Metaphors for mental distress as an aid to empathy: looking through The Bell Jar

Abstract

This paper makes a case for the value of using metaphors when attempting to describe and understand extreme mental states. Examples of metaphors are given from practice, literature, myth and the visual arts and, in particular, a close reading of Sylvia Plath's The Bell Jar (1986). Commentary on and criticism of The Bell Jar are cited that highlight the value of this work as an aid to insight into how those in mental distress might feel. The nature and importance of accurate empathy is discussed, as is the difficulty of getting the balance right in empathic responses. Case studies linking theory and practice are cited. The hopes, ambivalence and displacement of the person seeking help are discussed, as are different ways of attempting to provide help. The paper concludes by emphasising the multi-faceted presentations of self by both caring professional and service user and the importance of recognising the subtleties of these in the context of the would-be therapeutic relationship.