My reaction to the overall illness can be summed up by one word—shock.  When most people think of bipolar disorder, they think of their friends or their parents and how they are always moody.  This is how I viewed it too.  I knew that bipolar disorder consisted of alternating bouts of sadness and euphoria, but I did not understand the gravity of these cycling moods.  I, like many, believed that the disorder was mainly just constant moodiness.  After doing this project, however, I realize the severity with which these moods affect a patient.  I had no idea that it was even possible for someone to go from a deep, dark depression to a manic or euphoric state of being so quickly.  When I suffered from my own depression, I was in a perpetual state of sorrow and hopelessness.  If someone told me that there are others who feel the same but switch to extreme elation in a matter of days, I would not have believed them.  To be cured of such depression seemed almost impossible, especially not only being cured but being happy.  I lacked any and all motivation to get up in the morning, so reading how someone could stay up for hours and barely require any sleep to function blew my mind.  The seriousness of manic-depressive illness is unknown to so many people in the world which is such a shame.

I truly gained so much knowledge from this project and I am so thankful to have learned what I did.  Not only have I learned about manic-depression, but I have learned about other disorders as well.  Meeting with individuals from other groups was an enriching experience and really added to my accumulation of knowledge.  The disorder I found most fascinating was schizophrenia, with its delusions and fine line between reality and imagination.  The schizophrenic becomes consumed with his or her alternate universe and cannot always tell the difference between it and reality.  To live in a world all your own is so interesting and to live it for just a day would be an enlightening experience.  OCD is also an intriguing illness.  Everyone has their own ticks, but to experience them on such an intense level is nearly unimaginable.  When I see people biting their nails, or playing with objects, it is so ordinary that nobody thinks they may actually have a disorder.  Now that does not mean that everyone who has a specific quirk is OCD, but it is possible.  I will forever remember the insight I gained from this project and the affect it had on me.

 
An individual should not be forced into therapy because it is simply counterproductive. Therapy will never work until the individual sees the problem, recognizes that there needs to be a change, and wants to be cured. A successful recovery requires the unrelenting dedication of both the patient and the doctor. Anyone who is forced into doing something they don't want to do normally retaliates and displays blatant insubordination. The same goes for institutionalization: there will be little effect on the patient if they are forced into a mental institution. The best avenue toward a speedy recovery is keeping the individual in touch with reality and normal daily routines. Stability outside of their unstable mind can be reassuring for the patient. Unless the individual is a clear threat to either his/herself or others, I don't believe forcing institutionalization is at all necessary. Furthermore, if it is dangerous for that person to be in a populated area, then it is probably best for everyone that he/she be taken out of that environment. However, this does not mean that they should be shunned from family and friends; it is pertinent that they remain in contact with all familiar people. Thus, there should be no consequences for refusal of treatment unless the client poses an imminent threat.
 
Something as life threatening as mental illnesses should be funded by the government to ensure the safety of its citizens. Treatment is a necessity to those diagnosed and for them to have to live life without it would be devastating. A family suffering from poverty with a mentally ill child should not be shunned, but helped. Standard health care is expensive enough as is and with all of that money going toward government provided health care, treatment should be completely covered. Mental illnesses aren't on the same severity level as a cold or the flu, they are life-long illnesses that need professional help; they can’t be cured by “popping” a couple Advil or Sudafed! A family can’t be responsible for the over-priced costs of treatment for those in need. If a family were to have to pay for the entire financial costs of treatment, the proper amount and specialization would not be met; families would simply cut corners to save money. Mental illnesses are nothing to mess with and treatment for them needs to be funded entirely by the government. 
 
From personal experience, I know exactly how a person might feel if someone that he/she cared about developed a psychological disorder. These disorders destroy relationships, especially between family members. For example, if a child attempts suicide, the siblings and parents may feel betrayed and ultimately shut out the individual from their lives. How a loved one should handle the illness is by creating a peaceful, nurturing environment filled with support and love. The patient needs to be taken care of, no matter his or her mental or physical capabilities. Loved ones need to make sure the patient is taking his/her medication regularly and always stay in close contact. This is most necessary with an individual with depression, for suicide is a continual threat. This, however, is not always the case and so many disorders go unnoticed, leading to unexpected suicides.
 
In An Unquiet Mind, Jamison deals with her mental illness on her own terms; or at least she tries. For quite some years she denies that medication will help her and chooses to cope by herself the manic cycles and depressive cycles. She received mainly cognitive therapy, and regularly visited a psychiatrist. Being a doctor of psychiatry herself, it was not uncommon that she visits psychologists often. She saw many different therapists and psychiatrists throughout her illness and responded differently to each one. There were some doctors whom she really liked and became friends with, and others who really didn’t have much of an impact on her. I think going to therapy helped her in that she eventually admitted to herself that she needs to make a change in her life.

Jamison, throughout the memoir, took varying dosages of lithium. She knew the lithium helped, but she craved the excitement that her manic episodes brought her. So, she quit taking it on several different occasions, each time slipping back to her alternating moods. In the end, she recognized the medication’s importance and, although she had to sacrifice wild passion, she now continues to take it regularly. According to Jamison, medication should always be administered to patients with mental illness and she practices what she preaches, administering them to her own clients. Support from friends and family also aided in her recovery, especially the support from her brother. He helped her get her feet back on the ground when she entered into economic turmoil, and was always available for moral support.

