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77 pages 2 hours read

Robert Kolker

Hidden Valley Road: Inside the Mind of an American Family

Nonfiction | Biography | Adult | Published in 2020

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Themes

The Origins of Schizophrenia and Other Mental Illnesses

The sheer number of Galvin children who went on to develop schizophrenia or related disorders raises an obvious question about the nature of the disease; it seems almost impossible that six of the 12 could be affected simply by chance, so there must be a common thread running through the different cases. However, what that thread is isn’t immediately clear. While the children all share the same genetic heritage, they also share more or less the same upbringing. In this way, the Galvin family’s situation influences a broader, longstanding debate about the respective roles of nature and nurture in the development of mental illness.

As Kolker details, this debate has been raging in one form or another since the 19th century and was a contributing factor to the rift that developed between Sigmund Freud and his protégé Carl Jung. At the time the Galvin boys were beginning to experience symptoms, the pendulum had swung towards the Freudian view that schizophrenia was environmental in origin and, more specifically, the result of bad parenting. According to a theory first proposed by psychoanalyst Frieda Fromm-Reichmann, so-called “schizophrenogenic mothers” caused their children to withdraw into psychosis to escape these women’s alternately domineering and withholding demeanor: “The child feels helpless, frightened, frustrated, anxious—ensnared, with no way out. […] Tormented by their mothers, they retreat into a world of their own” (36).

While environmental factors (including, ironically, the Galvins’ fear of just this kind judgement) likely exacerbated the Galvin boys’ sickness, Hidden Valley Road suggests these environmental factors were unlikely to have caused the disease outright. Kolker traces the efforts of a handful of scientists (most notably DeLisi, Freedman, and McDonough) to pin down the physical and possible hereditary roots of schizophrenia, which eventually led them to cross paths with the Galvins. Their research pointed to definite biological mechanisms at play in the development of the disease; Freedman, for instance, determined that many people with schizophrenia have a mutation in a gene vital to sensory processing, while DeLisi and McDonough discovered that many of the Galvin children shared a mutation, inherited from Mimi, in a gene involved in communication between brain cells.

In this way, Hidden Valley Road comes to echo what is now largely a matter of scientific consensus: that schizophrenia likely develops as a result of both nature and nurture, with environmental stressors triggering an underlying predisposition towards the disease. At the same time, Kolker is also careful to stress that much about the condition remains mysterious, and that there’s probably no one-size-fits-all explanation; the SHANK2 mutation shared by the Galvins, for instance, is rare in the general population, and therefore unlikely to explain all or even most instances of schizophrenia. Relatedly, the book makes it clear that there’s a great deal of guesswork involved in psychiatric diagnoses, and that the symptoms of most mental disorders shade off into traits and behaviors society considers “normal.” Particularly given how devastating the effects of antipsychotic drugs can be, Kolker tacitly recommends caution in treating schizophrenia as a cut-and-dry biological illness; by doing so, practitioners can avoid overmedicating people who might respond to less aggressive therapies, or those who might not require treatment at all. 

How People Cope with Trauma

While trauma might not have been the primary factor that led six of the Galvins to develop schizophrenia, trauma and the various ways people respond to it are central to Hidden Valley Road. The experience of seeing so many of one’s children or siblings fall ill is itself traumatic; Mark, for instance, never emotionally recovered from watching his former hockey teammates slowly lose their grip on reality, which for him felt “as if the three most important people in the world […] had fallen off the face of the earth” (221). In addition, the turbulent atmosphere caused by so much mental illness was traumatic for the younger Galvin children, who grew up amidst constant chaos and confusion. At best, Lindsay and Margaret were apt to feel neglected, given the sheer amount of time their mother spent caring for their brothers; at worst, their brothers’ sometimes violent outbursts left them feeling physically endangered. Layered on top of all of this were a number of stressors unrelated to the brothers’ illness: Jim’s sexual abuse of his younger siblings, the abuse Mimi herself experienced as a girl, and Don’s service in WWII.

Don and Mimi were consistently tight-lipped about their own traumas, which perhaps explains why they initially responded to their children’s illness the way they did: “blot[ting] out the darker aspects of [...] life” was a coping strategy they were both well versed in (54). The most obvious downside of this kind of denial is that it potentially allows problems to fester, and this was certainly the case for the Galvins. Not only did Don and Mimi delay seeking medical treatment for their eldest son, but their own unresolved emotional issues contributed to the more broadly dysfunctional dynamics within the family; Mimi’s desire to maintain the image of a perfect family, for instance, seems directly tied to her parents’ divorce and her stepfather’s subsequent abuse of her.

