To the extent that these symptoms have a genetic foundation, creativity can be said to be partly biologically determined. Nevertheless, psychopathological symptoms are not the only possible source for the cognitive and dispositional attributes underlying creativity. Many environmental experiences and conditions can also nurture the development of the same cluster. Although some of these developmental influences are also associated with psychopathology, others are not. Thus, on the one hand, creative development is frequently associated with traumatic experiences in childhood or adolescence, experiences that may also contribute to depression and suicidal tendencies (Eisenstadt, 1978; Goertzel and Goertzel, 1962). On the other hand, development is also linked to an enriched and diverse intellectual and cultural environment, an environment that is neutral with respect to psychopathology (Simonton, 1999). Growing up under such conditions fosters the emergence of many cognitive and dispositional traits that define the creativity cluster.

Implications

The theoretical interpretation just provided holds that creativity and psychopathology share a common set of traits. As a consequence, creators will commonly exhibit symptoms often associated with mental illness. The frequency and intensity of these symptoms will vary according to the magnitude and domain of creative achievement. At the same time, these symptoms are not equivalent to out-and-out psychopathology. Besides the fact that characteristics are normally at subclinical levels, their effects are tempered by positive attributes, such as high ego strength and exceptional intellect. Moreover, many of the relevant components can be nurtured by environmental factors that lessen their dependence on any psycho-pathological inclinations. Taken altogether, this means that creativity is not incompatible with mental and emotional health. This affirmation is reinforced by the existence of numerous creative individuals who display little or no symptoms beyond normal baselines.

As a result, creators should have no fear that therapeutic treatment for disabling mental or emotional disorders would undermine their creative potential. Because the relationships between certain symptoms and creativity are described by curvilinear inverted-U curves, one goal of psychiatric intervention should be to identify the optimum level of functioning and then maintain the creative individual at that level.

Furthermore, treatment can also concentrate on those aspects of the creative personality that have a positive linear association with both creativity and mental health. Examples include ego strength and openness to experience. Although such an intervention clearly requires a delicate balancing act, the task is not by any means impossible. Executed carefully, it should be possible to help clients become more creative and more healthy at the same time.

Dr. Simonton is distinguished professor of psychology at the University of California, Davis, and author of nearly 300 publications concerning various aspects of genius, creativity and leadership. His most recent book is Creativity in Science: Chance, Logic, Genius, and Zeitgeist, published by Cambridge University Press in 2004.

References

Andreasen NC (1987), Creativity and mental illness: prevalence rates in writers and their first-degree relatives. Am J Psychiatry 144(10):1288-1292.

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