‘Bedlam: the asylum and beyond’ interrogates the original ideal that the asylum represented – a place of refuge, sanctuary and care – and asks whether and how it could be reclaimed. This blog series intends to showcase as many different voices and perspectives from people with lived experience of mental ill health and explore their ideas of personal asylum.

The author of this post wishes to remain anonymous, but was involved in producing work alongside the Our Voices, an audio co-production project.

I got the idea for this piece from my own experience of psychosis, which was terrifying, but also strangely intriguing. I wanted to make something that would give listeners greater understanding of what happened to me, which I still can’t explain in words; they’re not enough and I can’t find the right ones anyway. Listen to Internal Reality below.

A key feature of psychosis involves visual and auditory experiences. They feel totally real to the person seeing/hearing them, but aren’t (of course) observed by those around them.

The tech I used (brace yourself) is Cycling 74 Programme Max MSP, which is an object orientated programming package that allows the user to create pretty much anything they can imagine. Using binaural recordings means that listeners get a sense of three dimensional space and makes the experience more immersive.


I created a ‘random generative piece’, programming my computer to pull together sounds and tracks in a totally random way that never repeats itself. The idea was that listeners will never hear the same thing twice, and everyone has a different experience. (Due to the limitations of the website, the version you hear online is static and pre-recorded, rather than live and randomly generated.)

My intention was to spark conversations between listeners about what they’d heard (or not heard), emphasising that everyone’s reality is different and unique to them. It’s very easy to go down an existential rabbit hole with this, questioning what reality is and how we decide what’s real and what isn’t. Without any ‘evidence’ of what they’ve experienced, listeners are in a similar position to someone in the midst of psychosis – reliant on the person they’re talking to taking them seriously and acknowledging that this is their current reality; feeling vulnerable when they’re dismissed or disbelieved.

One you’ve been labelled as a person with a mental health condition, you become hyper-sensitive about what you say and do. You self-censor out of a fear that your behaviour (which no-one would think twice about if it was someone without a diagnosis) will be interpreted as delusional, or as a warn sign that precipitates medical intervention.

But the system is illogical as well as frightening; in some instances an individual might only prompt an intervention by behaving in a way that poses an immediate danger to themselves or others; on other occasions an intervention might be triggered by behaviour that is misconstrued. A friend of mine was sectioned for sunbathing naked in their own garden!

I’m releasing this piece anonymously as I want to avoid the stigma and judgement that still surrounds mental illness. I hope that society will move on – eventually – and people will be accepted for themselves, with their own talents, strengths and challenges regardless of whether they’ve been diagnosed with a mental health condition.

Listen to all the Our Voices audio

Bedlam: the asylum and beyond‘ is on until 15 January 2017.

One thought on “A drop in the ocean: Internal reality

  1. This is a wonderful insight. I love Internal Reality. It’s very…focused and yet there’s something stray about it, so to speak. I can’t quite put my finger on what makes the piece special, but I like how it takes sounds common to everyone and blends them into the static of the background, as if it is muted by, as you say, perspective.

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