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Bengtsen, P. & Suneson, E. (2017). Pathological creativity: How popular media connect neurological disease and creative practices.

2017, Kristofer Hansson & Markus Idvall (eds.), Interpreting the brain in society. Cultural reflections on neuroscientific practices

Book chapter about the linking that is often made in popular media of creativity - frequently through examples from art history - and neurological disease. The chapter discusses the implications this linking may have for the dissemination of ideas about personality traits, artistic expression, neurological disease and neuroscience as a discipline.

z. Pathological creativity: How popular rnedia connect neurological disease and creative practices PETER BENGTSEN 8¿ ELLEN SUNESON neurological research there is an extensive interest in studying how creativity and artistic expression are related to brain activiry (e.g. Demarin zoog; Pqchalska et aI. zorS; Piechowski-Jozwiak & Bogousslavsþ zo:4iZaidel zor4). This interest is also reflected in popular science and fiction narratives related to neuroscience. Popular media play a vital part in the general publict access to, and understanding of; scientific research. Therefore, as communication scholars Matthew Nisbet and Vithin Declan Fahy (zorl) argue, the narratives media present have a considerable impact on how society takes on board scientific results. \X/hile television viewers have long been presented with portrayals of the world of general medicine in fiction series like ER $994-zoo9), House (zoo4-zotz) and Grey's Anatorny (zoo5-), the developing fields of cognitive neuroscience and neurology have also been represented more specifically in popular media. Taking as our main points of departure the BBC-produced documentary series Brain Story Qoo4) and ABCt oneseason fiction television series Blacþ Box (zor4), we begin this chapter by considering the role these programmes play in informing and enabling the general public to critically participate in discussions about neuroscience.'\Øe then go on to discuss the programmes' recurring linking, often through references to art histor¡ ofneurological disorder and creativity. \Øe further discuss the implications this linking may have for the dissemination ofideas about personality traits, artistic expression, neurological r. \üi¡e have chosen these programmes to highlight how the same types of art historical narratives recur in similar ways within both popular science and Êctional television programmes. 29 BENGTSEN E¿ 2. PATHOLOGICAL CREATIVITY SUNESON disease and neuroscience as a discipline. \Øe examine in particular how artistic expressions are used when coming up with diagnoses, and we discuss and problematise the media portrayal of the neurologist as a kind of art critic who - by studying for example rhe colour, painterly style and motif of artworks - ostensibly is able ro gain insight related to the neurological processes in artists' brains, and ultimately categorise them as 'normal' or'pathological'. Popular media and potential for parriciparion As mentioned above, popular media plays an important role in informing and enabling the general public ro parricipate in discussions abour neuroscience. The American media scholar Henry Jenkins (zoo6) argues that when knowledge is presented ro the public through for example television programmes, it is mediated - or translated - through genres that move in an intermediate terrain between fact and ficdon proper. He also makes the point that presenting research through certain thematic narratives and frames of reference makes complex scientific results appear coherent and accessible. To be relatable and to engage the audience more easil¡ such narrarives are often infused with historical, fictional and cultural tropes that are already well-known ro viewers. \ùØhile popular media products can help relate complex ropics ro a broad public in an understandable manner, it is importanr ro nore rhar this is not the same as participation. The larter occurs, rarher, when audiences critically engage with the contenr as parr of a process, which Jenkins refers to as conuergence. Essentiall¡ convergence is a 'word that describes technological, industrial, cultural, and social changes in the ways media circulates within our culrure' (Jenkins zoo6: z8z). Contemporary sociery is characterised by what Jenkins calls conuergence cuhure, which entails people following and to some degree taking control of media contenr over a number of different platforms and in different contexrs, often to the point where the line between producer and consumer becomes blurred. Jenkins sees user involvement as a key component of convergence. User involvement in convergence culture as described by Jenkins may, for example, take the form of viewers discussing media producß with each other on internet forums, researching and fact-checking informarion presented in the shows and creating new media conrenr like animated GIFs, fan fiction, analyses and reviews based on the original programmes. These secondary viewer-generated media products may be circulated on a num- 3o ber of platforms, and may in turn be appropriated, reworked, discussed and redistributed. This simultaneous consumption and production of media often takes place within so-called hnowledge communities. These are social - often online-based - environments that usually 'form around mutual intellectual interests; their members work together to forge new knowledge