WITH A NEW PREFACE BY THE AUTHOR
In her bestselling classic, An Unquiet Mind, Kay Redfield Jamison changed the way we think about moods and madness.
Dr. Jamison is one of the foremost authorities on manic-depressive (bipolar) illness; she has also experienced it firsthand. For even while she was pursuing her career in academic medicine, Jamison found herself succumbing to the same exhilarating highs and catastrophic depressions that afflicted many of her patients, as her disorder launched her into ruinous spending sprees, episodes of violence, and an attempted suicide.
Here Jamison examines bipolar illness from the dual perspectives of the healer and the healed, revealing both its terrors and the cruel allure that at times prompted her to resist taking medication. An Unquiet Mind is a memoir of enormous candor, vividness, and wisdom—a deeply powerful book that has both transformed and saved lives.
Excerpted from An Unquiet Mind by Kay Redfield Jamison. Copyright © 1997 by Kay Redfield Jamison. Excerpted by permission of Knopf, a division of Random House, Inc. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Kay Redfield Jamison is the Dalio Family Professor in Mood Disorders and Professor of Psychiatry at the Johns Hopkins University School of Medicine. She is co-director of the Johns Hopkins Mood Disorders Center and a member of the governing board of the National Network of Depression Centers. She is also Honorary Professor of English at the University of St. Andrews in Scotland and the author of the national best sellers An Unquiet Mind and Night Falls Fast, as well as of Touched With Fire, Exuberance, and Nothing Was the Same. Dr. Jamison is the coauthor of the standard medical text on bipolar illness, Manic–Depressive Illness: Bipolar Disorders and Recurrent Depression, and the recipient of numerous national and international literary and scientific honors, including a MacArthur Award. In 2010 she married Thomas Traill, a cardiologist and fellow faculty member at Johns Hopkins.
“An invaluable memoir of manic depression, at once medically knowledgeable, deeply human and beautifully written . . . at times poetic, at times straightforward, always unashamedly honest.”
—The New York Times Book Review
“Stands alone in the literature of manic-depression for its bravery, brilliance and beauty.”
“Jamison’s [strength] is in the gutsy way she has made her disease her life’s work and in her brilliant ability to convey its joys and its anguish. . . . Extraordinary.”
—Washington Post Book World
“The most emotionally moving book I’ve ever read about the emotions.”
—William Safire, The New York Times Magazine
“Written with poetic and moving sensitivity . . . a rare and insightful view of mental illness from inside the mind of a trained specialist.”
“Enlighting . . . eloquent and profound.”
—San Francisco Chronicle
“Piercingly honest. . . . Jamison’s literary coming-out is a mark of courage.”
“Brave, insightful, richly textured and chillingly authentic.”
“A riveting portrayal of a courageous brain alternating between exhilarating highs and numbing lows.”
—James D. Watson, Nobel laureate and author of The Double Helix
“In a most intimate and powerful telling, Jamison weaves the personal and professional threads of her life together. . . . [She] brings us inside the disease and helps us understand manic depression. . . . What comes through is a remarkably whole person with the grit to defeat her disease.”
—Cleveland Plain Dealer
“A riveting read. I devoured it at a single sitting and found the book almost as compelling on a second read. . . . An Unquiet Mind may well become a classic. . . . Jamison sets an example of courage.”
—Howard Gardner, Nature
“Stunning. . . . [An] exquisite (in both a literary and medical sense) autobiography. . . . This is an important, wonderful book.”
—Jackson Clarion Ledger
“Extraordinary. . . . An Unquiet Mind must be read.”
—The New England Journal of Medicine
“A beautiful, funny, original book. Powerfully written, it is a wonderful and important account of mercurial moods and madness. I absolutely love this book.”
—Pat Conroy, author of The Prince of Tides
“A landmark. . . . The combination of the intensity of her personal life and the intellectual rigor of her professional experience make the book unique. . . . A vibrant and engaging account of the life, love and experience of a woman, a therapist, an academic, and a patient.”
—British Medical Journal
“Affecting, honest, touching . . . fluid, felt and often lyrical.”
—Will Self, The Observer (London)
“Quite astonishing. . . . Cuts through the dead jargon and detached observations of psychiatric theory and practice to create a fiery, passionate, authentic account of the devastation and exaltation, the blindness and illumination of the psychotic experience.”
—The Sunday Times (London)
“Rises to the poetic and has a mystical touch. . . . A courageous and fascinating book, a moving account of the life of a remarkable woman.”
—The Daily Telegraph (London)
“Fast-paced, startlingly honest and frequently lyrical. . . . Jamison has] a novelist’s openness of phrase and talent for bringing character alive.”
