reimburse with such diagnoses in mind.

Dr. Jeffrey Lieberman, the chairman of the psychiatry department at Columbia and president-elect of the American Psychiatric Association, which publishes the D.S.M., said that the new edition’s refinements were “based on research in the last 20 years that will improve the utility of this guide for practitioners, and improve, however incrementally, the care patients receive.”

He added: “The last thing we want to do is be defensive or apologetic about the state of our field. But at the same time, we’re not satisfied with it either. There’s nothing we’d like better than to have more scientific progress.”










2013-09-24-Watson-Lanza-state-of-connecticut-refuses-to-release-adam-lanzas-medical-records
State of Connecticut Refuses to Release Adam Lanza’s Medical Records
Paul Joseph Watson
Infowars.com, 2013-09-24

[(The following paragraph was written on 2013-11-20.)
I have been wondering when the authorities are going to release
a report on Adam Lanza's background,
his interactions with the Connecticut educational system
and whatever health authorities he may have interacted with.
They seem to be taking an awfully long time
to release basic information on these facts.
Today I googled him, and found this article,
which seems to explain part of the reason why such details have not yet been release.
I have to say, there seems something awfully fishy to me to say:
"We can't tell you how we were treating Adam Lanza,
because the knowledge of the truth might cause you to reach the wrong conclusions."
It was once said
"The truth shall make you free."
Evidently some have a different point of view.
Such hidings of the truth from the general public
are all too common, in my opinion, these days.
For example,
major news media, in particular the Washington Post,
refuses to print the race of criminal suspects,
arguing it would "promote stereotyping."

Oh wait, on 2013-11-25,
the Connecticut State's Attorney investigating the Newtown shooting
released his summary report on the shooting.
I have not read it, but newspaper articles summarizing it have stated that
the autopsy of Adam Lanza found no drugs in his body.
If that is correct, so much for the theory stated in the above Paul Joseph Watson article.
But still, at least the news articles in the New York Times and Washington Post
summarizing the Connecticut State Attorney's report
fail to answer the two basic, factual questions I posed above:
What was his educational history?
What was the history of his interaction with the mental health system?]









Ah, here at last on 2014-11-22 appears an extensive report on Adam Lanza's interactions
with the mental health system:
2014-11-22-NYT-before-newtown-shootings-adam-lanzas-mental-problems-completely-untreated-report-says
Adam Lanza’s Mental Problems ‘Completely Untreated’ Before Newtown Shootings, Report Says
By ALISON LEIGH COWAN
New York Times, 2014-11-22


[What I have been wondering about is:
What was Adam Lanza so upset about?
What were the causes of his alienation?
The news article, at least, says nothing about that.
The psychiatrists talk about "treatment" without addressing why the person was upset.
They say:
Don't worry about why this person is acting as he is.
Just chalk it up to "mental illness".
It seems to me that so-called "mental illnesses" often have causes,
and it is both possible and worthwhile to attempt to discern those.
Unfortunately, all too often polysyllabic words like "neurosis", "psychosis", and "schizophrenia"
are used as if they have precise meanings and are "illnesses" that strike people.
It is entirely possible that they are used to avoid recognizing, acknowledging, and addressing
the conditions that caused the behavior that is being labeled as an "illness".
Much like in "domestic violence", where an act of violence against a woman
automatically, to many, makes her a victim and activates the "Don't Blame the Victim" response.]


[The report itself is, as of 2014-11-24, at this URL:
http://www.nytimes.com/interactive/2014/11/22/nyregion/report-on-adam-lanza.html,
also at this one:
https://s3.amazonaws.com/s3.documentcloud.org/documents/1369013/report-on-sandy-hook-shooting.pdf.

On page 3, "Statement from the Authors", it contains the following sentence:

This report cannot and does not address the question of "why" [Adam Lanza] commited murder.

[So there you have it.
These weasels will not address the key question here.
Of course they could address the question.
They no doubt cannot give a definitive answer,
but I simply cannot believe that in Lanza's interactions with the world around him,
his surviving parent (his father), his classmates and teachers, his friends,
and the mental health professionals who interacted with him,
that he gave no clues on what he was upset about.]

