Wednesday, December 9, 2009

Churchill's mania

Churchill's mania

Today we can only make a retrospective diagnosis linking Winston Churchill and manic depression if we have evidence of mood swings - not depression alone. According to Sir Winston's close friend Lord Beaverbrook, the great man was always either "at the top of the wheel of confidence or at the bottom of an intense depression." This does sound like a description of Winston Churchill and manic depression.
Other evidence of mania that connects Winston Churchill and manic depression includes:

- Belligerence: he was combative in his personal relationships and openly exultant about war, desrcibing his enjoyment of WWI "this glorious, delicious war" and stating "war is the normal ocupation of man". In person, many found him sarcastic and overbearing, and he was notorious for monologues that could last for up to 4 hours or longer.

- Spendthrift: he had persistent money troubles due to his extravagance, gambling, and lifetime refusal to plan or monitor his finances.

- Abnormal energy: his preferred working day began when he awoke at 8am and ended sometime between 2-4:30am - this has been thoroughly and bitterly documented as he expected his staff to fit in with this.

- Lack of inhibition: he worked from his four poster bed in the mornings, attended by colleagues and secretaries. One General described being summoned to a meeting a 4am where Churchill appeared dressed in his bathrobe. He often distressed his staff by meeting with them while dressed in nothing but the pale pink silk underwear that he had personally tailored. He would even walk around his house completely undressed or insist on conducting meetings from his bathtub.

- Prolific writing: at his death Churchill left 15 tons of personal papers. Most of his income was derived from his writing, and he wrote countless articles, and 43 book-length works in 72 volumes.

- Grandiosity: he was notorious for his disdain for other people and their opinions, his unwavering belief in himself as a great man, his early sense of self-importance and grand destiny, and his many histrionic actions and speeches.

PLEASE NOTE that none of the above is intended to diminish the legacy of this historical giant. Churchill's courage and leadership during the darkest days of WWII have long made him one of my personal heros. The above list is based on the historical record. It is presented here to show the convincing evidence that ties together Winston Churchill and manic depression. Hopefully this will encourage other bipolar people to study his story and to learn and be inspired.


Does his alcoholism provide further evidence of a link between Winston Churchill and manic depression?

Research has demonstrated very strong links between mania and substance abuse. Studies show that bipolar people are much more likely than depressed people or the population in general to be alcoholic. Further, alcoholics are more likely than members of the general population to be bipolar. Do manic depressives self-medicate this way to gain relief from the irritability, agitation and restlessness of mania?

Churchill's favorite drink was whisky and soda, starting soon after breakfast. He is on record as having once drunk 11 of these during a single meal. When Churchil travelled to the US during Prohibition, he obtained a doctor's note to certify that regular consumption of alcoholic spirits was necessary to his health. Churchill's heavy drinking was no secret and even President Roosevelt complained Sir Winston was drunk half the time. Many could conclude this was alcoholism and another connection between Winston Chrchill and manic depression.

Perhaps his constant consumption of cigars, stilton cheese and rich desserts also smacks of self-medication and links Winston Churchill and manic depression.

More resources on Winston Churchill and manic depression

There is a whole section on Winston Churchill and manic depression in the book Moodswing by Ronald R. Fieve, M.D., Bantam Books 2nd revised edition, 1997. The author, Dr Fieve is a psychiatrist who specializes in bipolar and who pioneered the use of lithium in the US in the 1970s. Dr Fieve has interviewed Sir Winston's only son, Randolph Churchill, and made a detailed study of Churchill's psychological profile.

Dr Fieve has made a retrospective diagnosis of Sir Winston as Bipolar II - but with a twist! In Moodswing Dr Fieve introduces a new label - Bipolar IIB - the "B" is for "beneficial". This is his term for the form of manic depression in whih the bipolar person uses their highs to benefit themselves, their family and society.

Other politicans who Dr Fieve classifies this way are US Presidents Abraham Lincoln and Theodore Roosevelt. Moodswing is available from Amazon for $7.99.

Dr Fieve is not the only expert to link Winston Churchill and manic depression.

NAMI (National Alliance on Mental Illness) inlcude Dr Storr's quote on Winston Churchill and manic depression on their website about how People with Mental Illness Enrich Our Lives. This has information about famous people throughout history who have had a serious mental illness. The Discovery Channel's feature Altered Statesmen suggests that along with his depressions, Churchill also experienced intensely creative ‘up’ moods, to the point that psychiatrists would say is cyclothymia.

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