Showing 221 - 230 of 380 annotations tagged with the keyword "Mental Illness"
This is a collection of two dozen case studies, written for non-medical readers, of patients with right-brain disorders. The chapters are divided into four groups: "Losses," dealing with loss of memory, cognition, and proprioceptive sense; "Excesses," with tics and other cases of overabundance; "Transports," with seizures and various "dreamy states," and "The World of the Simple," concerning mental retardation. In every case, Sacks focuses on the interior or existential world of the patient as the foundation of diagnosis and treatment. Sacks argues that this approach is appropriate for the right hemisphere, which compared to the left is less dedicated to specific skills and more dedicated to a "neurology of identity."
Sacks openly proposes these studies as a corrective to the field of neurology, which has tended to focus on the left hemisphere and therefore, he argues, has wound up treating patients solely in terms of specific deficits, often to their detriment. In "the higher reaches of neurology," and in psychology, Sacks argues, disease and identity must be studied together, and thus he recommends that neurologists "restore the human subject at the centre" of the case study. Sacks warmly recommends music, story-telling, and prayer as therapies that work by ignoring physiological defects and speaking to the patient's spirit or soul.
Simon Dykes is a successful artist about to open another big show of his work in London. A week before the opening, he goes out to a bar with his colleagues, indulges in drugs, has sex with his girlfriend, and falls into an uncomfortable sleep with bizarre dreams. He wakes up in a world where every person is a chimpanzee and where humans are kept in zoos or are experimented on in labs, and the few humans surviving in the wild are close to extinction.
Terrified and dismayed, he is taken to a psychiatric ward where the chimpanzee doctors try to help him overcome his "delusions" that he is actually a human. They eventually turn to Dr. Zack Busner, an alpha male, theoretical renegade and media star, as well as a maverick drug researcher, "anti-psychiatrist," psychoanalyst, and clinical psychologist. Together they try to understand the root of Simon's delusion and return Simon to his sanity and "chimpunity."
The front cover of this collection shows the outline of Africa completely filled with the names of patients ("Tyra Lynette Deja Nya Rovert Marqui Fatima Terry Alexia Michon Ty . . . ") On the last page, poem #120 consists of an outline of the United States of America, also completely filled with the names of patients, also African. The poems in this collection constitute a journey through these Dark Continents, both of which lie within.
Kelley Jean White stakes out her territory very clearly: "I suppose I embarrassed you / at all those mainline / plastic surgery parties / talking Quaker and poor and idealism" (3). There are no elegant parties, nor plastic surgeons, after page 3. Instead, persons like Shawanda live here: "At seventeen, Shawanda has never spoken. / Her brother easily carries her frail body / into the exam room--37 pounds" (36). And the nine year old girl who delivers her baby by C-section: "The nurses said it was the worst thing / they’d ever seen . . . She took her to her grandmother’s home / to raise. / The man did time / for assault." ("Freedom," 55)
But the poet hasn’t lost hope at all. She is filled with love and humor and imagination: "I dream I’m marrying this guy I used to work with who spent a lot of money on his hair" (73). "I musta been looking pretty down / when I left you today . . . " because the legless man pulling his wheelchair to his favorite begging spot said, "love, you gotta be always looking up . . . I just smiled and looked at / my too big shoe feet" (118).
This novella is narrated by Daniel Pecan Cambridge, a man who previously worked in numerical codes at a large computer company before essentially becoming a recluse in his own apartment due to his increasingly debilitating rituals, routines, and anxieties. His more incapacitating obsessions and compulsions include the maintenance of 1125 wattage of lights shining in his apartment at any one time and the inability to cross over curbs. This latter obsession requires of him that he crosses the street at "dugout" car driveways and that even regular trips to the Rite-Aid drugstore for medications and groceries result in "figure-8" routes.
He is clearly socially inept, with helpless fantasies about his pharmacist, Zandy, and the real-estate agent, Elizabeth, who is trying to lease the apartments across the street. Nevertheless, his upstairs neighbors, Phillipa and Brian, become his friends almost against his will, and his weekly visits with a training "shrink," Clarrisa, turn into a less professional and more personal relationship. It is this latter relationship with Clarissa and her son Teddy that develops into a moving portrait of friendship and longing.
This is a collection of 14 contemporary patients' accounts of dealing with their illness or injury. (The patients, four men and ten women, including the editors, are all writers.) Among them the stories cover numerous medical conditions: erythroblastosis, environmental illness, obsessive-compulsive disorder, hip dysplasia, osteoarthritis, hip replacement, H.I.V., Crohn's disease, broken leg, ruptured cervical disc, myelitis, rheumatoid arthritis, paroxysmal nocturnal hemoglobinuria, lupus, alcoholism, multiple sclerosis, diabetic retinopathy, breast cancer, severe facial scarring, and depression. The collection is unified by a focus on selfhood--the recovery, discovery, or reconstruction of the psyche that the editors propose is the deepest form of healing.
This is a collection of 22 contemporary first-person accounts by survivors of a wide range of life’s woes--some medical, some social, and most of them at least partly emotional. The challenges the writers have faced are too numerous to represent individually in keywords, but they include incest, colonialism, disfigurement, adultery and divorce, obsessive-compulsive disorder, bone marrow transplant, and the death of family members.