Labels: ,

Was John Forbes Nash insane?

A popular film of 1951 (list of 1951 films)
Look magazine: "The best of the science-fiction movies!":


soundtrack to The Day the Earth Stood Still by Bernard Herrmann

Let me tell you, as someone who was a young person in 1951,
that that movie had a great effect on many of us back then.
So far as I can recall,
there was no one who said that such things could not happen.
Not that they necessarily would happen,
but there was no reason to doubt their possibility.
That was the intellectual climate then.



I have noticed that some members of Team PC have been having a jolly old time,
yukking it up about how crazy
the (politically incorrect) mathematician John Forbes Nash allegedly was.
This belief was conveyed to the general American population
by the 1998 book A Beautiful Mind by Sylvia Nasar
and the 2001 Hollywood film of the same title.
I have not seen the film (although I have read Wikipedia's summary of it),
but I have read the book.
The book describes a number of incidents in Nash's life and asserts,
based on the authority of the author and various "experts" whom the author quotes,
that these indicate clearly that Nash was, by some definitions, mentally ill.
She asserts specifically and without qualification that Nash was mentally ill.
In the book's Prologue, on page 17, she writes:
Nash succumbed [to schizophrenia] at age thirty.]
At the top of the front cover of the hardcover edition of the book (12th printing, copyright 1998),
above the title, appears the following in red type:
A legend by the age of thirty,
recognized as a mathematical genius even as he slipped into madness,
John Nash emerged after decades of ghostlike existence to win
a Nobel and world acclaim
But how did she and others arrive at that conclusion,
and why should we, the readers of the book, reach the same conclusion?

She begins the book, at the start of the Prologue,
with a strikingly detailed description of a scene
(the comments in square brackets have been added by the author of this blog):
John Forbes Nash, Jr.
mathematical genius, inventor of a theory of rational behavior,
visionary of the thinking machine —
had been sitting with his visitor, also a mathematician, for nearly half an hour.
It was late on a weekday afternoon in the spring of 1959,
and, though it was only May, uncomfortably warm.
Nash was slumped in an armchair in one corner of the hospital lounge,
carelessly dressed [Is it supposed to be significant that he was “carelessly dressed”?]
in a nylon shirt that hung limply over his unbelted trousers.
[“hung limply”? “unbelted”?
These facts, if true, must be significant to the author,
or she would not have put them in this book.
But what is the significance?
Are “unbelted trousers” a sign of mental illness?
What will the shrinks and those egging them on think of next as a way to smear people?]

His power frame was slack as a rag doll’s, his finely molded features expressionless.
He had been staring dully at a spot immediately in front of
the left foot of Harvard [math] professor George Mackey
[author of, among many other excellent books,
Mathematical Foundations of Quantum Mechanics]
,
Hardly moving except to brush his long dark hair away from his forehead
in a fitful, repetitive [got to watch out for those repetitive acts!
In particular, I also sometimes do things repetitively,
like listening to the same Bach cantata as I am now.]
motion .
His visitor sat upright, oppressed
[“oppressed”? Is that the right word?
Maybe discomforted,
but then is it the job of a person incarcerated in a mental institution
to make conversation with those who visit him?
It seems to me that clearly it was Nash who was the oppressed one in this situation,
not his visitor Mackey.
But the author Nasar couldn't figure that out.]

by the silence, acutely conscious that the doors to the room were locked.
Mackey finally could contain himself no longer.
His voice was slightly querulous, but he strained to be gentle.
“How could you,” began Mackey
“how could you, a mathematician, a man devoted to reason and logical proof …
how could you believe that extraterrestrials are sending you messages?
How could you believe that you are being recruited
by aliens from outer space to save the world?
How could you …?”

Nash looked up at last and fixed Mackey with an unblinking stare
as cool and dispassionate as that of any bird or snake.
[A comparison to birds and snakes?????
Are those the only creatures that have cool and dispassionate looks,
if indeed their looks possess those qualities?
Why, then, the comparison to birds and snakes,
other than a deliberate attempt to smear Nash?]

