Documente Academic
Documente Profesional
Documente Cultură
2: July 2015
Marion Steel
Abstract
In recent years, Cognitive Behavioural Therapy (CBT) has come to be seen
as the holy grail to the nation’s mental health problems, with its results
being offered up as ‘scientifically proven’. Over fifty years ago, Heidegger
linked art with a different kind of truth to that of science, and Gadamer
continued Heidegger’s attempt at the recovery of the question of the truth
of art. Key to Gadamer’s philosophy is his recognition of the element of
free play within art and play as self-presentation. I argue that it is through
the dynamic, play-ful art of therapy, free from set directions and goals, that
we can be challenged to expand our thinking and achieve greater well-being.
Key words
CBT, happiness, Heidegger, Gadamer, Klee, Barthes, Play, Art.
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and policy that require the oversight of a critical public’ (Diski, 2014).
Diski sounds a warning note in troubled times. Are we heading here for
a Brave New World bland satisfaction? Is happiness really achievable through
trying to abolish so-called wrong or negative thoughts and replacing them
with the right positive ones? Is happiness, as Lyard defines it, even a legitimate
goal to aim for – is it so easily measurable, sustainable? These are questions
that philosophers have pondered over millennia and cannot be definitively
answered here, however we need perhaps to hold them in our minds. As a
nation, are we even unhealthily preoccupied by the idea of happiness and
its attainment? As Nietzsche observes in Twilight of the Idols: ‘Mankind
does not strive for happiness; only the Englishman does that.’ (1990, p 33)
Where in this kind of therapy that attempts to apply scientific thinking,
which places so much emphasis upon calculation and measurement and on
the thoughts (which it posits as either positive or negative) of an individual
psyche, where in this programmatic approach, we might ask, is space made
for seeking out the relational, creative, spontaneous, humorous, playful
aspects of living, which, I suggest, are crucial for making life joyous, happy
– in fact, where in this model is the spontaneity, the aliveness, the joy within
a therapeutic encounter? And conversely, where in this therapeutic model
is the recognition of the everyday sadness and sorrows of life? In a view of
life that posits the attainment of happiness and enjoyment as all (a question:
do we attain happiness?) it is notable that any attempt to confront and engage
one’s thinking with the difficulties of life, the struggles within our existence,
is absent. Where in such an approach is the recognition of the limitations
life puts upon us, the other side to fully functioning, so-called healthy living:
what of the role that ill-health plays in our lives, and death in life (others,
our own)? Where is the recognition of loss as a part of living?
Heidegger’s Warning
Over fifty years ago, in What is Called Thinking? (1968) Heidegger
sounded a warning, that a world view that privileges science to the exclusion
of all other ways of seeing, is in danger of missing something fundamental
at the heart of being. He tells us
The sciences are fully entitled to their name, which means fields
of knowledge, because they have infinitely more knowledge than
thinking does. And yet there is another side in every science
which that science as such can never reach: the essential nature
and origin of its sphere, the essence and essential origin of the
manner of knowing which it cultivates, and other things besides.
The sciences remain of necessity on the one side. In this sense
they are one-sided… The sciences’ one-sidedness retains its own
many-sideness. But that many sideness may expand to such
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to discover who and what we are, and consequently how we want to live
our lives.
*
In my room in the hospital a client is speaking. We have just been sitting
together silently, near the start of our session. Paul begins to tell me how
he recently visited an art exhibition. This in itself is a big thing. Paul is in
his mid-forties, his long-term partner, Anna, died the year before. He is
struggling in his grief to remain connected to the outside world. He spends
much of his time in his flat, Paul is a musician but he has not been creating
music since Anna’s death. I listen to Paul speaking, he asks me if I have
been to the exhibition; I tell him that I have. He begins to tell me the
impression that it made upon him, how he felt engaged by it, enlivened,
and in doing so, he begins to tell me about a photograph. This black and
white portrait had been a dominant image of the show since it had been
blown up to many times its original size and portrayed some of the founding
members of the art movement - a group, of five or six figures, all gazing
out at the camera. Particularly striking in the picture was their direct gaze
that seemed to intimately address the viewer, but also the way these people
were dressed, their casual manner, their hairstyles (one of the women has
short spiky tousled hair, she wears a white shirt) and how they all appeared
startlingly contemporary, although the photograph must have been taken
around eighty years ago.
