D e r M e r k u r sta b English Issue 2008 Der Merkurstab Journal of Anthroposophic Medicine Depression • Markus Treichler Melancholia in mythology, art and literature – examples of individual development in depression • Eckhard Roediger Anthroposophical aspects to psychotherapy for depression • Johannes Reiner How do antidepressants affect essential human nature? • Michaele Quetz Depression—a case record to demonstrate diagnostic and treatment approach based on anthroposophical psychosomatics • Susanne Reinhold Treatment of depression— music therapy • Rudolf Steiner Composure in facing destiny • Wolfgang Rissmann Depressive disorders—anthroposophical insight and treatment using anthroposophical medicines and external applications 2008 English Issue 2 D e r M e r k u r s ta b | Tr e i c h l e r | M e l a n c h o l i a … English Issue 2008 Melancholia in mythology, art and literature— examples of individual development in depression M a r k u s Tr e i c h l e r Original title: Melancholie in Mythologie, Kunst und Literatur— Beispiele individueller Entwicklung in der Depression. Der Merkurstab 2006; 59: 384–94. English by A. R. Meuss, FCIL, MTA Melancholy and mythology, art and literature—examples of individual development in depression ■ Abstract Historical view of melancholia in medicine and philosophy; examples of melancholy in three qualities through three historical figures: Bellephoron, Kleist and Munch. ■ Keywords Melancholia, depression, suffering, psychopathology, ways of coping W hat does “melancholia” mean to us today? Is it a temperament, a key mood, a literary genre, a philosophical attitude, the feeling for life of a genius, or a psychiatric condition? Is it a depressive mood which has its reasons, the melancholy from earlier literature, endogenous depression, recurrent depressive disorder, monopolar or bipolar affective psychosis? Melancholia has been seen in different ways through the ages, the condition having been known for at least 2V millennia, being referred to in Greek medicine by Hippocrates. Questions concerning details of it have changed all the time, especially with regard to the causes and treatment. The symptomatology and phenomenology of melancholia, depressive moods or depression have remained the same, however. The encyclopaedia of the French philosopher and writer Denis Diderot gave a beautiful definition of melancholia. In volume 10, published in Paris in 1765, we read: “Melancholia is the constant feeling of being inadequate. It is the opposite of cheerfulness, which arises from being satisfied with ourselves. It mostly results from a weakness in the soul and of the organs; at the same time it is a consequence of specific ideas of perfection which we do not find in ourselves or others, neither in things and pleasures, nor in nature” (1). He went on to say: “Melancholia as known in medicine is a term made up of melaina (black) and chole (bile). Hippocrates used it to describe a condition which he assumed to be caused by black bile, its generic and specific characteristic being a particular delusion ... This delusion tends to go hand in hand with insurmountable sadness and a gloomy mood, homophobia and a marked predilection for solitude. One can list as many forms of it as there are people suffering from it” (1). As to treatment, Diderot wrote: “To cure melancholia and be sure of success, one must first heal the mind and then treat bodily defects in so far as they are known; for this, the prudent physician knows how to gain his patient’s trust, entering into his world of ideas, accepting his delusion and apparently convinced that things are the way which the melancholic thinks them to be. He would then promise complete recovery; and one often has to resort to strange methods in treating a melancholic.” (1) The modern psychopathology of melancholia is indeed based on the premise that it has very much to do with our ideas and expectations regarding perfection, or perfectionism, as we say today. Hubertus Tellenbach, a Heidelberg psychiatrist who has been studying melancholia, describes a “melancholic type” (2) of person who is conscientious, tidy, performance-orientated, asking a lot of himself and having ideals which are so great that one cannot possibly live up to them. Progressive reduction and damage to self esteem is the result. People of this type need not necessarily develop a melancholic or depressive disorder. Additional factors which may evoke or favour mental disease will, however, make them develop depression more easily than people who are not of this particular type. My theme “Melancholia in mythology, art and literature”permits me to speak not only of the criteria for psychiatric diagnosis but also of dimensions of suffering from melancholia (3). Below, the attempt will be made to show three dimensions of the condition. 1. Suffering for what one is Melancholia as presented in Tellenbach’s “melancholic type” and the quotes from the work of Denis Diderot is a state where the individual suffers from his own imperfection, feeling unable to meet one’s own goals, ideas and expectations; the pain of one’s own English Issue 2008 emptiness, worthlessness, the weight of one’s own existence, the guilt that comes with being alive. 