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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Why Richard T Kelly's The Knives is such a painful read

It is well known that Stendhal compared politics in a novel to a gunshot in the middle of a concert  this novel of modern British politcs is more like a mirror being shot at.

It is well known that Stendhal compared politics in a novel to a gunshot in the middle of a concert: a noise harsh but not dynamic, and with no resemblance to any instrument in the orchestra. What is often forgotten is that his enduring soundbite started life on the losing side of an argument. In The Red and the Black, Stendhal says that he is tempted to present a page of dots rather than subject the reader to an interlude of dreadful speechifying. His fictional publisher replies by asking him to square that with his earlier description of a novel as “a mirror going along a main road”. If your characters don’t talk politics, the publisher concludes – in a scene that does some damage in its own right to Stendhal’s realist aspirations – then your novel will fail to provide an honest reflection of Frenchmen in the year 1830.

Richard T Kelly’s new novel bets everything on this position. Kelly wants to show that a political novel – even one with characters who give political speeches and conduct discussions about policy – doesn’t need to be an ear-bashing polemic or a scuzzy piece of genre writing, but can succeed as a work of realism no less than the story of a provincial dentist’s mid-life crisis, or an extended family crumbling at Christmas.

Kelly is more a descendant of Trollope and Dickens than of Stendhal. His first novel, Crusaders (2008), a consciously neo-Victorian portrait of Newcastle in the 1990s, featured a Labour MP, Martin Pallister. The Knives is a sequel of sorts – a long, dense novel about a Conservative home secretary (Pallister is his shadow) which arrives at a moment when we are thinking about domestic politics, political process, Westminster bartering and backstabbing, and the role of the home secretary.

Kelly begins with a note explaining that The Knives is “a work of fiction . . . make-believe”, and it is true that any resemblance between David Blaylock and the real-life recent occupant of his post is scuppered in the prologue – a long gun battle in the Bosnian countryside with virtually no resemblance to Theresa May’s tenure at the Association for Payment Clearing Services. Yet the novel contains plenty of allusive nudging. Kelly’s member for Teesside may not be standing in for the member for Maidenhead, but a prime minister who is “primus inter pares” of a group of “university contemporaries and schoolmates” rings some bells. There are also borrowings from Robert Peel and Tony Blair, as well as a quotation from Trollope and a discussion of Coriolanus (“He wouldn’t last five minutes”).

As the novel begins, Blaylock is widely respected, has even been named Politician of the Year, but he is also surrounded by possible pitfalls: the presence in Britain of foreign nationals with charge sheets, the proliferation of radical Muslim clerics, the debate over ID cards, mounting questions over his record on unemployment, immigration, human rights. There is also an ex-wife whose work as a barrister converges on Home Office business. The Knives is a full-bodied account of Blaylock’s day-to-day business, in which the relationship between journalism and realism, research and description, is generally fruitful. Kelly’s mirror travels through meeting halls and community centres, down “the plum carpet of the long corridor to the cabinet anteroom”. The problem is that Kelly is too effective – too diligent – and the book is detailed to a fault, at times to the point of mania.

His habits in general tend towards overkill. As well as his note to the reader, he introduces the book with a trio of epigraphs (Joseph Conrad, Norman Mailer, Norman Lewis) and a not-inviting list of dramatis personae – 60 names over two and a half pages, in some cases with their ages and nicknames. Virtually all of these figures are then described fully in the novel proper. One character is compared to a thinker, a dancer, a Roman and a pallbearer in the space of a single paragraph.

Stendhal took his publisher’s advice but did not ignore his own instincts: having accepted that politics might have a place in a realist novel set in Paris in 1830, he is careful to give us an extract from Julien’s 26 pages of minutes. Kelly gives us the minutes. But it isn’t only world-building that detains him. Early in the book, out jogging, Blaylock passes “a young blonde” who is “wand-like from behind”: yet only by virtue of “a conjuror’s trick – a stunning trompe l’oeil – for from the front she was bulgingly pregnant, to the point of capsizing”. Almost every sentence carries a couple of excess words.

In Kelly’s universe, hubbubs emanate and autumn insinuates and people get irked by periodic postal admonishments. At one point, we read: “The likelihood that they worsened the purported grievances of said enemy was not a matter one could afford to countenance.” In a dinner scene, “brisket” is served by the “briskest” of waiters. There are tautological similes, dangling modifiers (“A vicar’s daughter, Geraldine’s manner was impeccable”), truisms (“The law was complex”), fiddly phrases (“such as it was”, “all things considered”), Latin tags and derivations, and every conceivable shade of adverb. When Kelly’s phrasing reaches for the mock-heroic, it often comes back to Earth with too great a thud: “Blaylock, tired of the joust, accepted the black ring-binder.” All this verbiage obscures the novel’s function of bringing the news – or rather, the truth behind the news – and the cumulative effect is grating, even painful, like a mirror being shot at.

Leo Robson is the New Statesman’s lead fiction critic

The Knives by Richard T Kelly is published by Faber & Faber (475pp, £12.99)

Leo Robson is the lead fiction reviewer for the New Statesman.

This article first appeared in the 18 August 2016 issue of the New Statesman, Corbyn’s revenge