Mini Review: 4.48 Psychosis by Sarah Kane

“This is not a world in which I wish to live.”
Sarah Kane, 4.48 Psychosis

The play could be condensed to this one line which could be a powerful epigraph to the writer, as much as the play itself is. Reading 4.48 Psychosis was painful, knowing that Sarah Kane intended this to be a suicide note. Depression is not an easy topic to read about, even when it is portrayed in compelling formal prose as in The Bell Jar. This play is an open window into the mind of a brilliant writer whose depression has reached a point of no return. The dark lines of the narrative which are often split and fragmented as her thoughts, are beautiful but do not hold the promise of hope for life between their lines.

“After 4.48 I shall not speak again… / I have been dead for a long time / Back to my roots / I sing without hope on the boundary”, she says, and “Fuck you for rejecting me by never being there, fuck you for making me feel shit about myself, fuck you for bleeding the fucking love and life out of me, fuck my father for fucking up my life for good and fuck my mother for not leaving him, but most of all, fuck you God for making me love a person who does not exist”.

There is a tirade against the doctors who failed to treat her except with ‘chemical cures for congenital anguish’: “Inscrutable doctors, sensible doctors, way-out doctors, doctors you’d think were fucking patients if you weren’t shown proof otherwise, ask the same questions, put words in my mouth…Who lied. And said it was nice to see me. I trusted you, I loved you, and it’s not losing you that hurts me, but your bare-faced fucking falsehoods that masquerade as medical notes.
Your truth, your lies, not mine.

The experimental structure with numbers and words scattered around at random and the uneven spaces between words, sentences, and pages reflect the writer’s mind. The play’s form complements the theme and the content, and the random spaces align themselves between the words into an unbearably sad harmony.

There are still, the last flickers of hope within the distracted monologue. ‘I beg you to save me from this madness that eats me‘, says Kane. Like most artists, she is aware of the limiting nature of happiness. ‘when I am charmed by vile delusions of happiness,’ she says, ‘I cannot touch my essential self.‘ In between the moments of struggle, the desires remain, ‘to achieve goals and ambitions’, ‘to be seen and heard’, ‘to excite, amaze, fascinate, shock, intrigue, amuse, ntertain,
or entice others’, ‘to communicate, to converse’, ‘to laugh and make jokes’, ‘to feed, help, protect, comfort, console, support, nurse or heal’, ‘to be fed, helped, protected, comforted, consoled, supported, nursed or healed’, ‘to be forgiven’, ‘to be loved’ and ‘to be free’. It is sad that she had to pay such a terrible price for her freedom.

As a survivor of suicidal depression, I thought that the words were far too familiar, making this one of the most difficult pieces that I have read in a while.

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