Portraits: Patients and Psychiatrists

Wellcome Trust Arts Award 2009

Drawing Dr V

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Dr V is a child and adolescent Psychiatrist. Influenced by Freud, Klein, Bion, Winnicot, as well as the systemic family therapists like Minuchen and also very interested in narrative approaches to medicine and psychiatry, particularly therapeutic letter writing. She is a mother and seems to balance her work and home life very well. When talking about this she mentioned how supportive the NHS is as a working mother. Outside of her job she enjoys theatre, art, walking, swimming, yoga incl Sanskrit chanting.Dr V loves the Autumn leaves especially  acers, cherry blossom and lapis lazul.
Her patient is at school and Dr V works with his family, school teacher and various NHS workers on his case. They have a good relationship and it is obvious that Dr V cares for her patient. When asked what they had in common Dr V said they both had experience of anxiety.

Written by gemmaanderson

05/12/2009 at 9:12 pm

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Drawing Dr S

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Dr S works as a Psychiatrist on the National Pyschosis Ward at Bethlem Royal Hospital. He became a psychiatrist because he was always curious about other people and their motivations and lives. He also researches at the Institute of psychiatry and has produced many research papers for example “Mapping Auditory Hallucinations in Schizophrenia using Functional Magnetic Resonance Imaging”. He is Sikh, likes Neitzsche, practices martial arts (iaido; jodo and karate)
meditation and prayer, likes roses and rubies, waterfalls and mountains. He is the only psychiatrist who choose to look directly at me while I was drawing, which I  thought was quite brave. He is also the psychiatrist I have drawn who was not recruited for me by Dr Tim McInerny. Two of the Arts Therapists told me they thought he would be good to work with so I approached him myself. They had told me that he was one of the few Psychiatrists who spent time in Bethlem Art Gallery and he always brought sweets and left them at the gallery for visitors. He is a very warm and friendly character and when I asked what he had in common with his patient, he said “Everything, just different life experiences”.

Written by gemmaanderson

05/12/2009 at 8:47 pm

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Drawing Dr A

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Dr A is a general adult psychiatrist. He said he became interested in psychiatry when he was a medical doctor because he found it more intellectually stimulating. He teaches psychiatry students now and really enjoys that, especially when he has very curious students. He is Scottish and loves Rio de Janiero and goes there as much as he can to relax. He lent me some folk models to draw that he bought there years ago and that mean a lot to him. I went to Kew Gardens to draw Brazlian plants in his portrait.

Written by gemmaanderson

12/11/2009 at 9:21 pm

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Drawing Patient C

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Patient C lives in the community, she has not seen her psychiatrist for a number of years. She is incredibly aware of her own mind and described to me how she has learnt to cope with her psychiatric condition. As an adolescent and young adult she suffered from anxiety and depression, she was extremely talented at the piano, but lacked confidence and ambition. She described panic attacks as colours becoming blindingly bright and shapes merging into one another, feeling that there was no space left in her brain and losing consciousness. During her experience as a psychiatric patient she refused medication as she knew that she needed to deal with the underlying causes  of her illness through therapy. After some years of sporadic periods spent as an in-patient at the Maudsley Hospital she visited a friends mother there and remembers saying to herself “you don’t belong here” which felt like a real turning point for her. She remembers keeping herself to herself in hospital and bonding with some patients while finding others intimidating. After many years she met a psychiatrist with whom she “clicked”. This is where her recovery began.  when asked how she felt, she remembers saying “I feel like all of my body parts are dis-jointed” to which her psychiatrist replied ” lets put them back together again”. After a number of years of working with this Dr she now lives and works in the community and values her freedom and health more than anything.

Below are some images showing the process of drawing the symbolic objects associated with her personal and medical history.


Here is a drawing I made directly after talking with her,


Written by gemmaanderson

12/11/2009 at 8:36 pm

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Printing Process

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Below are images of the Printmaking Process the copper plates go through after the drawing is complete. First they are prepared for immersion in acetic acid and then immersed in ferric chloride. In order to be sure the Ferric is the correct strength I measure the Baume with a Hydrometer, you can see below it reads 40 Baume, which is the strength I like to work with.

