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The Midnight Disease: The Drive to Write, Writer's Block, and the Creative Brain [Hardcover]

Alice Weaver Flaherty
4.2 out of 5 stars  See all reviews (9 customer reviews)
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Book Description

Dec 9 2003 .
Why is it that some writers struggle for months to come up with the perfect sentence or phrase while others, hunched over a keyboard deep into the night, seem unable to stop writing? In The Midnight Disease, neurologist Alice W. Flaherty explores the mysteries of literary creativity: the drive to write, what sparks it, and what extinguishes it. She draws on intriguing examples from medical case studies and from the lives of writers, from Franz Kafka to Anne Lamott, from Sylvia Plath to Stephen King. Flaherty, who herself has grappled with episodes of compulsive writing and block, also offers a compelling personal account of her own experiences with these conditions.

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From Publishers Weekly

Flaherty (The Massachusetts General Handbook of Neurology) mixes memoir, meditation, compendium and scholarly reportage in an odd but absorbing look at the neurological basis of writing and its pathologies. Like Oliver Sacks, Flaherty has her own story to tell a postpartum episode involving hypergraphia and depression that eventually hospitalized her. But what holds this great variety of material together is not the medical authority of a doctor, the personal authority of the patient or even the technical authority of the writer, but the author's deep ambivalence about the proper approach to her subject. Where Sacks uses his stylistic gifts to transform illness into literature, Flaherty wrestles openly with the problem of equating them, putting her own identity as a scientist and as a writer on the line as she explores the possibility of describing writing in medical terms. She details the physiological sources of the impulse to write, and of the creative drive, metaphorical construction and the various modes of stalled or evaded productivity called block. She also includes accounts of what it feels like to write (or fail to write) by Coleridge and Joan Didion as well as by aphasiacs and psychotics. But while science may help one to understand or create literature, "it may not fairly tell you that you should." To a student of literature, Flaherty's struggle between scientific rationalism and literary exuberance is familiar romantic territory. What's moving about this book is how deeply unresolved, in an age of mood pills and weblogs, that old schism remains. Writers will delight in the way information and lore are interspersed; scientists are more likely to be divided.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Booklist

Why do some of us have an urge, a compulsion, to put words on paper? And what happens when, without warning, the words stop coming? The author, a neurologist, introduces us to an unfamiliar term: hypergraphia, the brain state that produces an overwhelming desire to write (she also introduces us to the brain state's flip side, which produces writer's block). By examining the elements of creative writing and tying them to various elements in the brain (for instance, there is a direct link between the temporal lobe and metaphorical thinking), Flaherty asks us to consider writing not simply as an art form but also as a manifestation of the way our brains work. Simplistic notions like the one that says creativity is a function of the right side of the brain go out the window, to be replaced by complex, yet entirely plausible, correlations between brain states and creative acts. This won't tell you how to find a publisher, but it will explain how you came to need one. David Pitt
Copyright © American Library Association. All rights reserved

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Customer Reviews

4.2 out of 5 stars
4.2 out of 5 stars
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1 of 1 people found the following review helpful
4.0 out of 5 stars A passionate neurological ramble Mar 20 2004
Format:Hardcover
This book is a hybrid of memoir, neurology, essay, confessional, and anxious monologue. It veers between rationalism and passionate loquacity, itself intensely hypergraphic. I read it all the way through and decided, after I had finished, that I hadn't learned much more about the neurological basis of writing but I had learned a great deal about the innards of Flaherty's interestingly informed but manic consciousness. Fortunately, it's not badly written, and the anecdotes, quotations, and summaries of current research are informative and interesting.

The Justice poem, which I looked up because it seemed so apt, is only quoted in part and isn't nearly as striking in the original.

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4.0 out of 5 stars Mania Writing a Book on Writing Mania Nov 16 2010
Format:Hardcover
The introduction tells you what the book will be about on pages 14 - 16: Chap 1 is brain conditions that increase desire to write; Chap 2 is about how the temporal lobes drive both writing and writers block; Chap 3 is writers block psychology; Chap 4 is biochemical explanations and treatments of block; Chap 5 is the new science brought to bear on 'normal' desire to write, and writerly things like metaphor; Chap 6 is about how the drive to communicate pushes writing (oh, sure); and Chap 7 argues that metaphoric thinking is a temporal lobe function and mediates most types of establishing meaning.

Chapter two transmits a good understanding of the neurobiological base of the desire to write, along with some pretty darn good quotes. It covers epilepsy, temporal lobes, and a brief run through of the major brain functions involved in writing (p20 - 23). But I agree with the other reviewer that her understanding of one of her own breakdowns seems so superficial (the Cap'n Crunch 'scene' for instance) that you wonder if the rest of the stuff is so also. Here's one more and I will quit carping Flaherty says that in, In Search Of Lost Time, Proust's smell of the much-quoted madeleine spurs him to huge output of associated memories because smell is processed in the temporal lobe. She is a neurobiologist and missed the main point: smell is the only sense that passes first into the subconscious brain - dreams, memories, feelings, emotions, etc., - and then is shunted up into the temporal lobes.

And then, like after reading a hundred turgid pages of Sartre's, Being and Nothingness (phew), we come to some clear, succinct, well put together words on the combination of left and right hemispheres that increases creativity, and fosters written art - p 68 - 73, with the rest of the chapter devoted to what the new tools can do: PET, MRI, fMRI, TMS. The latter can change our thoughts and abilities simply by aiming magnetism at the brain. Fascinating, Brave New World stuff.

