Madness has given a bad press, says leading psychoanalyst and writer Darian What is madness?
Darian Leader lives and works in an elegant Georgian house in Clerkenwell - and yes, there is a couch in his office, is made of chrome and black leather. Do your patients use it? No leader is a Lacanian analyst, which means, among other things, that their sessions are of variable length and frequency, which corresponds to the patient who sits (or lies), where. The chief said he is glad to see a patient on a bench outside the Plaza, so it seemed a good idea at the time. For the record, I am sitting in an armchair in front of him, trying not to be distracted by the names of something forbidden (Freud, Klein, Winnicott, all those big here). Back hundreds of books about us
Did you know that your writing is darker and darker?
Yes My partner [Mary Horlock, a former curator of the Tate, with whom he has two son] said: You used to write these books fun [for example, ¿Why write more letters than they post
], and now everything is death and madness. The book of madness is not easy to read, I know, but it seems very promising. At least shows that things can be done.
In the book, there is a distinction between being "crazy" and "crazy." Why is this important? And how can we learn from what you call "silent madness" or "psychosis private '
We're not quite there, but when someone is hospitalized after having a psychotic episode, the focus should be on what has been stable over the previous decades. With find, you can discover more about the mechanisms that allow people to maintain a balance. They can be crucial clues to help so they can rebuild.
is his feeling that there are more crazy than we are?
Yes I think it's more the rule than the exception, everyone is trying to improvise their lives together as best as possible. Once this is recognized, I hope it can act against stigma and marginalization [mentally ill]. Many people find ways to avoid situations in which a trigger [of insanity] is likely to occur. At one level, they know what to avoid, and to organize things in a particular way so that they can go through life.
In his book, he uses the example of Harold Shipman, as an example of a man who seemed perfectly "normal" to colleagues and patients. Is it your position that the murders he committed, could not have happened if it were not for certain "triggers"
Not really. I tried to ask questions. I was so shocked by the way [after Shipman was convicted], even in the world of the call for mental health, suddenly there were people coming with all this quasi-religious. He spoke of "absolute evil". I wondered what had created such a reaction, what are the problems in thinking about the case. Shipman is an extreme example, but I think we can learn a lot from his case - in particular, the path is identified by a physician, was given the position in society. For him, it was an anchor.
also writes about phobias, how they can be symptoms of psychosis. Is not this rather a big leap? There may be only a phobia is a phobia?
In the modern world, a phobia is a phobia. But in the old [early 20th century] psychiatry and psychoanalysis, a phobia is a sign of something else. Age Psychiatry caution when asked to get rid of a phobia, as it could be a simple way for the patient to the partition of the world. The clinic is full of stories of people who are much worse when you remove your phobia. It is a clinical fact.
not afraid of all this madness? In his book, his tone is calm supernatural.
But again, how can you live with your job? You said that the only thing that patients have in common is their suffering, the fact that there is something unbearable in their lives. How to close the office door, and focus on the rest of life?
people ask me a lot. The [aid] is the most important one of their own therapy or analysis. So you have an idea why the hell you want to do the job. I always thought that the best is not limited to those who say, 'I want to be a psychiatrist, but those who have had unbearable pain in their own lives and then, years later that "I am curiosity about other people, as well. "No serious contraction may accept a patient who had come to that self-analysis was an essential part of their training.
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