often in realms where no traditional expertise exists' (p' zo). If picked up by knowledge communities that are able to engage critically with the content, popular media programmes can be efficient vehicles for increasing awareness and fostering public debate about specific themes like neuroscience and neurological disease. In relation to media products like the popular science programmes that constitute part of the empirical material for this study, howeve¡ there seems to be a lacking interest in engaging on this kind of participafory level. Convergence seemingly occurs more frequently around programmes that have dramatic narratives and characters people can and are meant to - become emotionally invested in. This leaves popular science programmes like Brain Storyt at a disadvantage when it comes ro viewer engagement and de facto participation. Having said this, it is interesting to note that while Blacþ Box is a fiction drama with story arcs and characters that viewers are supposed to become invested in, the convergence and participation connected to this series also seems to be limited. There is little empirical material to suggest the existence of a dedicated fan base that engaged actively with the series or produced secondary media content while, or after, the show was running. Thus, on z8 February zot6,The Cube, a community on TV.com dedicated to Blacþ Box,had;o3 members. On fanfiction.net, a total of five fan-made stories taking place in the series' universe have been published (all between 3 June zot4 and zzJune zor5). For comparison, the long-running medical drama series Gre/s Anãtom! (zoo5-) currendy has approximately rz 8oo fan-made stories uploaded to fanfiction.net. Fifteen of these were posted during the airing of the series' first season. Significantl¡ each of these fifteen stories has an average of just over r3 reviews with no noteworthy oudiers (the lowest number of reviews is 6, the highest 2o), indicating an active fan base. The average number of comments is actually higher for the Blacþ Boxfan fiction (r4.4 reviews), but it is worth nodng that one of the five stories has received 53 reviews. \Øithout this outlier, the average number of reviews for the rest of the stories is 4.7r, which indicates a relatively low level of interaction among fans. 3r T BENGTSEN 8¿ SUNESON 2. PATHOLOGICAL CREATIVITY The vast majoriqy of the debate surroundin g Black Box took place in commentaries related to its cancellation after just one season (the latter also being a sign that viewers were not engaging with the show). A common theme in the responses to the cancellation is that people relate the shods depiction of neurological disease and treatment to their own personal experiences, often to emphasise how realistic Blacþ Box wal Several commenters thus describe the show as not just entertaining but also educational, and blame the cancellation on a lack of understanding of the issues the show discussed. One commenter on TVcom wrote: tagonistt surname. However, 'black box is also a term commonly used to describe a system or an object in a situation where one has access to input and the resultant output, but no solid understanding of what goes on inside the object itself. The human brain, in its reception of and response to stimuli, is often said to be precisely such an object.3 The series' first episode opens with Black in her psychotherapistt office, recounting her experiences leading up to, during and after giving a keynote speech in San Francisco to the (fictional) Neurological Institute ofAmerica. Black explains that she had been preparing for weeks, but felt her manuscript was subpar upon rereading it at her hotel the day before the presentation. She further reveals that she therefore chose to skip her medication in order to enter into a manic state and get what her therapist then refers to as'a shot of inspiration'. In a fashback, we see the result as Black works through most of the night. She goes on to speak enthusiastically in front of a large audience about her efforts to make sense of the so-called ordinary brain by studying extraordinary ones. As part of her reasoning for this approach to her research, she refers to the Dutch artist Vincent van Gogh (1853-189o), whom she paraphrases as having said that in order to understand the colour blue, it is first necessary to understand its opposites, yellow and orange. Although not made explicit in the television series, this appears to be in reference to a letter from 1888 from van Gogh to the artist Émile Bernard. In it, van Gogh writes: it because of general audience ignorance. Most seriously inteiligent shows don't make it. And this was a very complicated series. I miss it, They cancelled because of the ground-breaking medical treatments. Incredible show, compli& entertaining.' cated characters, informative The mention of 'ground-breaking medical treatments' and the characterisation of the show as 'informative' are interesting, because they seem to be based on the notion that what is presented as facts about the brain, neurological diseases and their treatment in Blacþ Bar is also valid outside of the universe the show established. At a time when comedy shows llke The Daiþ Show, The Colbert Report and LastWeeþ Tonight are seen as news programmes, this is perhaps nor surprising. Previously established genres are converging, and the delimitation between fact and fiction is becoming blurred. However, it is worth noting that in popular media products, nuances tend to disappear