Tuesday, 18 August 2015

Success and the Theatre: Charlotte Gwinner

Charlotte Gwinner
I am really excited to be able to introduce Charlotte Gwinner to the rest of the team!

Charlotte Gwinner is an award winning theatre director and her recent credits include: Sunspots at Hampstead Theatre, Sarah Kane's 4:48 Psychosis and Crave at Sheffield Theatres, The Distance at the Orange Tree Theatre, and A View From The Bridge at the Everyman and Playhouse, Liverpool.

She has directed lots of new and classic plays including: The Knowledge and Our New Girl (Bush Theatre), Benefactors (Sheffield Theatres), and The Uncertainty Project (Paines Plough). 

She was Associate Director for the Bush Theatre, under Josie Rourke in 2006, and was awarded a Quercus award in 2014 by the National Theatre, as well becoming Associate Director for Liverpool Everyman and Playhouse. She is currently an Associate Director at Sheffield Theatres.

It is wonderful news that someone with Charlotte's experience and background is keen to collaborate on a project investigating success, especially as Charlotte herself is interested in the various aspects that make a play successful. Charlotte will help us convert some of our and her ideas on success in a play destined to young children. 

I'm looking forward to discuss the details with Charlotte and the rest of the team in September!


Tuesday, 11 August 2015

Meeting Curious - thinking about failure and vulnerability in the light of success


Last week, at Wellcome Collection, I met with Helen Paris,who together with Leslie Hill form Curious. Curious have already created two artworks with the support of Wellcome Trust. One about ‘gut-feelings’ (The Moment I Saw You I Knew I Could Love You) was a collaboration with gastroenterologists at Barts, London. The other, about smell and memory (On The Scent), involved collaboration with a biologist at the National Centre for Biological Sciences, Bangalore, India.

Helen and I had a wide ranging conversation, but one element stuck in my mind – the possibility of failure and the opportunity to fail. Helen teaches performance at Stanford, USA. In one class she asks students to experience failure by creating ‘bad’ artworks. In order to succeed in the class they have to fail in their art, which Helen says the students find very confusing. What is the role of failure in success?

For artists, learning to take risks is necessary for success. Yet taking risks results in the possibility of failure. Drawing on Nietzsche', the early contemporary choreographer Doris Humphrey described how the modern dancers should always inhabit the ‘arc between two deaths’ - the moment of falling, between standing still and lying down. For Humphrey, lack of risk was the death of the artwork. If you were safely standing, or safely lying down, nothing interesting was happening. To dance, to create 'good' art, you must take the risk - and accept the possibility of failure.

But in healthcare, risk is unacceptable.

In a Lottery-funded project about interpersonal perspectives of suicidality, I was interested to hear service-user and family members discuss how while risk, and risk-assessment was very much part of many suicidal people’s lives, care and humanity was less evident. It seemed to many of our participants, that our risk-averse healthcare culture had reduced care to box-ticking, and that the humanity had all but disappeared. I am reminded of being told about an experience of being an inpatient (partly described in an article by Amy Woods & Neil Springham), when the service-user reported that hearing kind words from the ward cleaner was a standout moment of her mental health inpatient stay.

What is the relationship between risk and care? Trust seems important here, and was lacking for those participants who had been suicidal. I’m very interested in how trust manifests between people, rather than inhabiting any one person. It is neither a cognition, a behaviour nor a feeling, but perhaps a mixture of all these, happening across persons, not inside them - in a distributed way.

Helen Paris told me she thinks of trust in terms of an invitation – the invitation is given to the audience and she awaits the response. For example, in their recent piece Out of Water, Helen holds out her hand to an audience member, who is then led down to the edge of the sea. In making the invitation there is risk and vulnerability. How will the audience member respond? Helen says creating an atmosphere of trust and safety in the artwork is important.

There is risk and vulnerability in mental health care too. For service-users, who have perhaps been let down or hurt many times before, there is huge risk in approaching services for help, and allowing themselves to become vulnerable in the moment of trust. But for the staff too there is risk and vulnerability. (And I am thinking of my own experience here, as a trainee psychotherapist). If we make ourselves vulnerable by showing care for a service-user/client, what will happen? There is risk in creating attachments with the people we ‘care’ for (and this also goes for informal carers and wider friends and family of those with mental health problems). There is risk in acknowledging that as healthcare providers we often do not have adequate methods to ease suffering, and that we, sadly, sometimes fail to keep people safe or help them become well.

In thinking about success, failure, vulnerability and risk are all implicated. This seems to be the case in both artist endeavours and in healthcare.

Monday, 10 August 2015

Mental Health and Success in the News

Almost every week we read about the "unexpected benefits" of mental distress: people with depression are more accurate in their judgements, people with mania are more creative, people with anxiety are perfectionists. How should we interpret this literature, and is it a good thing to associate diagnostic labels to general patterns of behaviour that are viewed as positive?

Dianne Harris, Wellcome Images
This is a question I asked myself a lot recently, facing the reactions that my work on project PERFECT provokes in people with lived experience of mental distress, academics and the general public. PERFECT is about the potential benefits of imperfect cognitions (delusions, confabulations, distorted memories) and thus it often emphasises such benefits in the context of the behaviour of people with a psychiatric diagnosis.

One reaction is the Enthusiasts'. They believe it is wonderful to battle stigma by talking about people with mental distress in a more balanced way, highlighting the positives as well as acknowledging the negatives. The opposite reaction is the Sceptics'. They are wary of sweeping claims romanticising what by many is experienced as pain, distress, isolation, failure.

What should we think when we are told that anxiety makes us more successful performers and depression makes us more knowledgeable about ourselves? (Links are to popularised versions of these claims in the media, not to research articles in academic journals). I think we should first distinguish between the more and less severe form symptoms can take. A pinch of anxiety might make us more excited before an important performance, keeping us on edge and motivating us to prepare better. A depressive mood may be a powerful antidote to the overwhelming optimism we generally experience when we assess ourselves and our prospects. But crippling anxiety and major depressive episodes are no fun, and seem to deliver no benefits at all, rather than maybe develop resilience in the people who survive them.

This is a message we get clearly from the first-person accounts we publish in Imperfect Cognitions (see Emily Troscianko on anorexia): sadly, some situations have no silver-lining.

To explore these issues in the context of our interest in "striving and thriving" will help us map the relationship between mental health and success. This task will be partly empirical as it will require to collect information about how people behave and how their mental distress affects their behaviour, and partly conceptual as one will have to have a pretty good idea of what success entails in order to collect data that are relevant. Michael's last post helps with clarifying what the conceptual questions may be like: Is the successful person the one who finds meaning in what she does, or the one whose measurable achievements exceed expectations? Is there a notion of success that can capture both aspects?