As stated in the epilogue, Jamison would choose to have manic-depressive illness if given the choice. She appreciates her experiences with the illness and how it has helped to shape her mind. However, if lithium was not readily available she would never wish the illness upon anyone, especially not herself. Jamison found peace of mind through her own realizations. When she evaluated her life, cluttered with impulsive purchases as expensive as $30,000 and destroyed relationships, she felt miserable and psychotic. Most importantly, she never would have found equilibrium in her life without the blessing of lithium.
 
Synopsis:
As Good as It Gets is about a man named Melvin and his two acquaintances: Simon and Carol. Melvin is a cranky writer who has obsessive-compulsive disorder (OCD). After his neighbor/acquaintance (Simon) was robbed and hospitalized, Melvin was forced to watch over his dog. Over the course of a few weeks, the dog grew on Melvin and later in the movie we saw that the dog preferred Melvin over his original owner, Simon. After being robbed and hospitalized, the medical bills made Simon broke. He needed money and the only way he could get some was to ask his parents which he never talks to. Meanwhile, Carol, Melvin’s waitress of choice and acquaintance, has a son who is in and out of mediocre emergency rooms multiple times a week and is in need of a real doctor. Melvin had a very distinguished doctor go to Carol’s house and take care of her son (at Melvin’s expense) so that Carol could go back to work and serve Melvin (an odd act of kindness). Melvin was “guilted” into driving Simon to his parent’s home in Baltimore and made Carol go along with him. On this trip, Melvin “ticked off” Carol a great deal by his negative comments and lack of censoring what comes out of his mouth. The pissed off Carol became close with the depressed and broke Simon, pushing Melvin out of the picture. In the end, Simon moved in with Melvin and Melvin and Carol’s relationship grew to the boyfriend/girlfriend stage.

Reflection:
At first, Mr. Udall bothered me immensely.  I could not stand how he treated Simon and Frank.  Don’t get me wrong, it is still unsettling for me, I just better understand why he treated them the way he did.  Simon and his puppy, Verdell, were so cute and I could not help but smile when they came on the screen.  Verdell, I believe, really contributed to Mr. Udall’s change, but it made me sad when he became more attached to Melvin than his actual owner.  Simon loved Verdell so much and after losing his home, his possessions, and his health, it must be devastating for him to lose his best friend too. 

Carol and her son Spence have such an unfortunate circumstance, for his health is slowly deteriorating.  Mr. Udall’s generous contribution to his recovery was so kind that I could not help but forget his mean treatment to Simon.  The compliments Carol receives are also so kind-hearted and thoughtful.  When Simon is beaten in his home, I was confused why those criminals had to hurt him so severely.  It is not like he fought back or was an impending threat to them.  Was it because they thought he was molesting the boy?  What also confused me was Carol’s demeanor with Melvin.  I did not get why she does not understand his illness and that he cannot control his outbursts.  In addition, I am rather perplexed about how Mr. Udall’s psychiatrist treats his patient.  I grieved with Melvin when he is kicked out of the restaurant, for having the same daily routine is beneficial for his recovery.

Overall, I thought the movie was okay.  It is unquestionably not my favorite movie, but it is entertaining none the less.  The plot of the movie is cute, but there are times when it just does not flow well.  It is an interesting movie and is very insightful, yet there are flaws.  The storyline is quite cliché, but the addition of Simon makes it different from any other romantic-comedy. 

 

 
Synopsis:
A Beautiful Mind is about a man named John Nash and his life struggle with schizophrenia. In the beginning of the movie, John was a grad student at Princeton. While there, he kept mostly to himself and his roommate Charles, but at the same time was trying to come up with a unique and new mathematical theorem. Later in the movie, John became a professor at MIT and married a girl named Alicia (a grad student at MIT at the time). Later in the course of John’s life/the movie, he was diagnosed with schizophrenia and became institutionalized, learning that his former roommate, his former roommate’s adopted daughter, and his job as a department of defense informant were all hallucinations. Eventually and gradually John started researching/teaching again and earned himself a Nobel prize.

Reflection:
I thoroughly enjoyed A Beautiful Mind, with its thought-provoking storyline and its many parallels to real life.  John’s hallucinations are so real that it was utterly shocked to learn they are all just projections of his schizophrenia.  He truly does have a beautiful mind, even though it at times poses an imminent danger to himself and those around him.  For example, his hallucination, Parcher, orders John to “finish” his wife because she tries to notify Dr. Rosen of his sudden stopping of his medication.  I grieved for his wife, Alicia, for she dedicates her life to the recovery of her husband.  I sobbed uncontrollably when she gets so angry she punches the bathroom mirror.  I cannot imagine how it must feel for your husband to be unresponsive to your desperate solicitations of love. 