and the complexities of neuroscience - for example reading an MRI scan - are glossed over in favour of maintaining a compelling narrative. \Øithout entities like knowledge communities to critically engage with the contenr, popular media programmes may therefore end up as vehicles for transmitting dramatically efFective, but scientifically inaccurate, ideas and stereorypes, such as the existence ofa direct link between neurological disease and creativiqy. Extraordinary brains and the dualiry of neurological disease The ABC-produced fiction teleyision series Blacþ Box (zo4) has as its main protagonist Dr. Catherine Black, a neurologist who secretly lives with bipolar disorder. The title of the series obviously echoes the proby 'joycewrandolph' on z6 February zor5. Retrieved from: http://www. com/shows/the-black-box/community/post/black-box-canceled-abc-r4o 7 456467 4zl z. Comment tv. (accessed z8 February zo16). )z I should like to find out is the effect of an intenser blue in the sþ. Fromentin and Gérôme see the soil of the South as colourless, and a iot of people see it like that. My God, yes, if you take some sand in your hand, if you look at it closel¡ and also watet and also ait they are all colourless, looked at in this way. There is no blue without yellow and without orange, and ifyou put in blue, then you must put in yellow, and orange too, mustnt you?a Vhat Blackt description of colours as opposites seems to suggest to the audience by analogr that so-called 'ordinary' and 'extraordinary' brains are also to be seen as opposites rather than variations. As will be demonstrated presendy, however, the series soon contradicts this point of view. 3. Not all viewers understood the connection between the show's title and rhe brain as a 'black box'. In the wake of the show's cancellation, one commenter \ryrote: 'This was an awesome show! I think the title did not do it justice. I had to watch to realize the show was GREAMT just had a stupid name.' - Comment by 'lindaspinozag' on rz March zor5. Retrieved from: http://www.w.com/shows/the-black-box/community/post/black- box-canceled-abc-r4o7 45646742l (accessed 9 December zor5). 4. Retrieved from: http://www.webexhibits.org/vangogh/letter/r8/Bo6.htm October zor5). )t (accessed z6 BENGTSEN 8¿ SUNESON 2. PATHOLOGICAL CREATIVITY The conference speech is the first of numerous insrances in the series where links are made on different levels between neurology, creativity and art. First, in the scene a parallel is drawn between the methodologies of Black and van Gogh, staging the scientist as crearive. This running theme in the series is in part motivated by Blackt bipolar disorder, which ostensibly enables her to relate more easily to her patients and gives her an unconventional and crearive angle to work from. Second, apart from the reference to undersranding things through their opposites, Black also uses van Gogh as her main example of a person with an extraordinary brain. She does so 6y way of an anecdotal story about the crearion of his famous oil painting Tlte Starry Night (r88). A projected image of the painting appears in the bacþround during her presentation (see figure z.l. The Starry Night depicts a swirling starry sþ sprawling over a small town. It is one of van Gogh's mosr famous paintings, and was also a key work in what came ro be known as Expressionism; a modernist arr movem€nt that focused on the use of strong colours and distorted forms in order ro express the inner life and feelings of the artist. Later in this text we will elaborate on the frequent connecrions made in our empirical material between Expressionism and mental illness, which serve to frame neurological research. Cutting back and forth between the flashback and the conversarion with her therapist - scenes that respectively present the protagonist in a manic and medicated state - Black explains that van Gogh was a patient at a mental hospital when he creared the painting. She then goes on ro list a number of other people she deems ro be exrraordinary and uses them to problematise the idea and ideal of the normal: Temporal lobe epilepsy allowed Saint Paul to hear the voice of God. Hemingway, Sylvia Plath, Billie Holida¡ Charles Dickens, Herman Melville. These are just a few ofthe great minds that suffered from a fine madness. Should they have been medicated into mediocriry? My work is about respecting each and every individual brain, and while I learn from my patients, I make no attempr to distinguish them from any imaginary state of normalcy.5 After this speech against the ambition to normalise parienrs through medication, Black seemingly receives a standing ovarion from the audience for her revolutionary take on neurological affiictions and their (lack of a need for) medicinal rrearment. In the conversation with her therapist, however, the audiencet reception is revealed to be a hallucination. \X/hile the series in this sequence on rhe surface seems ro advo5. From Bkcþ Box, season r, episode r: 'Kiss the Sþ'. Firsr broadcast on z4 April zor4. 