The Undivided Self
Page 48
As for MacLintock he went on without the Scottish Development Office and founded his utopia in an isolated glen on Eugh. There was never any information as to whether the experiment met with success. But after a shepherd heard unnatural cries in the vicinity of the commune the constabulary were called in. MacLintock was subsequently charged with murder. No doubt the story is apocryphal, but it was widely rumoured at the time that the insane (note please the entirely plausible reclassification from ‘eccentric’ to ‘mad’) bovine comestibles magnate was found naked with a group of rabid cattle. MacLintock and the cows were eating strips and straggles of flesh and sinew; all that remained of the last of MacLintock’s fellow human communalists.
And so to Birmingham, at that time unpromising soil for the psycho-social plant to grow in. Fortunately this was a period when if you had an idea that was even halfway towards being coherent, there was at least the possibility of getting some kind of funding. Added to that, I discovered on my return from the wastes of cow and man that I had obtained a ‘reputation’. A reputation, however, that existed entirely by proxy. None of my doing, but rather the fact of Alkan’s breakdown. Busner, Gurney, Sikorski, Hurst and Adam Harley. All of them were beginning to make little names for themselves. And there was a rumour that there was some ‘purpose’ to their work, that Alkan had vouchsafed some ‘secret’, or inaugurated a ‘quest’ of some kind before he went mad.
As a member of this select band I was accorded a good deal of respect. I had no difficulty at all in gaining a modest grant to do some research towards a book on aspects of grant application. The form of this project took me away from the precincts of Aston (to which I was nominally attached) and into the ambit of the Institute of Job Reductivism, at that time being run by John (later Sir John) Green, who went on to become Director of the Institute of Directors.
Things were informal at the institute, there was a kind of seminar-cum-coffee morning on Wednesdays and Fridays. Research fellows were encouraged to come in and chat about their work with one another and even present short papers. Here was a socialised setting which I at last found congenial. The roseate glow of synthetic coals; bourbons passed round on a blue plastic plate; the plash of tea into cup – and over it all the companionable hubbub coming from the people who sat in the groups of oatmeal-upholstered chairs.
Most of the fellows were engaged in straightforward reductivist studies. There were papers being written on – among other things – recruiting personnel to the personnel recruitment industry, writing in-house magazines for corporate communications companies, auditing procedures to be adopted for accountants, and assessing life cover rates for actuaries. The resident Marxist was engaged on a complex analysis of the division of domestic cleaning labour among people who worked in the domestic cleaning industry. I fitted in rather well with these people, they accepted me as being like themselves and this was a tremendous relief to me.
For about five years I lead a quiet but productive life. After a while I transferred to the institute, although I continued to take an undergraduate course at Aston under the aegis of the sociology faculty. I finished my thesis on grant application and started making some preliminary notes towards tackling the whole question of job reductivism from a theoretical perspective. I suppose with the benefit of hindsight I can see clearly what was going on here, but believe me, at the time I was oblivious. I had no thoughts of disturbing the pattern of life that I had cautiously built up for myself. I had acquired some slight professional standing; I had rented a flat – granted, it was furnished and I hardly spent any time there, but nonetheless these trappings of what is laughably called ‘social acceptability’ had begun to matter to me. After all, even the most conceited bore is often considered a social asset, if he has clean hands and a clean suit. All in all, for a virtual indigent, I had come a long way.
Into this Midlands arcadia fell a letter from Zack Busner:
Dear Harold,
It is possible that this isn’t a letter you wouldn’t want to receive, but I will have to accept that at the outset. You may not remember me, but I was a contemporary of yours at Chelmsford and also one of Alkan’s analysand/students. I can barely remember you but, be that as it may, your work has come to my attention and I am in need of assistance – urgently in need of assistance, at my Concept House in Willesden. I cannot adequately describe the work involved in a letter, nor can I do justice to the new framework within which we are ‘practising’. Perhaps you would be good enough to come and see me and we can discuss it?
