Honey, I shrunk the shrinks

Why are movies about therapy so loaded with clichés?

Why are movies about therapy so loaded with clichés?

To coincide with the transmission of BeTipul, the original Israeli version of In Treatment, a discussion on Front Row last week raked over the role of psychoanalysis in movies, fiction and on television. A Dangerous Method recently provided a lightning tour of the early days of psychoanalysis, and one of Front Row's guests, Matthew Sweet, mentioned that Freud himself had once been approached by Hollywood to write a screenplay. Cinema has long been intrigued by what goes on in the therapist's office. Unfortunately, the results often have less to do with the psychiatric profession than with trying to cure a screenwriter's malaise.

Cliché number one is the use of the medical professional as detective, to uncover information crucial to the resolution of the plot. Examples include Color of Night (1994), starring Bruce Willis as a psychiatrist who takes over a murdered colleague's group therapy sessions, and Don't Say a Word (2002), with Michael Douglas forced to interrogate one of his own unstable patients in order to retrieve from her memory a sought-after code number. For all the points of overlap with the reality of psychiatry, Douglas and Willis may as well be playing the Hardy Boys.

Cliché number two -- see K-PAX (2002) or Good Will Hunting (1997) -- features the psychiatrist as a warm and fuzzy individualist whose humanity is brought into focus by an unorthodox individual. These pictures remind you just how radical the representation of psychiatry is in Nanni Moretti's The Son's Room (2002). Moretti plays a psychoanalyst who reassesses his life after a family tragedy. Regardless of the picture's other merits, it deserves brownie points for approaching its central character's vocation with sobriety. "We always see caricatures," complained Moretti, "both in comic films where psychoanalysts have more problems than their patients, and in serious films where they resemble some kind of oracle delivering bookish sentences." Not only does The Son's Room avoid those traps, it also features that genuine rarity in cinema, the shrink with more than one patient.

Good-natured curiosity marked the first appearance of a psychiatrist in a movie, when the kindly shrink in Dr Dippy's Sanitarium (1906) calmed his agitated charges with the offer of pies; an approach not much in evidence these days. In early cinema, the psychiatrist was largely consigned to the role of faceless authority figure. Occasionally he might be rescued from anonymity to receive the ire of a big-shot star who had no truck with airy-fairy mind games: Douglas Fairbanks harboured a well-known distrust of psychiatry, and hoped to stem its increasing popularity with his swashbuckler When the Clouds Roll By (1919), in which the villainous shrink is finally unmasked as an escaped inmate from the New York Insane Asylum.

This sneaking suspicion that the lunatics have not only taken over the asylum but are billing us handsomely into the bargain runs from The Cabinet of Dr Caligari (1919) through to Dressed to Kill (1980), where a psychiatrist is capable of not only messing up your mind, but carving up your body too, or The Couch Trip (1988) and Beyond Therapy (1987), both of which feature shrinks who are in a more advanced state of mental collapse than the poor saps they're trying to help. The Scarecrow, one of the villains in Batman Begins (2005), even counts psychiatry as his day job. (Is Hannibal Lecter his role model?)

Latter-day movies have begun to question whether psychiatrists are even up to the task of paying attention: the therapist in There's Something About Mary (1998) wants to tutor his client in the etiquette of gay cruising, while the one in Happiness (1999) is struggling just to stay awake. In Cruel Intentions (1999) and What About Bob? (1991), the client is presented with a book authored by his analyst, only for the cost of this supposed gift to be added to his bill. In those films, and in those details, you can feel petty scores being settled by screenwriters whose advances have been siphoned off by their shrinks.

Not that all films treat therapists as two-bit hucksters, from the same gene pool as lawyers and insurance salesmen. Distinctly more reverence is displayed in Blind Alley (1939), which stars Ralph Bellamy as a psychology professor who gradually dismantles and overpowers his tough-talking captor through psychoanalysis. It may belong to that group of films that turn the shrink into a proxy detective, but this transformation could not occur without real faith in the profession. While the picture provides a disquieting example of confessions being used against the confessor, it also places psychoanalysis firmly on the side of good.