34 Figøre z.t. uan Gogh. Dr. Catherine Blach infont of a projection aflhe Starry Night (t881 by Vincent S¿¿ Black Box" season r, episode r 'Kiss the Sfu'. First broadcast on z4April zor4. cate explicitly for the benefits of non-medication, the manic origins and the hallucinated reception of Blackt speech purposefully undermines the credibility of such an approach by showing that her non-medicated state in fact counterproductive. After delivering her speech, Black returns to the hotel, where her manic state peaks. She runs out onto her roomt balcony and does an interpretive dance to a piece of experimental jazz. There is significance to the recurring use of this type of music by the series in scenes where the protagonist is in a manic state, as the improvisational and expressive nature of experimentd. jan can be said to underscore, on an aural level, the link between neurological disease and creativity. It is dark on the balcony and to begin with the night sþ is lit up only by the moon and by the San Francisco sþline. As Black falls deeper into her manic state, however, the scenery changes; stars begin to swirl in formations across the night sþ and the moon radiates light in a way similar to the previously depicted van Gogh painting (see figure z.z) . The scene in this way visualises the connection between Black and van Gogh, which was previously established verbally in the formert speech. Climbing onto the railing, Black leaps off the balcony and proceeds to float among the stars over San Francisco. However, her flight is soon revealed to be another hallucination. Slipping off the railing, Black lands on the balcony floor, narrowly avoiding a fall that could have ended her life. is 3t T BENGTSEN & 2. PATHOLOGICAL CREATIVITY SUNESON û * \ 5 .t ü t I -¿ ./ ence and society (zor4: r). a .tt- al I influential. The communication researchers Matthew Nisbet and Ezra M. Markowitz use the concept of faming to explain how media coverage and popular discourse often embed scientific results in well-known narratives when presenting them to the general public. They argue that these frames in turn shape public perceptions and opinions about currenr research and its results, and ultimately affect core beließ about sci- -t t: Figure z.z. Dr. catherine Bkch infont of a san Francísco night scenery that resembles\he Starry Night (r88Ð 'Kiss the Shy,. Vincent uan Gogh. See Black Box, season L episode First broadcast on z4 April zor4. r 4 The balcony scene encapsulates the duality of neurological disease as presented in the series. On the one hand, through the visions, music and dance, the scene visually and audibly communicares the creative porential in experiencing the world differently. On the other hand, Black's hal- \Øe have found that both fiction and popular science television programmes frequently discuss the relationship between neurological disease, creativity and artistic ability. Interestingl¡ they do so using a relatively outdated framing of the artist as a sole creative genius. This stands in contrast to more contemporary theories of aft producdon and interpretation, which tend to see the artist as one of a number of agents involved in the production of art. From this point of view, the artist is perceived as an immediate producer, who is part of a larger system of for example suppliers of materials, gallerists, art critics, collectors and other artists. This system, whose members collectively constitute phenomena - material or otherwise - as art, is what the American sociolo-Ihe French sociologist gist Howard S. Becker (1982) calls an art world. Pierre Bourdieu Ggg¡) refers to essentially the same social phenomenon The way popular science programmes and fiction television series portray neurological disease, cognitive neuroscience and neurology contributes to shaping discourses about the bod¡ including the brain, as well as the scientific disciplines themselves (Dumit zoo4; Nisbet Ec Fahy zor3). Our perception of the human body is nor somerhing rhar is naturally given. Instead, it is the result of an ongoing process where societal, cultural and scientific beließ interact with, and form, our norions of our bodies and selves. In this conrinuous reproduction and negotiation of ideas, informarion coming, at leasr ostensibl¡ from science is highly a f.eld of cuhural production. Since, as mentioned above, the framings of neurological disease as connected to creativity are likely to influence the field of neuroscience and the public's understanding of neurological disease, it is interesting to examine the discourses that are embedded in these specific narratives and explore wh¡ for example, the notion of the artist as a sole genius may be convenient as a part of an explanatory framework in popular neuroscience. Scholars in fields like anthropology (Dumit ry97 k zoo4), sociology (Rose & Abi-Rached zory) and communication studies (Beaulieu zooo &, zooz) have pointed out how popular media increasingly frame neurological processes as the origin of human behaviour and personaliry traits. One such trait is creativity.'We have found that three predominant narratives are repeated by popular media to frame or discuss neuroscience and neurological disease in relation to this particular attribute. First, as seen in the above description from Blacþ Box of van Gogh and his work, neurological disease is commonly used as an explanation for creativity. Second, the framing of a link benveen neuroscience and creativiry is often established by aflording the neurologist or neuroscientist the role 36 )/ lucinations bring her close to falling off a building, porendally causing serious harm or death to her and possibly ro others. This is the edge that we find Black balancing on throughour rhe series, and it is simultaneously the edge that she repearedly is tasked with pulling her patients back from. Framing neuroscience and neurological disease as creative as 2. PATHOLOGICAL CREATIVITY BENGTSEN 8¿ SUNESON of a contemporar¡ science-oriented version of the artistic genius. This is seen in the above empirical example where Black claims to draw inspiration for her own work from the observations ofvan Gogh, and seemingly comes up with novel perspectives on the nature and purpose of neuroscience as well as on rhe symproms of neurological disease. Additionall¡ Blackt own crearivity is portrayed as interlinked with her bipolar disorder, thus following a well-known narrarive of the artist as suffering, but also benefitting, from mental illness. Third, the neurologisr or neuroscientist is presented as a kind of art historian or arr critic who is studying artistic expressions in order to determine their neurological origin. This can be seen in several instances in Blacþ Box, for example in Black's reading of van Gogh's work. As will be shown in the following section, this framing of the neuroscientist is also found in real-life cases presented in the popular science programme Brain Story. In the above we have briefly presented parts of our empirical material and theoretical perspecrives as well as three main narratives related to creativity that are commonly used frames of reference when popular television programmes mediate neuroscientific research to a general audience. In the remainder of the chapter, we will further explore these narratives and connect them to examples from our empirical material. Neurological disease as an explanarion for creariviry In the first episode of the BBC-produced popular science programme Brain Story (zoo4), the hosr, Professor of pharmacology Susan Greenfield, discusses how Vincent van Goght temporal lobe epilepsy may have affected his artistic imagination.6 In her introduction to the segment on the artist, Greenfield questions whether it could be that van Gogh's 'epilepsy led not only to his crippling mental problems, but at the same time to his awesome creativity'. She does so while sitting in the garden of the mental asylum Saint Remy in southern France, where van Gogh was admitted in 1889. The artist made several paintings of the landscape around the asylum, and Greenfield compares these paintings to the actual surroundings while stating that the comparison poses interesting questions about the way the artist saw the world and how the physical upheaval in his brain somehow transformed his perceptions. This interprerarion of works of arr, as direct expressions of the artist's self and the artistt particular way of seeing, reflecs a view of art derived 6. Brain Story, episode r: 'All in The Mind'. First broadcast on 8 May zoo4. 38 from the \Øestern nineteenth-century concept of Romantic individualism. During the Romantic Age (from around ry9o to r85o) the 'mad' were commonly viewed as superior beings and ascribed an imagination with great transcendental creative powers. In this wa¡ the idea of an affiniry between madness and artistic ability was established. Romantic individualism later influenced modernist ideas of subjectivity and art; artists were perceived as individual geniuses, and their artworks were seen as expressions of their particular identity or 'inner world' (Porter zoog b9991| As mentioned previousl¡ however, such a perspective is no longer commonplace within the field of contemporary art. theory. The segment about van Gogh in Brain Story provides a detailed analysis of his art from the perspective of a neurologist. \Øhile the camera zooms out to reveal a selÊportrait by van Gogh, and then dwells on a close-up of the portrayed artist's eye, Greenfieldt voiceover along with excerpts from an interview with neurologist Shahram Khoshbin account for the way van Gogh's epilepsy may have affected the area of his brain just behind his temples. Furthermore, Khoshbin explains that this part of the brain, the temporal lobe, is where sensory integration beñveen vision and hearing takes place. On this basis, Khoshbin argues that'it is easy to see how a disturbance in this area could create a different sensory experience'. The programme then cuts to a view of a landscape, presumably the Saint Remy garden, filmed through a window with patterned glass (see fr.gure 2.1). The irregular structure of the glass causes the view of the landscape to become distorted, making it somewhat reminiscent of the paintings by van Gogh. In her voiceover, GreenÊeld adds to this visualisation the information that 'the epilepsy that van Gogh probably suffered is not uncommon, but in a small number of cases the resulting uncontrolled brain activiry can permanently change the way a person perceives the world'. This commentary furthers the idea that van Goght perception of the world was heavily influenced by temporal lobe epileps¡ and that this fundamentally affected his work as an artist.T 7. The idea that van Gogh really did see the world differently is also a prominent plot point in series 5, episode ro of the BBC-produced science fiction series Doctor\Yho, en- titled 'Vincent and the Doctor' (first broadcast on 5 June zoro). In the episode, van Gogh portrayed as being able to actually see colours, swirls and burst oflight in the night sþ similar to those depicted in The Starry Nigh¡. In addition, he can see, and is therefore able to ultimately defeat, a monster that is invisible - but very real - to the other characters. \7hile not directly linked in the show to temporal lobe epileps¡ the Doctor IVho episode draws on an established narrative of van Gogh's unique perception of the worid. is 39 BENGTSEN & SUNESON 2. PATHOLOGICAL CREATIVITY