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Anna is the harrowing story of a beautiful young woman's mental breakdown and descent into madness-and of her husband's decision to take of her at home, surrounded by her children, family, friends, and sensitive "helpers," rather than permit her to be institutionalized and sujected to electroshock therapy.
Everybody meant well-from the family who wanted to save Anna's individuality and human dignity, to the doctors who thought that caring for her at home might work, to the psychotherapists, most of them of the Laingian persusion, who thought that in time the problem would disappear. But nothing disappeared. Instead came pure horror, rape, attempted murder, and the agony of Anna's lingering death from self-inflicted burns.
"Anna" and "David Reed" are pseudonyms, but Anna is a tragically true story. Every painfully revealing biographical detail, every lacerating description of the inexorable destruction of Anna's life is recorded with devastating honesty. The names have been changed in order to protect the living; none of us, on reading this profoundly disturbing book, can know how we would behave if confronted by this appalling dilemma.
Anna is the most powerful and moving story of love and the tragedy of madness to be published in our time.
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Mullan has brilliantly effaced himself so that you get 100% Laing direct. And a Laing worthy of his better reputation. Mullan limited himself to brief preface and introductions and, during the interviews, short guiding comments and questions. Another interviewer might have cluttered the interviews with his/her own agenda and introduced the book with lengthy analysis, all of which would have obscured Laing. Undoubtedly Mullan also had a mark in selecting and editing the interviews, but what he achieved was this wonderful effect of making the reader feel like he/she is alone with Laing listening to Laing pour out his life in great detail, with great feeling, and without pulling any punches.
In the section on "Influences", Laing's amazing retention and grasp of his existentialist sources is illuminating. In "Kingsley Hall", you get an inside scoop, with lots of warts acknowledged, on this famous and infamous experiment. These conversations are an invaluable complement (and more) to the other sources on Laing, including Laing's own books.
"Great men have great weaknesses": I was struck by how negative Laing was about many of his contemporaries including coworkers. He seems to have distanced himself from many people. As much as Laing seemed to understand Existentialism, my impression from the section "Buddhism" was that his understanding of Buddhism wasn't especially strong. He claimed to have been credited with having a rare kind of "Nirvana consciousness". Do you need a credited consciousness? At any rate, even with Buddhism, Laing poured himself into it and was not shy of insights.
Whether Laing had a "Nirvana consciousness" or not, he was most certainly extraordinary in these interviews. You'll feel why Laing was special if you read "Mad to be Normal". And you'll have a great context for understanding any of Laing's major books.
Mullan has done Laing a special favor. And us.
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To be well-adjusted to our modern dysfunctional society is not healthy for the individual or society. Who is more dangerous? Laing asks: the psychotic who mistakenly believes he carries a hydrogen bomb in his stomach or the perfectly adjusted B-52 bomber pilot who will drop very real hydrogen bombs when ordered to do so?
The chapter titled "The Bird of Paradise" is hypnotically poignant in exploring the inner world of thoughts and emotions. Laing was much more than a scientist. He was a visionary who shed light on the dark role of pscyhiatrists as voodoo-like priests and purveyors of social engineering.
Some of the content I don't buy: the focus on madness as a positive journey and the de-emphasis on inborn factors that may lead to "schizophrenia".
But as an example of compelling writing, of a writer putting his heart into his work, I don't know of any rival to this book.
But there's a lot more than writing style here. This is one of the strongest challenges to us "normal" folk about the potential we may have tossed away in exchange for a fit in our troubled society.
This isn't a book that tells us what to do or that sells some old tradition. This is a book that tells us how it seems ... to someone uniquely qualified and extraordinarily concerned about our well-being.
Laing was a great gift to the world and this is his greatest book.
Many ancient cultures value and even encourage temporary forays into "insanity" when the initiate goes to ask the gods about the meaning of life. We have lost these initiation experiences and when they occur spontaneously in the most sensitive members of our society, as they are wont to, the psychiatrists classify these people as insane, drug them heavily and, if they encounter resistance to their authority, lock them up. The loss, sadly, is all ours. As Laing says: "our sanity is not *true* sanity. their madness is not *true* madness. ...The madness that we encounter in "patients" is a gross travesty, a mockery, a grotesque caricature of what the natural healing of that estranged integration we call sanity might be. True sanity entails... dissolution of the normal ego, that false self competently adjusted to our alienated social reality ".
Our culture is a secular one in which the mystery of death and rebirth has been lost. We therefore lost the ability to help people who have stumbled into the ever-shifting universe of ego dissolution. Even worse, our psychiatry is designed to further push them into helplesness and fragmentation of the self. What should be a joyous experience, a journey into the divine, becomes a journey into hell, a true loss of the soul. Laing, in this precious book, eloquently uncovers the heartless and soulless machine that has been entrusted with this process - and that has failed, millions upon millions of times, to bring light into the darkness.
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Existentialism may, in some hands, support healthy therapy but it can also serve, as it seems to in this book, as:
a) a largely empty explanatory system, i.e. a rich set of concepts that enable one to create a great story about what is going on with someone, but a story that leads nowhere outside of itself. Satre's "Saint Genet" seems such an application, an interesting framework perhaps for a "biography" but layered in fictitious play.
b) a false comfort system that encourages troubled people to see themselves as an important part of some global battle against alienation and, in Laing's version, toward ecstasy ... instead of facing real immediate needs.
