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hypotheses, plans, ideas about how the world is, and what the people within it think and feel, our map becomes rapidly out of date. If we act with an out of date model of the world - we will look mad to others, and they will treat us as mad.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 An unmodified and out of date model of the world is one where our thoughts and feelings are anchored in the past, hence our predictions of the future may be hopelessly wrong.



Saturday 20 November 2010

Universal emotional expression (updated 2014, 2016)

Anyone familiar with the television drama Lie to me, now in it’s third session on FOX/ Sky, will know something of the work of Paul Ekman, upon who’s research it is based. Ekman has given his support to the programme, but maintains a blog on the FOX website 



to point out where and when he sees fiction portrayed as fact. Lie to me draws mainly on Ekman’s work on micro facial expressions and their connection with deception - emotional expressions which show for up to one fifth of a second before a person can consciously try to disguise them. But it is Ekman’s work on facial expressions as a whole, and their role in expressing universal emotions (as well as individual variations) which concerns me here.

It may come as a surprise to some that there are universal emotions and that they are overwhelmingly displayed on the face, of everyone - supported to varying degrees by tone of voice, and some body movement.  It may be even more surprising to learn that Ekman and his colleagues mapped the human face (43 muscles, up to 10,000 possible expressions, about a third of which are expressed emotions) and demonstrated the way emotions are transmitted through interaction, including the universals, over 30 years ago! (FACs - Facial Action Coding System 1978) A heaven sent gift you might think for mental health professionals, but how many have ever been taught them? (The CD-Rom for micro-expressions alone has been learnt by many in just one hour). Indeed one might well think that such ignorance of science by psychiatry is positively negligent, yet as Ekman has explained, it even took the Department of Psychiatry which employed him 20 years to put his research on the medical curriculum! Such things only serve to fuel one’s contempt for the world of mental health. This was one of the issues he reflected upon in an hour-long interview for the University of California at Berkeley - available on You Tube via the UC channel


Another, was how during the process of mapping the face and identifying muscles, many hours were required in front of a hand mirror. A consequence of which was the disturbing realisation of just how easily the repeated making of an emotional facial expression can cue the persistence of that emotion, how it induced a change in mood, whether it be fear or sadness.

I stumbled upon Ekman’s work about 3 years ago quite by chance, no one ever directed me to it. I found the easiest way to digest it was through two books Unmasking The Face, and Emotions Revealed. Much of it was a shock, I simply hadn’t learnt unconsciously as a child what faces show - not unrelated I’ve come to realise, to the fact that I later spent 20 years as a client of mental health services. However, for a fast introduction, go to Ekman’s website.

Darwin said it first, of course! He identified six universal expressions of emotion and implied that it is in the act of making the expression, in response to another human, that the emotion is felt. Ekman set-out to prove it and in the process added contempt. At the outset of Ekman’s career the ‘blank slate’ or ‘culturally relative’ view of almost all human behaviour held sway. What Ekman has demonstrated is that what is personal, is specific to the context an individual finds themselves in, and is always a variation built upon the structure of universal emotional expression. What remains up for debate is the extent to which emotion can be said to be made in the moment that you physically feel the shape of your face change, how much felt emotion is cued by others, how much effective communication depends on correctly learning what you are feeling, being able to communicate it to others, and make a correct interpretation of what others are showing you. Put another way, the windows through which we can understand another’s mental distress, the extent to which we can be said to ‘have empathy’ (feel what others feel) are; the facial expressions of emotion, the tone of voice, plus some supporting cues found in the gestures which support them. But when it comes to meaning, to what a particular emotion refers to, then gestures display their principal role - and that is to support language. Nonetheless, the work of people like Paul Ekman demonstrates that non-verbal behaviour and so called ‘inter-personal skills’ should really be the spine of any training in mental health, upon which all else can be hung. The pre-occupation with non-action, with non-physical cognitive skills - is just so much talk.

The first time I tested myself for recognition of emotions I scored just four out of the seven universals, let alone anything else! How many other clients like me need a program of active learning. After the anger, it occurred to me that the lack of emotional expression amongst many in mental distress may not be so much about shutting down, blocking-out, hiding or lacking emotion but simply a failure at recognition of emotion! In fact I’m more than contemptuous of some services I’m disgusted.

However, in the last couple of years I’ve gone in search of genuine smiles that can provoke happiness and managed to find one expert amongst the mental health workers I know. Surprise, surprise, she is of lowly status, on low pay and relatively lacking in formalised training - but she has the skill of hitting you with rapid-fire full smiles, up to half a dozen times a minute. An hour and a half of that re-programmes me for weeks.

(Note 2016; There was only ever one way this post was ever going to end!)

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