With that said, Kolker also suggests that a certain amount of denial can be beneficial: “[The] romantic view of his father [as a spy] was helpful to Richard. At the very least, it was preferable, for instance, to the story of a father whose military career stalled out” (305). Although Kolker calls Richard’s belief a “self-delusion” (305), there’s a sense this kind of delusion is psychologically protective; as Freedman’s work on sensory gating demonstrates, “healthy” people cope with reality by automatically tuning much of it out. Even those who are most determined to face hard truths often approach them indirectly. Lindsay, for instance, remarks that she now “laughs” when telling the story of how she wanted to burn Donald at the stake (xvi), using humor to deflect from the pain of the episode.

It is also Lindsay who embodies what Kolker suggests is perhaps the “best” response to trauma: using it as a means to better empathize with others. For Lindsay, this has meant working to connect with and improve the lives of Donald, Peter, Matt, and (while he was still living) Joe. What’s more, she generally found that doing so helped her heal as well, since her earlier resentment of her brothers had, in her words, been “gut-wrenching” and “tor[n] at [her]” (312). Nevertheless, Hidden Valley Road avoids passing judgment on the Galvin siblings who chose a different route in making sense of their childhood; ultimately, Kolker suggests that coping with trauma is a highly personal experience, and that each person must decide for themself what coping strategies work best for them at any given moment.

The American Dream and the Pressure to Conform

Kolker’s decision to refer to the Galvins specifically as an “American” family in the book’s subtitle is significant. Although schizophrenia occurs throughout the world, the Galvins’ experiences with it are inseparable from 20th century US culture and, in particular, the ethos of the American dream: the idea that anyone who works hard and plays by the rules can achieve success in life.

Don and Mimi began their life together at a time when belief in this dream was arguably at its strongest, and they themselves were no exception: “In the best of times, Mimi and Don seemed to embody everything that was great and good about their generation: a sense of adventure, industriousness, responsibility, and optimism” (xix). What’s more the Galvins’ lives did resemble the American ideal for many years: while Don ascended through the ranks of the Air Force, Mimi raised a household of star athletes, musicians, and chess players. However, when the Galvins’ sons began to develop schizophrenia, it dramatically illustrated the limits of the American dream; not only did it upend the family’s domestic life, but the very unpredictability and apparent senselessness of the disorder’s course and symptoms undercut the Galvins’ faith “that if you did all the right things in all the right ways, then good things would come to you” as a matter of course (40).

Hidden Valley Road implies that the boys’ sickness simply exposed the American dream as having always been a false promise. Even before the children fell ill, the Galvins’ lives hadn’t gone according to plan; Don, for instance, had struggled to advance in the Navy because he lacked connections. The Galvins might thus have seemed well-positioned to recognize how hollow the American dream could be, but there was enormous social pressure at the time to maintain at least a pretense of the ideal. As the conversation surrounding “schizophrenogenic” mothers demonstrates, women who didn’t conform to their designated role as homemakers were judged harshly by society, as were men who failed to achieve professional success. Don and Mimi therefore spent years projecting an image of themselves and their family that was at odds with the reality: “The Galvin home became a place where two different realities existed at the same time: the wrestling pit and the church choir; the wildness of the boys and the model family Don and Mimi believed they had” (46-47).

The situation Kolker describes above echoes theories of schizophrenia that frame the condition as “a split between a patient’s exterior and interior lives—a divide between perception and reality” (17) It’s not surprising, then, that the Galvins’ attempts to maintain a façade of normalcy only exacerbated the children’s symptoms; in a sense, Hidden Valley Road suggests that the American dream, at least in its more rigid forms, constitutes a kind of societal delusion that flies in the face of observable reality.

The Human Face of Schizophrenia

Schizophrenia and other psychotic disorders are among the most stigmatized mental illnesses. The symptoms of these disorders tend to be severe and (particularly prior to the invention of antipsychotics) difficult to control; this can be disturbing to the average observer in and of itself, but it has also historically meant that people with schizophrenia are locked away in institutions, no doubt causing them to seem even more alien in the public imagination. The worst phase of this dehumanization took place before the Galvin brothers became sick; in the early 20th century, the basic rights, dignity, and agency of psychiatric patients were routinely violated by means of dangerous injections, lobotomies, and forced sterilization. A basic disregard for the humanity of those with schizophrenia persisted well into the lifetimes of the Galvin children. In Lindsay’s estimation, even several of her own siblings see their sick brothers as less than fully human.