Once the plates are etched, I clean them with white spirit and meths to remove the hard ground and stop-out varnish. I then mix inks, apply ink, wipe ink, hand wipe, tissue wipe and print the plate onto paper that has soaked in a water bath.

Each print is different as I mix different colours and wipe slightly differently.

Written by gemmaanderson

22/10/2009 at 2:44 pm

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Working Process 22/10/09

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Process

 I began this project in July 2009 by spending time researching at the Wellcome Trust Library. I was interested in psychiatric ideas throughout history and especially in holistic theories about the mind and the body, the humours, medicinal plants, minerals, animals and the history of psychiatry. In particular Culpepper, Hippocrates, Paracelsus, Boehme and the Doctrine of Signatures, Foucault, Robert Burton and Galen.

 In August 2009 I made my first appointments. Dr Tim McInerny (Forensic Psychiatrist) had approached other Psychiatrists  with our proposal and found a range of Drs who where enthusiastic about the project and who had patients who where also interested in being subjects. So with there contact details I began to organise the meeting with the psychiatrist and patient, this may be a meeting at their hospital ward or office, a medical centre or an individuals home. Who I meet first Depends on the schedule of the doctor and patient but preferably I meet with the psychiatrist first who will introduce me to their patient and tell me about their patients history.

 When I meet each individual I conduct an informal interview process, which lasts about an hour.

 

When I meet the psychiatrist I ask them questions, for example…

 What inspired you to become a psychiatrist? What are your interests outside of your job? What do you have in common with your patient? Do you take any medicine or have any health problems?Are you attached to any landscapes, animals or plants?. Etc

 When I meet the patient I ask them the following questions

 How is your experience as a patient? Can you tell me about your life before you where a patient? What would you like to do when you are out of hospital? How would you describe your relationship with your psychiatrist? Other patients? How do you find your medication? Can you tell me about your understanding of your diagnosis? Etc

 (We then carry on our discussion exploring some of the ideas raised through the interview.)

 

Normally we will have a break at this point and then begin the drawing after the break.

 

When drawing each person I think about which position I would like them to sit in, this may or may not relate to the content of the interview. Once we have arranged the sitting position(I normally sit very close to the sitter )I begin drawing directly onto the copper plate,(I normally start with the eye) if there is a radio available we may listen to this if the patient would like.

So far I have drawn in the art therapy room at River House, Bethlem Hospital, in a corridor at Kentish Town medical centre, at a patients house and at my house.

I find it very interesting and insightful to enter into the patients and doctors environment. It is a very different world for me and I find it helpful to understand both the living/(and or) working atmosphere of the doctor and the patient.

 I can feel the pressure psychiatrists are under from being in the hospital environment and how little time they have to play with, some of my meetings with them are time pressured -they have to leave at a certain time etc. I find this difficult as I feel under pressure to be very fast both with the conversation and with the drawing. Patients on the other hand generally have more time and can talk about different kinds of subjects, I have found the patients to be very open and generous with what they share with me and doctors to have been more reluctant to engage in any personal details, this can make them slightly more difficult as subjects. Although overall they have been able to sit still for longer than patients.

 

For the first twenty minutes of the drawing I ask the sitter if we can be silent so I can concentrate on drawing the main features of their face while they are still relatively alert. After this we can talk, this helps the sitter to keep awake and alert during the drawing and it is normally a nice relaxed conversation. Depending on the individual, I may draw them for 45 mins or for one hour and a half if they are comfortable. Some have fallen asleep, some have moved a lot and some have been perfect models.

 After the drawing I thank them, show them the drawing, which they normally find very interesting and then ask them to imagine what kind of images and ideas they would like to see in the portrait. Sometimes they have very strong ideas of what should be there and sometimes they just want to leave it to me. Interestingly the patients normally have more to say about this, they definitely don’t want certain things and do want others. They leave and I stay and make notes and a sketch which includes the first ideas I have about how the composition and ideas for the drawing  might work.

 I then pack up and make my way home from the venue on buses and trains with a very heavy folder filled with copper. Referring to my notes and drawings I begin to plan the subjects I will draw to complete the portraits. I email the grant museum at UCL to ask about animal subjects, I email the rock room at UCL about mineral subjects and the anatomy room for anatomical subjects. I make a list of plants that relate to the individuals character and diagnosis referring to the uses of plants in the history of medicine and I email this list to Jane Knowles the head gardener at the Royal College of Physicians .