certainly cannot be ruled our rhat a neurological afliction can influence the way the world is perceived and subsequently depicted, the link between creadve ourpur and neurological disease is not as clearcut as the representarionin Brain Story might. lead us to believe. Other factors should also be considered, such as the prevailing ideas and artistic tendencies of the time. As Nisbet and Fahy (zor3) argue, popular media often use tales or metaphors familiar ro rhe general public in order to embed complex scientific results in a more comprehensible framework. \Øhile this kind of mediation of results makes otherwise complicated and inaccessible information available to a wider audience, the prominence of one narrative also often means that other possible narratives or perspectives are disregarded. In the case of van Gogh, conremporary aft hisrorians have traced the strong influence of his close collaboration with the artists Paul Gauguin (rS48-r9o3) and Émile Bernard (r868-r9ar). As art historian Anne-Birgitte Fonsmark (zor4) has pointed our, rhe rhree artists' motiß, choice of colours, compositions and other stylistic elements were 'wandering' between them. In other words, van Gogh's artistic output cannot be understood simply through the perspective of mental affiiction. It was at least in part a result of influences from the social context he was a part of; a time and an environmenr where styles that later became known as characteristic of art movements such as Post-Impressionism and Expressionism began to emerge. In addition to the social aspects, astronomer Charles A. \X/hitney (1986) has pointed our rhar van Gogh would sometimes compose his night skies by combining different vantage points. Art historian Evert van Uitert (zo16) further writes rhar van Goghb Tlte Starryt Night\¡/as composed 'nor directly from narure, but with the help of sketches' and that 'the old, rather brutal woodcuts that illustrate the Household edition of The Worhs of Charles Dicþens' served as a source of inspiration for the style of the painting. That the paintings are composites is a further indication that van Gogh did not simply depict the world as he saw it and that the idea of a direct link between neurological pathology and artistic ability is problematic. As mentioned previousl¡ the narrative of the artist as a speciÊc þersonality type' and of art as expressive of a particular kind of identiry has its roots in a historical period within \Øesrern thought, which reached its pinnacle in nineteenth and twentieth century European modernism. The highlighting of arr as an individual expression was initially connected to the idea of the artist as a sole, divinely inspired genius. This point of view meanr that the identity of the arrisr was collapsed into the artwork. Art thus came ro be seen as a reflection of the artist's 'self' (Kester zol: ry6). A search for þure' individual expressions unaffected by societal norms meant that some modernist art movements, like Art Brut, took an interest in art made by children and the mentally ill. Other art movements, such as Dadaism or Surrealism, developed automated methods for making arr. By doing so, they hoped ro access expressions of the subconscious that would otherwise be repressed. As mentioned previousl¡ during the twentieth century these ideas have become highly contested because they do not take into account the contextual, intersubjective and social aspecrs that play a central role both in the formation of identity and the development of an arrisric sryle. Given the rather outdated nature of the modernist narrative of identiry it is interesting that it is recurrently used in popular mediations of neuroscientific research. As a case in point, van Gogh is a widely known art historical character, and as a perceived artistic genius he is commonly used as an example when connections are made between mental illness and creativity. In contrast ro contempo rary art theor¡ Brairc Story's interpretation of van Gogh's work is similar to the modernist idea of how the identity of the artist is collapsed into the artwork; it differs mainly by a change in focus. In this popular neuroscientific reading, the idea of the 40 4r A landscape uieu flmed through a patterned glass window. In Brain Story this h lneant to uisaalise aan Gogh's distorted uision..Se¿ Brain Story, episode All in The Mind'. First broødcøst on I May zoo4. Figure 2.3. r \Øhile it BENGTSEN 8¿ SUNESON 2. PA.THOLOGICAL CREATIVITY artist as being guided by his or her inner life seems to have been supplanted with an idea of the artist as being controlled by his or her brain activity. In the following section, we will further discuss how this relationship between neurological disease and creativity is framed. Framing artistic abiliry as a symptom One of the medical cases handled by Dr. Black in Blacþ Box is introduced by showing a young man, named Anthony Guiness, manically creating a painting in strong colours on the wall and doors of a hospital room (see figure 2.4). tVhen neurologist Catherine Black walks in, Guiness' parents, who have been sitting at a table in the room, apologise for their sont behaviour and explain that they are unable to stop him. They further offer to pay to have the room repainted. Black, however, refuses and remarks that the painting is beautiful. The parents tell Black that their son has always been an exceptional student and that he was headed to MIT to study physics. They further explain that 'he has never been interested in