Busner was the student/analysand of Alkan’s I had most disliked. He had been a rounded ham of a young man, irrepressibly jolly, and, of the five, the most given to practical jokes. It was he, I recalled, who had had all Adam Harley’s suits adjusted overnight to fit a midget. He had wandered around the campus at Chelmsford clapping people around the shoulders and greeting them effusively with a phoney hail-fellow-well-met manner, which set my teeth on edge. However, no one, least of all me, had failed to notice that despite his endless appetite for high jinks, or perhaps because of it, Busner was becoming a formidable researcher. I knew that his doctoral thesis had received very favourable attention. And that, a medical doctor by training, he had gone on to qualify as a psychiatrist and take up work as a respected clinician.
I went down to London. Busner had helpfully sent me a tube map with a cross on it marking Willesden Junction. The Concept House was on Chapter Road, one of those long north-west London avenues that in winter are flanked by receding rows of what appear to be the amputated, arthritic, decomposing limbs of giants. Snow had been falling all day and Chapter Road was a dirty bath mat of cold, grey flakes. It was dark as I plodded along, cursing the slippery PVC soles of the shoes I’d just bought. Ahead of me in the centre of the road two children of about five or six walked hand in hand.
The whole atmosphere depressed me. The feeling it gave me, walking down that endless road, was of being in a dirty, cold room, a room where no one had bothered to vacuum between the tattered edge of the beige carpet and the scuffed, chipped paintwork of the skirting board for a very long time. I wished that I had driven there instead of leaving my car at Tolworth services and hitching the rest of the way.
The Concept House was no different to any of the other large Edwardian residences which lined the road. If anything it looked a little more like a home and a little less like an institution than the rest. The garden was littered with discarded children’s toys, and in an upstairs window I could see the back of finger-paintings which had been stuck to the windows with masking tape. Busner himself opened the door to me; had he not been wearing an aggressively loud jumper with ‘Zack’ appliquéd across its breast in red cartoon lettering I don’t think I would have recognised him.
Busner’s cheeks had sunk, his face was thin and hollow. The rest of him was just as plump as ever, but he had the countenance of a driven ascetic. His eyes glowed with an ill-suppressed fanaticism. In that instant I nearly turned on my heel and abandoned the interview. I had been prepared for Busner the Buffoon, but Busner the Revolutionary was something I hadn’t bargained for.
We goggled at one another. Then quick as a flash he had drawn me into the vestibule, persuaded me to abandon my sodden mac and dripping briefcase and led me on, into a large, warm kitchen where he proceeded to make me a cup of cocoa, talking all the while.
‘I hadn’t imagined you as such a dapper little thing, my dear. Your suit is marvellous.’ In truth the cheap compressed nap of the material was beginning to bunch into an elephant’s hide of wrinkles under the onslaught of quick drying. ‘Really, I wouldn’t have recognised you if I hadn’t known you were coming. I was expecting the timorous little beastie we had at Chelmsford.’
With amazing rapidity Busner outlined for me the philosophy of the Concept House, what he was trying to do and how he needed my help. In essence the house was an autonomous community of therapists and patients, except that instead of these rôles being concretely divided among the residents, all were
free to take on either mantle at any time.
Over our cocoa Busner set out for me his vision of the Concept House and of the future of psychotherapy. Disgusted by his experience of hospital psychology – and the narrow drive to reduce mental illness to a chemical formula – Busner had rebelled:
‘I sat up for night after night, reading Nietschze, Schopenhauer, Dostoevsky and Sartre. I began to systematically doubt the principles on which I had based my career to date. I deconstructed the entire world that I had been inhabiting for the past thirty years.
‘It was dawning on me that the whole way in which people have hitherto viewed mental illness has been philosophically suspect. The division between doctor and patient has corresponded to an unwarranted epistemological assumption. Here at the Concept House we are dedicated to redefining this key relationship.
‘We’re really finding out the extent to which all the categories of psychopathology are just that: dry, empty categories, devoid of real content, representing only the taxonomic, psychic fascism of a gang of twisted old men.’
