creative writing – Page 12

Writing Depersonalisation Disorder

Depersonalisation Disorder is a brutally surreal experience. Also known as Derealisation Disorder, this condition is characterised by feeling like an outside observer of one’s own body despite being in it, and feeling like one isn’t actually in control of that body’s actions. Also common are feelings about reality being vague, dream-like, or less real than usual. This article gives some hints for how writers can handle characters with Depersonalisation Disorder.

This condition is almost always the result of stress, but a distinction needs to be made between a person who is temporarily dissociating in the moment because of an intensely traumatic event that has just happened, a person who has an established pattern of dissociating when exposed to certain stimuli that should not themselves be distressing, and a person who has a tendency to dissociate under small amounts of stress owing to psychological damage from past trauma.

It has to be made clear that Depersonalisation Disorder is not the same thing as psychosis. A person in a dissociated state will be aware that their perceptions are altered (or, at the very least, that something is wrong). In other words, they will not have lost touch with reality, which is a necessary quality of a psychotic experience. They will just have dissociation.

Dissociation is when one starts to feel emotions and sensations that aren’t usually associated with the environment that one is in. For example, one might be in an extremely stressful situation but not actually feel any stress: one simply watches everything from the perspective of consciousness, as if floating outside the body. Things feel unreal, surreal, so that sometimes one feels as if one is watching a film with one’s life on it instead of actually living it.

This lack of connection with the body is the strangest and most difficult thing about the condition. A person with depersonalisation can look at their own hand and not feel like they’re looking at their own body, which is a highly disconcerting experience. It’s also disconcerting to look at yourself in the mirror and not really understand who it is or that it’s you, or to recall a past memory and feel as if it really happened to someone else.

If written from a first person perspective, and written well, the experience of a character with Depersonalisation Disorder might be terrifying to the reader. Dissociation is often terrifying to experience personally, especially for the first time, and may be difficult to distinguish from a panic attack. However, often it is more weird than frightening, especially when the alternative is genuine suffering.

If the dissociation is occurring in a character being observed by the protagonist, that character might seem distant, vacant and “spaced-out”. The protagonist might get emotionless, zombie-like responses from the character undergoing dissociation, which might be a problem if there is something that has to be done quickly. It’s very possible that the protagonist mistakes the person dissociating for being under the influence of a psychoactive substance.

Most readers don’t do a lot of drugs. If they do, they might find the experience amusing to read about. After all, dissociation is a common effect of many recreational drugs. For such an audience, a character’s bout of dissociation might come across as highly comical, and doubly so when paired with another character who is perfectly straight in all regards.

Like most psychiatric conditions, Depersonalisation Disorder is believed to have an origin in psychological trauma. It’s very possible that a character with the condition will have experienced repeated trauma in childhood (usually emotional) that was so relentless it caused the mind to dissociate with reality in order to protect itself. This could be abuse, or a witnessed tragedy, or even simply a realisation about the true nature of things.

The case of Depersonalisation Disorder might then be an ego protection response to extreme trauma so that the person suffering the trauma doesn’t become cruel as a consequence of the suffering. Essentially one goes mad, when under inhumane stresses, in preference to becoming evil. This might be a way of showing the inherent goodness of a character, or their inherent naivety, depending on one’s approach.

Writing about a character who has dissociation might not be very interesting if the story revolves around the dissociation itself. The story might be more interesting if your character is an otherwise mentally healthy person who becomes dissociated as a result of extreme circumstances. This might be a one-time event or it could be part of a pattern.

If it’s a one-time event, it might be a reaction to a grisly sight like a car accident or something seen on a battlefield. This need not, then, be the central role in the story, but might rather be something that befalls the protagonist at a particular juncture, possibly transforming them or causing them to grow.

If part of a pattern, it might play a more central role in the story. It may be that the sight of a certain thing triggers an episode of dissociation on account of being associated with what caused the initial trauma, or it could be that relatively small amounts of stress or uncertainty are enough to tip a character over the edge.