2. Suffering because the world is as it is The second dimension of suffering relates to the world. It is the pain of a world which withholds the longed-for fulfilment, making life difficult, a world that weighs heavily on the mind, not granting any fulfilment or importance, that does not let one have the breakthrough, to reach the goal, always limiting one and taking one to the edge of the abyss. 3. Suffering in the quest for meaning I see a third dimension of melancholic suffering in the quest for meaning. It is the question, born from doubt, as to the meaning of one’s own actions, the meaning of certain events, the meaning of pain, the meaning of life, the meaning of the whole of human existence; the question as to the meaning of human existence and of the world altogether. A young teacher at a state school in her mid-20s, whom I have been treating for over a year for severe recurrent depression, once said to me in the early weeks of treatment: “I am so different—there is no room for me in this world—I have no place where I can live, where I can put up with myself ...” Another patient in her early 50s whom I have been treating for some years for severe recurrent depression asked me one day:“What is the meaning, really, of my depression, that it still keeps coming back—do you think I still have not learned my lesson?” A third patient, a successful businessman age 56 and a man of the world had attempted suicide in a state of severe depression. He took a room at the Stuttgart Airport Hotel, put the“Do not disturb”sign on the door and took an overdose of sleeping tablets. A chambermaid had disregarded the sign at the door and come into the room, seeing him lie unconscious on his bed, with the empty tablet packs beside him; she called a doctor. This is how the patient came to us at the Filder Clinic at that time. Following that overdose episode, I gave him psychiatric treatment for some time. When the treatment came to an end he said to me: “Why did I get those depressions? I can’t see any reason. I have got everything I ever wanted—money, influence, success and yet I am desperately unhappy.” We have been considering the three dimensions of melancholic suffering as put into words by my patients. They will emerge even more clearly as we go on. Melancholia Melancholia, my protectress wanting boundaries and in league with losses. Which is the language in which to read you? It is always the unexpected words from which true sorrow breaks forth. Peter Haertling Tr e i c h l e r | M e l a n c h o l i a … | D e r M e r k u r s ta b Looking back on a specific interpretation of melancholia may open a new horizon for understanding it especially today (when depressive disorders are on the increase, particularly among young adults). In Book XXX of Aristotle’s Problemata Physica we read a description of the melancholic which also inspired Duerer to create his Melancholia I. Aristotle began with a question which at the same time also held the answer: “How can it be that all outstanding people (of genius) in philosophy, politics, fine literature and art are evidently melancholics; some of them to such a degree that they fall prey to morbid phenomena arising from the black bile?” (3) Greek heroes referred to by Aristotle were Ajax, Bellerophon and Heracles; the philosophers were Empedocles, Socrates and Plato, and—as an example from politics—Lysander, greatest statesman of his time. Aristotle was following the teachings of Hippocrates in describing the disease, i.e. humoral pathology. He considered it to arise from black bile, as follows:“Black bile, cold by nature, can also cause paralysis, frozen states, depression or anxiety states if it goes beyond the right measure in the body. Yet if heated up excessively it evokes abandonment, making one sing, and ecstasies.” He was thus already referring to a warm-blooded and a cold-blooded melancholic state, today’s manic depressive disorder. It is interesting that apart from these abnormal and clearly pathological phenomena he also spoke of a third melancholy type where warm and cold bile were in a balanced mixture, so that the individual would be “more sensible and less abnormal”. He said of these moderates who showed the best possible proportions of cold and hot bile: “In many respects they outshine the others. Some with their scholarship, others with artistic skills, and yet others in their political effectiveness.” He called them unusual, outstanding people of genius. “They do however tend to develop melancholic disorders on losing sight of themselves.”This last half sentence seems very important to me; people of genius are this not because of their illness but because they have a natural disposition, that is, a special personality structure. Yet if they “lose sight of themselves”, or as we might put it today, if the individual does not pay sufficient attention to himself, loses control, if his I cannot maintain the balance between hot and cold bile, that is, between extremes, then this natural disposition or personality structure also holds the danger of abnormality, pathology, morbidity, which is the other side of the coin of being a genius: genius can turn to madness. With regard to the natural disposition of the melancholics among people of genius, Aristotle referred to profundity of wisdom and scholarship; the refined nature of artistic talent; and the