It was a long speech and Busner spoke eloquently, punctuating his remarks by moving oven gloves around on his chest. I think, in retrospect, they must have been adhering to his woolly by strips of Velcro that I couldn’t see, but at the time I was tremendously impressed by the trick.
Busner went on to explain that within the Concept House everything was ordered democratically. At the house meetings, which were held every morning, rotas and agendas were drawn up and jobs distributed. The house was Busner’s own, or rather Busner’s parents’. He had persuaded them to donate it to what he styled his ‘League for Psychic Liberation’. In the weeks that followed I occasionally saw the older Busners wandering around the upper storeys of the house like fitful ghosts, sheepishly reading the Sunday Telegraph Magazine in reproduction Queen Anne armchairs, while feverish psychotics, charged with some unearthly energy, toyed with their ornaments.
Having set out his theories, and explained the philosophy of this novel institution to which he had given birth, Busner picked up the drained cocoa mugs and put them on the draining board. He turned to me with a quizzical expression.
‘You’re wondering why I wrote to you, aren’t you?’
‘Well, yes. I suppose I am.’
‘After all, we were never exactly sympatico, were we?’
‘Yes, yes. I think I’d agree with you there.’
‘Well, here it is. The fact is that I’m attracting a good deal of publicity with what I’m trying to do here. Some of it is distinctly favourable, but that fact only seems to persuade those who are seeking to discredit me to redouble their efforts. I know that you have never programatically defined yourself as belonging to any avant-garde movement. But on the other hand I know that you have allied yourself with some pretty weird courses of study during your career, isn’t that so?
‘What I want you to do here is what you do best: research. There is one way that I can really kick over the hornet’s nest of the psychiatric and psychotherapeutic establishment and get them all buzzing furiously. And that is to prove not that my methods of helping people who suffer from so-called ‘mental illnesses’ are more effective than conventional ones, but that they are more cost effective; that would really upset people. If I could prove that Concept Houses the length and breadth of the country would reduce public expenditure, I might well become unstoppable.’
‘And me?’
‘I want you to construct and manage the trials and to collate the results, to be published in the form of an article co-authored by the two of us in the BJE*.’
And so it was. I became a member of the Concept House team and abandoned my suits and shiny shoes in favour of uncomfortable overalls which rode up my cleft and shoes that appeared half-baked. Why? Well, because whatever the extent of Busner’s rampant egoism whatever the dubious nature of his ideas, there was a sense of human warmth at the Concept House that I found lacking, either at Aston or at the Institute of Job Reductivism. I craved some of that warmth. You have to remember that since the age of seventeen, I had lived an almost exclusively institutionalised life. Nonetheless, ever prudent, I didn’t give up my academic positions, I merely secured a leave of absence to work on Busner’s study. Of course there were mutterings about what I was getting involved with, but I paid them no mind.
The trial I evolved for Busner was complex in the extreme. There were two aspects to the problem: how much diagnosed mental patients spent themselves and what was spent on them. It was to be a double-blind trial, which operated itself in the context of a double-blind. There were to be three trial groups: the inmates of the Concept House, a group of patients diagnosed as afflicted with major psychoses at Friern Barnet, and fourteen Beth Din approved butchers living in the Temple Fortune area. That the latter group was chosen was to bedevil the validity of our results for years to come. I would like to state here, once and for all, that the fact was that the people who applied for the trial, and who fulfilled the necessary criteria, all happened to be kosher butchers domiciled in that area. Of course in retrospect this fact was undoubtedly one of the secret springs, the ‘subtle connections’ which I had begun to make unconsciously, and which led eventually to the full-blown Quantity Theory.