This article is an excerpt from Writing With The DSM (Writing With Psychology Book 5), edited by Vince McLeod and due for release by VJM Publishing in the summer of 2018/19.

Writing Oppositional Defiant Disorder

Oppositional Defiant Disorder is characterised by repeated temper tantrums, pointless arguing, vicious outbursts and rulebreaking for the sake of rulebreaking. It’s what used to be known as “being a little shit.” The name comes from how a person with it sets themselves up defiantly in opposition to authority figures or anyone else trying to impose rules upon them.

If it is the protagonist of your story who is the character with ODD, they are extremely unlikely to think that the problem lies with them – but this is where their story gets interesting. If your protagonist has ODD you will be able to show someone whose thoughts twist through all manner of justifications for their behaviour, but who will not willingly take the blame themselves.

After all, your protagonist might actually have a point. Unlike the pure malice exhibited by a psychopath, someone with ODD might have a legitimate grievance against an asphyxiating rule-obsessed bureaucracy, or a surveillance state. This might make for an interesting story about an antihero who came into conflict with authority for the sake of his people or family (or for great justice).

For other characters in your story, a protagonist with ODD might appeal to them as a lovable rogue, or as a troubled soul with a heart of gold. The protagonist likely has a like-minded group of friends, as people with ODD often share the same grievance. This group of friends might have made a mission out of their shared grievance – and then you have a story ready to go.

In this sense, characters with diagnoses of ODD are especially well suited to fiction that appeals to the outsider, such as cyberpunk. Kris Smashtonati of The Verity Key is probably one such character. After all, any person with this condition is going to have some difficulty adjusting to live as a gainfully employed citizen, and that will put them on the margins, where life is more precarious (and dramatic). A properly integrated character with ODD might be better suited to comedy than to drama.

For the antagonists of your story (who are inevitably authority figures of some kind) ‘vindictive’ is a word they might describe the ODD character with. They would say that this character has difficulty regulating emotions or tolerating frustration. Such antagonists would dismiss the protests of the ODD character that the rules were too onerous – the rules are there for everyone’s good, like it or not.

In many ways, telling the story of ODD is really telling a story of an environment. There are believed to be biological factors involved, such as unusual neurotransmitter function or amygdala damage, but a person with ODD rarely develops it in the total absence of family or environmental factors.

Mood disorders are extremely common among the children of parents who have ODD, which gives a major clue about the etiology of the condition. If the protagonist of your story had ODD, it’s possible that his father was a real unpredictable sonofabitch, and the mother likewise. Inconsistent punishment is usually found among the childhoods of people with ODD.

ODD is capable of manifesting in a variety of different settings. Generally speaking, the broader the range of settings in which it manifests, the worse the ODD is. The most common is for oppositional and defiant behaviours to begin in the family home, so that the damage is done long before their first classroom experience.

This generalisation, or one like it, might be the key to understanding your ODD character. Usually the condition arises in response to the perception of unfair treatment from a parent, which may generalise into a belief that any and all authority figures are likewise unfair (and so to be defied). We can then predict that a character with this condition might have conflict with any other character that metaphorically represented a parent (teacher, policeman, bureaucrat etc.).

There is a sense in which ODD is on a spectrum that continues onto Conduct Disorder and, in the worst case, Antisocial Personality Disorder. In this regard, someone with ODD is likely to be much easier to get along with than someone with either of the latter two disorders. They might even be surrounded by such people so that they seem calm and reasonable by comparison.

Esoterically speaking, a character with ODD could be considered a chaotic element. It is unlikely that such a character will contribute to the good order of your story world, and their entrance might even be the spark that gets your story going. Indeed, it’s well possible that the ODD character has taken exception to a particular manifestation of order, and has resolved to break it up at any cost.

This article is an excerpt from Writing With The DSM (Writing With Psychology Book 5), edited by Vince McLeod and due for release by VJM Publishing in the summer of 2018/19.

Writing Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder (ADHD) is characterised by problems paying attention, hence “attention deficit”. For whatever reasons, people with ADHD tend to flit like butterflies from one focus of obsession to the next, usually fidgeting the whole time. It might not be one of the most severe mental illnesses, but it’s still capable of severely degrading a person’s quality of life.