My client is commenting on this, how it felt looking at the photograph,
how he felt the vivid presence of these people, magnified there before him,
as if they were alive, and yet, he says thoughtfully, sadly, these people
now must be all dead. He pauses and looks at me. The statement has been
put to me almost as a question, highlighting its strangeness to him.
I am reminded of the book on photography by the French writer, Roland
Barthes, Camera Lucida (1984) and how Barthes describes one day coming
upon a photograph of Napoleon’s youngest brother, Jerome, taken in 1852;
he tells the reader ‘I realized then, with an amazement I have not been
able to lessen since: “I am looking at eyes that looked at the Emperor” ’
(1984: 3). This experience begins Barthes’ book on the nature of photography.
I share this association with Paul, and Barthes’ idea of the punctum, the
aspect of a photograph that seizes the viewer, that makes an impact – very
often, it is a detail that might prick you, provoke in you an unexpected
response. It may be a minor detail, or not, an aspect that opens out one’s
thinking, one’s feeling, one’s response. As Barthes sums it up, however
lightning-like it may be, the punctum has more or less potentially, a power
of expansion’ (1984: 45)
The look of the young woman in the group photograph with the spiky
hair is unsmiling, almost challenging – she seems to look out at the viewer
almost defiantly. My client realizes this is his punctum, remembering the
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finds herself doing now with me, ‘freely’, it feels she says, ‘ like a revelation
’she adds, speaking slowly: ‘to speak and to be heard’.
Ann is a patient at the hospital where I work, she was referred by her
doctors for symptoms of panic. Ann’s panic followed a diagnosis of adrenal
cancer and her struggle going through chemo. Ann tells me how at difficult
points in her life she has experienced panic, it emerges as like a feeling
of constriction in her throat which makes it feel difficult to breathe, as a
result she was feeling like she could not go on with the chemo. Ann’s
diagnosis had been late and is now a stage III, Ann tells me that she feels
her GP did not listen to her, she relates this to being labelled as ‘a worrier’.
She once saw this term used in a copy sent to her of a hospital letter. She
told me of a psychiatric admission in her 50s when she had experienced
constriction in her throat and felt she could not swallow, consequently she
could not eat, nor had she felt able to speak. In our first session, Ann tells
me how her father died before she was born, in the Second World War .
Because her mother was deep in her grief, Ann was largely brought up by
her great aunt who would often tell her not to upset her mother, to be ‘good’
and not to cry. We look at her feeling of constriction in her throat, and how
it links to the feeling of not being able to speak about what she is feeling.
This has been replicated recently by her experience with the GP, and is
present again in her current situation with her hospital team. Ann tells me
how she feels pressurised by the medics to continue with chemo, in her
words, ‘to swallow her feelings’ and to be good’, ‘to put up with things’.
But it is as if her feelings get stuck in her throat and won’t go away. Over
the course of our sessions, Ann speaks out all she is feeling, with her eyes
closed. After a number of sessions the feeling of panic and constriction in
her throat subside, and she is able to resume with the chemo. This together
with the feeling of being able to speak freely and for her words to be heard
was a source of wonder to her.
I have spoken of this client at length because what is pertinent here, was
the importance for Ann of feeling able to speak freely, to be able in our
sessions, as she put it, ‘to ramble, to see where it takes me’, that felt for
this client so crucially enabling – to be able to speak, as she put it, without
knowing what she was going to say, just to speak and to see what words
come. It feels like, this client tells me, as we near our ending, like you
have permitted me to be able to know myself, in a new way, through these
words that I am speaking so freely to you’.