—Scotland on Sunday
“Superbly written. . . . A compelling work of literature.”
—Independent on Sunday (London)
1. "The long and important years of childhood and early adolescence...were to be an extremely powerful amulet, a potent and positive countervailing force against future unhappiness"[p. 15]. What aspects of Jamison's early life and upbringing helped to provide her with emotional support on which to draw years later?
2. What benefits did the conservative military lifestyle led by the Jamisons confer upon the young Kay Jamison? With what disadvantages did that same culture, with its stiff-upper-lip creed, afflict her in her battle with mental illness?
3. In graduate school, Jamison writes, "Despite the fact that we were being taught how to make clinical diagnoses, I still did not make any connection in my own mind between the problems I had experienced and what was described as manic-depressive illness in the textbooks"[p. 58]. Why did she refuse to acknowledge the obvious? Why didn't she question the "rigid, irrelevant notions of self-reliance"[p. 101] she had been taught?
4. "Being open is the sort of thing that I advise people to think very long and hard about,"Jamison has stated. "It's one thing if you're independently wealthy. It's another thing if you're out in the real world"(Washington Post Magazine, 4/16/95). Why did Jamison avoid bringing her illness into the open for so many years, and what made her finally decide to do so?
5. Jamison worries that we could "risk making the world a blander, more homogenized place if we get rid of the genes for manic-depressive illness"[p. 194]. On the other hand, E. Fuller Torrey, a well-known author and schizophrenia researcher, says he "would quite happily lose a van Gogh to treat the disease"(Washington Post Magazine, 4/16/95). Which point of view do you endorse? Can you sympathize with both sides of the issue?
6. With her book Touched with Fire and her public television specials on artists like Byron, van Gogh and Schumann, Jamison has been accused by some of her colleagues of romanticizing manic-depressive illness by associating it with creative genius. Does this accusation seem reasonable or unreasonable to you?
7. "Lithium moderates the illness,"Jamison observes, "but therapy teaches you to live with it"(Time, 9/11/95). Has she convinced you that drugs plus psychotherapy is the answer for mental illness? In that case, might not psychotherapy benefit people suffering from any debilitating illness, not just a mental one?
8. Some physicians wonder whether the increased use of mood-regulating medications might lead to a society-wide practice of chemically altering personality, with the result of making people blander and more conformist (the widespread use of the anti-depressant Prozac has helped fuel this debate). "Which of my feelings are real?"Jamison asks. "Which of the me's is me"[p. 68]? Jamison's sister discouraged her from taking lithium, saying that her "soul would wither if [she] chose to dampen the intensity and pain of [her] experiences by using medication"[p. 99]. How much of personality do you believe to be intrinsic, and how much is a result of biological impulses and chemicals? Is such a question even answerable?
9. Her work, and her own illness, convinces Jamison of "the total beholdenness of brain to mind and mind to brain. My temperament, moods, and illness clearly, and deeply, affected the relationships I had with others and the fabric of my work. But my moods were themselves powerfully shaped by the same relationships and work"[p. 88]. Jamison expresses anger against physicians who draw a distinction between "medical illnesses"and psychiatric illnesses [p. 102]. Does she imply that there is, in actuality, no difference? If there is a difference, of what does it consist?
10. "Depression, somehow, is much more in line with society's notions of what women are all about....Manic states, on the other hand, seem to be more the provenance of men"[p.122]. What might the results of this stereotyping be when it comes to giving treatment?
11. After David's death, Jamison reflects that "grief, fortunately, is very different from depression"[p.150]. How can you explain the essential difference between the two? Is it more possible to cope with the "real"causes of grief than with the impalpable causes of depression?
12. Through bitter experience Jamison comes to recognize the value of emotional steadiness in a relationship, but "somewhere in my heart,"she writes, "I continued to believe that intense and lasting love was possible only in a climate of somewhat tumultuous passions"[p. 170]. Is this feeling peculiar to Jamison and her temperament, or does it reflect certain assumptions in our society? How is the importance of love and friendship demonstrated again and again in the story? How does each of the three principal men in Jamison's life help her to seek a cure?
13. Jamison worries that her work may now be seen by her colleagues "as somehow biased because of my illness,"while admitting that "of course, my work has been tremendously colored by my emotions and my experiences"[p. 203]. Does this make her work less viable than strictly "objective"work, or more so?
14. "My major goal has been to really try and make a difference in how the illness is seen and treated"(Philadelphia Inquirer, 9/18/95). Has she succeeded, so far as you are concerned? Which of your preconceptions were changed by reading her account?
15. "Do I really think that someone with mental illness should be allowed to treat patients?"[p. 204] Jamison asks. She ultimately answers the question in the affirmative. What would your own answer be?