'Craziness and creativity': a review of bipolar disorder and the artistic temperament

Author/s
Ahmed Hankir, Mark Agius, Rashid Zaman
Citation
Issue 3 Summer 2013
CEPiP.2013;1:237-245
Abstract

We of the craft [poets] are all crazy, remarked the 18th century British romantic Lord Byron about himself and his fellow poets. Implied in this statement is the notion that there exists a special kind of relationship between creativity and being crazy. Moreover, there is a certain form of craziness in particular that generally tends to be associated with the arts, certainly in the public mind, and that is namely manic-depressive illness. The ancient Greek philosopher Socrates discussed artistic madness or possession by the Muses as follows: If a man comes to the door of poetry untouched by the madness of the Muses… he and his sane compositions never reach perfection, but are utterly eclipsed by the performances of the inspired madman. More recent empirical research employing systematic and biographical methodologies reveals that there is an association between manic-depressive illness and the artistic temperament. Professor Kay Redfield Jamison spearheaded research on live artists and revealed that there is considerable overlap between intense creative states and hypomania. The purpose of this systematic review is to present historical perspectives and contemporary research evidence that supports or refutes John Dryden’s notion that: Great wits are sure to madness near allied, and thin partitions do their bounds divide.

Keywords: manic-depression, bipolar disorder, poetry, artistic temperament, melancholia

Cite as: Cutting Edge Psychiatry in Practice 2013, 3(1):237-245; https://doi.org/10.65031/yrfk1594