Rambling, free speech, to be able to speak freely – we are reminded that
a cornerstone of psychoanalysis was and still is free association. It emerged
early on as a technique in psychoanalysis from Freud’s sessions with his
patient Miss Elizabeth who protested against interruptions to her flow of
thought: a true example of client-led therapy. Freud would later cite as a
precursor of free association a letter from Schiller, in which he stated that,
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in the work of art, the happening of truth is at work. Yet he notes that in
the words, ‘art work’, we are confronted with the thingly feature of the
given work, rather than its happening. We hear what is worked, but we
fail to lose its actuality, its truth, if we do not also take the work as something
worked, effected – the work’s createdness, he emphasises, can be grasped
only in terms of the process (my emphasis) of creation. In the happening
of truth in the work of art, Heidegger tells us ‘we are able to characterise
creation as follows: to create is to cause something to emerge as a thing
that has been brought forth. The work’s becoming a work is a way in which
truth becomes and happens’ (2001, p 69).
Was this what Heidegger saw in Klee’s work thirty years later in Basel?
Klee himself declared that ‘Art plays unknowingly with ultimate things and
yet it reaches them’. In his lectures and writings, Klee emphasised how painting
needs to be understood as a product of a dynamic activity, that it needs to be
seen as a movement, not as something static or frozen (Schmidt, 2013: 85).
Many of Klee’s paintings exhibit this dynamic quality by means of arrows
and other directions for movements. They also exhibit what Klee in his writings
referred to as ‘ a simultaneity of forms’ or the ‘multi-dimensionality’ of painting
through the paintings’ layering and overlapping, and varying materials. The
critic Dennis Schmidt notes how ‘the palimpsest-like character of Klee’s work
is not to be explained simply as a spatial overwriting of images; rather, it is
one way in which a painting simultaneously presents a happening of events
that are different’ (2013, p 85). And thus, perhaps, through this complexity of
interlinking forms happening, the interworking of space, light, colour and
form, something that has not before been glimpsed, becomes visible...
And, so, we might argue, in therapy, different happenings coalesce: different
thoughts, feelings, images, dreams, events, interweave and form new meanings,
new fusions, new truths.
As early as 1926, Heidegger had turned to art as revealing of truth. In a
course of lectures in that year, Heidegger referred to a painting ‘Deer in the
Forest’ by Franz Marc (who in fact was a close friend of Klee’s) to illustrate
what he meant by a ‘hermeneutic concept’. By this, Heidegger explained, he
meant a concept defined not by universality or stability but by agility. After
saying that the image in art was not to be restricted as a copy or as ‘pure
concept’, Heidegger states:
The deer in the forest, which for instance, Franz Marc has painted,
are not these deer in a particular forest, but rather ‘the deer in the
forest” … In artistic presentation a concept is presented which in
this case presents an understanding of something existing; more
precisely, it presents an understanding of a being and of its being
in the world as a being with me in my environment; namely the
being in the forest of the deer of the deer and the way and manner
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Marion Steel runs a private practice and works within Palliative Care
and Oncology at Guy’s and St Thomas’ Hospitals, seeing both patients
and their families. She also provides consultation, teaching and supervision
to other health professionals within the wider hospital setting. She is the
author of Do You Realize? A Story of Love and Grief and the Colours of
Existence, published by O Books (2010).
Contact: Palliative Care Dept, Ground Floor, Borough Wing, Guy’s Hospital,
Great Maze Pond, London SE1 9RT.
Email: marionsteel.ed@gmail.com
Notes
1
For this description of Gadamer’s enactment of Heidegger’s presentation
of the deer in the forest, I am endebted to Schmidt (2013) and also for
his observation that in ‘The Origin of the Work of Art’ Heidegger did not
seem to be fully responsive to the revolutionary character of modern
painting in which the object was disappearing. It seems to have been in
recognition of this, that later, after experiencing the work of Klee in 1956,
Heidegger thought about revising his seminal essay (2013, p 79 ).
References
Barthes, R. (1984). Camera Lucida. Trans. Howard, R. London: Fontana.
Diski, J. (2014). Thrive by Richard Layard and David M. Clark – Review.
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