strong-mindedness in political effectiveness and significance (3). Depth as a quality touches on meaning and significance, profundity also on the dark side, the abyss, the danger; effectiveness and significance touch on gravity, weight, the force of gravity and earth’s powers of attraction, being dependent on 3 4 D e r M e r k u r s ta b | Tr e i c h l e r | M e l a n c h o l i a … Fig. 1 Fig. 1 Fresco from Pompeii, 1st century AD. From Yalouris N. Pegasus. Ein Mythos in der Kunst. Mainz: P. v. Zabern 1987. matter, a need for purpose, performance and success as goals; the beautiful and refined touches on the sensual, sensible and supersensible, the essence of things. It is worth while giving some thought to the three heroic figures mentioned by Aristotle—Ajax, Bellerophon and Heracles. Ajax and Heracles are no doubt the best known and I have therefore chosen Bellerophon to look for the archetype of melancholic suffering. Archetype of melancholic suffering—Bellerophon Hesiod described the birth of Bellerophon:“Eurimede thus lay in Poseidon’s arms and gave birth to irreproachable Bellerophon who was superior to all men.”Begotten of a mortal by Poseidon, god of the sea, Bellerophon ranked among the heroes; great trials and heroic deeds lay before him. Iniquity marked his childhood—none of the sources tell us how this came about—but he killed the hero Belleros. His name then became Bellerophontes. He left his native city of Corinth “and as he began to roam, his father Poseidon gave him Pegasus, to bear him swiftly on his wings” (4). Pegasus, the winged horse, offspring of Poseidon born at the source springs of the ocean, is primarily a symbol for the flowing element. Tradition has it that a spring would appear wherever Pegasus” hoof struck mountain or rock.The famous Castalian spring at Delphi is also said to have originated from Pegasus” hoof striking the ground.The unique power of flight reflects buoyancy, like the way in which water rises heavenwards as vapour to form clouds. In a wider sense, Pegasus is at all times, to this day, also a symbol of the source of inspiration for writers and artists. Above all Pegasus symbolizes the buoyancy of the artist’s imagination, overcoming the force of gravity in creative work. It is in this sense that artists have depicted Pegasus through the millennia (Fig. 1–3) (4). The boy Bellerophon first visited with relatives in Tiryns. The gods had endowed him with “remarkable English Issue 2008 beauty and courage” (Homer, Iliad), which may help to explain why his aunt wanted to seduce him. When the boy had rejected all her attempts she went to his uncle, the king, accusing him of having attempted to approach her, his aunt, in an unseemly way. The king sent him to his friend, king Iobates, with a letter demanding the penalty of death for the boy. When Bellerophon arrived in Lycia, Iobates gave him three challenges instead that were thought to be beyond anyone’s powers. The first and most important trial was to kill the Chimaera, a fabulous creature with three fire-breathing heads, a lion in front, a serpent in the tail, and a goat in the middle. The creature was laying Lycia waste. Bellerophon was able to meet the challenge thanks to his winged horse Pegasus, attacking the Chimaera from the air and killing it by throwing spears.The other two challenges—to vanquish the wild mountain tribe of the Solymers and then the warrior Amazons, were also met by the hero thanks to Pegasus. Soon after this Bellerophon had reached the high point in life. He was king of Lycia, with wife and three children, and could be both proud and content, having found peace and prosperity after long years of being an outcast. Then,“in about the middle of his life, a strange gloom descended’, as Marie-Luise Kaschnitz wrote (5).“After all those blessings, the other aspect had come into his life, the darkness which none can understand, for it seems to go against the laws that govern life.” He lost a son in a fight among humans and his daughter through a punishment by the gods. Having felt himself to be loved by the gods for all time, he now knew himself to be beaten. Doubts ate away at his faith and confidence, making life devoid of all joy. Pain and fear of further misfortune spread. His courage faltering, he felt guilty and pursued by the fiery breath of the Chimaera in his heart. Then one day the terrible despair he felt drove him to his final act. He no longer wanted to understand the meaning of his own destiny, nor merely the earthly and human need, but at a higher level of doubtfulness he wanted to fathom the meaning of the world as such, the existence of the gods, the cosmic order. In the fragment of his Bellerophontes drama, Euripides made him say: “And they say that there are gods in the heavens? There are none, none.”Did manic presumption make him blaspheme? Or was it the very height of despair that made him mount Pegasus, his winged horse, once more after years of lacking all drive and standing still, to ascend to the gods themselves? He was aiming too high, however. The gods would not tolerate humans among them and made him fall. Pegasus raced upwards to the heavens, where he would henceforth serve Zeus; our hero fell down to earth, drawn by the force of gravity, directed towards the centre of incarnation. Penniless and