“Because,” Nash said slowly in his soft, reasonable southern drawl,
as if talking to himself,
“the ideas I had about supernatural beings came to me
in the same way that my mathematical ideas did.
So I took them seriously.”
[Endnote: George W. Mackey, professor of mathematics, Harvard University,
interview, Cambridge, Mass. 12.14.95]

[An aside: That description of a 1959 scene is remarkably detailed
to be recounted in an interview in 1995, 36 years later.
Would one really remember 36 years later
that Nash's shirt "hung limply" and his trousers were unbelted?
I doubt if I would.]

Well, let me break off from recounting parts of Nasar's book
and switch to describing my own reactions to it.
When I first read this book, in 2010
(I had, of course, learned from newspaper stories about the book,
but had not read it.),
I took that passage at face value.
I trusted the author to be an unbiased observer and narrator,
setting out the key facts in Nash's life to enable her readers to understand the man and his environment.
Given the front cover blurb and other background information,
I took that passage as being an indictment of Nash's mind.

But then, some time later, I thought about the general situation in the 1950s,
a period I had and have personal familiarity with,
familiarity which, of course, those born after 1960 certainly do not have.
In fact, discussion of the possibility of the possibility of extraterrestial life
(generally presumed to have reached a far higher level of advancement than "earthings")
was a commonplace event in the 1950s.
Sci-fi films were a staple of the 1950s, I think to a far greater extent
than in more recent decades.
Two I remember in particular were:
but there were many others.
Beyond Hollywood, there was much discussion in the magazines of the time about the possibility of contact with extraterrestrials.
In later years, this talk moved into discussion of "Area 51"
and people who claimed to actually have had such contact,
and even, in some cases, having been abducted by outerspace aliens and taken to their space ships,
only to be returned to earth.
You can read about people making those claims.
I am not aware of people making such claims being, in general, deemed "insane".

Getting back to Nash,
the path to his thoughts that extraterrestrial aliens were trying to contact him,
was a path that general America culture of the time had opened up.
If one asserts now that that claim is absurd on its very face,
one is ignoring the general cultural climate of the 1950s.


As to Nasar's many other descriptions of Nash's behavior,
I often felt the desire to question how "insane" his behavior really was.
For example, she describes how Nash, while walking with a companion,
noted that "There's a dog following us."
My thought: so what?
Do dogs sometimes follow people?
Of course they do.

In general, I wonder how "insane" Nash really was.
She states that he had opinions now described as politically incorrect,
racist, sexist, and anti-Semitic.
Further, she has very extensive coverage of the thoughts of his wife.
She states that his wife,
before she signed the papers that involuntarily committed Nash,
was worried that Nash was going to abandon her and their young son.
Hmmm...

I know nothing about Nash besides what I have read in Nasar's book
and the occasional references to him in newspapers
(although I do have some knowledge of the environment in which he was,
in particular, the intellectual and social life
of a mathematics department of a Boston area university,
and know that the mathematicians whom she quotes uniformly
are very, very well-regarded mathematicians,
and in one case one of the mathematicians she quotes was one of my professors).
But she mentions on the second page of the Prologue
that one psychologist thought Nash was never mentally ill.
I wonder how well-founded the diagnosis of his "mental illness" was.
No doubt some of his other claims, as quoted in the book,
claiming to be "the emperor of Antarctica" and other such claims,
are clearly absurd and delusional.
But the Hollywood film version of the book,
as described in Wikipedia,
contains supposed episodes not described in the book.

Quoting now from Wikipedia:
Some years later, Nash is invited to the Pentagon to crack encrypted enemy telecommunication. Nash is able to decipher the code mentally, to the astonishment of other codebreakers. He considers his regular duties at MIT uninteresting and beneath his talents, so he is pleased to be given a new assignment by mysterious supervisor, William Parcher (Harris) of the United States Department of Defense, to look for patterns in magazines and newspapers in order to thwart a Soviet plot. Nash becomes increasingly obsessive about searching for these hidden patterns and believes he is followed when he delivers his results to a secret mailbox.

Meanwhile a student, Alicia Larde (Connelly), asks him to dinner, and the two fall in love. On a return visit to Princeton, Nash runs into Charles and meets Charles' young niece Marcee (Vivien Cardone), whom he adores. With Charles' encouragement he proposes to Alicia and they marry.

