THE DARK HEART OF OUR BRIGHTNESS
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- Winfred Melton
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1 THE DARK HEART OF OUR BRIGHTNESS (mood disorders and scientific creativity) A public lecture by Matilde Marcolli Professor of Mathematics, PMA division, Caltech
2 Our community is still mourning the loss of Andrew Lange Flat geometry of the universe (Boomerang experiment) Balzan Prize 2006, Dan David Prize 2009, NAS AAAS member PMA division chair suffered from mood disorder took his own life Many find this very hard to comprehend...
3 Three student deaths last year Brian Go Jackson Wang Long Phan One or more may have suffered from a mood disorder... Why so frequent? Why so deadly?
4 What are mood disorders? Bipolar disorder is a spectrum Cyclothymia Full blown MD
5 Alternating phases of (hypo)mania and depression Hypomania : (m) Dysthymia : (d) Euphoric highs Fatigue, poor concentration Boosts of energy Low self-esteem Diminishes sleep Helplessness, irritability Mania: (M) Depression: (D) Racing thoughts Hopelessness Grandiosity Self-loathing Hallucinations, delusions Suicidal thoughts
6 Cycling through phases Cyclothymia (md) Type I bipolar (Md) Type II bipolar (md) Rapid cycling/mixed phases/schizoaffective
7 Correlates strongly to creativity Incidence in the general population: ~ 1% Incidence in the creative professions (artists, writers, scientists): > 10% Recent study (New Scientist, Feb 2010) Straight A students are 4.4 times more likely to have bipolar disorder than the rest of the student population... Who is at risk?
8 Famous cases of bipolar disorder Lord Byron (poet) Vincent van Gogh (painter) Virginia Woolf (writer) Robert Schumann (composer)
9 Bipolar scientists Ludwig Boltzmann (physics -- Entropy) Norbert Wiener (math Cybernetics) Georg Cantor (math Transfinite theory) Ada Byron (math Programming)
10 Likely bipolar scientists Sir Isaac Newton (physics Gravitation) Charles Darwin (biology Evolution) Sofia Kovalevskaya (math Diff equations) Wolfgang Pauli (physics Quantum) Joseph-Louis Lagrange (math physics Classical Mechanics)
11 Much harder for scientists to admit to mood disorder The Artistic Temperament Science: balance, objectivity, detachment Discipline of control: hide the dark side Fear of discrimination in the community
12 Science as a mental discipline Mathematics and rigorous scientific logic help mitigating the effects of mood disorder Highly focused activity engages hypomanic intensity in a safe and constructive way the Vulcan way to control emotions (Star Trek)
13 but there is danger Bipolar disorder evolves in time: shorter intervals, more intense peaks Coping strategies fail with worsening High risk of suicide (Any mention of suicide from someone with bipolar disorder should ALWAYS be taken seriously!) Triggers and stressors
14 Potential triggers (hard to avoid) Frequent travel and jet lag (In the past, for months I spent less that 10 consecutive days in the same country or same continent) Irregular sleeping hours (frequent working through the night) Excessive use of caffeine or alcohol (mathematicians are machines turning coffee into theorems) Stress in work and personal relations (watch out for narcissists and low-empathy people) Stress might increase going up the ladder of academic life
15 Some things that can help Psychiatric medication (mood stabilizers, very careful use of antidepressants) Psychotherapy Supplements and vitamins (circumstantial evidence for CoQ10 effect on cyclothymia) Healthy diet and exercise Stable surroundings Friends and family support How to spot who may need help?
16 How to spot hypomania... Why does it matter? Different treatment for unipolar and bipolar depression! Danger of antidepressants for md People hide depressions but hypomania is always visible (if one knows what to look for) It's all about checking orders of magnitude A personal example: 45 days, 6 arxiv postings, 213 pages, year average: 25 pages/month Something off scale in behavior or performance Superhuman energy, no apparent need to rest
17 The going up phase The wild ideas that make science weird and beautiful ( where did that come from? seeing connections) Enhanced linguistic skills (half forgotten languages suddenly come back with ease, more articulate writing) Strange sense of urgency (personal example: of writing a math paper in Russian in the middle of the night...) Extra energy (taking on too much) Virtual particles borrowing energy from the vacuum
18 The top of the peak Frightening (What if it does not stop? Can't pull the break...) The body consumes more energy than it has (prolonged lack of sleep, poor eating, overwork, exhaustion) Hypomania may turn into mania (psychosis) Poor judgment of the situation Poor choices of human relations Difficult to explain
19 Coming down from the top Relief (safe crossing of a dangerous point) Hard to be human again (slowing down) Superman swallowed a big chunk of Kryptonite People still expect the same level of performance
20 Descent to the underworld Fatigue Hard to keep up with commitments made in the previous phase Slow motion Can be helpful for scientific creativity: the checking phase Blues (hopelessness, strong attachment to coping strategies, sometimes suicidal thoughts)
21 The bottom of the pit Despair No strength left Fear of getting stuck there Painfully difficult to do anything Frozen landscape Truth about friends
22 Climbing out of the pit MOST DANGEROUS TIME! (energy returns but thoughts still stuck at the bottom, higher risk of suicide) Obsessive thoughts (if properly directed can be useful to scientific work) Seasonal patterns and Periodicities April is the cruelest month, breeding lilacs out of the dead land, mixing memory and desire, stirring dull roots with spring rain. (TS Eliot -The Waste Land)
23 A Faustian bargain Bipolar disorder gives advantages It also causes a lot of suffering: a bargain? As in Faust myth: it may demand your life Treatment question: do you want to be cured? Feared loss of creativity
24 Consider this: Treatment with mood stabilizers does not diminish creativity (recent studies on writers) Check in regularly with a mental health care professional even if not on medication (spot cyclothymia worsening) Inform people close to you (difficult decision) Seek out sympathetic friends and cultivate healthy human relations
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