The medication that John takes makes him lose his euphoric state of mind and his “code-breaking” skills.  His fascination with numbers is inspiring but you quickly learn it is due to his illness.  Not only did I cry when Alicia’s love is denied, but I cried when she watches her husband endure electroshock therapy, knowing he must have five treatments a week for two weeks.  If I had to watch a loved one undergo such excruciating treatment, I would be scarred for life, never looking at my beloved the same way again.  The most shocking part of the movie, for me, is when he leaves his baby in the bathtub claiming that someone is there taking care of him.  The fear Alicia must have felt at that moment is almost unbearable to even imagine.  Despite the trauma portrayed in the movie, the ending makes up for it with his receiving of pens from his colleagues and finally learning how to ignore his delusions.  The fact that they still haunt him in his last years is daunting, but it is awesome how he can control them.  When he receives the Nobel Prize for his work in economics truly made me smile, and I had one of those “proud parent moments.”  Overall, the movie was impeccably executed and I absolutely love this movie.
 

Discussion of the Book

Tillie:
  • Happy when she finally admits to herself that she can’t live without the lithium
  • Confused as to why she bought a horse and  I agree 
  • Finds her actions repetitive, that she didn’t need to include all that she did 
  • Thinks that Kay’s brother is so nice and generous for helping her with her recovery 
  • Surprised at how much money she truly spends during her manic cycles: $30,000 on jewelry and snake bite kits
Jordan:
  • Surprised that if Kay was given a choice to have bipolar disorder or not, she would choose to have it. Kay likes having more intense feelings about things and feeling deeper emotions. 
  • Frustrated that she continually refused to stop taking her lithium because Kay knows it helps her but still doesn’t take it; Tillie and I agree that it is frustrating 

To sum up the meeting, there was a general consensus within the group. We all agree that Kay’s irrational actions were at times frustrating and a little unnerving. However, we understand the circumstances and how she is overcome with intense emotion.

 

Pages 3-40 Summary & Reflection

Summary:

Prologue (3-7)

The prologue begins with Kay running, literally “on the run” (Jamison 3).  She is darting furiously back and forth, her nervous system “exquisitely alert” (Jamison 3).  The man she is with is a colleague from the medical school (UCLA) and had stopped running an hour earlier because he was exhausted.   A police car pulls up and the policeman asks what she is doing running around the parking lot.  Her colleague tells the policeman that they are both on staff in the psychiatry department.  The policeman seemed to understand and drove away with a smile. 

Within a month of becoming an assistant professor of psychiatry at UCLA in1974, she is “well on her way to madness” (Jamison 4).  After three months she is extremely manic and is beginning a war with a medication.  She explains that as a child she was “beholden to moods” (Jamison 4).  She also explains how she is trying to turn her illness into a beautiful thing, and is tired of hiding her illness from the world. 

Chapter 1 "Into the Sun" (11-40)

As a second grader, Kay is playing in the playground when the military jet roars overhead.  It crashes into a row of trees where the pilot is burned to death.  All the moms are reassuring their children that it was not their father in the plane and that their father is safe at home.  Her father shows signs of manic-depression, at times elevating the energy level of the entire family and other times so depressed he cannot get out of bed.  He becomes sullen and uncommunicative, leading to bouts of anger and screaming.  She volunteers as a candy striper at a hospital where she makes friends with the doctors who allow her to watch surgeries being performed. At 15, she visits St. Elizabeth’s Psychiatric Hospital with her fellow students and is appalled by the shabby conditions.  She does, however, identify with the patients’ pain and suffering.

Kay moves to California with her family where she begins to drink vodka before she goes to school every day.  She feels that she has been violently torn out of her safe world of military and government families.  In California she meets her boyfriend, a pre-med student at UCLA who provides an escape from her difficult home life. By the age of 16, she begins to notice that her mood swings are exhausting her friends and at 17 she has her first manic episode.  When her mania comes to a sudden halt, she becomes enveloped by the darkness of a deep depression.

Reflection:

When I first read about the plane crash she witnessed as a child, I couldn’t help but wonder if that had something to do with her mental illness.  I would certainly be traumatized for life if that were me. Throughout the first chapter it became increasingly clearer as to why she developed the illness. In addition to the crash, her father’s bipolar behavior shows that she possibly learned the behavior or she received it by genetics. When she arrives in California, the culture shock is also a traumatizing experience. Coming from a completely different background as your classmates can be more than troublesome. All of these factors make it not surprising that she developed such a mental disorder. 

There are things in this book that ring true to my life.  For example, I understand exactly how she feels during her bouts of depression.  I too have suffered from a mental disorder and can relate to her suffering.  In addition, feeling like an outsider in school is something that hits close to home.  I come from a very different background compared to most of my classmates and when I enrolled at my high school I knew a total of 5 people, one of whom transferred schools after her freshman year.  It proved difficult to make new friends and to conform myself to fit in with the student body.  After nearly four years of high school, however, I have finally begun to accept that I’m different and that I can’t live my life pretending to be something I’m not.  Although I don’t drink vodka with my orange juice every morning, I understand how it feels to wake up with absolutely no motivation to get out of bed.  The lack of energy severely affected my home life as well as my school life, just like Kay.