Nash begins to fear for his life after witnessing a shootout between Parcher and Soviet agents, but Parcher blackmails him into staying on his assignment. While delivering a guest lecture at Harvard University, Nash attempts to flee from what appear to be foreign agents, led by Dr. Rosen (Plummer). After punching Rosen in an attempt to flee, Nash is forcibly sedated and sent to a psychiatric facility. He believes the facility is run by the Soviets.

Dr. Rosen tells Alicia that Nash has schizophrenia and that Charles, Marcee and Parcher exist only in his imagination. Alicia investigates and finally confronts Nash with the unopened documents he had delivered to the secret mailbox. Nash is given a course of insulin shock therapy and eventually released. Frustrated with the side-effects of the antipsychotic medication he is taking, he secretly stops taking it. This causes a relapse and he meets Parcher again.

After an incident where Nash endangers his infant son and accidentally knocks Alicia and the baby to the ground (thinking he's stopping Parcher from killing her), she flees the house in fear with their child. Nash steps in front of her car to prevent her from leaving. He tells Alicia, "She never gets old", referring to Marcee, who although years have passed since their first encounter, has remained exactly the same age and is still a little girl. With this, he finally accepts that they are part of his hallucinations. Against Dr. Rosen's advice, Nash decides not to restart his medication, believing that he can deal with his symptoms in another way. Alicia decides to stay and support him in this.

Most of this is not in the book.
It no doubt makes a great story, but it is not in the book.
One may wonder:
did the fact that Nash was worried about Jewish domination of the world
influence how he was portrayed,
both in the movie (with screen play by Akiva Goldsman)
and in general culture?





One other note:
Poor John Forbes Nash was pilloried by various people
for thinking that people from other worlds were communicating with him via the newspapers.
Where on earth could he have gotten such a crazy idea?
Well, not only was there the culturally significant 1950s film The Day the Earth Stood Still,
but also note the following description, from Wikipedia, as of 2014-09-11
(but the emphasis is added by the author of this blog):
The Tom Swift Jr. stories
[which were quite popular with young males in the 1950s]
had stronger science-fiction elements
than the earlier series,
particularly in the later volumes.
One subplot which, beginning on the first page of the first volume,
ran the length of the series, is
Tom's communication, via mathematical "space symbols,"
with beings from "Planet X."

This mystery is never completely resolved
despite the beings sending an artificial "energy brain"
to occupy a robot body built by Tom in book #17 (see illustration [below]).



So, a thought that may seem really crazy in the 1990s or 2000s
may not have seemed so crazy in the sci-fi-obsessed world of the 1950s.
Of course, that is not to deny that some psychologists in the 1950s
did indeed declare Nash insane and requiring involuntary confinement,
just to suggest that some of what was presented in the books and movie A Beautiful Mind may look different if viewed from the cultural context back then.

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Was Bach mentally ill?

2013-08-15

A question most of us surely have is:
How broadly are the specialists in mental health
extending the definition of mental illness?
We see statistics claiming more and more of the population in general,
and young people in particular,
have some sort of problem that the specialists claim should be treated.
In most cases,
we either don’t understand
the detailed diagnosis the professional claims to have made,
or the specific behavior and actions the supposedly ill patient made
that caused the professional to make their judgment.

Well, a recent test case has come to my attention where
the label of “paranoid personality disorder” was assigned to
a person who has been thoroughly studied by many authors,
who indeed have written many books about the person,
and many of us are familiar with at least some of the work product of the person.
Based on our own knowledge,
we may well ask whether we would agree with that judgment.
Thus we may want to challenge either the criteria used
or whether the criteria fit the patient.

The person so labeled is one Johann Sebastian Bach,
born 1685 in Eisenach, Thuringia, died 1750 in Leipzig, Saxony.
His name is a fairly familiar one to most people interested in classical music.
Where was the assessment made, and by whom?
I became aware of it while watching the BBC documentary on the life of Bach
featuring the distinguished British conductor John Eliot Gardiner.

