[David Cooper] set up Villa
21 in Shenley Hospital between January 1962 and April
1966. An experimental phase of staff withdrawal led to rubbish accumulating in
the corridors and dining room tables being covered with the previous days' unwashed
plates. Some staff controls were re-introduced with the threat of discharge if
patients did not conform to the rules. These apparent limits to institutional
change led to the conclusion that a successful unit could only be developed in
the community rather than the hospital. Cooper was involved as part of the
Philadelphia Association in setting up Kingsley Hall, a 'counterculture' centre
in the east end of London.
Cooper's theoretical perspective was built on earlier family studies of schizophrenia
that attempted to characterise the predominant traits of parents of
schizophrenic people. In the initial studies, mothers were seen as
characteristically emotionally manipulative, dominating, over-protective and
yet at the same time rejecting; fathers were characteristically weak, passive,
preoccupied, ill, or, in some other sense 'absent' as an effective parent. In
particular, Cooper utilised the theory of Bateson et al (1956) about the role
of the double-bind manoeuvre. In this situation, parents convey two or more
conflicting and incompatible messages at the same time. As the child is
involved in an intense relationship, s/he feels that the communication must be
understood but is unable to comment on the inconsistency because it meets with
disapproval from the parents. Schizophrenia is, therefore, not to be understood
as a disease entity but as a set of person-interactional patterns that require
demystification of the confusion of the double-bind.
Families at Villa 21 were studied by participant observation and
tape-recording of group situations with families and of the patient in ward
groups. Laing & Esterson (1964) used similar
techniques. As far as Cooper was concerned, the research succeeded in making
the apparently absurd symptoms of schizophrenia intelligible. The results of
family orientated therapy with schizophrenics were seen as comparing favourably
with those reported for other methods of treatment (Esterson
et al, 1965).
The basic purpose of Laing's (1960) first book The divided self was to make madness, and the process of
going mad, comprehensible. To do this, Laing resorted to the existential
tradition in philosophy. He described the schizoid existence of persons split
from the world and themselves. This way of being is based on anxiety due to
ontological insecurity because of the lack of a strong sense of personal
identity. This deficient sense of basic unity leads to the unembodied
self, which experiences itself as detached from the body. The body, therefore,
becomes felt as part of a false-self system. As far as Laing was concerned, and
this may have been the reason for the success of the book, comparatively little
had been written about the self that is divided in this way.
Transition to psychosis occurs when these defences fail in their primary
purpose of keeping the self alive. The inner self
loses any firmly anchored identity and if the veil of the false-self
is removed, the individual expresses the 'existential' truth about him/herself
in a psychotic matter-of-fact way.
Laing undertook research at the Tavistock
Institute of Human Relations and the Tavistock Clinic
on interactional processes, especially in marriages and families, with
particular but not exclusive reference to psychosis. His second book The self and others (Laing, 1961) was
part of the outcome of this research. It is a study of interpersonal relations.
An understanding of how an individual acts on others and how others act on
him/her is essential for an adequate account of the experience and behaviour of
persons. Like Cooper, Laing mentions Bateson's double-bind theory as one way in
which a person can be in a false and untenable position. He also shows he was
influenced by the paper by Searles (1959) on 'The
effort to drive the other person crazy'.
Sanity, madness and the family (Laing & Esterson,
1964) was the result of five years of study of the
families of schizophrenics. It is a phenomenological study in the sense that
the judgement that the diagnosed patient is behaving in a biologically
dysfunctional (hence pathological) way is held in parenthesis. The aim was to
establish the social intelligibility of the events in the family that prompted
the diagnosis of schizophrenia in one of its members. Unlike The divided self and The self and
others, the case histories are allowed to stand for themselves
with little elaboration of theory. Esterson (1972)
later enriched the details of one of these families in The
leaves of spring.
Laing (1967) in The politics of experience and The bird of paradise moved on to describe
how humanity is estranged from its authentic possibilities. Schizophrenia is a
special strategy that a person creates to live in an unliveable situation. It
is a label applied to people as part of a psychiatric ceremonial. For some
people, the schizophrenic process may be a natural healing process, but this is
generally prevented from happening in our society.
The politics of experience provides a stark, political perspective that was
absent from his earlier work. Laing later acknowledged for the later Penguin
edition of The divided self that,
as far as he was concerned, he did not originally focus enough on social
context when attempting to describe individual existence. He became explicit
that civilisation represses transcendence and so-called 'normality' is too
often an abdication of our true potentialities.
The politics of experience and The
bird of paradise was first published by Penguin books. Most of the
contents had been published as articles or lectures during 1964/5. The divided self was republished by Penguin in
1965 under the Pelican imprint, and Laing's other books were also eventually
republished by Penguin making him a bestseller and cult figure. Laing helped to
articulate for the counter-culture the need for the free spirit of the age to
escape from the nightmare of the world (Nuttall,
1970).
In 1965 Laing and colleagues founded the Philadelphia Association (PA)
as a charity. The PA leased Kingsley Hall, which was the first of several
therapeutic community households that it established. Kingsley Hall did not
attempt to 'cure' but provided a place where "some may encounter selves
long forgotten or distorted" (Schatzman, 1972).
The local community was largely hostile to the project. Windows were regularly
smashed, faeces pushed through the letter box and
residents harassed at local shops. After five years, Kingsley Hall was largely
trashed and uninhabitable. Even for Laing, Kingsley Hall was "not a
roaring success" (Mullan, 1995).
In March 1971, Laing went to Ceylon, where he spent two months studying
meditation in a Buddhist retreat. In India he spent three weeks studying under Gangroti Baba, a Hindu ascetic, who initiated him into the
cult of the Hindu goddess Kali. He also spent time learning Sanskrit and
visiting Govinda Lama, who had been a guru to Timothy
Leary and Richard Alpert. For many commentators, this retreat symbolised a lack
of commitment to the theory and therapy of mainstream psychiatry (Sedgwick,
1972).
Laing returned the following year and lectured to large audiences as
well as engaging in private practice. Knots (Laing, 1970) was another bestseller. It described relational 'knots' or
in Laing's words "tangles, fankles, impasses,
disjunctions, whirligogs, binds". It was couched
in playful, poetic language and was successfully performed on stage.
The politics of the family (Laing, 1971) reinforced the importance of
understanding people in social situations. Laing made clear that he was not
asserting that families cause schizophrenia. Despite this clear statement, the charge
has been repeatedly made. For example, Clare (1997) states:
Many parents of sufferers from schizophrenia cannot forgive him É for
adding the guilt of having 'caused' the illness in the first place to their
strains and stresses of having to be the main providers of support.
Even if it is true that many parents cannot forgive him, it is obviously
wrong and na•ve to suggest that he was blaming families. Laing was not talking
about conscious, deliberate motivation to cause harm.