Pages 41-63 Summary & Reflection

Summary:

Chapter 2 "An Education for Life" (41-63)

Kay graduates from high school and, much to her disappointment, attends UCLA.  She had hoped to attend the University of Chicago but, because her father lost his job, the family is in financial turmoil and cannot afford tuition there.  After a while she begins to realize that UCLA was a good fit for her, though her illness worsens. During one of her manic episodes, she is reminded of Alfred Lord Tennyson’s Idylls of the King and is seized with a desire to have it.  She rushes to the bookstore and buys not only Tennyson, but about a dozen books that are all related to it in some way.  When she calms down and snaps back to reality she realizes she cannot afford that kind of spending, for she is literally broke.  She is later offered to do laboratory work for a professor who is intrigued by her fascinating responses to Rorschach cards.  She finds the work enriching and financially beneficial. 

After two years at UCLA, she receives a federal grant to spend a year at the University of St. Andrews in Scotland.  Her brother and cousin are both studying at English universities, and she hopes to visit them.  She is excited to escape her father’s black moods and LA in general.  She enrolls in a Zoology class where she realizes she is in way over her head being among students who have been studying zoology for several years.  When she returns home the next year, she realizes that her strongest interest is psychology.  She lacks the patience and discipline for medical school so she decides to pursue a PhD in psychology.  She begins working with another professor, one who suffers from the same changing moods.  The two realize they are keeping track of their shifting moods with their own devices, and that they are both manic-depressives.  Kay decides to buy a horse instead of going to a psychiatrist for her illness which proves to be another bad decision given her financial instability.

She spends a few months in London where she studies psychiatry.  When she returns home she decides to pursue that field and begins to work with a second professor on the effects of mood-altering drugs.  She also marries a French artist named Alain Moreau, whom she describes as talented, kind, steady, and dependable; a pleasant compliment to her unsteady, undependable demeanor.  Kay writes her doctoral dissertation on heroin addiction which she describes as mediocre and insufficient.  After her oral exam and presentation of the dissertation, however, she is declared Doctor Jamison.    

Reflection:

The thing that struck me the most was her manic episode of buying an array of books.  This stood out to me the most because this happens to me often—all of the sudden needing to buy something right then and there.  I go to a book store and I get an overwhelming urge to sit down and read every single book on every single shelf.  I once had to be literally dragged out of the book store by my friend, kicking and screaming.  It’s safe to say I avoid bookstores nowadays. 

What I still fail to understand is why Kay felt the need to buy a horse.  How on earth could purchasing a horse solve any of her problems?  I understand that it was during her manic cycle, but it just seems completely psychotic and irresponsible.  What I do comprehend, however, is that she married an artist.  Knowing her taste for the arts, it is only fitting that she marry the epitome of her male alter-ego.  When Jamison got her PhD in psychiatry, I was overcome with pride.  After her many years of constant struggle, to finally achieve her goal of becoming a doctor seemed like a huge accomplishment to me.  It also gave me hope; hope that one day I too can fulfill my lifetime goal of becoming a doctor.  Seeing someone with similar struggles with mental illness reach her destination makes me feel like I can do anything I put my mind to, as long as I put in the effort.  At times it feels as if Jamison is living out my dreams of traveling to Europe (especially England) and receiving her PhD, and I felt myself almost living vicariously through her.  Throughout this chapter I wanted my name to be written on those pages, I wanted this chapter to be a portrayal of what my future will be like. 

Pages (67-89) Summary & Reflection

Summary:

Chapter 3 “Flights of the Mind” (67-89)

In July 1974, Kay joins the UCLA staff and her mind races faster. She seems to need less sleep and works intensely. At the manic extreme, she feels self-confident and filled with well-being; everything seems exciting, even the most boring people. But gradually the exhilaration becomes too much and feelings come to fast, producing confusion and memory loss. She can’t quite remember what happened and she discovers that her marriage and friendships are either threatened or gone. She begins to wonder which thoughts are real, the manic ones or the depressive ones. 

Jamison recalls a party for new faculty members, one in which she found herself to be charming, sexy, and witty. She learns from a fellow staff member, who later becomes her psychiatrist, that she acted like a person in a manic episode. Her mind soon directs her to behave oddly: making 40 copies of a poem and a paper on the absurdity of conferences which she passes out to her colleagues, running madly through aisles of a drugstore, and buying every snake bite kit in stock for the remote possibility of a rattlesnake bite. In addition, she buys some expensive jewelry, as well as unnecessary furniture. She suspects that she stole a blouse, too, because she was too impatient to wait in line at the cash register. Once she returns to reality, she figures she spent at least $30,000 in two major manic cycles and her credit is destroyed. This exacerbates the depression that follows. Craving excitement, she separates from her husband, rebelling against his kindness and stability. When her brother comes to visit, he takes Kay under his wing, uses a line of credit to help pay off her debt, and tries to put things back in order.   

Music becomes too emotional and too beautiful for her to handle, and fragments of music and sentences start to circle in her head without making any sense. While looking at the sunset, she is visited by a dark figure that fills a centrifuge inside her head with a tube of blood. As the machine spins, it moves outside her body and gets faster and faster, until it shatters and spills blood everywhere. She screams in horror and calls the colleague whom she has been dating since her split with her husband. She starts to see a psychiatrist who tells her she is manic-depressive and prescribes lithium. Beginning to stabilize, she makes friends with her psychiatrist and credits him with saving her life on several different occasions.  She recognizes the problem with getting patients to stay on their medication, learning from personal experience how costly it is being off of it. 

