Pop culture has popularized the link between creativity and mental illness by reinforcing stereotypes of the ‘depressed poet’ and the ‘mad scientist’. However, the association between mental illness and creativity has existed since time immemorial. Plato claimed that a poet’s inspiration arose during times of ‘divine madness’ (Ludwig, 1995). Aristotle believed that all great artists and poets developed a propensity towards ‘Melancholia’. To convince sceptics, advocates of the link between creativity and mental illness often cite examples of world renowned artists who suffered from mental illness such as Ludwig Van Beethoven, Virginia Woolf, Vincent Van Gogh, Sylvia Plath, Ernest Hemingway and Edvard Munch. Majority of the research in this field supports the hypothesis that creative individuals are more susceptible to mental illness. In 1995, Ludwig conducted a large scale investigation of over thousand imminent individuals who were subjects of biographies written between 1960 and 1990. His study reported that there was a higher incidence of mental illness among individuals who worked in creative professions than those who did not (Kaufman, 2002). In this essay, I challenge the hypothesis that creative individuals are more susceptible to mental illness by highlighting certain conceptual and methodological flaws which are common across studies on this topic.
Firstly, most studies have not operationalized the constructs of ‘creativity’ and ‘mental illness’ properly. None of the studies mention the guidelines they used to measure an individual’s creative capacity or to categorize them as creative or not creative. The studies focused exclusively on artistic and linguistic creativity while non traditional forms of creativity like scientific creativity were not included. In a few studies, researchers have implied that being in a creative profession automatically makes an individual creative, and that all creative individuals would choose to enter a creative profession, which is not necessarily true. No distinction was made between creative activity and creative accomplishments ignoring the possibility of a differential effect of the two on an individual’s mental health. Similarly, most studies have not mentioned the criterion they used to operationalize mental illness. Important details such as whether the researchers used modern classification systems or previously existing methods for classifying disorders has not been revealed. Since the variables were not well defined, the studies lack construct validity.
Secondly, most studies which examine the relationship between creativity and mental illness rely heavily on literary accounts and case studies. The psychiatric diagnoses of famous artists have been derived from biographies rather than clinical sources. This is problematic because the biographies could simply reflect society’s perception of the individual’s psychological condition rather than their actual condition, which may stem from their belief about what is deviant rather than what is a disorder. Another problem with using biographies is the increase in likelihood of selection bias to occur. Selection bias occurs when researchers select participants in a manner such that the sample (in this case, famous artists and poets) differs from the population of interest (creative individuals) leading to a systematic error in an association or outcome. In many studies, researchers themselves selected which artists’ biographies they wanted to analyse. Due to this, the results of these studies are highly questionable because the researcher’s expectations of the outcome could have influenced their selection of cases which could’ve manipulated the results. Additionally, the use of case studies restricts generalizability of findings. (you could look at research on selection bias, it fits the aforementioned description)
Thirdly, researchers mostly ignore other possibilities which could offer new perspectives on the link between creativity and mental illness. One such possibility could be that individuals who are diagnosed with mental illness may be more likely to enter creative professions in the first place. People with mental illness may feel more accepted in creative fields because of pre-existing stereotypes. According to Ludwig (1995), unlike other professions, the artistic occupations do not construct barriers which prevent individuals suffering from mental illness from entering the industry. Another possibility is that individuals in creative professions may be more likely to openly discuss mental health issues than those in other professions like the armed services because of the stigma associated with it. Just because individuals in certain professions are more likely to discuss their mental illness does not imply that they are more likely to suffer from the same. A new perspective offered by Rothenberg in his book, “Creativity and Madness: New Findings and Old Stereotypes” also deserves consideration. His study suggests that many highly creative individuals produce better quality work when treated for mental illness (Rothenberg, 1990) implying that the relationship between mental illness and creativity is not as simplistic as previous research suggests.
In lieu of alternate explanations and flaws in existing research designs, there is need for further scientific enquiry to analyse this question. According to a comprehensive review conducted by Waddell (1998), findings from existing studies are limited and inconclusive. At a collective level, there is a need for large prospective studies involving randomly selected living subjects and matched controls. Proper operationalization of constructs must be ensured. At a personal level, it is vital to nurture the sceptic within and to question every claim you encounter through the lens of the research design used to make that claim. The next time you hear someone make a link between creativity and mental illness by referring to examples of depressed poets and mad scientists, keep your list of questions ready!
References
Rothenberg A. (1990). Creativity and Madness: New Findings and Old Stereotypes. Johns Hopkins University Press
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