This problem of dehumanization isn’t easily solved, in part because, as Kolker notes, the features of schizophrenia virtually by definition make it difficult for those who are unaffected to relate to those who are: “Schizophrenia’s inaccessibility may be the most destructive thing about it—the thing that keeps so many people from connecting to the people with the illness” (329). This “inaccessibility” stems not only from the condition’s most widely known symptoms—the hallucinations and delusions that can come to constitute an alternate reality for those with schizophrenia—but also subtler traits and behaviors associated with the disease, such as social withdrawal and blunted emotions. The fact that even the more dramatic symptoms of schizophrenia occur with relative frequency in psychologically “normal” individuals suggests one possible starting point for empathy and understanding: “One meta-analysis, published in 2013, found that 7.2 percent of the general population has experienced hallucinations or delusions” (321).

In making the case for normalizing schizophrenia, Kolker is careful to draw a distinction with outright denial of the disorder. The latter can serve as a barrier to empathy; at least as a young man, Michael was so certain that his brothers’ condition was on some level “a choice” that he grew frustrated when his attempts to snap them out of it went nowhere (186). Hidden Valley Road instead suggests that it’s possible to acknowledge the sometimes disabling realities of schizophrenia while still respecting the personhood of those with the condition. Notably, several of the Galvin brothers seem to fare better when approached from this perspective; Kolker at one point describes, for instance, how flashes of Donald’s old personality would emerge when Mimi would take him bird watching.

Kolker is clear that the main reason to treat those with schizophrenia respectfully and empathetically is not because doing so might, medically speaking, produce good results, but simply because they’re people. The events of Hidden Valley Road are a testimony to Kolker’s message, in the sense that they offer psychologically complex portraits of all the Galvin siblings, drawing out the differences not only between those with schizophrenia and those without it, but also amongst Donald, Jim, Brian, Joe, Matt, and Peter.

The Meaning of Family

At the time Don and Mimi Galvin were raising their children, a very specific idea of family dominated American culture: a working father, a stay-at-home mother, and a relatively large number of children. This arrangement was seen as both natural and desirable and supposedly promoted the well-being, morals, and civic character of the children raised in this environment.

The experiences of the Galvin family soon discounted the idea that growing up in this traditionally structured family was always to the benefit of the children. The younger siblings would have greatly benefited from being removed from the abuse they suffered at the hands of Brian and Jim. What’s less clear is what understanding of family should replace the Galvins’ “funhouse-mirror reflection of the American dream” (xvi). After what they experienced, the very idea of biological family became a burden to many of the Galvin children; Margaret, for instance, at one point wrote in her journal, “Life is merely the permanent roots your family knots around you” (187). Not surprisingly, she and several of her brothers (John, Richard, etc.) tried as far as possible to redefine family as a matter of choice, focusing the majority of their attention on the spouses they partnered with as adults, and the children they had with them. For Margaret, who had felt neglected by her parents and then out of place among the Garys, the idea of family also became intertwined with the search for a sense of belonging.

“Belonging,” however, isn’t simply a matter of finding like-minded people. As Kolker notes, “We are, in some ways, a product of the people who surround us” (330). The experience of being around others changes us and vice versa. This notion is key to understanding Lindsay’s efforts to reconnect with her brothers over the years. Although these siblings had inadvertently contributed to her childhood unhappiness, Lindsay recognized that they were victims as well and came to feel a sense of solidarity with them based not so much on their biological relationship as on shared experiences of neglect, marginalization, or abuse: “They were ostracized by society. Sometimes she felt that way, too” (186). She came to see her own fate as intertwined with theirs not so much by necessity as by the recognition that they would all ultimately grow through the relationship, redefining her family of birth as a family of choice.

The competing visions of family at play in the book come to parallel the debate surrounding nature and nurture. Family is inherited, but it also provides the environmental context in which people develop, and as they grow older, they’re increasingly able to shape that context for themselves. It’s fitting, then, that the definition of family Kolker ultimately leaves readers with—“the people we’re forced to grow up with, and the people we choose to be with later” (330)— is one that mirrors the now general consensus that both nature and nurture have a hand in human psychology.

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