People with ADHD often do things without remembering. The cliche is of a person with ADHD hearing their phone ring from the fridge, where they mistakenly put it because they thought it was a carton of milk or similar. This is common because attention has to be paid to something before it can be remembered, and a person with ADHD might have been paying attention to the thoughts in their head instead of the phone in their hands.

Also common for people with ADHD is struggling to complete tasks owing to having difficulty sustaining attention. They might start to complete a task, only to get distracted by something they noticed, and then to get sidetracked from that by a particularly unusual thought (the potential comedy value of such a thing should not be overlooked!).

The experience of having ADHD is, much like many other conditions, one of having too much chaos in one’s life. A character who has it will tend to be very disorganised, for the reason that paying attention to a task long enough to get it done is difficult (and rare).

Writing about this from a first-person perspective will be exhausting. Not only will it be hard to sustain for long, but it will seldom be necessary, for the reader should get the idea very quickly. For this reason, it’s hard to write from a stream of consciousness perspective here. Subtlety will have to be employed to describe an environment that reflects the impact of a person with ADHD.

As with many mental disorders, it’s easy to confuse ADHD with other conditions on account of apparently shared symptoms. A character with ADHD might appear psychotic to another because of a rambling conversational style that leaps from subject to subject. They might also seem dull-witted to someone who’s trying to teach them something that isn’t very interesting.

It’s also distressing to have ADHD (in most cases), and so many symptoms of it are those that are common to other mental disorders and which are ultimately stress-based: insomnia, anxiety, irritability, nausea, low self-esteem etc.

A lot of ADHD-induced behaviour can be mistaken for being on drugs. A lack of apparent ability to pay attention might be explained by another character as drug influence that is forcing the character with ADHD to pay attention to their inner world. The stereotypical caffeine high of jittery behaviour and staccato speech can also be hard to distinguish from a bout of attention deficit. It doesn’t help that use of drugs is common among people with ADHD.

For a variety of reasons, the personal experience of ADHD is frequently one of frustration. The condition itself is frustrating, because it’s hard to get things done and so chores and errands tend to build up and become stressful, but also the world, and its responses to ADHD, are frustrating – and often cruel.

Part of the story of a character with ADHD, then, might be about their experience as an outsider, for two major reasons.

The first is rejection by their peers. People with ADHD, especially as children, tend to behave in ways that lead to low social status. They are often not fun to be around because the fast talking and constant fidgeting puts others on edge. Worse, their attentional deficits can lead to a failure to process speech and body language cues as efficiently as someone without ADHD, degrading the social value of communicating with them.

Someone with ADHD might have trouble finding a friend who has the patience to listen to their machine-gun conversational style. On the other hand, if they do, it is more likely to be a genuine friend. There’s a good chance that the friends of people with ADHD have bonded with them by way of a shared experience of being an outsider.

The second is rejection by society. Society expects its charges to conform to a certain pattern: a pattern of passive, obedient consumerism. A character with ADHD might have trouble fitting into this pattern, because they find it boring as all hell (for good reason). Modern life is experienced by many as a cage, and few people feel this more keenly than those with ADHD.

This can lead to a kind of outsiderhood that brings with it bitterness, but it can also lead to characters who live highly unconventional lives owing to being unable to fit in with the demands placed on them by the standard work place. A character with ADHD could easily be a hero (or anti-hero) who rejected the excessive sobriety and mindless strictures of society in favour of a psychonautic life of consciousness exploration.

It’s easy for a person with an ADHD diagnosis to believe that the problem isn’t with them but rather with the world. After all, the demands of modern schooling are extremely unnatural if one considers that the human child has evolved to suit an environment that contains infinitely more novelty than a school classroom.

Indeed, there is some debate over whether ADHD is a mental disorder at all, or if it’s just a label given to those who have a high desire for stimulation and novelty. The biological past was a far more dangerous, violent, unpredictable – and therefore, exciting – place than the modern classroom or workplace, and it’s not realistic to expect all people to be easily able to make the transition.

