What gets called mental disorder or illness, mild or severe, shows itself as a misplaced fear of others. Personal relationships break down, followed by an inability to form and maintain new ones. The sufferer becomes progressively more emotionally and cognitively isolated. Madness results from our failure to constantly update and modify our mental map of the world. If we do not ‘test’ our predictions, beliefs, dreams, thoughts, internal dialogue, fantasies, hypotheses, plans, ideas about how the world is, and what the people within it think and feel, our map becomes rapidly out of date. If we act with an out of date model of the world - we will look mad to others, and they will treat us as mad. If others don’t share a large part of our model of reality we are emotionally and cognitively isolated. We need an accurate map; by sharing we come to have a more complete understanding than we could ever achieve alone. The ability to doubt and live with uncertainty, and hence know that we must constantly test our vision of the world - is sanity. To control and fix our view is the first step on the road to disaster and the way an unchanging outlook is maintained is by isolating oneself from any evidence that might contradict it. An unmodified and out of date model of the world is one where our thoughts and feelings are anchored in the past, hence our predictions of the future may be hopelessly wrong.



Sunday 31 January 2010

Bipolar - bi-lateral? (Kipling said it...


Although I rejected psychiatric diagnostic labels some years ago, I did once unearth a study claiming a statistical association that may just point the way to something. (Alas I didn’t record the reference at the time, or I’d give it to you now). The claim was that if you have received a diagnosis of Bipolar Affective Disorder, you are three times more likely to be left-handed than the general population! There’s a poem of Kipling’s which has been a favourite of mine for thirty years.

The Two-Sided Man


Much I owe to the hands that grew -
More to the Lives that fed -
But most to Allah Who gave me two
Separate sides to my head

Much I reflect on the Good and the True
In the Faiths beneath the sun,
But most upon Allah Who gave me two
Sides to my head, not one.

Wesley’s following, Calvin’s flock,
White or yellow or bronze,
Shaman, Ju-ju or Angekok,
Minister, Mukamuk, Bonze -

Here is a health, my brothers, to you,
However your prayers are said,
And praised be Allah Who gave me two
Separate sides to my head!

I would go without shirt or shoe,
Friend, tobacco or bread,
Sooner than lose for a minute the two
Separate sides of my head!

Kipling, R (1993) Selected Poems (Penguin: London)

For all things asymmetrical go to
http://www.righthandlefthand.com/ and McManus, C (2003) Right Hand, Left Hand: The of Asymmetry in Brains, Bodies, Atoms and Cultures Phoenix: London

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