Jean-Paul Sar t r e t o R. D. Lai ng R. D. Laing advances the existential position of jean-Paul Sartre, that persons experience being-for-themse/ves and seekto enhance this. Existential being refers to a continuous dynamic flow of consciousness-through-action (praxis) which issuesfrom human beings out into their social environments. Yet when we behold others we tend to seethem asbeings-in-themselves, asobjects located in our own- purposive vision. ForSartre interpersonal relationships were aperpetual struggle to assertthe fluidity of our own existence against persistent attempts to objectify usby others. Now the 'scientific world view' is overwhelmingly objectifying. This view of the detached observer seeksto explain usfurther by analytic reasoning which reduces us to parts. There is psychological violence in this stony gaze and disintegrative thinking. Sartre opts for his own brand of dialectical reasoning wherein the convictions of any persons or group will be 'depassed', ie encompassed into the larger configuration of another's convictions. No conviction should therefore masquerade as a moral absolute or objective determination. R. ,D. Laing regards contemporary psychiatry as having made a false objectification of psychic states. Freud descended into the 'underworld' of stark terrors wielding his theory like Medusa's head which turned these terrors to stone. We must learn to understand psychotics without petrifying them. Laing is not claiming that Freud's theories are 'wrong'. They may, indeed, accord with observable evidence. Hispoint isthat facts can bemeasured and communicated in amanner that increases their salience! Patients seeking help because they feel like dead and shattered objects find themselves further petrified by the viewpoints of psychiatry. The very data which symptoms constitute are in reality capta, pieces torn and abstracted from the fabric of lived experience. Laing's view of the process of becoming schizophrenic begins with split or schizoid functioning. Persons ontologically insecure, that is those who have not been allowed to experience themselves as continuously related to the world by moral action, may split themselves into two systems, a system of false selves presented as a mask to the world, and an inner self of authentic experience not revealed to others. Schizoid organization is a question of degree. We all recall as children the discovery that we could hide our knowledge from detection by parents. It iswhen the false self becomes habitual that splitting can become a permanent characteristic. Theadvantage being sought by splitting isthe reduction of anxiety. When I offer my true, embodied self to others for acceptance or rejection there is existential anxiety in the anticipation of their response. Such anxiety may be excruciating for those much rejected and poorly socialized intheir past lives. They seek relief in the fabrication of false selves designed to gain acceptance. Should such a self be rejected, the pain is considerably less. Yet this immediate relief can spell later disaster. Ifthe true selfisnever committed to others, it can neither confirm itself nor learn from experience, while the false self can only be confirmed in its falsity, sothat even success is like crowning adummy. Social skills will atrophy and neurotic anxieties consequent on gauche behaviour soon replace the existential anxiety. There is, claims Sartre, 'no exit' from the vicious circle (Huis Clos) of proffering in 'bad faith' false versions of ourselves. We , will become tormented by mutal objectification in a world where 'hell is other people'. Schizoid behaviour does not lead directly to schizophrenia, rather it intensifies psychological violence sothat some win the struggle to define others as objects, and others losethis struggle. It isamong victims and losersthat the drift to psychosis is likely to occur. 60 The patient (left) is being viewed by the psychiatrist (right) through a screen of theory which divides the patient into so many 'signs of illness' and objective categories. Such a psychiatrist may understand everything about schizophrenia without understanding a single schizophrenic. Ironically the patient has come to seek help because of feelings of disintegration, feelings to which the psychiatrist adds by the very process of reductive analysis. Sanity is judged in our society by the degree of conjunction between two persons, the certifier and certified, when the first is sane by common consent. Patients are typically those whose relatives or friends have pinned objective determinations of sickness upon them, persuaded them to seek help, which then furthers their disintegration. The patient unintentionally facilitates his own psychoses by fabricating a 'false self' which inauthentically complies with the demands of a hostile environment, while an inner 'true self' resorts to fantasies of freedom and compensatory dreams of revenge. While the false self accumulates onerous experiences, the true self feels progressively isolated and unreal. It dreads being swallowed by the false-self system, now seething with introjected critics and inconsistent attributions ... So the person who says he is a machine is mad, while many of those who say men are machines are considered great scientists! MAP REFERENCES Objectifying, 6-7, 35, 39, 43, 52-3; One-dimensionality, 43, 50, 53, 60; Oscillation, 22, 34, 43, 48-51,56-8; Schizophrenia, 12, 22, 24, 34, 49, 51; Schizoid, see also schismogenesis, split, 6, 12, 23-4,28,34,40,43,48-50. 61 LEVEL 2/MAP 14 PATIENT THEORY THERAPIST ......("FALSE SELF < > -- < . _ --J _ _ (embodiedl-. '-. "- ~" . -', .' - - --i;~:'_ . .- __ - )--.---~. i MAP 14/LEVEL 2 These dynamics are illustrated inthe map. The patient (left) has split off asystem of false selves designed to conform to others' expectations. These are deployed in defence of an inner self, which suffers in Kierkegaard's phrase, 'a demonic shutinness'. Yet the psychiatrist (right) has his own 'false self, inthe shape of theory, by which the patient isobjectified and analysed. J ustas parents or spouses won 'the politics of experience' and persuaded the patient to be their 'sick object', so the therapist now confirms the diagnosis. By a vocabulary of denigration, whether moral or medical, one schizoid system labels the other as mad, each wearing a 'death mask' that mirrors the others falsity. The patient is likely to agree with psychiatric suggestions, while the psychiatrist delights inthe self-fulfilling powers of his theory. Why even the patient's dreams oblige! This victory of authorities over patients accelerates their psychoses. The false self becomes an increasingly brittle facade crowded by a collage of inconsistent attributions and increasingly mocked and hated by the true self, which develops compensatory values. The more craven, defeated and bounded the false self becomes, the