Reflection:

After reading this chapter, I realized just how dangerous a manic episode can be. Spending almost $30,000 without noticing is financially detrimental, especially to people with such a poor economic background like Kay’s. It’s sad to think that had she went to a psychiatrist just a few months earlier, all of her strife could have been avoided. The fact that she couldn't listen to music is fascinating, for music was always a blessing for me when I felt down or depressed. Without music, I don’t believe I would have overcome my mental illness like I did. Like Jamison, I also had unpleasant experiences with being off my medication. For a period of time I believed I didn't need my medication; they were utterly useless and unnecessary.  I was in complete denial of my illness until I had a rude awakening. Sharp pains in my head would cloud my eyesight, and I felt chronically fatigued and dizzy.  After that scarring experience, I now recognize the importance of taking my medication regularly. 

I was so happy that she had a support system in her life, namely her brother. It was nice to hear that she had someone to put back together the broken fragments of her life. Her episode with the black figure truly worried me and I believe that was her rock bottom, the moment where she recognized that she needed help. The psychiatrist, in my opinion, was truly a blessing for her. Everyone needs someone they can trust and tell all their secrets too, and I’m glad she found that person.   

Pages 90-109 Summary & Reflection

Summary:

Chapter 4 “Missing Saturn” (90-109)

Kay’s struggle with lithium came one year after she started taking it, when her initial manic episode cleared. She begins to justify not taking lithium for familial reasons and personal reasons.  In fact, the times when she needs her medication most are the times when her mind is telling her she needs it least.  In retrospect, she also attributes her dosage level to her refusal to take lithium. Dosage levels in lithium’s early years were much higher than later years, and the dosage level she took for the first 10 years was close to toxic. Subtle changes in hormones or diet could send her into violent fits of nausea in which she sleeps curled up on her bathroom floor. The lithium also causes her difficulty in reading and prevents her from reading as much as she used to.  She finds that children’s books are equally nourishing, however, and reads and re-reads The Wind in the Willows, weeping over passages that remind her of her condition.

She draws up a list of 13 rules to live with lithium, and her resistance to taking the medicine is reinforced by her sister, claiming that Kay has lost her personality due to the drug. Thus, she convinces herself that she is an exception to every study on manic-depressive illness which indicates that patients who do not regularly take lithium suffer worse bouts of depression and mania. Her psychiatrist insists that she continue to take her medication and she is grateful for that. She declares that it is malpractice not to treat psychiatric illness like you would medical illness. Jamison is called to the UCLA emergency room to see one of her manic-depressive patients who is acutely psychotic. The psychiatry resident on-call injects the patient with an anti-psychotic drug, halperidol. She is shocked to realize that this was the same man who once held a knife to her throat, and who had been released from a locked psychiatric ward. As the drug begins to calm him, he cries and pleads with her not to leave.  Soon after, the patient takes his own life and she realizes the gravity of her own situation.

Reflection:

Kay’s biggest mistake was thinking she was cured once her initial manic episode went away. I too, however, made the same mistake. When I got my mood under control, I was convinced that I no longer needed my medication and was capable of independence. Boy, was I wrong.  I truly sympathize with those who are undergoing treatment for their medication, especially those who are stopping their medication. Trying to wean myself off of the medication has been an increasingly difficult task. With each lower dosage I go through a mild withdrawal.  My dependence on the drugs take over my senses, and it gets difficult to see, hear, think, speak, or do any strenuous physical activity. Thus, I know what it feels like to suddenly quit a medication and to feel your body rebel against you; I know what Kay was experiencing.

Jamison’s statement that mental illness should be treated equally to medical illness was very insightful, and also wise of her. When I arrived at my first psychology appointment, I was embarrassed to talk about my depression/anxiety. I was ashamed of my illness and was afraid of what others would think of me. There was something that my therapist told me, however, that changed my thinking. He asked me: “Why should you be ashamed of a mental illness? Would you be ashamed of having diabetes?” This gave me a brand new perspective on my depression/anxiety and I began to think of it as an actual medical illness, similar to what Kay experienced. In addition, I too believed for a period of time that I was an exception to the rule and that I needed no medication in order to properly function.  I was convinced that I defied all studies of treatment and medication. I was invincible. Later on in my attempt at recovery I began to accept my illness for what it was and succumbed to the treatment, for I realized that I was no exception. I was just like every other mentally ill.

Pages 110-135 Summary & Reflection

Summary:

Chapter 5 “The Charnel House” (110-123)


Still, Jamison refuses to take her lithium regularly. She becomes death-obsessed, and her depression slows her to the point that washing her hair takes hours. She resists hospitalization and has an altercation with her lover during which she lunges for his throat. Determined to have a successful suicide, she overdoses on her lithium and waits in bed, prepared to die. Her brother calls, notices her slurred speech, and alerts her psychiatrist. Kay is in and out of coma for a few days.

Before her suicide, Jamison made friends with an “offbeat” psychiatrist who showed interest in her welfare. This unnamed friend later becomes a liaison and watchdog for her. She credits her psychiatrist, her psychiatrist friend, and her family with saving her life. She contrasts the image of her young self in Washington D.C. wearing elbow-length white gloves at a cotillion, with that of the same woman a few years older running wildly through the streets and violently smashing prized possessions. With references to an American poet and Welsh poet, Jamison compares the manic aspects of her disease to “a strange and driving force, a destroyer, a fire in the blood” (Jamison 123). She states that “fire, by its nature, both creates and destroys” (Jamison 123).  On a positive note, Kay feels that manic-depressives give the gifts of imagination and new artistic expression to the world.