It might be that your character is capable of distinguishing themselves from the majority of people with their condition by overcoming it and mastering an area of particular interest. People with ADHD sometimes are better at paying attention than the average person, as long as the subject matter appeals enough.

This article is an excerpt from Writing With The DSM (Writing With Psychology Book 5), edited by Vince McLeod and due for release by VJM Publishing in the summer of 2018/19.

Writing the Depressive

All of us know what it feels like to be sad, but few truly appreciate how it is to be clinically depressed. There’s something about wandering ghost-like through an ashen world of dead feelings that is a challenge to express to those who are full of healthy, natural vigour. This article shares some tips for writing realistic characters who suffer from depression.

Depression (in the sense of a mental illness) is otherwise known as major depressive disorder. To be diagnosed with it, a patient has to meet certain criteria. 21% of the French population have been diagnosed with the condition at some point in their lives, which speaks to its prevalence in the modern world.

There are two obvious approaches here.

The first is to use thoughts. Conveying the innermost thoughts of a character is, in many ways, the ultimate power of the literary medium.

The kind of thoughts that go through the mind of a depressed person tend to be anxiety, sadness and fear. Life not only seems to have no meaning, but seems completely hollow and empty. Even thirty seconds is a sufficiently long time in which to experience some genuine psychological torment, and it seems all-pervasive and never ending.

It’s important to distinguish depression from sadness. Depression is a mental illness, and as such it causes irrational thinking. A bereaved person can tell you that they expect to feel happy again at some point in the future once the shock has worn off; no such expectation exists for the depressive. It seems like it’s going to last forever.

Of those people who have never been depressed, few understand the ways that guilt can eat away at the minds of someone who is. Depression is not like a physical ailment in the sense that one can easily justify taking time off from regular duties to recover. It’s rare that a depressed person has the ability to think clearly enough about their condition to realise that they need a break.

It’s far more common for a depression sufferer to end up consumed by guilt in their every waking moment, thinking about the things they should be doing in the time they are convalescing, and how they are letting people down by being weak. This reveals one of the worst things about depression: the way in which it feels like one is persecuting oneself.

The second obvious approach is to use the reactions of other characters to the depressed one. All mental illnesses have a marked social impact, and depression is no exception.

Depression is a sinister, insidious illness. In many cases, a person with it will not realise that they have it. The protagonist of your story might end up arguing and fighting with people all day because of sourness or irritability caused by the condition, all the while assuming that the fractiousness that caused it was natural and normal.

Some well-meaning friend might tell them that they have depression only to be told to piss off. To a depressed person, a friendly suggestion to “Cheer up” might well be taken as an insult. Constant irritability is as much a part of depression as sadness is, and a story might be best able to evoke this through the social side.

In other cases a person can’t avoid realising they have depression, because other people will continually remind them of that fact. The protagonist of your story might be smarting from constantly being called a “miserable prick”, and this might make them even more depressed. It might cause them to withdraw and plot revenge (or even to seek help – who knows?).

The fear of the loss of social bonds can be evoked here. This is a very powerful, primal instinct that almost everyone can relate to. People don’t enjoy interacting with depressed people, and after a while the rejection may lead to the depressed person deciding that those others would be better off without them.

Note that stories featuring depressed characters don’t need to themselves be depressing. In a way, every story about a depressive is a happy one, because any depressive who is still alive must have been able to find some reason to keep going.

This might be the most interesting part of the entire character. After all, it’s objectively not clear why any of us should keep living, given the uncertain prospects for any happiness in front of us. A depressed person might exhibit a stronger will to live or a more beautiful nature than any other person who did not need to struggle through the condition.

Despite this, the reality of the depression experience is that it is one of the most terrifying and deadly of all illnesses, mental or otherwise. The temptation to take the ultimate step to end the suffering is always present, which makes the experience worse than a horror story in several regards.

This article is an excerpt from Writing With The DSM (Writing With Psychology Book 5), edited by Vince McLeod and due for release by VJM Publishing in the summer of 2017/18.