The friendly neighbourhood psychiatrist was presented as everything you could want in a best friend in The Snake Pit (1948), a film that became "an important stimulus for public acceptance of the health movement", according to Leslie Rabkin, author of The Celluloid Couch. And therapy could also be synonymous with tenderness and sensitivity: long before Lena Olin swapped couch for bed with her not-bonkers-just-free-spirited client Richard Gere in Mr Jones (1994), Ingrid Bergman took the time to unpick Gregory Peck's mental knots in Spellbound (1945), leading the New York Times's Bosley Crowther to breathlessly conclude: "If all psychiatrists are as fruitful as [Bergman]... then psychiatry deserves such popularity as this picture most certainly will enjoy."

Robin Williams in Good Will Hunting is a modern version of the saintly head-doctor. Indeed, that movie embodies so many of the most abhorrent clichés in cinema's portrayal of psychoanalysis that it can only be viewed as a deliberate act of provocation against the mental-health profession. Take the field trips designed to suggest that Williams is eccentric but not threatening, and to give the audience something to look at other than bookshelves. Or the simple, one-step cure, which consists of Williams embracing Matt Damon and repeating the words "It's not your fault," after which the patient is sufficiently well-adjusted to hit the open road in search of happiness.

Such conceits perpetuate the misapprehension that psychiatry is an exact science, with rewards and benefits which can be readily quantified, whether it's a code number, the restoration of inner peace, or in the case of the virtuous Ordinary People (1980), the redemption of an emotionally paralysed family. One of the few films to aggressively deride this habit of using psychoanalysis as an all-purpose cure is Mel Brooks's Hitchcock parody High Anxiety (1977). Brooks is the psychiatrist taking up residence at the Institute For The Very, Very Nervous, and discovering in the film's climax that his vertigo can be traced back to infancy, when an argument between his mother and father sent him toppling from his high chair. "It's not heights I'm afraid of," he announces triumphantly at the news of this breakthrough. "It's parents!"

When High Anxiety was released, viewers were familiar enough with the babble and buzzwords of psychoanalysis to respond instinctively to the film's wittiest sequence, when Brooks's speech at a psychiatric conference has to be spontaneously modified so as not to impinge upon the innocence of two young children who have joined the audience. "Penis envy" becomes "pee-pee envy"; the womb is temporarily rechristened "the woo-woo."

Woody Allen had by then played his part in making therapy fashionable, most notably in Annie Hall (1977), and has been the industry's single biggest salesman in his movies ever since. But only on television has therapy really received the scrutiny that it deserves. Complex or enigmatic characterisation abounds: the unseen psychiatrist in the BBC's This Life, whose disembodied voice is every bit as sinisterly placatory as HAL in 2001: A Space Odyssey; the foolhardy Dr Bright, played by Steve Coogan, in Curb Your Enthusiasm; Dr Melfi (Lorraine Bracco) and her own psychiatrist (Peter Bogdanovich) in The Sopranos; Frasier Crane (Kelsey Grammer) in Frasier, whose protective veneer of arrogance has over the course of many years been carefully exposed as all chinks and no armour.

Perhaps time is the key. Just as the convention of the "50-minute hour" seems designed to provoke frustration, so the brevity of films like Grosse Pointe Blank (1997) and Analyze This (1999) will naturally put them at a disadvantage compared with the long, rigorous years that The Sopranos and In Treatment have had at their disposal. Those hours of television provide space for the riveting essence of psychoanalysis: the fumbling misunderstandings; the drawn-out silences; the sheer, staring-at-the-wall nothingness. What cinema's prevailing view of therapy cannot countenance is that mysteries aren't always wrapped up in time for the closing credits. They take a long time to crack, or they get taken to the grave.

 

Ryan Gilbey is the New Statesman's film critic. He is also the author of It Don't Worry Me (Faber), about 1970s US cinema, and a study of Groundhog Day in the "Modern Classics" series (BFI Publishing). He was named reviewer of the year in the 2007 Press Gazette awards.

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The Wallets

A short story by Colin Barrett.

Doon was doing nothing, just killing time, while he waited for his mam to finish at meeting. Once she went down the steps into the basement he got out of there. The hour was too long to wait and he did not like seeing the others. There was always one freshly dire specimen hanging around outside, wrung-eyed and jitter-limbed and making a pitiable hames of trying to light up a cigarette. Sometimes he recognised the parent of some kid out of his class. He didn’t want to see the parents and he didn’t want them to see him. The meetings were another world. His mam went down there and an hour later she came back out.