Chapter 6 “Tenure” (124-135)

With the help of two colleagues, Jamison establishes the UCLA Affective Disorders Clinic to provide a clinical rotation for third-year psychiatric residents. Although she encounters resistance from the medical school, she receives support from the medical director of the clinic, the chairman of the psychiatry department, and the chief of staff of the Neuropsychiatry Institute. In just a few years, the clinic becomes a center for research and teaches residents and psychologists how to identify and treat mood disorders. She arranges a concert by the Los Angeles Philharmonic of works by composers who suffered from manic-depression to emphasize that manic-depressive illness is linked with great creativity. She is left with a $25,000 bill but is quickly reimbursed by a sold-out concert which instigates a series of concerts around the country. It also becomes the basis for a television series on manic-depression and the arts.

Only after several years of lithium does her mood begin to level out. Because the drug affects her coordination, she gives up beloved athletic activities such as horseback riding and squash. She meets an onerous male chauvinist professor who is condescending toward women and she enjoys exposing his lack of charm or wit to her colleagues when they are in meetings. Finally, she rejoices that the “tenure” process seems fair when she is appointed associate professor, a step down from the position of full professor. However, her friends remind her that she has now entered into the dominantly-male faculty club.

Reflection:

In the beginning of chapter five, I sobbed for hours, remembering the debilitating heartbreak I felt during my days of deep depression. The worthlessness I felt came flooding back as I reminisced in those life-altering, dark times. Her story rang ever too true in my life, on two occasions having over-dosed on my xanax and waking up in the emergency room. The scariest part was being informed that, because I was unresponsive, I was transferred via ambulance to a different hospital where better treatment was accessible. I, too, was saved when I received a phone call from a friend who, noticing my slurred speech, contacted my parents. It is to my friend that I credit with saving my life.

I was overcome with intense pride and joy when I read that she had finally turned her beast of an illness into a beauty, celebrating the art creativity that accompanies manic-depression. Remembering that this was her ultimate goal, I again felt empowered to set seemingly unattainable goals for myself. Having something to reach for seems like a good way to push through my illness all while being blissfully distracted by busy work. It was a true inspiration witnessing her transformation from dangerously suicidal to increasingly successful.

Pages 139-162 Summary & Reflection

Summary:

Chapter 7 “An Officer and a Gentleman” (139-152)

During her first year as associate professor, Jamison meets Dr. David Laurie, a handsome English psychiatrist. They are immediately drawn to each other, sharing similar interests and a desire to heal the mentally ill. She repeatedly declines his efforts to take her out dinner because, although separated, she is still married to her husband. After he returns to London, they keep in touch via mail; but Jamison is immersed in her own life. She tries to reconcile once more with her husband, but fails. She notifies David of her official break-up and impending divorce, but still cannot bring herself to tell him about her manic-depression. About a year and a half later, she walks into her office to find David sitting at her desk and smiling. They finally go out to dinner before he leaves again for England, and invites her to visit him. She feels herself healing in his presence while in England.  While visiting Canterbury Cathedral, she drops her lithium tablets on the dirty stone floor and realizes she’ll have to ask David to write her a prescription. Once she has told him her entire life story and the incident with the pills, he shrugs and says she has just had “rotten luck” (Jamison 144). She grows even more comfortable with him and they grow closer and closer. He one day invites British military officers who are also bipolar to dinner with him and Jamison. She enjoys seeing that it’s possible to function well when the disease is well managed.

David visits her in LA again and she returns to England in the spring. He is assigned to the British Army Hospital in Hong Kong, and tells her of his plans for her to come with him. They make plans to meet his friends in Hong Kong and visit nearby islands. While working on a textbook chapter, Kay receives news that David has died of a massive heart attack in Katmandu at the age of 44. On the plane to his funeral, she reads several un-opened letters from David and breaks down sobbing. She finds compassion and caring in David’s fellow officers and in English friends.

Chapter 8 “They Tell Me It Rained” (153-162)

Jamison immerses herself in her work and takes lithium regularly, experiencing a more stable and predictable life. Still not emotionally healed, she decides to take a one-year sabbatical leave to study manic-depressive illness among British artists and writers at Oxford University and at St. George’s Hospital Medical School in London. She slips comfortably into her new academic routine between the hospital and university. Experiencing this new stimulating atmosphere, she becomes aware of how much she has simply been surviving and not living to the fullest extent.

Jamison visits David’s grave, remembering the times they had together. She is overcome with sadness at what he would miss having died so young. Shortly after, she meets another charming Englishman at a dinner party and succumbs to love at first sight. He is sympathetic and supportive when she tells him about her disease and struggles with lithium. After a weekend alone together, he gives her a book of writings about love, with a tag on one page that says: “Thank you for a lovely weekend. They tell me it rained.” After consulting with her psychiatrist in LA and her physician in London, she decides to gradually decrease her dosage. She finds that her senses are sharper and becomes more engaged with the business of being alive. Finally, she is able to listen to music again and feel a range of emotion.