References

  1. Ernest J, Lovell (eds.) Lady Blessington’s Conversations of Lord Byron. Princeton NJ. Princeton University Press; 1969. p 115. https://doi.org/10.1515/9781400875849
  2. Goodwin FK, Jamison KR. Manic-depressive illness: Bipolar disorders and recurrent depression. New York: Oxford University Press; 2007. https://doi.org/10.1017/s0033291707001936
  3. Robert Graves. The Greek Myths: vol 1. Middlesex, England. Penguin; 1955. p 9.              
  4. Ibid. p 48. 
  5. Terman L, Cox C, Oden M, Burks B, Jensen D. Genetic Studies of Genius. Stanford. Calif: Stanford University Press; p 1925-1959. https://doi.org/10.1126/science.130.3371.328.c
  6. Donnelly EF, Murphy DL, Goodwin FK, Waldman IN. Intellectual function in primary affective disorder. British Journal of Psychiatry 140 (1982): 633-636. https://doi.org/10.1192/bjp.140.6.633
  7. Andreasen NC. The Creating Brain: The Neuroscience of Genius. New York. NY: Dana Press; 2005.     
  8. Runco MA. Creativity. Annual Review of Psychology 2004; 55: 657-687.           
  9. Ma H. The effect size of variables associated with creativity: A meta-analysis. Creativity Research Journal 2009; 21 (1): 30-42. https://doi.org/10.1080/10400410802633400
  10. Santosa CM, Strong CM, Nowakowska C, Wang PW, Rennicke CM, Ketter TA. Enhanced creativity in bipolar disorder patients: A controlled study. Journal of Affective Disorders 2007; 100 (1-3): 31-39. https://doi.org/10.1016/j.jad.2006.10.013
  11. Oyebode F. Mindreadings, literature and psychiatry. London. RCPsych Publications, 2009.
  12. John Berryman. Writers at Work: The Paris Review Interviews. George Plimpton (ed.) 4th series. New York. Viking Press; 1976. p 322. 
  13. Richards R, Kinney DK, Benet M, Merzel AP. Assessing everyday creativity: Characteristics of the lifetime creativity scales and validation with three large samples. Journal of Personality and Social Psychology 1988; 54 (3): 476-485. https://doi.org/10.1037//0022-3514.54.3.476
  14. Richards RL, Kinney DK, Lunde I, Benet M, Merzel A. Creativity in manic-depressives, cyclothymes, their normal relatives, and control subjects. Journal of Abnormal Psychology 1988; 97: 281-288. https://doi.org/10.1037/0021-843x.97.3.281
  15. Feist GJ. A meta-analysis of personality in scientific and artistic creativity. Personality and Social Psychology Review 1998; 2 (4): 290-309. https://doi.org/10.1207/s15327957pspr0204_5
  16. Swann AC, Dougherty DM, Pazzaglia PJ, Pham M, Moeller FG. Impulsivity: A link between bipolar disorder and substance abuse. Bipolar Disorders 2004; 6 (3): 204-212. https://doi.org/10.1111/j.1399-5618.2004.00110.x
  17. Peluso MAM, Hatch JP, Glahn DC, Monkul ES, Sanches M, Najt P et al. Trait impulsivity in patients with mood disorders. Journal of Affective Disorders 2007; 100 (1-3): 227-231. https://doi.org/10.1016/j.jad.2006.09.037
  18. Alloy LB, Bender RE, Wagner CA, Whitehouse WG, Abramson LY, Hogan ME et al. Bipolar spectrum- substance use co-occurrence: Behavioral approach system (BAS) sensitivity and impulsiveness as shared personality vulnerabilities. Journal of Personality and Social Psychology 2009; 97 (3): 549-565. https://doi.org/10.1037/a0016061
  19. Feist GJ. A meta-analysis of personality in scientific and artistic creativity. Personality and Social Psychology Review 1998; 2 (4): 290-309. https://doi.org/10.1207/s15327957pspr0204_5
  20. McCrae RR, Ingraham LJ. Creativity, divergent thinking, and openness to experience. Journal of Personality and Social Psychology 1987; 52 (6): 1258-1265. https://doi.org/10.1037/0022-3514.52.6.1258
  21. Barnett JH, Huang J, Perlis RH, Young MM, Rosenbaum JF, Nierenberg AA et al. Personality and bipolar disorder: Dissecting state and trait associations between mood and personality. Psychological Medicine 2010; 41 (8): 1596-1604. https://doi.org/10.1017/s0033291710002333
  22. Meyer TD. The hypomanic personality scale, the Big Five, and their relationship to depression and mania. Personality and Individual Differences 2002 Mar; Volume 32, Number 4: pp. 649-660. https://doi.org/10.1016/s0191-8869(01)00067-8
  23. Sternberg RJ. Wisdom, intelligence, creativity, synthesized. New York. Cambridge University Press; 2003.           
  24. Feist GJ. A meta-analysis of personality in scientific and artistic creativity. Pers Soc Psychol Rev November 1998; 2 (4): 290-309. https://doi.org/10.1207/s15327957pspr0204_5
  25. Wright K, Lam D, Newsom-Davis I. Induced mood change and dysfunctional attitudes in remitted bipolar I affective disorder. Journal of Abnormal Psychology 2005 Nov; 114(4): 689-96. https://doi.org/10.1037/0021-843x.114.4.689
  26. Tsuchiya KJ, Agerbo E, Byrne M, Mortensen PB. Higher socio-economic status of parents may increase risk for bipolar disorder in the offspring. Psychological Medicine 2004; 34: 787-793. https://doi.org/10.1017/s0033291703001491