powerless, he roamed among people, a beggar. At this point, Euripides put famous words in his mouth again: “I believe what is on everyone’s lips: It is best for man not to be born at all.” In the play King Oedipus on Colonos by Euripides, the Choir speaks the words which Kierkegaard, the melancholic philosopher, was English Issue 2008 Abb. 2 later to quote many times:“Happiest is he who is never born. Human life is condemned to failure, and failure does not even begin, for it is present without cease.” The figure and destiny of Bellerophon may well be the earliest description of a melancholic figure in the western world. We should not see it in a more pessimistic light, however, than it may well have been. Marie-Luise Kaschnitz, a sensitive writer, also considered Bellerophon in her work on Greek mythology. She described his end as follows: “The gods will not suffer such desire for knowledge. Bellerophon was thrown off. As Pegasus raced upwards, a riderless, free, thundering horse, to serve Zeus, our hero lay on the wasteland, fallen and beaten. Lamed, limping, he rose from the ground, the gift of the gods, the boon of rides in the clouds, gone forever. He did not return to the palace but from then on lived as though in another world, roaming hither and thither, taken in by country folk and shepherds now and then—that was the last period in his life. The years of his old age were like those of his unsettled youth again, differing only in that there was no hope left. For Bellerophon now expected no more than the crust of bread to satisfy his hunger, and had nothing to offer but his gratitude and counsel. That advice showed great wisdom and love of humanity, however, and it may well have been because of this that the old wandering man, refusing to make offerings to the heavenly ones, nevertheless may have been a blessed friend of the gods to many.” (5) 5 Tr e i c h l e r | M e l a n c h o l i a … | D e r M e r k u r s ta b Abb. 3 We perceive the period when darkness came upon Bellerophon to have been a melancholic mood with the typical psychopathological triad of symptoms—doubt, guilt and oppressive questions as to meaning in his thoughts; pain, fear and darkness in his feelings; hopelessness, despair and apathy in the sphere of the will. Melancholic suffering relating to the world— Heinrich von Kleist Heinrich von Kleist (1777–1811), one of the great German dramatists, also was a great melancholic. A gloomy mood, feeling inwardly driven and self doubt persisted for all his life. As a boy he had still been full of the idea that he would, and indeed must, strive for truth in his life, so that with the truth garnered on earth he might achieve further perfection on another star after his death. At the age of 23, however, in 1801, he read Kant, understanding him to mean that our senses and the thinking based on them will not provide certain insight into reality, a thing in itself, and therefore also no truth. This led to a violent crisis. The thought that he could not reach the truth lodged in Kleist’s soul like a thorn in the flesh, never letting go. In March 1801 he wrote to his then betrothed Wilhelmine von Zenge: “My only, my greatest goal has fallen to the ground, and I have none left now.”To his favourite sister Ulrike von Kleist he wrote: “It seems that I will be one of the many victims of the foolishness of Kant’s philosophy” (6). On a rainy day in March 1801 Kleist was walking by the Wannsee lake (in Berlin) with some friends. Out of Fig. 2 Pegasus in Picasso’s peace mural. From Yalouris N. Pegasus. Ein Mythos in der Kunst. Mainz: P. v. Zabern 1987. © Succession Picasso/VG Bildkunst, Bonn 2006. Fig. 3 Lithograph by Odilon Redon (1840-1916). From Yalouris N. Pegasus. Ein Mythos in der Kunst. Mainz: P. v. Zabern 1987. 6 Fig. 4 Edvard Munch, Melancholia. From Exhibition Catalogue Essen: Museum Folkwang. 1987. Zurich, Kunsthaus 1988. © The Munch Museum/The Munch Ellingsen Group.VG Bild-Kunst, Bonn 2006. D e r M e r k u r s ta b | Tr e i c h l e r | M e l a n c h o l i a … English Issue 2008 Fig. 4 the crisis in which he was concerning the meaning of life, he talked with his friends about the most certain way of committing suicide.They came to the conclusion that the surest method would be to take a boat out on the lake, where the water was deep, fill one’s pockets with stones, sit on the edge of the boat and shoot oneself with a pistol. This thought of suicide was Kleist’s constant companion wherever he went or travelled for ten years. Again and again he would come to the insight that seemed to govern his life:“The truth is that there was no help for me on earth.” As a young man, Kleist clearly had quite different plans for life: “Someone who thinks freely will not stay at the point where chance puts him ... He will feel that one could rise above one’s destiny, indeed, that it would, in the proper sense, be possible to guide one’s own destiny. He determines rationally where greatest happiness lies for him, he makes his own plan for life. For as long as one is not able to make one’s own plan for life, one continues to be dependent, be it as a child under one’s parent’s tutelage, or as a man under the tutelage of destiny” (7). This was the philosophy of a 21-year-old who had no idea then that his life would be driven and aimless. At