Reflection:

Jamison exhibits great strength in these two chapters. Her healthy coping with the grief of David’s death shows just how much progress she has made in her recovery. I know that if my beloved died while I was still so young, I would not be able to function for a lengthy period of time or even ever again, at all. I desire to one day be as strong as she, but one can only hope that such unfortunate circumstances never  become his or her reality. I was happy to find out that she found love again among such anguish and sorrow. It gives hope to all; hope that love is never dead and that anyone can find love. When I read that she had chosen to slowly wean herself off of lithium, I felt an overwhelming dread. Having had my own unfavorable experiences, I was sure that this would be another grand fiasco. However, I was proved otherwise and was elated when she got back both the spring in her step and the ability to listen to music.

Pages 163-184 Summary & Reflection

Summary:

Chapter 9 “Love Watching Madness” (163-175)

Jamison returns to LA and dreads the academic routine and stress of managing the clinic. She doubts she can even remember how to conduct a psychiatric evaluation. To her surprise, however, she enjoys a new energy and works on a manic-depressive textbook with another professor. This joy was the result of a new, carefully adjusted dosage of lithium. The new dosage allows her to experience her emotions more clearly and fully. She feels like someone has revealed an aspect of reality she never knew was there. Despite her marked improvement, her emotional turmoil still lingers within her, at times causing her a restless irritability.

As she begins to realize what a genuine, lasting love requires, Jamison meets Dr. Richard Wyatt, a schizophrenia researcher and chief of neuropsychiatry at the National Institute of Mental Illness. Down to earth and low-key, he is quite the emotional opposite of Kay who is still emotionally intense. She eventually finds she can hardly imagine life without him and, after a short but decisive courtship, she moves in with him in the Georgetown are of Washington D.C. They are both fascinated with each other’s lives, having such different interests and passions. But considering their differences, she realizes there is room for the both of them to cultivate their own interests and freedom to be independent individuals. When her black moods cause her to retaliate against Richard, he is taken aback but remains steady and devoted.

Chapter 10 “Speaking of Madness” (179-184)

Pondering the influence of language on the perception of the mentally ill, she recalls having once received an angry letter from someone offended at her use of the word “madness” in a presentation. Kay notes that she prefers the term “manic-depressive illness” over the coldly clinical term “bipolar disorder” when referring to her illness. In addition, she claims that there must be a change in descriptions when defining the mentally ill to encourage diverse ways of perceiving the issue. Most important in improving conditions for those with mental illness, she believes, is a push in the legislature to ensure nondiscrimination in the workplace

Reflection:

Finding a suitable partner in life is certainly desirable, but I agree with Jamison when she says that love alone cannot cure her illness. Many people believe love will solve all their problems and will cause all worries and fears to disappear. However, contrary to popular belief, love really cannot solve any issues in one’s life. In order to have a healthy, nurturing relationship, one must first solve his or her problem by him/herself; only then can one put aside his/her needs for the welfare of another.

While reading Jamison’s memoir, I couldn't help but wonder why I hadn't heard the term “bipolar disorder” in any context. The explanation of her feelings toward this not only answered my question, but changed my outlook on the illness. I have never noticed it until now, but the term “bipolar” actually is, in its own way, mildly offensive. Her statement that it seems to “obscure and minimize the illness it is supposed to represent” (Jamison 181) actually makes sense. I understand her qualms about the term implying that there is a distinction between depression and manic-depressive illness. It completely disregards the idea that perhaps mania is simply an extreme form of depression. Starting now I will indeed refer to the regularly used term “bipolar disorder” as manic-depressive illness.

Pages 185-209 Summary & Reflection

Summary:

Chapter 11 “The Troubled Helix” (185-198)

Jamison attends a medical conference with James Watson, one of the co-discoverers of the DNA double helix, to discuss what genes can tell about how to diagnose manic-depressive illness early and treat it better. She recalls her father’s behavior and the prevalence of the disease in her family. Because the disease is inherited, a psychiatrist once told her to never have children. Jamison says she would have had children, but her husband, Richard, has three from a previous marriage. Nevertheless, she says that not having children was one of the biggest regrets of her life. At the conference, a presentation is made about the discovery of watery deposits in the brain tissue of manic-depressives, which interests her.

Chapter 12 “Clinical Privileges” (199-209)

Jamison ponders her previous qualms about discussing her illness. She calls into focus the issues concerning her own embarrassment, cruelty from her colleagues and friends, and protecting her own family members (given that the illness is genetically based). In addition, she worries that, being a teacher of psychiatry at John Hopkins University, her students may have reservations about asking her certain questions regarding her illness. After filling out an application for clinical privileges at the university, she invites the department chairman out to lunch to discuss her illness and ask for guidance. He smiles and tells her he has known she is ill for quite some time and he suggests that if having a psychiatric issue prevented people from clinical privileges, there wouldn’t be enough qualified physicians on staff.

Reflection:

I was shocked when reading that a psychiatrist advised her not to have children because of her manic-depression. It seems absurd to deny someone the most human right of procreation. If someone had convinced my parents not to have me because they suffered from a mental disorder, I wouldn’t have ever been born. Who’s to say the child will be affected by the illness in the same way as the parent? Furthermore, having an illness myself has never for a second made me think that reproducing is a bad idea.