  27. Johnson SL. Mania and dysregulation in goal pursuit: A review. Clinical Psychology Review 2005; 25: 241-262. https://doi.org/10.1016/j.cpr.2004.11.002
  28. MacCabe JH, Lambe MP, Cnattingius S, Sham PC, David AS, Reichenberg A et al. Excellent school performance at age 16 and risk of adult bipolar disorder: National Cohort Study. The British Journal of Psychiatry. The Journal of Mental Science 2010 Feb; 196(2): 109-15. https://doi.org/10.1192/bjp.bp.108.060368
  29. Pickering G. Creative Malady. New York. NY: Oxford University Press; 1974.     
  30. Csikszentmihalyi M, Rathunde K. The development of the person: An experiential perspective on the ontogenesis of psychological complexity; 1998. In: Damon W, Lerner RM (eds.) Handbook of Child Psychology. Vol 1. Theoretical Models of Human Development. 5th Edition. New York, US. John Wiley & Sons; 2006. p 635-684. https://doi.org/10.1007/978-94-017-9094-9_2
  31. DeDreu CKW, Baas M, Nijstad BA. Hedonic tone and activation level in the mood-creativity link: Toward a dual pathway to creativity model. Journal of Personality and Social Psychology 2008; 94 (5): 739-756. https://doi.org/10.1037/0022-3514.94.5.739
  32. Baas M, De Dreu CKW, Nijstad BA. A meta-analysis of 25 years of mood creativity research: Hedonic tone, activation, or regulatory focus? Psychological Bulletin 2008; 134 (6): 779-806. https://doi.org/10.1037/a0012815
  33. Davis MA. Understanding the relationship between mood and creativity: A meta-analysis. Organizational Behavior and Human Decision Processes 2009; 108 (1): 25-38. https://doi.org/10.1016/j.obhdp.2008.04.001
  34. Ludwig AM. Creative achievement and psychopathology: Comparison among professions. American Journal of Psychotherapy 1992; 46 (3): 330-356. https://doi.org/10.1176/appi.psychotherapy.1992.46.3.330
  35. Schuldberg D. Six subclinical spectrum traits in normal creativity. Creativity Research Journal 2000- 2001; 13 (1): 5-16. https://doi.org/10.1207/s15326934crj1301_2
  36. DeMoss K, Milich R, DeMers S. Gender, creativity, depression, and attributional style in adolescents with high academic ability. Journal of Abnormal Child Psychology 1993; 21 (4): 455-467 . https://doi.org/10.1007/bf01261604
  37. Schuldberg D. Six subclinical spectrum traits in normal creativity. Creativity Research Journal 2000- 2001; 13 (1): 5-16. https://doi.org/10.1207/s15326934crj1301_2
  38. Isen AM, Daubman KA. The influence of affect on categorization. Journal of Personality and Social Psychology 1984; 47 (6): 1206-1217. https://doi.org/10.1037//0022-3514.47.6.1206
  39. Fredrickson BL, Cohn MA, Coffey KA, Pek J, Finkel SM. Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology 2008; 95 (5): 1045-1062. https://doi.org/10.1037/a0013262
  40. Isen AM, Daubman KA. The influence of affect on categorization. Journal of Personality and Social Psychology 1984; 47 (6): 1206-1217. https://doi.org/10.1037//0022-3514.47.6.1206
  41. Gruber J, Johnson SL, Oveis C, Keltner D. Risk for mania and positive emotional responding: Too much of a good thing? Emotion 2008; 8 (1): 23-33. https://doi.org/10.1037/1528-3542.8.1.23
  42. Jamison KR. Touched With Fire. Manic-Depressive Illness and the Artistic Temperament. New York. NY: The Free Press; 1993. https://doi.org/10.1056/nejm199310073291520
  43. Schou M. Artistic productivity and lithium prophylaxis in manic-depressive illness. The British Journal of Psychiatry 1979; 135 (2): 97-103. https://doi.org/10.1192/bjp.135.2.97
  44.  
  45.  
  46. Kraepelin E. Manic-Depressive Insanity. Ulan Press; 2012. p 99-116.                
  47. Srivastava S, Ketter TA. The link between bipolar disorders and creativity: evidence from personality and temperament studies. Current Psychiatry Reports 2010 Dec; 12(6): 522-30. https://doi.org/10.1007/s11920-010-0159-x
  48. Simeonova DI, Chang KD, Strong C, Ketter TA. Creativity in familial bipolar disorder. Journal of Psychiatric Research 2005; 39 (6): 623-631. https://doi.org/10.1016/j.jpsychires.2005.01.005
  49. Stoll AL, Locke CA, Vuckovic A, Mayer PV. Lithium-associated cognitive and functional deficits reduced by a switch to divalproex sodium: A case series. The Journal of Clinical Psychiatry 1996; 57:356-359.               
  50. Schou M. Artistic productivity and lithium prophylaxis in manic-depressive illness. Br J Psychiatry 1979; 135: 56-65. https://doi.org/10.1192/bjp.135.2.97
  51.  
  52. Berk M, Berk L, Castle D. A collaborative approach to the treatment alliance in bipolar disorder. Bipolar Disorders 2004; 6 (6): 504-518. https://doi.org/10.1111/j.1399-5618.2004.00154.x
  53. Andreasen NC, Glick ID. Bipolar affective disorder and creativity: Implications and clinical management. Comp Psychiatry 1988; 29: 207-217. https://doi.org/10.1016/0010-440x(88)90044-2