The trial was conducted over a period of six months in four distinct ‘trial periods’. The results were monitored by me purely in the form of computer data. I never had any direct access to either the mechanics of the trial itself, or even to the intermediate collection of data. Naturally a double-double-blind trial involves not only the technician who is directly monitoring the trial to be unaware of whether he is administering a placebo or not, but also the overall administrator of the trial – be he psychologist or statistician – to be unaware of whether he really is administering a trial, or just carefully collating and analysing figures, totals and percentages, completely at random. Thus, two of the groups of data that Zack Busner fed through to me comprised respectively: the number of snail trails he had counted, smearing across the fissured concrete apron, wreathed in bindweed, that lay in the dead centre of the waste ground behind the Concept House; and, a random selection of handicapping weights from the pages of a back number of the Sporting Life.
On the other two occasions the data was, of course, ‘real’ – although in a very restricted sense. The two real trials contained an obvious reversal. In one, the mental patients were given an economic placebo and the Concept House inhabitants, money. In the other this was reversed. The butchers were given, arbitrarily, either money or virtually useless discount vouchers for household cleaning products. Thus, the overall form of the trial could be depicted by a schematic diagram:
To my mind this expressed with absolute clarity the limiting conditions necessary for a cost-benefit analysis of sanity variables. Of course the informed reader will have already detected the lineaments of Quantity Theory in the structure of the trial diagram. My purpose here is expressly to avoid the crude attempts that are made to retrospectively manufacture the genesis of an idea. The problems I have been most interested in that arose from the Concept House trial were purely methodological. For instance, Olsen’s 1978 paper in the BJE in which he presented the results of his own trials. Olsen took three groups of recently diagnosed and sectioned mental patients. One group was given in equal thirds, lithium, chlorapromasine and a tri-cyclic anti-depressant. The second group was given a placebo and the third group was given nothing; instead Olsen had the patients in this group mercilessly beaten to a bloody pulp.
If any of the patients in the three groups manifested any signs of severe deterioration in their overall condition they were administered ECT. However, the substance of Olsen’s trial and indeed the validity or otherwise of his results are of little interest to me. Rather it was Olsen’s argument that my error in the double negative implied by the double-double-blind trial that exercised me greatly. Fortunately I was saved from having to answer the accusation by the revelation that Olsen had himself participated in administering
beatings to the control group in his experiment. Such a violation of the blind status of the trial naturally discredited him entirely.
The trials took six months to complete and during that time I was accepted into the Concept House community. This, as you will hear in due course, was altogether a mixed blessing. Busner and his therapists had long since ceased to make any practical distinction between themselves and their patients. So another involution of the trial sequence was that at the end of it no one could be really sure who had been giving what to whom. The trial money and placebo money were given out at random times when I was sure not to be in the vicinity. Occasionally I would catch a glimpse of a man, skull-capped and be-locked, his apron suspiciously stained and clutching a handful of glossy paper slips. But I discounted these peripheral visions, putting them down to the generally heightened psychic atmosphere of the Concept House.
There were in theory six therapists, six patients, Busner’s parents and myself in residence. The patients were a random selection from the chronic wards that Busner had been attached to over the years. Basically he recruited for the Concept House through a mixture of fraudulence and guile. Busner was typical of experimentalists in the psychiatric and educational fields in that he blamed the failure of his methods not on their theoretical basis, but on the fact that he could only persuade wealthy parents to send their chronically disturbed children to his institution.
I participated in the exhaustive group therapy sessions, which more often than not were long periods of either silence or disjointed monamaniac ranting – usually by Busner himself. The truth was that although I felt accepted within the Concept House, it wasn’t really a congenial environment. People who are severely mentally ill when they are left unconstrained tend to behave fairly badly. On reflection I suppose that is why they are diagnosed as being mentally ill in the first place. And as for the ‘therapists’ that Busner had recruited, they were, on the whole, fairly unstable people themselves, coming as they did from the wilder fringes of the therapeutic world. Among them were a failed holistic osteopath to naturopaths and a woman who described herself as ‘seismically sentient’. Pretty stupid really. The main reason I remained was to complete the trial, added to that it was a fairly stimulating environment for debate. Busner’s old cronies from Chelmsford – Harley, Sikorski and the others – dropped round at fairly regular intervals. They were all beginning to make names for themselves and they were always keen for a wide-ranging debate on all the latest developments in our various fields.