first he planned to achieve fame and success on earth. Be it in military or government service, as a student or later also with his writing—such success was to be denied him. He had hoped to be recognized, understood and encouraged by Goethe, but the latter did not understand and took no interest in him. Kleist, who wrote so many unforgettable plays, was never to see any of them staged. Most were performed only after his death. And so he wrote to his betrothed in 1801, the year of his crisis over Kant:“Oh miserable ambition, it is poison to all joys and pleasures” (6). “So I want to free myself from all things that unceasingly compel me to strive, envy and compete. For pain at not amounting to much exists only in the world and not outside it.” This he wrote from Paris in October 1801. Kleist considered withdrawal from the world and wanted to buy a farm in Switzerland to live on. The attempt failed. He felt compelled to return to France, where he wanted to join the French army and serve in the war— an undertaking not without danger for a Prussian officer. On 26 October 1803 he wrote to his sister:“I have read through my work when in Paris, as much of it as was finished, rejected and burned it. And that is the end. Heaven denies me fame, the greatest good on earth; like a self-willed child I cast all the rest before it. I cannot be worthy of your friendship, yet cannot live without this friendship. I throw myself into death.” (6, 8) In the years that followed, Kleist wrote his most important works.Thus the play Penthesilea in 1807, the story of the Amazon queen in battle with Achilles. Kleist made her say:“I have done the utmost of which humans are capable—tried to do the utterly impossible. I put everything I have on the cast of the die.The die which decides the issue lies there. I must understand this—and that I have lost.’8 These words are like Kleist’s summing up of his own destiny. In 1811 he wrote to his beloved cousin Marie von Kleist: “I feel numb and dumb inside, and see no light at all in the tunnel that might offer some joy or hope. ... Truly, it is strange how everything I try to do goes awry at this time; how the ground is pulled English Issue 2008 Abb. 5 away from under my feet every time I manage to decide on a definite step.” (6, 8) He wrote to her again on 10 November 1811, in a way typical of melancholic genius: “Having always been involved with beauty and modesty, from my earliest youth, in my thoughts and writing, I have grown so sensitive that the least adversity causes two or three times the pain” (6). And again, on 19 November: “Add to this that I have found a friend whose soul soars like a young eagle, the like of which I have never yet seen in my life; she sees my sadness as one of a higher kind, firmly rooted and incurable, and therefore, though she would have means enough to make me happy wants to die with me ... And you will see that the whole of my jubilant care can only be to find an abyss which is deep enough for me to throw myself into with her.” (6) They found their abyss, Kleist and Henriette Vogel, a delicate young woman suffering from cancer. She spent a happy day with him on 21 November by the Wannsee lake in Stimmings, which is on the road to Potsdam, before they both shot themselves. Heinrich von Kleist had lived with the thought of suicide for ten years, had created immortal works, finally raised his own life’s goal of success and fame even higher in wanting to gain immortality, a goal which he did achieve after his death. Quite unemotionally, though not without drama, he wrote a farewell letter to a friend of the Vogel family on the day of his death and also to his beloved sister Ulrike. The letter to Councillor of War Peguilhen began with the words: “We are lying, shot dead, by the side of the road to Potsdam ...” (6). Tr e i c h l e r | M e l a n c h o l i a … | D e r M e r k u r s ta b 7 Abb. 6 Stefan Zweig, probably one of the most “psychological” German writers of the 20th century, who bore the signs of an equally severe melancholia as Heinrich von Kleist and, also like Kleist, committed suicide with his partner, wrote about Kleist in an essay worth reading: “He saw the world as a tragedy, and thus created tragedies out of his world, the last and greatest of these being his own life ... Kleist knew little of reality, but infinitely much about the essence.” (7) To try and gain insight into such a destiny marked by melancholia, it may help to consider a passage from Zweig’s short story Untergang eines Herzens (decline of a heart): “To shake a heart to the ground, destiny does not always need to bring all force to bear nor to use its powers abruptly; indeed, to let perdition unfold from a fleeting touch thrills destiny’s great desire to shape and form. In our dull human language we call this first light touch “occasion” and are amazed to see its utter smallness compared to the mighty effect which goes on and on; but just as with a disease making itself known, so does destiny of an individual not just show itself when it becomes visible, an event. Destiny has always been at work inwardly in the mind and in the blood before it touches the soul from outside.” (9) Kleist’s destiny has also greatly occupied the mind of Christa Wolf, a writer living in Berlin today. She has written a short story where she brings together Heinrich von Kleist and Caroline von Guenderode in the home of the Brentano family in 1804. Caroline, too, was a tragic figure, melancholic, a writer who took her own life at the age of 26 in 1806. In the story, entitled Kein Ort. Nirgends Fig. 5 Edvard Munch, Self Portrait 1881, aged 18. From Exhibition Catalogue Essen: Museum Folkwang. 