This links to the start of the video.
This links to the start of the dialogue below.
The viewscreen below will play the excerpt on this web page:


Here is a transcript of the relevant part of that documentary,
starting at 1:12:40 and ending about 1:14:22
(The two speakers are
John Eliot Gardiner, conductor and musicologist and
Tamar Pincus, Professor of Psychology)


Gardiner [speaking about a letter he displays]:
It’s the only truly personal letter we have of Bach’s,
in which he’s writing to his old pal Georg Erdmann
(he was the guy that Bach walked with from Ohrdruf to Lüneburg with
when they were both in their teens, early teens) and
Bach is just pouring out all his frustrations about
why the council had not responded to this entworf,
this statement of his intentions,
and Bach tells Erdmann
“My life is full of hindrance and vexation,
but I see no future for myself and my family here.”

Pincus:
One of the features that you might expect to see,
in this inflexible personae, if you like,
is that he would never be guilty.
No matter what happened,
it’s always somebody else’s fault.
Does that ring …

Gardiner:
Yes it does, um…, because
he’s never to blame, he always has a reason,
And his motto, I don’t know if it’s a motto, but something...
it’s like a mantra,
something that comes up again and again, is that
“My life is lived always with vexation and hindrance.”

Pincus:
I have brought you something here,
which is a textbook definition,
and this is paranoid personality disorder,
and these are the characteristics:
  1. Pervasive suspicion of others, distrusting their motives.
  2. Others seen as deliberately demeaning or threatening.
  3. Constantly expect to be harmed or exploited.
  4. Very sensitive to perceived slights.
  5. Fear and avoidance of anything
    that could make them feel or seem weak.

Gardiner:
That’s a perfect description.

Pincus:
The one thing that we do know is that
there is an association with bullying and abuse in childhood.

[At this point the dialogue between Gardiner and Pincus ends,
and an unseen narrator voices:]


“Thanks to the boneheadedness of the city fathers,
and the obvious flaws in Bach’s own character,
his output of religious music now began to dwindle away …”




The letter from Bach to Erdmann, and the surrounding situation,
has been covered in the various biographies of Bach.

The biography J.S. Bach: A Life in Music by Peter Williams
has about a page devoted specifically to the letter,
and a lengthy eleven-page section titled “Character, quarrels”,
which contains the following observation:
If Bach’s un-docile responses to criticism
and to the machinations of those around him
now appear aggressive, truculent or at the very least self-protective,
a positive interpretation would be that
however naturally irascible or simply impatient he was,
any problem he perceived got in the way of his musical priorities.
Whatever hindered his creative duty would not be tolerated.
Any apparent territoriality
and any questionable behavior around job-applications or money-matters
were not at all outside conventional practice,
though no doubt they are revealing.
For a young musician simple ambition,
as when he left Muhlhausen after only a year
and before seeing through the organ-project,
was not unreasonable,
and to counter the usual adulation of J. S. Bach today
by accusing him of an
‘unmistakable harsh edge .. famously confrontational …
a pervasive sense of persecution and an attitude of spiteful defiance’
(Robert L. Marshall, ‘Toward a twenty-first-century Bach biography’,
The Musical Quarterly 84 (Fall 2000), page 502),
would be an exaggeration in the other direction.
Rather, he could simply have found that,
unlike the Weimar duke or the Cothen prince,
his church and school superiors in Leipzig
stood in the way of his work as creative musician.
....

Six particular moments of contention during his Leipzig years,
known from documents and quite possibly indicative of others not documented, deserve attention.
Some were more serious than others:
...
August 1730:
Reproached by the main town council
(under the two consuls and burgomaster)
for dismissing a chorister, being absent without leave, failing to teach
(i.e. in some or all of the seven hours musical instruction scheduled per week)
or supervise his substitute
(all this without offering an explanation),
failing to take a singing class,
showing little pleasure in work,
and generally being incorrigible.
[Emphasis in the original.]
Some payment to be withheld.
A few weeks later, but before writing to Erdmann
[see the section on that subject],
he was denied additional payment for temporary extra duties
but applied again the following year of so,
despite having had no known extra duties...
Williams goes on to discuss the mitigating circumstances in each of the six cases.


