becoming more themselves again. So people that work alone for days on end also get odd.
Lessing:
But they weren't mentally ill?
Tyrrell:
Well, not disturbingly so. But illustrators and artists have a reputation for eccentricity andobsession and I think this is why. Some cultivate this, of course, but I noticed many times that, byspending time with them, they would get okay again. What you're saying is, if people are left alonefor days or weeks on end, they are bound to go crazy.
Lessing:
And then they are given drugs by some busy doctor who says, ‘This person is senile', or whatever. And then they get worse even more quickly. There was a time when this old lady was toldto take five different kinds of drugs each day. But no one ever asked what relation these drugs hadto each other in her brain and body. She threw the drugs away when no one was looking for which Iapplauded her. And then she became quite reasonable again. But I wonder if people who look after the elderly are taught the concept that an old person living by themselves is not necessarily crazy but maybe just needs more contact with other people?
Tyrrell:
They must be. Many people must have observed this.
Lessing:
If it is taught they certainly didn't apply it to her and, if it isn't taught, then that's prettyfrightening.
Tyrrell:
One nurse going round has to visit so many people, And these nurses are under so much pressure, they can only spare a few minutes with each one, which is sad if that visit is the highlightof that old person's week.
Lessing:
At one time this particular old woman was getting visits most days from a nurse whowould come in for five minutes to make sure she took her pills. A home help was also supposed todo an hour and a half a week with her but would usually end up doing ten minutes. A social worker would sweep in and out once a week but for as short a time as possible. The person who helpedmost was a good neighbour — she was the best of the lot. What disturbed me was the readiness of the doctors to just drug her. I didn't see the point of that.
Tyrrell:
That's how doctors are taught to treat people but many of them question this nowadays.
Lessing:
It's a matter of luck what doctor you have. I once met Dr William Sargent who wrote
 Battle for the MindÂ
and we were talking about drug treatments and he said, "Put yourself in my position. I'm sitting at my desk and in front of me is a totally depressed person and I know thatthere's a good chance that this depression will be shifted by a course of a certain drug. Now, whatwould you do?" Well I didn't know what to say because I should imagine one would try anything toget rid of depression. But what strikes me is that all these drugs treatments are so hit and miss. Noone really seems to know what they are doing. It's all "if it works, good. If not, let's try somethingelse..."
Tyrrell:
Do you know much about depression in other cultures?
Lessing:
I only know that some cultures don't have a word for it. A doctor friend of mine whotrained here in the west but is working out in Bangalore, told me that there they bring in youngwomen day after day who are totally depressed, but it was no use talking to them in the language weuse here — it was no good asking, "Are you unhappy?", or "Why are you unhappy?" or, "What doyou think brought this on?" because happiness is not something that they feel they are entitled to.He had to develop a whole new approach to communicate with them. There was no way he couldtalk directly to the patient, he had to talk through the relatives, which was difficult because theywere often responsible for the depression.Peter Brent, who wrote, among other things,
Godmen of India
, mentioned in one of the books that adoctor in India would often take a mentally sick patient out of their family and into his ownhousehold to join his large, extended family. The idea was that a saner setting would cure the insane person. It's the opposite of putting people in mental hospitals. Apparently it often worked.
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I have personally watched men who have been put in solitary confinement in prison undergo dramatic personality changes in the course of just a few days or weeks. Sometimes these individuals get back out into normal population and recover. Others are just destroyed by this treatment and never recover. Some men handle solitary confinement with no apparent effect. We understand so little.
thank you for posting this, very enlightening...:-)