1987. Zurich, Kunsthaus 1988. Fig. 6 Edvard Munch, Self Portrait 1911. From Exhibition Catalogue Essen: Museum Folkwang. 1987. Zurich, Kunsthaus 1988. Figs 5 & 6 © The Munch Museum/The Munch Ellingsen Group.VG Bild-Kunst, Bonn 2006. 8 D e r M e r k u r s ta b | Tr e i c h l e r | M e l a n c h o l i a … Fig. 7 Fig. 7 Edvard Munch, Self Portrait as an old man. From Exhibition Catalogue Essen: Museum Folkwang. 1987. Zurich, Kunsthaus 1988. © The Munch Museum/The Munch Ellingsen Group.VG Bild-Kunst, Bonn 2006. (No place. Nowhere) she described the melancholia and dark mood of these two figures with great empathy and literary skill (10). Dark mood of melancholic suffering for what he was—Edvard Munch Edvard Munch (1863–1944) was the second of five children in a pietistic family. His father was a medical corps captain and also ran a small practice in a workingclass suburb of Christiania, which is today’s Oslo. Munch wrote about his family: “My mother came from a farming background, a strong-willed family. Tuberculosis bacilli had already attacked the root, however. As you know, my father’s forebears were poets, of some genius, but also showed signs of degeneration. I was baptised at birth as they thought I would die. My mother already had the seed of death in her then. Six years later, tuberculosis deprived five young children of their mother. Sickness, madness and death were like dark angels standing guard at my cradle. They have stayed with me throughout life. My father tried to be both father and mother to us. But he was melancholic, nervous—a hereditary trait—with periods of religious fervour that came close to madness. For days on end he’d be striding up and down in his room calling on God. I soon enough came to know the misery and dangers of life, hearing of life after death and eternal torment in hell for all sinners. When he did not have one of these religious episodes he could jest and play with us and tell stories. This made it twice as hard for us to bear the torment when he punished us. He could then be English Issue 2008 quite beyond himself. I inherited his nervous vehemence.” (11) In his puberty Edvard once had a dispute with his father over the length of time for which infidels would have to suffer in hell. He thought that no one could be so great a sinner that God would torment him for more than a thousand years. His father thought differently. The boy did not want to give in, the dispute grew violent and ended with Edvard slamming the door as he left the room. He walked through the night-dark streets of Christiania, roaming aimlessly, and his rage gradually subsided. Edvard wanted to make his peace with his father when he got home, but he’d gone to bed. He crept into his father’s bedroom and saw him kneeling at the bedside in prayer. The boy crept away, quietly closing the door. He could not settle down and go the sleep. Finally he went and got a drawing pad in the middle of the night and began to draw his father as he knelt by the bed. He got his box of paints and applied colour. Finally, he wrote,“the picture was good. I was at peace and went to sleep immediately” (11). This may have been the beginning of Edvard Munch’s career as a painter who put his inner life on paper or canvas. He painted his inner state of soul, fixing them in images, putting them outside himself, and so was able to be at peace again. This was the birth of expressive art, expressionism, giving expression to states of soul. The cathartic, soulcleansing effect could be experienced and attested. His paintings are seismographic records of his states of soul, things he lived through, moods, and things discarded. In his diaries he wrote:“I do not believe in an art that does not evolve of necessity from the heart’s urge to reveal itself. All art, literature and music must have been created with the heart’s blood.” (11) (Fig. 4) For Munch, his art was learning about himself, self affirmation and therapy. He could not imagine a life without art. “I was true to the goddess Art, and because of this she is always at my side.” Munch accepted a life full of difficulties, financial problems and inner conflict, and did so for his art:“My path has taken me along an abyss, bottomless depths. I had to jump from one stepping stone to another. I left it now and then, precipitating myself into teeming masses of humanity in life. But I always had to go back again on the path by the abyss. I must follow this until I fall into the depths. Fear of life has always been with me, for as long as I can remember. My art has been a self avowal … Without fear of life and sickness I would have been a rudderless craft.” (12) This seems to have been a key image for Edvard Munch’s life. Without fear and sickness he would have been a rudderless craft, i.e. exposed to the elements and currents of life without being able to set a direction for himself. Fear and sickness were the elements Munch was able to use to give direction and form to his life and his art. He wrote to a friend:“You know my paintings, and you know that it has all been personal experience. My paintings are my diary. My art gave meaning to my life.” (11) (Fig. 5 and 6) English Issue 2008 Tr e i c h l e r | M e l a n c h o l i a … | D e r M e r k u r s ta b Fig. 8 Edvard Munch, The Sun, 1912-13. From Exhibition Catalogue Essen: Museum Folkwang. 