Another biography which discusses the Erdmann letter at length is
Johann Sebastian Bach: The Learned Musician
by Christoph Wolff,
which discusses this letter and the surrounding situation
in the ten-page section titled “At a crossroads”
in the chapter dealing with Bach in the 1730s.

Here are extended extracts from that section:


[After discussing several perhaps positive developments
in Bach’s situation in early 1730,
Wolff writes the following:]
It aeems all the more puzzling then, that
despite these mostly favorable developments,
Bach seemed to find himself at a crossroads,
as he makes clear in a letter of October 28, 1730,
to his classmate from Latin school days, Georg Erdmann:
This post was described to me in such favorable terms that finally
(particularly since my sons seemed inclined
toward [university] studies)
I cast my lot, in the name of the Lord,
and made my journey to Leipzig, took my examination,
and then made the change of position
[from his previous position as Kapellmeister [Director of Music] at Köthen].
Here, by God’s will, I am still in service.
But since
(1) I find that the post is by no means so lucrative
as it was described to me;
(2) I have failed to obtain many of the fees pertaining to the office;
(3) the place is very expensive; and
(4) the authorities are odd and little interested in music,
so that I must live amid
almost constant vexation, envy, and persecution;
accordingly I shall be forced, with God’s help,
to seek my fortune elsewhere.
Should Your Honor know or find a suitable post in your city
for an old and faithful servant
[Bach was 45 at the time of writing],
I beg you most humbly to put in a most gracious word of recommendation for me—
I shall not fail to do my best to give satisfaction
and justify your most gracious intercession in my behalf.
My present post amounts to about 700 talers,
and when there are rather more funerals than usual,
the fees rise in proportion
but when a healthy wind blows, they fall accordingly,
as for example last year,
when I lost fees that would ordinarily come in from funerals
to an amount of more than 100 talers.
In Thuringia I could get along better on 400 talers
than here with twice that many,
because of the excessively high cost of living.

[from the New Bach Reader, no. 152]


This is a set of extraordinarily honest statements
made in a private letter by a frustrated man
who had never failed to do his best
but had waited in vain for official recognition of his accomplishments
over seven years as composer and performer of
an unparalleled repertoire of music for Leipzig’s main churches.
Bach now painfully realized that his regular income as cantor
depended in part on soft money
and that, for example, the “more than 100 talers” from funeral fees
could not be counted on.
In addition, he now understood much better
the cost of living in a large commercial city
ten times the size of a small princely residential town.
He also saw the discrepancy between a fixed salary of 400 talers
and the misleading—even outright false—
promises of “favorable terms” (1,000-1,200 talers)
described to him in 1723 when he applied for the cantorate.
...

Why did Bach reveal his dissatisfaction to Erdmann?
The two had last exchanged letters in 1726,
but it is clear from the opening of Bach’s 1730 letter
that he wanted to respond to a request from his old friend
to provide “some news of what had happened to [him].”
So writing the letter gave Bach, above all, an opportunity to let off steam.
...

The immediate context for the fourth point raised in the Erdmann letter—
“the authorities are odd and little interested in music”—
may be garnered from the memorandum Bach had sent two months earlier,
on August 23, 1730,
to the Leipzig city council
and to which he had not yet received a reply
(which never materialized; perhaps the Erdmann letter was even prompted by
a verbal notification that there would be no reply).
In this memorandum, which he titled
“Short but Most Necessary Draft for a Well-Appointed Church Music,”,
Bach outlined his concept for significant improvements
and demanded better pay for his instrumentalists,
who, for worry about bread, “cannot think of improving.”
...