He did laps of the town with his hoodie up. The drawstrings of his hoodie had little laminate tubes at the end that flailed as he walked. It was autumn, blond and ochre and umber leaves matted together and turning to slick mush underfoot. He was wearing dark olive combat boots laced tight, the ends of his combat trousers crimped into the tops of the boots. Passing an apartment block he saw something on the blue wooden slats of a bench seat. It was a wallet. He commended himself for noticing it and kept right on walking. As he walked he clenched his stomach muscles, an isometric exercise to promote definition and also a means of keeping warm.

He browsed a Men’s Fitness magazine in a newsagents, reread three times an article detailing the correct techniques for executing power cleans and deadlifts off the rack, and bought a large raspberry slushie. He’d loved slushies as a kid. Every six months or so, usually in one of the small newsagents still scattered around the town, he’d notice the plastic rotors mesmerically churning the blue- and blood-coloured ice in their transparent bins, and would buy one. Only after tasting it would he remember how nauseating they were. Three strawfuls in and there was already the sickly sensation of the syrup turning in his stomach and a bout of brainfreeze running through his head like static.

He went a few doors down, into the lobby of the Western Range Hotel. Still stubbornly sucking on the slushie, he strolled into the hotel bar. The bar was a spacious rectangle of smoked glass, carved teak and piped muzak, and went back a long way. Four men in suits were stalled by the counter, luggage cases on wheels poised beside them like immaculately behaved pets. A pair of them bid goodbye to the others, and headed towards the lobby. Doon watched the automated doors, the way they seemed to flinch before smoothly and decisively giving way. To escape the chatter of the remaining men he went and stood at the far end of the room. A recessed bank of floor-to-ceiling windows yielded a direct view on to the town’s main street, already streaming with Saturday morning shoppers. He watched the flow of bodies, the pockets of arrest within the flow. Directly across the street was the gated rear entrance to the county district court. The gating was innocuous, black bars without identifying signage, and if you did not know it led into the court, you would not have been able to tell. The gate was ajar, a concrete step leading down into the narrow mouth of an alley. In the alley a tall redheaded woman in a suit jacket was urgently conferring with a rough unit on one crutch. The man’s smashed-and-resmashed-looking face, the colour of baked clay, was tilted towards the sky. It was impossible to tell his age. He was leaning on his crutch and staring into the blazing nullity of the sky as the woman attempted to direct his attention to something in the heavy-looking black ledger she was holding tucked against her diaphragm. A page lifted up, levitated free of the ledger and fluttered down the street. The woman cursed, slammed closed the ledger, and stooped after the page as it curlicued along at shin level. The man turned his face from the sky and stared with bovine dispassion at her scooting, bobbing rump.

“You can’t eat that in here.”

Doon turned. The barman was behind him, a kid not much older than Doon with awry lugs glowing either side of his head, his black barman’s shirt squeezed over a snub-nosed paunch.

“I’m not eating anything.”

“That.” The barman pointed at the slushie. “Can’t eat that in here.”

“Don’t make me correct you again, I’m not eating anything,” Doon said, and took an emphatic suck of the slushie. From the depth of the plastic cup came a clotted suctioning noise that reminded him of being at the dentist: Snnnrgggkkk.

“C’mon man,” the barman said, his fussy little face turning the same colour as his lugs. “Just go finish it outside.”

“You get at all your potential customers like this?”

“You’re not a customer.”

“Could’ve been a case I was about to be.”

Snnnrgggkkk.

“Even if you want something, you’ve to finish that outside first.”

Snnnrgggkkk.

“So no one’s allowed just stand here for five minutes, make their mind up on giving you their custom.”

“Not no one,” the barman said, “but you’re you. You’ve to take that outside.”

“Nah.”

“C’mon.”

“This is profiling, lad,” Doon said.

The two men remaining at the bar were watching this exchange. The older, a tall lean man with grey hair, laughed, then cut the air with his hand, like enough.

“Lad’s got a point,” the grey-haired man said to the barman, indicating Doon with a nod of his head.

“We have a policy,” the barman croaked.

“What’s that?” The man went on, “Harass the kid with the skint head and hoodie? So he’s eating a slushie, so what? I worked in a bar myself when I was a young buck. Just let the shift see itself out if it’s going quiet, lad and don’t give patrons grief that aren’t giving you grief.”

