CREATIVITY AND MADNESS
There may be chaos inside our heads that requires taming by the more
logical parts of the brain, but there is also treasure. Whether or not you
find that “shillings” improves Pooh’s poem, one of the cardinal rules of
creative writing is to turn off your inner censor when creating the first
draft. If you’re lucky, things will tumble out from your unconscious that
will resonate in the unconscious of your readers, and your story will
strike deep.
Here is a quotation from a schizophrenic patient that illustrates a
more pathological tendency to “let things come.”
I got TV tooth, they call it. TV tooth is when they surprise
you and put needles in your skull, and they listen to you for
years if you know it or not. I didn’t know it. They have this
really fantastic, expensive equipment. They said to me, hey, we
can check your head for, uh, if a bump shows up bruising, and
the electricity is a little different across the top of your scalp,
we’ll guarantee social security for that injury or on its own. It’s
like cerebral palsy.
In this situation the speaker is unable to hold anything back. As thoughts
come into his head, they are immediately translated into words with
little processing. Normally, we pick and choose the things we say. We
do this to censor unacceptable or illogical speech, but also to finish one
thought before we begin the next. A close reading of the quotation
makes it possible to get a general sense of what the speaker is saying,
but it’s hard.
With one thought rapidly taking the place of another, and a limited
ability to hold the thoughts back, expression becomes highly disorga-
nized. A less severe form of this type of jumping around is called tan-
gentiality, in which the speaker leaps from one thought to another, but
in a way that makes sense. For example, “I can’t wait to go to Ocean
City. They’ve got the best margaritas there. I have to find a place to
get my car fixed this afternoon. Where are you going for lunch?” We
often speak this way when we’re excited. Desire dopamine gets revved