From Bach’s perspective, it was indeed an odd government
that expected him to bring luster to the city by mounting regular performances
of the finest conceivable church music
with essentially the same setting and budget
that [his predecessor] Kuhnau had had at his disposal.
How could they expect him to attract and inspire the university students
with stipends that “should have been increased rather than diminished”?
The authorities were indeed showing little interest in music
if they would not even agree with his concept, let alone meet his demands.
From their own penny-pinching perspective, however,
it was hard to understand why the cantor needed more money.
To their ears, the performances went well,
and they were surely impressed with
a work of such unprecedented proportions and size of performing forces
as the St. Matthew Passion.
They thought the cantor was doing very well,
raising funds for his projects by selling text booklets and by other means,
and even enlarging his pool of musicians
by drawing the Collegium Musicum from the New Church
into the musical establishment at St. Thomas’s and St. Nicholas’s.
If he was able to attract the best musicians in town, why spend more money?
But the authorities did not understand how much Bach struggled;
they did not see that he was weary of
asking his musicians to play for very little or nothing,
and that these musicians were forced by circumstances
to accept money-making engagements for weddings and other private events
rather than take the time to practice and rehearse Bach’s challenging works.
Most of the city fathers thus failed to understand Bach’s primary concern, namely
“that the state of music is quite different from what it was,
since our artistry has increased very much,
and [as] the taste has changed astonishingly,
and accordingly the former style of music
no longer seems to please our ears,
considerable help is therefore all the more needed
to choose and appoint such musicians
as will satisfy the present musical taste,
master the new kinds of music,
and thus be in a position to do justice to the composer and his work.”
The intent of Bach’s memorandum could not have been more to the point, but

the council apparently lacked the political will to respond positively;
and
the long-standing skepticism
about the ambitious capellmeister-cantor
among councilors who wanted to see
more of a modest schoolmaster-cantor

did not help.

[In other words,
while Bach may be writing the greatest music the world has ever known,
he was also a money sink,
and all that great music may be of interest to future generations,
but it wasn't helping the current residents of Leipzig that much.]

...


Back to comments by the author of this blog.
I have included these somewhat lengthy excerpts in this post
to show that Bach was having
very real and quite understandable conflicts with his authorities
at the time he wrote his letter to Erdmann.
Yes, Bach had tunnel vision, was focused on the success of his music program,
and also on his compensation and thus the place in the larger society
his superiors granted him.
On the other hand,
his superiors had many other needs and demands to juggle
besides those Bach was asserting.
Conflicts such as this are routine in all societies, in all eras.
Bach, in complaining about “vexations and hindrances” from the authorities,
was not exhibiting paranoia, but rather an accurate description
of the conflicts he was having.
It would seem fair to describe him as grandiose and temperamental,
but not paranoid.

Thus it seems unreasonable to me that
the expert on Bach (Gardiner) should so emphatically assert that
the “textbook definition” of “paranoid personality disorder”
was “a perfect description” for Bach,
and that the psychology professor
(who one would think had familiarized herself with Bach
at least to the level of reading
the well-known and highly-regarded biography by Wolff
quoted from above before appearing on the program)
would allow Gardiner to apply her “textbook definition” to Herr Bach.
But maybe such harsh judgments on the giants of the past
improve the ratings and the “buzz” for the program.











The following is here temporarily, until I make a better place for it:

The following is from pages 170–172 in the chapter ‘The Incorrigible Cantor’ in John Eliot Gardiner’s 2013 book Bach: Music in the Castle of Heaven.

Replacing [the cruel Johann Heinrich] Arnold as cantor [of the Michaeliskirch, where Bach sang as a chorister, and his form master in the tertia phase of his schooling] was the 23-year-old Elias Herda.
[Footnote:
Herda (1674–1728), a farrier’s son from near Gotha where he went to school, went on to spend two years in northern Germany as one of those Thuringian boys much sought after ‘for their musical skills’ and recruited for the Mettenchor of the Michaeliskirch in Lüneburg.
He subsequently trained for the priesthood at the University of Jena and was about to be ordained in Gotha when the call came for him in Jan. 1698 to audition for the cantor’s job in Ohrdruf in succession to the disgraced Arnold.]