Once I have appointments I bring the copper plate with the drawing of the patient or doctor to the museum and I begin to draw parts of the subjects I am interested in, joining them with parts of the person, clothing or background. This process is very organic and I am often surprised by the outcome. Sometimes there are things that I don’t know how to find, I email friends or post on Facebook what I am looking for, for example I found a violin this way and dried cannabis leaves. The plate normally travels from location to location, each time imagery is added, all drawn from life and ends in a large collage/composite that represents the imagery that felt most important in the case of each individual.

 I normally work on a few portraits at once as it is easier to organise and keep busy this way. The normal working time is a few weeks  to a month for each one. When the drawings are complete they are ready to be etched. I bring the palate to East London Print studio. Here I prepare the plate for immersion in ferric chloride by covering the back of the plate and immersing it in acetic acid solution for  5 mins and then in ferric chloride for 1 hour and 20mins approx. I then clean the plate and begin to ink up in colour that relate to each individual. I then print the etching on the press and leave to dry for one week. After this I hand colour the work with Japanese inks and eventually it is ready to scan and is finished.

 

NB-This has been my experience of the working process of this project to date, almost half-way point. This process may adapt and change in many ways until the projects competion in Febuary 2010.

Written by gemmaanderson

22/10/2009 at 2:03 pm

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Meeting with David and his Mum 18/10/09

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I was invited by David (pseudonym) mother to their house in West London. I arrived and recieved a very warm welcome and cup of tea. I began talking with  Davids mother and she told me the story of Davids Autism. When he was a child she remembers him banging his head against walls and not engaging in any social or emotional activity. They travelled to America to find out what was ‘wrong’ with David. David was five years old and had numerous brain scans, which showed nothing. Eventually a psychologist diagnosed him with Autism and he has since been in continuous education and has made very good progress.

Davids Mum told me that he is obsessed with Monsters, Aliens, Spaceships and Chimerical Characters (Especially japanese game characters that morph from humans into animals). David spends a lot of time on the internet, playing games and writing or drawing on paper in his room.

Davids Mother gave me the following drawing and text for this blog

After talking to Davids mother, he came in and sat down with us and his mother introduced us. He was quite involved in writing on his page at the time about Ghandi and it was very interesting to see the playful interaction between David and his mother as he asked her for help with spelling and she made some jokes about Ghandi with him.

His mother explained that he didn’t like social situations and not to worry that he did not acknowledge my attempts at conversation. David left the room for a while and then came back and sat down and said “draw!”. I began drawing onto copper and realised very quickly that David was not going to sit still for longer than a few moments at a time. I changed over to drawing on paper and enjoyed the quick sitting as David kept looking at the paper I was drawing on in between moving around and looking out the window.

Shown here are the drawings I made of him. After about ten minutes he asked the time, said he had to go and went to his room.  I talked to his mother more before thanking them both and leaving.

Written by gemmaanderson

18/10/2009 at 6:19 pm

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Drawing Coral at the Grant Museum of Zoology, UCL, 16/09/09

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I went to the Grant Museum to draw specific Coral for Dr Cs Portrait, I wanted the coral and the minerals to merge into each other and become indistinguishable.

Written by gemmaanderson

12/10/2009 at 7:49 pm

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Drawing from the Rock Room at University College London 18/09/09

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I organized to draw from the Rock Room mineral collection at UCL as part of Dr Cs  Portrait. The following photographs document the minerals and the drawing process.

Written by gemmaanderson

12/10/2009 at 7:42 pm

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Drawing Dr C, 15/09/09

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On Tuesday September 15th, I meet Dr C at River House, Bethlem Royal Hospital. Dr C is a general adult Psychiatrist and Clinical Director at the Institute of Psychiatry.

I asked her questions about her experience as a psychiatrist, her relationship with her patient, her family history and her interests.

I made the following drawing after our meeting

Eleanor Cole Drawing

Written by gemmaanderson

12/10/2009 at 7:32 pm

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