Chapter 3 is about writer's block and contains some wonderful quotations on the subject from writers down the last few centuries. It's discussion of what block is is good at considering all the nearby states as well. Flaherty points out that the psychologists who don't think much of the notion of inspiration that is separate from skill or hard work aren't writers. And there is the issue that the definition of block is dependent on one's point of view: cognitive psychology. behaviourism or depth psychology like psychoanalysis, under the control of conscious drive or the will 'o wisp intuition. This chapter's good point is that it is a good introduction to the literature on writer's block and fairly evaluates them. The appendix at the back let's you get into the subject further, if you wish.

Chapter 4 presents a general discussion of a lot of brain states that affect writing: such as sleep, mood, length of day light, time of day, hormones, drug therapies, anxiety, depression (causes block by sapping energy and motivation), procrastination, high-energy block, rejection of ideas prematurely, alcohol, Xanax, sleep medications, beta-blockers, SSRIs (Prozac, Effexor), self consciousness, talk of block leads to block (so say it to writers you don't like), block is caused by the failure of helpful repressive mechanisms, compulsions, listening to music, antipsychotics, dopamine's effects of increasing motivation, initiation of movement, these neuroleptics suppress the critical internal voice, epilepsy and their anticonvulsant drug effects for stabilizing mood, perfectionism, self help press, placebo effects, 'objective' tests or tools like the number of words you have written this week to counteract negative perceptions, exercise, drugs, diurnal rhythms, therapy and the right therapist, intense moods, these are mediated by the limbic system in the desire to write.

Chapter five is about how we write. For the reader without a scientific background, this one will be difficult sledding. On the other hand, it gives the actual parts of the brain where language and parsing language occur. If this is something you must learn, then it is all in one place, and for the general reader, a chapter to be reread whenever you have questions about the minutia of reading, writing and speaking. Most discoveries have come from brain-damaged patients, those with lesions or cuts, and what they lose. For example, a lesion can be so small and so precise that it causes the sufferer to not be able to visually recognize a capital letter, while leaving intact recognition of lower case letters. Other subjects: synaesthesia, dyslexia, Winston Churchill, autism. The main centres are: Broca's and Wernicke's area in the left hemisphere.

Chapter six is about why we write. The underlying motivation, arousal and continuing to prefer writing over other activities is mediated by the limbic system, various neurotransmitters and parts of the conscious brain. The limbic system of the amygdala, hippocampus and hypothalamus are subconscious and about emotion, memory and action.

Humans have the instinct for language as evidenced by the notable asymmetry of our left hemisphere. It is larger before birth, when we have no need of speech. Speech explodes from us starting at about 18 months after birth and we learn a word every two hours until we are 18 years old. That's an amazing 70,000 words. Flaherty goes through what speech is for in communicating, its development in our lives and the underlying motivation for writing, as well as the seemingly trivial exchanges. Gossip, for example, is an entertainment and a way for us to share some good juicy stuff with one or more or our confreres, and foster group identity: man as monkey.

A good part of this chapter discusses both language and behaviour in our social species and other social animals, the interdependency that language or complex behaviour creates. Think of weeping or screaming, for example, both expresses a need and requests a response. Or winning the lottery results in joy. And there is laughter. This underlies her point that language is about emotion, not about expressing logical propositions in a detached way. Descarte's and the western tradition of mind/body, or reason/emotion to use Plato's distinction. And then she moves to say that writing is an extension of our emotional speaking.

More to come.
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4.0 out of 5 stars right brain/left brain, she speaks the truth. April 27 2005
By A Customer
Format:Paperback
As you may or may not know, Hypergraphia is the neurological term describing the brain state of a person with an overwhelming desire to write. (hyperlexic people have the overwhelming desire to read, which seems to be my brain's minor).

Edgar Alan Poe described this experience now called "hypergraphia" as "the midnight disease." This term lends its use to the title of my new bible "The Midnight Disease: the drive to write, writer's block, and the creative brain." I was hesitant upon reading the book as reviews were mixed about its faults being "filled with medical jargon and bias." I found the opposite, the author, Alice W. Flaherty admits her bias' from the beginning chapter and her background in the neuro field but uses them as tools in combination with descriptions of her own experience of "hypergraphia."

The term 'hypergraphia' is not meant to be synonymous with 'disorder' but her interest is in isolating the parts of the brain as contributing factors. Flaherty attempts to dispel the myth that "right brained people are the creative ones" and focusing on the frontal lobes' role as well. She considers how historically diagnosed as "mentally ill" with one disease or another, authors have utilized this to create. As a diagnosed bi-polar patient (manic depression), her exploration of the way "manic" phases contribute to this state were of particular interest to me. The book also delves into hypergraphia's antithesis, writer's block, as a component to this state.

I am always skeptical to reward theories and anatomy as explanations for creativity but she doesn't dismiss it, in the process of the book. Flaherty merely attempts to provide a definition to people inherently "hypergraphic." The book is filled with references from acclaimed authors on their own experiences that mimic this state of "hypergraphia." I found the book significant not to give a name to what i live with daily, but that it is beyond a "fleeting obsession" and has validity in medical research findings.

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