Getting wind of Bach’s plans to move to Lüneburg in 1700 and having spent his own teens at the Michaelisschule,
Herda could (and perhaps should) have warned him that membership of the Mettenchor there included more than just daily choir practice and the liturgical singing of an exciting new repertoire in a protected environment: that as likely as not it entailed street-singing or busking that often led to fisticuffs.
[Footnote:
The larger twenty-strong chorus symphoniacus was one of only two Lüneburg choirs (the other being attached to the Johannesschule) which took part in frequent street-singing in front of well-to-do burghers’ houses, hopeful of charity—or, if we are to believe one commentator,
‘thriving on chance charity passed from the windows to put an end to what was frequently an irritating noise’.
Busking in Lüneburg was initially popular—obviously with the choristers as a desirable perk—in fact it was one of the best sources of supplementary income, though Bach himself started in May 1700 in ninth place with a mere twelve groschen.
Initially the citizens welcomed it, too.
But what began as harmless rivalry between the two Currende choirs soon acquired a nasty competitive edge as they fought over turf, each seeking out the wealthier streets and the most lucrative front doors, reserving the best times of day and squabbling over the distribution of rewards….]

During the last third of the seventeenth century, street brawls between the two choir schools in Lüneburg had developed unchecked while the burghers stood by, impotently wringing their hands.
It seems the choir prefects planned the pitched battles, dictating the no-go areas and the territorial division of the town between these embryonic Jets and Sharks or Mods and Rockers.
The town council passed innumerable protocols and by-laws in its attempt to bring some sort of order into what eventually erupted into gang warfare, an eight-year Sängerkrieg (1655–63).
At one point [the endnote references a letter dated 1660] they even contemplated bringing in the army to sort things out.
No doubt Herda stressed the standard virtues of boy choristers—modestia, pietas et diligentia—and advised Bach to keep out of trouble and set a good example.

But, as already suggested, there are no grounds for supposing that Bach was such a model boy at any stage during his school years—nor for assuming the same of his mentor Elias Herda.
In the Lüneburg town archives there is a document labeled ‘The Investigation and Punishment of the Schoolboy Herda’ based on the sworn testimony of a respectable citizen.
Sometime around 1692 [when Herda was 18] Herda had been spotted with an accomplice [!!] in a local hostelry looking for trouble [!!] — ‘undoubtedly [!!] with the intention of starting a brawl, as they were thoroughly drunk and had [placed] their daggers on the table, and were arguing about nothing other than slashing and stabbing with [their] dirks and hunting knives’.
[Gardiner assumes that blustery talk would lead to action.]
The plaintiff, who had known Herda for the past three years and previously thought well of him, was incensed by his anti-social behavior.
That evening, making his way home, he was accosted by Herda, who called him a ‘rogue, thief, and swine’ —a felony which in parts of Germany incurred the legal requirement to make a public apology and a six-week gaol sentence.
The citizen now wanted satisfaction and proper assurances from the school authorities that Herda would be suitable punished for ‘such grievous and bare-faced insults’.
The incident reveals a different side to the character of someone who has previously been portrayed as Bach’s erstwhile savior and unofficial godfather, whose motto seems to have been:
‘Do as I say, not as I do.’
[Gardiner might have noted that a cantor of age 23 might have matured from when was a student of age 18.]
With the example of a former gang-leader-turned-respectable before his eyes,
Bach may have followed a similar path.
[I do not know what other facts Gardiner may have in mind, but based on those he has just set forth in the above passage, that seems a grossly unfair description of Herda.
In the first place, recall how Gardiner introduced the phrase “gang warfare”:
“gang warfare, an eight-year Sängerkrieg (1655–63).”
Herda was not born until 1674, eleven years after the “gang warfare” described by Gardiner ended.
Was there additional “gang warfare” during Herda’s time at Lüneburg?
None that Gardiner has bothered to document in his book.
Gardiner does document rowdy behavior by Herda with one of his peers, and insulting a “respectable citizen”.
But that hardly qualifies as gang activity, at least in my view, let alone making Herda a “gang leader”.]

There is certainly sufficient circumstantial evidence here to dent the traditional image of Bach as an exemplary youth, on his way to becoming ‘the learned musician’, surviving unscathed the sinister goings-on in the schools he attended.
It is just as credible that the bewigged cantor-to-be was the third in a line of delinquent school prefects—a reformed teenage thug.

[This is manifest guilt by association.
Whatever mistakes Herda may have made in his earlier years cast light on Herda’s character, not Bach’s.
Why on earth should Bach be tarnished by the earlier mistakes of one of his teachers?
And as to what Herda really did, as Gardiner has described it, it never reached the level of actual physical violence, but just talk.]

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