art. He started drawing Dr. catherine Blach speahing to the pørents ofthe patient pøinting on a wall and the doors of ø hospital roam. The painting resembles the worþ of expressionist artists such øs \Villem de Kooning Joan Mitchel, Asger Jorn and Karel Appel. See BlackBox, season L episode t: 'Kiss the Shy'. First broadtast on z4 April zot4. Figure 2.4. about three months ago. First he drew all over the walls of his room, and then the school suspended him for defacing the hallways'. \JØhen Black points out thât the emergency room diagnosed their son with schizophrenia his mother exclaims: 'That is wrong! Our son is a scientist, he is not an artist. Something happened to him, something changed in his brain!'This comment simultaneously draws on and feeds into the framing of neurological disease - in this case schizophrenia - as a source of creativity and artistic ability. The mother clearly links being an artist with being mentally ill. This is a similar narrative to that found in the previousþ discussed segments from both Blacþ Box and Brain Story on van Gogh's temporal lobe epilepsy. The case as a whole also allows the series to discuss the viabiliry of using the anaþis of creative output to diagnose patients. The problematic nature of this type of diagnosis is demonstrated later in the episode, as it turns out that a brain tumour, not schizophrenia, is causing the patient's change of personality and outbursts of creativity. This is confirmed, not by analysing the art Guiness produces, but by his demonstrating other symptoms like suddenly standing motionlessness with a blank expression and that he selÊreports experiencing dizziness, lack of motor control and headaches. A subsequent MRI scan reveals a tumour in the temporal limbic area. In preparation for the surgical removal of 42 the tumour, Black tells Guiness that he will become his old self again as a result of the procedure. Guiness responds by asking if he will still be able to draw after the surgery, to which Black answers: '[Of] course you will! You may not want to anymore'. In the final segment of the show pertain- ing to this case, ir is indeed revealed that the patient has lost his urge to paint after undergoing surgery. Furthe¡ looking at the wall paintings in the hospital room, he expresses disbelief that he actually made them. \X/hile this case problematises the idea that an accurare diagnosis can be achieved through analysing art, it also reinforces the idea that neurological aflictions and creativity are closely connected. A similar case, where a person's artistic drive and abiliry are framed stemming from a malfunction in the brain, is presented in the documentary Brain Story. This non-ficrion example further underscores our argument that neurological disease is commonly being used as an explanatory factor for crearive abilities. The host, Susan Greenfield, as introduces Dick Lingham in a voiceover. He has been diagnosed with a, not further specified, degenerative brain disease that is 'slowly destroying the front of his brain'. Concurrent with the degeneration of Lingham's frontal lobe, Greenfield explains that 'the brain damage 43 BENGTSEN 8¿ 2. SUNESON P.A,THOLOGICAL CREATIVITY has released abilities that Dick never knew he had; he has become overwhelmed with the urge to paint'. In the segment, Lingham is interviewed while he paints, and the programme visually alternates between showing his face and a close-up of the paper in front of him. His artworks, Lingham explains, are made by building up a patrern using diluted ink which he later tries to 'inrerpret into some reasonable picture'. The programme then cuts to one of his paintings, which seems to be depicting a dragon and a rearing horse with a rider on its back, predominantly painted in shades of blue (see figure 2.5). In the interview, Lingham says that he enjoyed doing art at school but that he was not very skilled at painting when he was younger and that as an adult he had not painted until he got sick. His return to painting as a result of a neurological afliction is reminiscent of the artistic urge seen in Guiness in Blacþ,Bar. Stylisticall¡ Lingham's work also bears a resemblance to the wall paintings created by Guiness; the work of both artists brings to mind the painterly style associated with Expressionism. As mentioned previously, this modernist art movement is strongly connected to the idea of art as a pure expression, where the artisi's Åind transcends the body and is projected onto the medium. In both the realJife case of Lingham and the fictional case of Guiness, altered neurological processes due to brain disease are used as the sole explanation for these patients' sudden urge and ability to paint. However, studying human behaviour, actions and personality traits from a neurological perspective alone leaves out aspects that are crucial for understanding the interaction benveen the individual, language, context and culture. From a wider, socially oriented perspective it is highly probable that major mental or cognitive transformations will affect a person's perceptions ofhis or her body and self, Suffering from a disease that changes one's way of interacting with other people, one's ability to work and care for one's loved ones, or that alters one's sense of selt will most likely affect the need to express oneself in order to deal with the situation. In other words, it cannot be ruled out that the connections found between neurological changes and new ways of expression is to some extent