Snnnrgggkkk.

“See, listen to the oul fella,” Doon said and grinned at the man.

The man grinned back.

“Let’s resolve this simply,” the man said, taking out his wallet. “I’ll get him something, so then he counts as a customer, and we can all let him finish his drink in peace. Do you want a Coke or a coffee, lad?”

“Pint of Guinness, fella,” Doon said.

“Ha, now, lad. What age are you? I’ll buy you a coffee but I’m not buying a minor a pint on a Saturday morning.”

Doon took an extended, convulsive suck of the slushie’s remnants as the barman beetled in behind the counter. When it was empty, Doon placed the cup on the bartop.

“You’re alright so then. Coffee’s worse for you than drink,” Doon said. He considered the two men again, and grinned. “You boys are in a savagely dapper condition for this town, even of a Saturday afternoon. Is there a wedding in or something?”

The men smiled at each other. The younger one, who had a V-shaped hairline with a bald patch spreading out from his crown, like Zinedine Zidane, shook his head. “We were in for a convention. Sales conference for the NorthWest Connaught Regional Estate Agents Association.”

“Christ, I lost interest halfway through that sentence,” Doon said.

The grey-haired man grinned again.

“So,” the barman interjected, but talking to the man, not Doon. “Did you want a coffee then, or?”

“You heard me decline the fella, didn’t you?” Doon sneered. Now he turned his back on the men, to focus his ire squarely upon the barman. “Congratulations, son, three souls in your dying-on-it’s-hole bar and you’re successfully chasing a third of them off. Profiling is what you were doing.”

Doon began walking backwards towards the lobby, his face bright with contempt.

“Your mam’ll be well proud. Speaking of which, tell her I said hello,” Doon said, and stuck his raspberry-coated tongue all the way out.

He heard the two men behind him chuckle again and his leading heel struck something. “Watch,” he heard the grey-haired man say as he swung his other heel into place alongside the first. He turned, knocking over the carry cases. “Jesus,” Doon said, stepping across the two men at the exact moment they stepped forward to right their luggage. “Sorry,” he said, feinting to step one way, then another, but somehow ending up still between them and the cases. He faced the grey-haired man and grabbed hold of his forearms, as if balancing or restraining him. The man stepped back and Doon stepped with him, like a dance partner.

“Sorry, lads, sorry,” he said to the man. He was close to the man’s face. The man’s face was indrawn and baffled. Then Doon stepped off him. He turned, picked up and righted the man’s case.

“I’m all of a daze with the harassment,” he said, gripping the case’s handle and yanking it twice to extend it out, before offering the handle to the man. The man looked at it, looked at Doon, and took it. Doon was already walking straight towards the automated doors.

He went through the lobby and out on to the street. He looked left and right, because that’s what people do. He checked the wallet, took the nice big fifty, left the two tens and a fiver. He went back in, said, “Found that outside, doll,” to the best-looking receptionist, dropped the wallet on the counter and went straight back out again.

 

***

 

His mother, as usual, was one of the first ones out. She came straight up the steps with her head facing forward and did not look back. She handed him the car keys and they walked towards the car park. They passed the apartment block. The wallet was still there, on the bench, and the instant Doon knew his mother would see it, she did. She stopped. “Look at that wallet some eejit’s after leaving there.”

“Come on,” Doon said.

“Check it to see if it says whose it is,” she said, nudging him.

Doon stayed in place. “Leave it. It’s not our concern.”

His mam looked at Doon and smiled. “‘Not our concern,’” she repeated. “Christ lad, where you get your talk from sometimes. You sound like a policeman.”

“A policeman’d be over there rooting through it with his big snout.”

“I don’t mean the sentiment,” his mam said, “I mean the tone.”

“Feck off,” Doon said.

“Now, now, don’t be regressing to sewer-mouthery just cos I’ve hit a nerve.”

“You’ve NOT touched a nerve,” Doon snapped.

She placed her hand on his neck.

“I mean you’ve got this authority to you,” she said. “It’s just your way. My lad. Soul of a policeman.”

Colin Barrett’s debut short story collection, “Young Skins” (Vintage), won the Guardian First Book Award and the Frank O’Connor International Short Story Award

This article first appeared in the 12 January 2017 issue of the New Statesman, Putin's revenge