Getting a job may be more important than ecstasy. Taking a pill may be wiser than considering one's "false self" or going further on some great voyage toward transcendence. True, Laing has acknowledged the value of pills and the possibility of genetic/biochemical causes, but, as seen in this book, that was a very tiny part of his concern. What he wanted, this overcoming of the false self, this ending of violence has turned out to be largely orthogonal to the needs of the psychotic, for many of whom the right medication and daily routine has enabled them to enter the mainstream of society productively. Whether existence precedes existence was of no consequence to these people in getting well; now that they are, they can decide to what extent existentialism and Laing's vision counts. My impression is that, except for the great contribution he has made in encouraging compassion to them, his analyses matter very little and rightly so. It's unfortunate that his great compassion (and writings on) got mixed in with his attempts to apply existentialist notions, which tend to be very complicated and lead to a system as dangerous as Freud's in its abuse of speculation masking as truth.
Kingsley Hall, as described by Laing himself in interviews, was a compassionate start at providing humane mental health treatment, but therapeutically a mess. Sartre is vastly less effective than some of the growing number of anti-psychotic medications and it does a great disservice to the many of the mentally ill to suggest otherwise. Despite some disclaimers, Laing, as in "The Divided Self" and "The Politics of Experience", has done just that. He witnessed some terrible medical practices and he recognized they were so and called attention to that, but then he opted for mind games like existentialism and knots instead of providing practical guidance. "The Divided Self" is great in some ways and, for a young man of 28, forgiveable.
Nonetheless, "The Divided Self" is a bad book for most anyone who is mentally troubled and it is a bad book for most anyone who will be dealing with anyone mentally troubled. Boring practical choices made day to day are infinintely more useful than existentialist analysis and fantasies of transcendence.
Psychiatric dogma says that Schizophrenics are incapable of human relationships; that it is impossible to meaningfully dialogue with schizophrenics. Laing in this work develops an existential account of madness, which is in direct opposition to the modern dogma of psychiatry. He shows, with the aid of case studies, that madness should be viewed from the 'inside'; that is, people diagnosed as psychotic should be understood; a conversation/relationship should and can be developed. This is the very thing to be avoided according to the modern idea that the mentally ill are merely objects of 'scientific ' enquiry; patients to be diagnosed and treated.
Also developed in the book is the idea that public sanity is not identical with wisdom or truth. As Laing says early in the book " ... The cracked mind of the schizophrenic may let in light which does not enter the intact minds of many sane people whose minds are closed". This is not altogether new, Socrates saw "the superiority of heaven-sent madness over man-made sanity". The idea seems to have been lost in our current culture where the standards of sanity and reason are in large part intellectual constructions; formed by supposed 'experts' of the human condition or by the sloganistic and emotive words of public opinion devoid of all fixed meaning.
The book is informative and just great reading.
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Burston has divided the biograpy roughly in half. First comes the standard chronological presentation, then an analysis of Laing's thoughts and concerns. This meaty but quite readable analysis includes assessment of Laing's philosophical assumptions, his position on psychoanalysis, and his place within psychiatry.
Burston effectively reminds us that, whatever his failings and however large his fall from popularity, Laing's work still presents challenges and promises values which we would be foolish to ignore. Blessed with a great mind, R.D. Laing also forged a wonderful heart: too many other therapists forget that our suffering needs both.
By the end of the 1960's Laing was a dinosaur rather than an innovator. He was still blaming parents for their children's mental illness and advocating treating schizophrenia without medication. When I came to America in 1963 psychanalysis was dominant in psychiatry here. By the time time Laing died in 1989, psychanalysis was no longer taken seriously by most psychiatrists. I suspect that part of the reason for Laing's tragic self-destructive behavior came from the dawning realization that his treatment methods did not work for schizophrenia. Unlike Bateson and many of the American neo-Freudians, who were not MD's, he was a psychiatrist who undertook clinical responsibilities. Having set himself up, or been set up, as an omniscient healer he found he could not help those who turned to him.
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This work is written in a conversational but educated tone that lends itself nicely to the subject matter.
Highly recommended if you have not read all the others.
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Notable for some very obvious but otherwise-by-others neglected observations: standard doctors are called in to intervene in medical emergencies; psychiatrists are called in to intervene in social crises PRESUMED to be caused by medical emergencies. What's endearingly called the medical model is not some magical talisman kept in a velvet case until use; it's the set of procedures in which all doctors are trained. Laing just believed it was inadequate when applied to social situations, ones in which some ONE is the problem & if that some ONE "gets right," everything'll be OK.
Whether you believe that a real medical malady called mental illness has a genuine pathological etiology that can be diagnosed & treated, the fact remains that one gets diagonsed on the basis of conduct & not on the basis of that medical malady.
As in the much better-formatted "Sanity, Madness & Family," Laing shows us that once we see what people in those situations are trying to do & what they're succeeding at doing, it's difficult to understand why any one person in that situation gets diagnosed at all.