more dauntless, victorious and free grows the true self. There are, after all, no limits to the imaginings of a phantom locked away from the world. Steadily the paradox becomes sharper, that the true self is equally threatened by continual imprisonment and by letting in the external reality. The psychotic break is usually Signalled by changes in language. Near the borderline a patient may saythat he does not really make love to his wife. Over the borderline he may saythat the woman he makes love to is not his real wife. Yet the transition is understandable. A two-way conversation has yielded to one between four or more entities. The false self, by now soinvaded by relatives and psychiatrists, has become indistinguishable from them. They are it and it is them, while the true self has opted for the fantasy wife. The original conflict between the patient and others has been pushed by objectification within him, so that his selves literally mock and caricature each other. With the onset of schizophrenia in early adolescence there are often three sequential descriptions of the patient by parents, 'goodness, then badness, then madness' (see diagrams). Typical was the case of J ulie, 'the ghost in the weed garden'. She 'never made trouble' wasalways 'sweet, obedient and clean'. Since real children are not inthe least like this, J ulie's 'perfect self was clearly false, with a true self seething behind the mask. As the psychotic break approached, J ulie made afrantic bid to save herself. This was her 'badness phase'. Shesuddenly accused her mother of never leaving her alone, of smothering her. Desperate truths, but naturally her parents were aghast. How could their darling harbour such sentiments? We can imagine the ferocity of their shock and disapproval. It therefore came as a relief to her parents (and as a surrender Signal from J ulie) when she said that her mother had murdered a child and the police must be informed. J ulie was ill! Her badness could be explained by madness. She had not meant what she said. Sartre and Laing would agree with Marcuse (seeMap 53)that J ulie isthe victim of one-dimensional judgements. The moral absolutes of her parents - obedience, cleanliness, quiet - leave no room for the other ends of the dialectic process - rebellion, dirtiness and noise. Even medical science was one-dimensional in insisting on the sanity of her false self and the insanity of her true experience. Moralism and positivism joined to smash those values which appeared to negate their being. But it is a fallacy of momentous proportions to regard obedience as good and rebellion as bad, to insist on yielding and not assertion. The real disease lies in the splitting of these values, so that the false self seems docile and dead and 62 'In short we have an already shattered Humpty Dumpty who cannot be put together again by any number of hyphenated or compound words: psycho- physical, psycho-somatic, psycho- biological, psycho-pathological, psycho-social, etc .. .' 'The Divided Self' Ronald Laing We shall be concerned specifically with people who experience themselves as automata, as robots, as bits of machinery, or even as animals. Yet why do we not regard a theory that seeks to transmute persons into automata or animals as equally crazy?' 'The Divided Sell' 'Patients kick and scream and fight when they aren't sure the doctor can see them. It's a most terrifying feeling to realize that the doctor can't see the real you, that he can't understand what you feel, and that he's just going ahead with his own ideas.' 'The Divided Sell' I. 2 Three phases of schizophrenia in ,earlyadolescence: 1. A 'good', obedient child 2. A 'bad', rebellious child 3. A 'mad' child. oscillating between the extremes of 'good' (false self) and 'bad' (true seli). LEVEL 2/MAP 14 the true self wildly animated. The pattern we observe in psychosis is an oscillation between extremes, with no moderation or mutual restraint between absolutes. Laing's views were championed by the counter-culture of the sixties and grossly simplified. The media presented him in an increasingly bizarre light, in seeming sympathy with patients who were conceived of as having mystical experiences - the veritable odyssey and return of the hero. I believe, however, that we can distinguish the profundity of Laing's work from its later extravagance by making a single important distinction. Laing took Sartre's 'real self and 'imaginary self and altered these to read false self and true self. He did not, he now insists, intend to convey that the true self in its split-off, phantomized condition was an enviable state of superior sanity, only that it was truly experienced. Patients can be helped back to a fusion of their subjective experiences with the social realities seen by others, only if these true selves are first accepted as legitimate bases to build upon. In this way their rebellion is respected along with their obedience, their assertion with their yielding and the entire range of behaviours between. . Itwas Laing's popularizers, not he, who tried to define whole asone polarity upon the continuum subjective whole-objective part. The principle of unity cannot be applied at only one level of language (seeMap 40), but must logically refer to the whole continuum, which includes objectivity and parts inawidened context. When the continua of whole-part, subject-object, separation-relationship are cloven ina divided self, then all split-off ends are pathological, mutually excitatory, and wildly oscillating, the turned-on hippie and the buttoned-down automaton alike, and both can only be healed by the integration of their extremities. If Laing has emphasized the subjective end, it was because too many others had de- emphasized it. The necessary one-sidedness of his tactics have been confused with the vital balance of his goal. . Inthe light of such models as catastrophe theory (seeMap 56), Laing's work takes on renewed importance and the concept of a widening, catastrophic splitting in mind and behaviour, with jumps or oscillations between, becomes much more than a metaphor and iscapable of mathematical expression and three-dimensional representation. Essentially the schizophrenic is crucified by the subject-object split of Cartesian dualism (seeMap 6). He (or she) is 'the broken image' as Laing puts it. The risk consists in this: if one experiences the other as afree agent, one is open to experiencing oneself asan object of hisexperience and thereby of feel ing one's own subjectivity drained away. One is threatened with the possibility of becoming no more than athing inthe world of the other, without any life for oneself, without any being for oneself. Interms of such anxiety, the very act of experiencing the other as a person is felt as virtually suicidal. Sartre discusses this experience brilliantly ... 63
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