All of the authors are writers, a handful of them well-known, and virtually all the works collected here have been published before. They are unified, to use the editor’s words, by the idea that "lifewriting is a passage through grief to knowledge" (she might have added "and to healing").
Dr. Audlin is a highly successful psychoanalyst. His patient, Lord Mountdrago, is a leading member of the House of Lords and Secretary for Foreign Affairs in the British government. Mountdrago consults Audlin because of nightly vivid and threatening dreams, all of which concern Owen Griffiths, a member of the opposition in the House of Commons. Griffiths is a small, unimpressive commoner from a constituency in Wales. As Griffiths becomes progressively more the focus of his dreams, Mountdrago cannot imagine why, since to him the man is insignificant vermin.
Audlin presses his patient if there is any reason why Griffiths might actually be hostile toward the Lord, or that he (Mountdrago) might feel guilt regarding Griffiths. Eventually Mountdrago is forced to admit that on one occasion when Griffiths made a speech proposing a change in foreign policy, Mountdrago crushed him. Using his very considerable oratorical skill, Mountdrago tore Griffiths apart and held him up to ridicule. This, in turn, ruined Griffiths' career. Mountdrago hadn't initially thought of the affair since Griffiths was beneath contempt and deserved to be crushed; as such, he had no reason to hold a grudge against Mountdrago.
The psychoanalyst suggests that the only way Mountdrago can free himself from the dreams is to apologize to Griffiths. Mountdrago angrily rejects this, but then goes out and commits suicide. In the end we learn that Owen Griffiths dies the same night, presumably by suicide.
Miracle McCloy received her name because, as she's been told many times, she was pulled from the body of her mother shortly after her mother was run over and killed by a bus. Raised largely by her grandmother with her depressed and dysfunctional father nearby, she has learned a great deal about séances, contacting the dead, reading auras, and paying attention to energy fields. But she doesn't know much about how to locate her own confused feelings about her parents, her identity, and her relationships with "normal" kids at school who see her has some kind of freak.
She perpetuates this image by casting "spells" to help fellow students connect with boyfriends. But after her father disappears, and her grandfather's house is destroyed in a tornado, she lapses into mental illness and burns herself badly trying to "melt" as she believes her father did by dancing among flaming candles. She is taken to an institution where an astute therapist and an aunt who realizes how much Miracle needed her combine their efforts to help her recover a sense of who she is--a dancer, a strongly intuitive, intelligent girl with an interesting history and a promising life to live, liberated from the obsessions of a superstitious grandmother and mentally ill father.
This is a collection of humane and humorous stories by psychiatrist Ronald Pies. Many of them portray snippets of Jewish-American family life; others feature Pies's alter egos, young psychiatrists named Applebaum; or Ackerman, or Alterman; still others introduce a number of wonderful geriatric characters the reader is unlikely to forget.
In the title story, an elderly man lies in the hospital and remembers how he inserted snippets of pornography into his business partner's tefillin nearly 40 years earlier, just to spite his holier-than-thou partner, who had evicted his Playboy magazines from the premises. "Mandelbaum's Passion" is the story of an elderly professor whose daughter wants to put him into a nursing home. He, on the other hand, focuses his energy on anticipating the twice-weekly visits of Luz, his 26-year-old Hispanic visiting nurse.
Dr. Otto Hertzmann in "Show Us Where God Is" is a retired analytic psychiatrist who lives with his sister. When a young admirer comes to visit, the sister introduces him to Davie, Hertzmann's severely retarded son who, when asked to "show us where God is," grins widely and points to the ceiling. Max Dershman, found dead in his room "stinking of cheap cigars and surrounded by Playboy centerfolds," is another such character. He falls head over heels in love with Riva Greenberg, the nursing home social worker, and leaves her a love letter when he dies ("A Medical Diptych"). In "Sophie Fein Goldberg Stein" the title character insists on always being addressed by her full name--at least, that is, until the nursing home psychiatrist is willing to sit down and listen to the full story of her life.
The unnamed narrator of the story is a "dreadfully nervous" character who disputes the allegation that he might be crazy. He contends that his disposition arises from a heightening of the senses: "Above all was the sense of hearing acute" (74). The narrator provides care for a wealthy elderly man. For some inexplicable reason, the narrator becomes obsessed with the diseased eye of the old man. The narrator likens it to a vulture’s eye and is so haunted by the Evil Eye that he decides to murder the old man.
He meticulously plans the murder. After one week of preparation, the narrator charges into the old man’s bedroom after midnight and kills him using the heavy bed the victim had been sleeping in to either crush or suffocate him. Even after the murder, the victim’s heart continues beating for many minutes. The narrator carefully dismembers the body in a tub. He conceals all the pieces under the floor boards.
At four o’clock in the morning, three policemen arrive. A neighbor heard a scream and notified the police. They are here to investigate. The narrator maintains his composure and even entertains the police. After all, he has committed the perfect crime. Suddenly, he hears a repetitive noise like the ticking of a watch. At first soft, the sound grows louder and louder. No one else hears it. What is the cause of the noise--paranoia, his conscience, auditory hallucinations, a supernatural clue, or (most likely) the sound of his own pounding heart? The narrator can no longer tolerate the thumping and confesses to the murder: "I admit the deed!--tear up the planks!--here, here!--it is the beating of his hideous heart!" (78)