Although I’ve done art since I was a small child and studied art history formally in college, I didn’t find my artistic niche until I developed mental illness in my early 20s. Then I began a long love affair with what has been dubbed “outsider art,” the art of people variously marginalized in society, to distinguish it from the consensus-reality art of the nonmarginalized. In my case, the term meant the sometimes strange, often beautiful art of schizophrenia. My materials of choice have been pen and ink and paper, and my favorite stylistic form is the round mandala originally of ancient India.

I’m a whirling dervish in my ultimate art fantasy. In this fantasy, I put myself in a large, cube-shaped room covered on all 6 sides with whiteboards. A bright light bulb hangs down to the middle point of the room. I have a ladder and lots of black dry-erase pens. Whirling, I effortlessly draw as fast as I can, one image creating and then turning into the next, on and on, over the ceiling, the walls, and the floor, moving right along until the whole room is covered with my doodles; and then I elaborate the doodles, around and around; and finally the entire whiteness is filled up with black. I have become pure energy, just what I suppose whirling dervishes aim to become.

I feel like I’m flowing into and out of my pen when I’m drawing. I don’t know how common an experience that is among artists, either schizophrenic artists or consensus-reality artists. But it’s exhilarating, almost a “high.”

Are these examples of loosened ego boundaries or, instead, just part of the nature of creativity? On the one hand, it seems to me that, if the artist works from within consensus ego boundaries, she takes the material’s dimensions into account from the moment she begins to compose. On the other hand, when an artist is psychotic and having difficulties with her own boundaries, does she come to a grinding halt at the boundaries of the material? I have found myself stopped cold by the ruthless edge of the paper, and often wandering beyond the circle or perimeter of a mandala I am quickly, impulsively drawing.

Just as my outsider ink or paint often spirals outward, so at the same time it often spirals inward, like a fractal. Another metaphor of this dual movement has an eggbeater mixing items together in a bowl that is too small, so that much of the resultant mixture is hurled outward, while much is folded into itself again and again. In real life, during the times when I was most ill, I obeyed alien creatures as large as galaxies; and at the very same time I turned inward, examining my thoughts from every angle and relentlessly dissecting them. I could have been a watch repairman or a lace tatter. Little wonder, then, that I loved drawing a carnation, articulating every jagged petal; or an armadillo; every bump on every leg of an octopus; a head of cauliflower. I discovered that I could make a vine that produced leaves, the ends of which cried tears, each of which in turn contained a human face. One tear might fall on a spider (that wore 8 boxing gloves), imploding it and thus causing its web to sag so that a butterfly might escape it and fly to… I typically spent 6–8 h in one sitting so that the tension of my pen would remain uniform.

Some schizophrenic art, however, is more conventionally structured; it might be limited to 1 or 2 images with no extreme outward or inward movement, no apparent sense of being hemmed in, no building of fractals. But it often has “different,” idiosyncratic rules and aesthetics. For instance, I once drew on poster-size paper a gracefully diagonal, writhing black eel. So far, conventional structure that any artist might have planned. But the eel’s mouth was a circle of jagged teeth, out of which poured, in lovely calligraphy, words, phrases, and sentences about the nature of evil. (This was in response to the Aurora theater shootings.) I can’t imagine that this drawing would be anything but abnormally chilling to a consensus-reality viewer, chilling like the hallucinations of huge, neon, electric spiders slithering down walls struck me decades ago, when I experienced delirium tremens from alcohol withdrawal. The (usually anonymous) schizophrenic art I have viewed in books and on the Internet often has unique, otherworldly traits, especially aesthetics that remind the viewer of isolation, of a world made of metal, and bone-rattling electricity. It could be that the avoidance of aesthetic revulsion (a kind of fear) is a tactic that consensus reality uses to maintain its balance.

The most extreme example of creating repulsiveness takes place for me when I’ve been drawing while paranoid. I’m appalled by what I’ve drawn, just as I’m appalled by the paranoia itself, which feels like fear and anger experienced simultaneously. The figures I draw are nasty, sneering, in a world I want to run from: weird bats, black crows with huge wingspans, eerie owls uttering phrases in Latin. I’ve often hid those drawings, afraid of their power over me, and afraid of the startled reactions of others.

How is this different from, say, Diane Arbus’ photographs of the grotesque, of people malformed and the stuff of sideshows, subjects whom she admitted to hating? It would be easy to say that she chose of her own free will to take those particular photographs, that they were not in any way commanded by internal demons. My guess is that she was just as artistically driven to take them as a psychotic artist is to draw or paint her vision. But Arbus in her prime stood out nearly alone in her vision. Producing psychotic art, on the other hand, is quite common among schizophrenics; and I have heard both clinicians, researchers, schizophrenics themselves, as well as members of the general public refer to the rich, creative, artistic bent that seems at times to accompany the illness.

Being psychotic is so intense that it’s exhausting. The brain of even the most stony-faced, motionless psychotic is teeming with material it doesn’t want and cannot process. I know that the extraordinary noise from a television broadcasting at regular volume can, if I’m psychotic, seem almost to crowd my own self out of my brain. Obviously, at that moment, the sounds are not being filtered, and my brain is on overload. When the experience is over and I can draw, my designs are crowded, heavy, thick; and I use the broadest pens and the strongest colors. These drawings express inanimate as well as animate intensity and crowding: rock fields and boulders and looming mountains; brilliant, inescapable light; or the effects of supergravity.

However, it seems to me that the differences between schizophrenic drawing and painting and consensus-reality visual art are not nearly as pronounced as they are in creative writing, especially prose. I suspect that this is because, in modern visual art, the grammar, syntax, and range of subjects (to transfer terminology from the one medium to the other) are greatly loosened. A viewer can be moved by the colors, the energy, the curiousness of a picture; a reader of prose, on the other hand, usually requires some sort of plot line(s) she can follow.

After examining on the Internet over a 100 paintings and drawings by artists with schizophrenia, I am struck by the thought that not only who you are and how you behave come from what is going on in your brain; but also that what you produce, the artifact itself , mirrors those features. For example, we can sometimes see fragile ego boundaries, extreme introspection, and sensory overload or crowding visible in a piece of art—a sort of reenactment of workings of the mind. What can be explained less easily—and are in the end the hallmarks of schizophrenic art—are the otherworldly taste, the love of the bizarre, the sense of a different journey. They are present sometimes to an overwhelming degree, like eerie, sky-high constructions of yellow-and-purple pinecones; sometimes as subtly as a wisp of oddly curling smoke.

The Author

R.P. has had 2 fairly long hospitalizations, 1 in 1968 and 1 in 1989. Her schizophrenia has expressed itself in episodes of psychosis of varying lengths preceded by longer prodromal periods. She has been psychosis-free for about 2 years now. She has spoken to classes of medical students at the University of Colorado for about 20 years and is on the Board of the Mental Health Center of Denver. She has undergraduate and advanced degrees from Stanford (BA, Classics), University of California Los Angeles (MA, Italian), Harvard (MA, Romance Languages), and the University of Denver (PhD, Comparative Literature). Her professional work includes 19 years of teaching Latin at the University of Denver; and Latin, Italian, English, and Biblical Greek privately. Creativity is important to her: she has published 5 books of translations from medieval and modern Italian as well as her own short stories, and she is an active “outsider” artist. She is most proud of her recently published book, “Speaking to My Madness: How I Searched for Myself in Schizophrenia” (Amazon; Kindle), a memoir of her triumph over alcoholism, schizophrenia, and cancer.