1987. Zurich, Kunsthaus 1988. © The Munch Museum/The Munch Ellingsen Group.VG Bild-Kunst, Bonn 2006. Fig. 8 His first paintings date from the time when, at 17 or 18, he was permitted because of illness to give up the study of engineering which he had started at his father’s wish. Hence this self portrait of the 18-year-old, with solemnity and severity clearly apparent. It was only a year later that he went to the government school of art and received instruction. From 1874, in early puberty, that is, at the age of about 14, Edvard Munch painted all his life, until his death at the age of 80 in 1944. For Munch, as we know from his own words, fear of life and depression gave him his bearings in life. His art, his paintings, expressed that fear of life, his crises, episodes of despair, depression, and at the same time provided the means to deal with and finally overcome them. Painting therefore also was like an illness to him: “Painting is a sickness for me, an intoxication. A disease I do not want to be rid of, an intoxication which I need.” Elsewhere he wrote: My art had its roots in reflection ... Why was I not like the others? Why born—something I never asked for. (Reminiscent of Kierkegaard in this.) But the reflection on it and the release in my art was an urge and the wish that my art might bring me light.” (11) Concerning the hypersensitivity which brought repeated crises in his life, leading to alcoholism, and the fear of life which was always with him, Munch wrote in his diary: “These weaknesses, which I shall retain, are part of me. I do not wish to reject my illness, for my art owes much to it.” “With my art I have tried to explain life and its significance to myself. I also wanted to help others to face up to life.” (11) These words also refer to the way Munch reflected on life and his paintings. This would again and again help him to get out of crisis situations and despair (Fig. 7). 9 Munch was one of the most brilliant portrait painters of his time and much in demand as such—and he was fully aware of this ability. He wrote of himself: “When I get it right I hit the bull’s-eye. Leonardo da Vinci studied the insides of the human body, dissecting dead bodies. I try to dissect souls. ... When I paint people, the opponents of the model will always say that the portrait looks very much like the person. The sitter himself is of the opinion, however, that all portraits are good, except his own” (11). When a society lady was not happy with her portrait by Munch his confident advice to her was: “In that case you’ll have to see to it that you get to be like your portrait.”Munch represented his sitters and people the way he saw them.“Meeting a new face, I always ask myself: What kind of person is this? I cannot rest until I have painted him.” (11) Walther Rathenau had him paint his portrait in Berlin in 1907, for instance.When the portrait was finished, Rathenau looked at it for a while before saying:“A nasty fellow, isn’t he? That is what you get when you ask a great artist to paint you. You come out more alike than you are!” (11) In his forties, from 1912 onwards, Munch lived in Germany, for he had felt the people in his own country did not understand him or his art. He did a little better in Germany, though not fundamentally so. In the winter of 1905 his anxieties grew into a manifest psychiatric condition which he himself described like this: “A bird of prey has come to roost in me. Its talons grasp my heart, its beak has entered my breast, the beat of its wings darkens the mind” (11). In those years of crisis between 1902 and 1908 he also spent months as an inpatient in a sanatorium on one occasion. Professor Jakobson, the psychiatrist in charge, was evidently a very vain, arrogant 10 D e r M e r k u r s ta b | Tr e i c h l e r | M e l a n c h o l i a … English Issue 2008 of the dead—the souls of those dear to us—and evil spirits.” (11) As he grew older, Munch managed to overcome his father’s pietistic religiosity, delusional at times, which had always been with him in his fear of life, by gaining insight, from his spiritual thoughts, into a supersensible world of the spirit. “It is the ‘land of crystals’, the astral world of the stars, into which human beings enter after death, to live on as an immaterial entity invisible to people on earth” (11, 13). Yet he was still on earth, his body growing fragile, almost blind in his last years but still painting, on larger canvases and in strong colours, so that his weak eyes might still perceive some of it (Fig. 9). In a dark mood, he wrote: “When you are tired to dance to nature’s tune, there is only one way out—to take your own life. It is not funny to grow old, nor is it funny to die. We really do not have much of a choice.” After giving it some more thought he came to a new, remarkable insight:“I did die before, when I was born. The actual birth, called death, still lies ahead ... Death is the beginning of life—it takes one to a new crystallization. I was always inclined to think that nothing is lost. We are crystals, we dissolve and then grow into new crystals.” (11) Munch was thus able to die reconciled to himself and his life at the age of 80. Fig. 9 Prospect Fig. 9 Edvard Munch, The Bridge. From Exhibition Catalogue Essen: Museum Folkwang. 