the result of social causes. Thus, the criticism of an over-simplified notion of the divide between the individual and the surrounding society that has been directed at modernism's conception of the artistic genius since the latter half of the twentieth century can also be applied to popular media's can be inferred from artworks, this familiar shorthand serves ro draw the viewer into the narrative in virtue of its recognisabiliry. Acknowledging that art is actually the product of a larger system would muddle the understanding of the artistic vision as having irs nexus in mental illness. Popular media programmes dealing wirh neuroscience repearedly depict artists as having a certain kind of brain geared towards creativiry, and are hence reproducing the modernist idea of subjectivity. Th. main diÊ ference is that the previous focus on the special mind or sensibility of the artist has been replaced by a focus on rhe brain. By using these specific frames of reference, popular media essentially stage artistic ability as a symptom of an affiiction in the organic brain and explain crearivity solely through neurological processes. This description of individual 44 4t Figure 2.5. A close up of a detail of one of Dick Linþami paintings. In tlte døcumentary Brain Stor¡ the painting h merged with a brain scan image throagh ø crossfade. This ernphashes uisaalþ the connection between Lingham:s neurological ffiction and his ørt. See Brain Story, episodz r All in The Mind'. First broad¡ast on I May zoo4. contemporary narratives of subjectivity. By furthering the idea of society as consisting of isolated individuals, these framings ignore the complex interaction of bodies, perceptions, language, conrext and social exper! ences, which is part of the basis for the formation of subjectivities and personality traits. The idea of the sole artistic genius may nevertheless be a convenienr, even necessary, trope to draw on in popular media when relating creativiry to neurological disease. \X/hile it ro some extent misrepresenrs what l- BENGTSEN & 2. PATHOLOGICAL CREATIVITY SUNESON References expression portrays the biological body as an isolated system and overlooks the importance of other factors (for example social and psychological) that may influence an artist's creative work. Beaulieu, Anne zooo: The Brain at the End of the Rainbow: The Promise of Brain Scans in the Research Field and in the Media. In: Janine Marchessault & Kim Sawchuk (eds.) IVild Science: Reading Feminism, Medicine anà the Media. London: Routledge. Beaulieu, Anne zooz: Images are Not the (Only) Ti.uth: Brain Mapping, Visual Knowledge and Iconoclasm. Science, Tbchnology and, Harnan Values,27ft): 51-.86. Becker, Howard S. r98z: Art tYorlìs. Berkele¡ Los Angeles and London: University of Conclusion: framing neuroscience in popular media Popular media products can be useful vehicles for framing and relating information about complex topics and creating debate among a broader public. Close readings of popular media products and their narratives can potentially help understand aspects of discursive transformations California Press. Bourdieu, Pierre 1993: The Field of Cuhural Production: Essays on Art and Literatare. New York: Columbia University Press. Demarin, \/ida zoog: Neurological Disorders in Famous Painters. Journal of The Neuro logica I Sci ences, ot I zoo9. Dumit, Joseph ry97: A Digital Image of the Category of the Person. PET Scanning and Objective Self-fashioning. In: Gary Lee Downey & Joseph Dumit (eds.) Cltborgs and Citadels: Anthropological Interuentions in Emerging Sciences. Sante Fe: School of American Research Press. Dumit, Joseph zoo4: Picturing Personhood: Brøin Scans and Diagnostic ldcntity. Princeton: Princeton University Press. Fonsmark, Anne-Birgitte zot4: Van Gogh, Gaaguin, Bernard: Dramaet i Arles. Charlottenlund: Ordrupgaard/Strandberg Publishing. Jenkins, Henry zoo6: Conuergence Cuhure: IJ'y'here Old and New Media Collide. NewYork and London: New York Universiry Press. Kester, Grant H. zorr: Zhe One and the Man:. Conternporøry Collaboratiue Art in a Global Context. Durham: Duke Universiry Press. Nisbet, Matthew E¿ Declan Fahy zotl: Bioethics in Popular Science: Evaluating the Media Impact of The Immortal Life of Henrietta Lacks on the Biobank Debate. BMC Medical Ethics, 14: ro. Nisbet, Matthew & Ezra M. Markowitz zor4: IJnderstanding Public Opinion in Debates over Biomedical Research: Looking beyond Political Partisanship to Focus on Beließ that are presently underway within science and society at large. As a case in point, we have looked at how the popular science-progrumme Brain Story and the fiction series Blacþ Box frame and present neuroscientific themes and findings in an accessible manner. Viewing these and similar media products can thus be seen as a step towards enabling and encouraging an audience to engage actively in a discussion about neuroscience and neurological disease. However, it is important to note that exposure to programmes related to a specific theme does not necessarily lead to such active participation. \X/hile popular media can certainly serve to encourage participation, the latter only really occurs when audiences engage critically with the cont€nt. lü/hen media products frame complex issues, they often do so by relying on simpliÊcation and well-established tropes. The way a given issue is framed will, in turn, impact how an audience may understand and engage with that issue. 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