Understanding Psychology (10th Ed)


  Psychological Disorders MANIA AND BIPOLAR DISORDER



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Understanding Psychology

15 
Psychological Disorders
MANIA AND BIPOLAR DISORDER 
While depression leads to the depths of despair, mania leads to emotional heights. 
 Mania  is an extended state of intense, wild elation. People experiencing mania feel 
intense happiness, power, invulnerability, and energy. Believing they will succeed 
at anything they attempt, they may become involved in wild schemes. Consider, 
for example, the following description of an individual who experienced a manic 
episode: 
Mr. O’Reilly took a leave of absence from his civil service job. He purchased a large 
number of cuckoo clocks and then an expensive car, which he planned to use as a 
mobile showroom for his wares, anticipating that he would make a great deal of money. 
He proceeded to “tear around town” buying and selling clocks and other merchandise
and when he was not out, he was continuously on the phone making “deals.” . . . He 
was $3,000 in debt and had driven his family to exhaustion with his excessive activity 
and talkativeness. He said, however, that he felt “on top of the world.” (Spitzer et al., 
1983, p. 115)
Typically, people sequentially experience periods of mania and depression. This alter-
nation of mania and depression is called  bipolar disorder  (a condition previously 
known as manic-depressive disorder). The swings between highs and lows may occur 
a few days apart or may alternate over a period of years. In addition, in bipolar dis-
order, periods of depression are usually longer than periods of mania. 
Ironically, some of society’s most creative individuals may have suffered from 
bipolar disorder. The imagination, drive, excitement, and energy that they display 
during manic stages allow them to make unusually creative contributions. For 
instance, historical analysis of the composer Robert Schumann’s music shows that he 
was most prolifi c during periods of mania. In contrast, his output dropped off 
drastically during periods of depression (see Figure 6 ). On the other hand, the high 
output associated with mania does not necessarily lead to higher quality: Some of 
Schumann’s greatest works were created outside his periods of mania (Ludwig, 1996; 
Szegedy Maszak, 2003). 
Severe depression
suicide attempt 
1833 
Moderate mania 
throughout 1840 
Moderate mania 
throughout 1849 
Severe depression 
throughout 1844 
Suicide attempt 
1854 
Died in asylum 
(self-starvation) 
1856 
Compositions 
1829 1831 1833 1835 1837 1839 1841 1843 1845 1847 1849 1851 1853 1855 
Year 
25 
30 
20 
15 
10 

0
FIGURE 6 
The number of pieces written by composer Robert Schumann in a given year is 
related to his periods of depression and mania (Slater & Meyer, 1959; reprinted in Jamison, 
1993). Why do you think mania might be associated with creative productivity in some people?

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