1987. Zurich, Kunsthaus 1988. © The Munch Museum/The Munch Ellingsen Group.VG BildKunst, Bonn 2006. man and Munch felt that he was treating him progressively less well. Munch therefore proposed to him one day that he might paint his portrait. In his narcissistic vanity the professor accepted immediately and sat for Munch. In this way, Munch wrote, Jakobson became his captive. Munch now had the power which the psychiatrist had had over him until then and by painting him the way he had experienced him gained control; the sitter became tame and subservient, hoping that the great painter would paint a good portrait. After the break-downs and having overcome his crises, Munch wrote in 1909:“I have lived through some dangerous early autumn gales and they stole the best time in a man’s life, the height of summer, from me. – Now, in the autumn, heavy limbs have broken of the tree. But I admit that I have a skin that heals well and perhaps will also put everything right again.” (11) Having overcome depression and anxieties, Munch decided to withdraw and live a different kind of life. “It is terribly difficult if you are used to having friends and sharing in festive occasions, as I have been wont to do, to have to do without these completely. But it is absolutely necessary.” (11) From then on he turned more to spiritual thoughts and partly also began to reflect this in his paintings (Fig. 8) “Are there spirits—we see what we see—because we have the eyes for it. If we had eyes of a different kind— we might see the outer rings of flame around us … Why then should not—other spirits with more easily dissolved molecules be around us and in us—the souls I have attempted to present melancholia, a form of depression, from a different point of view and in a different language. I wanted to bring out three basic forms of melancholic suffering. • Suffering because of being what one is in the destiny of Edvard Munch, but perhaps also in the question of my patient quoted earlier on, as to whether she had still not been able to learn the lesson of her depression ... • The suffering of the melancholic because the world is as it is in the destiny of Heinrich von Kleist, and this was also to be heard in the question asked by the young teacher: “There is no room for me in this world—I have no place where I can live ...” • And the third basic form as suffering in the quest for meaning, for one’s own destiny, in the archetypal melancholia of Bellerophon in Greek mythology— and in the words of the 56-year-old patient whose suicide attempt had failed. Having overcome his depression he said:“The broadening of my mental horizons experienced with this depression has been something I have never before known in life—and it has been worth it just for this ...” (14) Markus Treichler Psychiatrist and psychotherapist Filder Clinic Medical Director, Dept. of Psychosomatic Medicine, Psychotherapy, Art Therapy and Eurythmy Therapy Im Haberschlei 7, D-70794 Filderstadt [email protected] English Issue 2008 References 1 Sillem. Melancholie oder vom Glück, unglücklich zu sein. Ein Lesebuch. München: DTV, 1997 2 Tellenbach H. Melancholie. Berlin – Heidelberg: Springer. 4. Aufl. 1983 3 Tellenbach H. Schwermut, Wahn und Fallsucht in der abendländischen Dichtung. Hürtgenwald: Pressler, 1992 4 Yalouris N. Pegasus, ein Mythos in der Kunst. Mainz: P. v. Zabern, 1987 5 Kaschnitz ML. Griechische Mythen. München: DTV, 1983 6 Kleist H. von. Geschichte meiner Seele. Das Lebenszeugnis der Briefe. Hrsg. Helmut Sembder. Frankfurt: Insel, 1977 7 Zweig S. Heinrich v. Kleist in: Der Kampf mit dem Dämon. Frankfurt: Fischer, 1981 8 Kleist H. von. Werke und Briefe in vier Bänden. Frankfurt: Insel, 1986 9 Zweig S. Untergang eines Herzens in: Phantastische Nacht. Frankfurt: Fischer, 1978 10 Wolf C. Kein Ort. Nirgends. Frankfurt: Luchterhand, 1989 11 Arnold M. Edvard Munch. Reinbeck: Rowohlt, 1986 12 Carlsson A. Edvard Munch. Leben und Werk. Stuttgart– Zürich: Elser, 1984 13 Munch E. Ausstellungskatalog. Essen: Museum Folkwang, 1987. Zürich: Kunsthaus, 1988 14 Treichler M. Auf der Schwelle: Bellerophon und Pegasus. Versuch einer Mythologie der Melancholie. Die Drei 1992: S. 599–606 Tr e i c h l e r | M e l a n c h o l i a … | D e r M e r k u r s ta b Further reading • Gadamer HG. Mythos und Logos. Gesammelte Werke Band 8. Tübingen: Mohr Siebeck, 1995: Seite 170 • Glatzel. Melancholie und Wahnsinn. Darmstadt: Wissenschaftliche Buchgesellschaft, 1990 • Günderode K. von. Der Schatten eines Traumes. Hrsg. Christa Wolf. Hamburg: Luchterhand, 1981 • Köpf G. Faust V. Hg: Psychiatrie in der Literatur. Wiesbaden: DUV, 2003 • Blöcker G. Heinrich v. Kleist oder das absolute Ich. Frankfurt: Fischer, 1977 • Maass J. Kleist. Die Geschichte seines Lebens. Bern: Scherz, 1977 • Sandblom P. Kreativität und Krankheit. Berlin – Heidelberg: Springer, 1990 • Wolf C. Der andere Blick. Köln: Luchterhand, 2005 11
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