What interested me about the passage was the discovery of watery patches in manic-depressives’ brain tissue. This reiterated for me the fact that mental illness truly is a physical handicap as well as a mental handicap. Mental illness is a disease of both the mind and body, proving itself to be one of the most oppressive illnesses in the world today. Disorders of the mind and the crippling effects they have on people are leading causes of death in the world, suicide being the tenth most common. Moreover, one cannot discount the consequences of irrational thinking that arises from mental illness. For example, a manic-depressive in his or her manic stage may run for hours on end in the middle of the night, as did Kay, and be hit by a car. There are endless traumatic possibilities and it is scary to think that so many disorders go unnoticed.

Pages 210-219 Summary & Reflection

Summary:

Chapter 13 “A Life in Moods” (210-216)

Jamison recounts with bittersweet nostalgia her intense feelings and moods prior to achieving stability through lithium. She is grateful for a more balanced life but still feels great sorrow for the drama that her illness caused. Certain triggers still cause her to relive her manic days for just a moment, and she remembers the high-energy life she had which was soiled by severe bouts of depression. Altogether, Kay achieves a form of equilibrium in her life and gains some control over her illness. When she feels herself craving the passion that manic-depression once gave her, she quickly pulls herself back to reality and remains adamant that she continue her regular dosage of lithium. She is aware of the danger that the slightest mania may turn into wild insanity that can lead to death. She feels herself a survivor, but it is her good fortune to experience life without the wild mood swings. This gives her the greatest pleasure and makes life, with all its heartache, tolerable.

Epilogue (217-219)

Kay poses the hypothetical question whether or not she would choose to have manic-depressive illness, if given the choice. If lithium was not readily available to her and if she did not respond well to it, her answer would be a terrified no. She never again wants to experience the crippling effects of the illness, both mental and physical. She goes on to describe the true effects and the true meaning of depression, that many people believe they have experienced it before due to divorce or loss. Depression, she says, is much more intolerable. “It is tiresome. People cannot abide being around you . . . No reassurance is ever enough” (Jamison 218). However, her peaks of awareness and intensity of feelings during her manic episodes raised her to astounding heights of consciousness; and she still appreciates the glorious pleasure it brought her. With that being said, she would, strangely enough, choose to have it.  She says that, due to her illness, she experienced everything with greater intensity and passion; it has made her test the limits of her mind. Thus, because she knows the limitless corners and limitless views, she cannot imagine ever becoming jaded to life.

Reflection:

These passages in the memoir flooded me with a savage array of emotions. I went from a state of joyous pride, reading about her final recovery, to an overwhelming state of sadness from recollections of my past experiences with depression. Jamison steals the words out of my mouth when she describes the internal destruction of true depression. I honestly could not have put it any better. I felt as if she had unlocked the secret filing cabinets of my brain and released my darkest memories. As strange as it sounds, it was almost euphoric to hear (or rather read) those words aloud; I realized I was never actually alone in my struggles like I thought I was, and someone felt the exact same emotions as I had not too long ago. This book unleashed so many memories and emotions that I had stored away in the deep recesses of my brain, never to be touched again. I never planned on responding the way I did to this book—before reading I was actually rather cynical. Clearly, I was wrong in my presumptions and I will always remember to keep an open mind.
 
Anxiety Disorders
  • Generalized Anxiety Disorder: a vague, generalized apprehension or feeling that one is in danger
  • Phobic Disorder: an intense and irrational fear of a particular object or situation
  • Panic Disorder: an extreme anxiety that manifests itself in the form of panic attacks which are sudden, helpless terrors such as an overwhelming fright one may experience when attacked by a predator
  • Obsessive-Compulsive Disorder: constant recurrences of the same fearful thoughts that interfere with daily life
  • Post-Traumatic Stress Disorder: condition in which a person who has experienced a traumatic event feels severe and long-lasting aftereffects
Somatoform and Dissociative Disorders
  • Somatoform Disorder: condition in which there is no apparent physical cause
  • Conversion Disorder: changing emotional difficulties into a loss of a specific voluntary body function
  • Hypochondriasis: condition in which a person who is in good health becomes preoccupied with imaginary ailments
  • Dissociative Disorder: disorder in which a person experiences alterations in memory, identity, or consciousness
  • Dissociative Amnesia: the inability to recall important personal events or information; is usually associated with stressful events
  • Dissociative Fugue: dissociative disorder in which a person suddenly and unexpectedly travels away from home or work and is unable to recall the past
  • Dissociative Identity Disorder: a person exhibits two or more personality states, each with its own patterns of thinking and behaving
Schizophrenia and Mood Disorders 
  • Schizophrenia: a group of disorders characterized by confused and disconnected thoughts, emotions, and perceptions
  • Major Depressive Disorder: severe form of lowered mood in which a person experiences feelings of worthlessness and diminished pleasure or interest in many activities
  • Bipolar Disorder: disorder in which an individual alternates between feelings of mania (euphoria) and depression
  • Seasonal Affective Disorder: development of a deep depression in the midst of winter

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    My name is Carly and I am a senior in high school. This blog is being used as my "journal" for my final project in Psychology. Enjoy!

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