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The role of fictional characters in psychological exploration, personal
experiences, emotional responses
Chapter in Social Cognitive and Affective Neuroscience · March 2019
DOI: 10.13140/RG.2.2.14350.43844
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    The role of fictional characters in psychological
    exploration, personal experiences, emotional
    responses
    P. Kathleene Quinn
    Reading fictional literature can be a way of learning about the world and the human
    condition – a claim explicated by Schick (1982) and empirically confirmed by, for
    example, Marsh, Butler, and Umanath (2012). An aspect of this is the use of fiction for
    educational purposes. In this study, we navigate through the eyes of the writer as the
    narrative tool, allowing us to enter into a new dimension, particularly in the story of “In
    Time and with Water.” Evaluating predicament and causes in a given plot while
    identifying the struggles of emotional disorder through the lens of a character saw
    benefits for theoretical understanding and self-awareness. Using fictional characters
    strategically benefits the increase of learning environment, stimulating in education
    setting. Our favorite fictional characters from books and movies often display an
    impressive and wide range of psychological attributes, both positive and negative. We
    admire their resilience, courage, humanity, or justice, and we are intrigued by other
    characters who show signs of personality disorders and mental illness—psychopathy,
    narcissism, antisocial personality, paranoia, bipolar disorder, and schizophrenia, among
    many other conditions. The aim of this commentary is to explore the usage of literature,
    fictional characters in understanding psychological attributes as well as personal human
    experiences. Other motivations of these characters that include examples of both accurate
    and misleading depictions of psychological traits and conditions, enabling readers to
    distinguish realistic from inaccurate depictions of human behavior.
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    Introduction
    It has been argued that engagement with the arts and humanities might increase health
    professionals’ capacity to empathically listen to patients and help them to understand
    and handle their own reactions to others so that their emotions can support rather than
    hinder engagement with patients (e.g., Charon, 2001; Lewis, 2011). Rolfe (2002)
    argued both that health professionals need the capacity to identify with their clients on
    an affective level and that this capacity might be increased through reading fiction. Such
    reading experiences can provide an understanding of others that is unobtainable in
    scientifically oriented texts. This perspective has been termed medical humanities (e.g.,
    Charon, 2001; Chiapperino & Boniolo, 2014). In line with this, there is an increasing
    interest in using fictional literature in the education of health professionals, particularly
    medical students. The educational approach to medical humanities was defined by
    Graham et al. (2016, p. 1334-1335) “as an activity that might improve empathy in
    medical students by fostering skills such as the interpretation of narratives and the ability
    to manage situations where there is no single correct answer.” Use of fictional literature
    is perhaps the most common way of including arts and humanities in higher education,
    but as Ousager and Johannessen (2010) noted, few studies have investigated the
    assumption that fictional literature improves medical students’ and practitioners’ clinical
    skills.
             Yet, some compelling examples exist. Peters, Greenberger-Rosovsky, Crowder,
    Block and Moore (2000) found that almost ten years after graduation from Harvard
    Medical School, physicians who had been educated in humanistic-oriented medicine felt
    more prepared to handle patients’ psychosocial difficulties than did physicians who had
    engaged in traditional medical education. Moreover, while it is known that empathy
    tends to decrease during medical education, studies have shown that empathy among
    medical students who engaged in a medical humanities course did not decrease as much
    as it did among students in traditional medical education, and the engagement with
    humanities improved capacity for communication and cooperation (e.g., Arntfield,
    Slesar, Dickson, & Charon, 2013; Graham et al. 2016; Mangione et al., 2018). Fictional
    literature can also support theoretical understanding, and Voss (2012) argued that well-
    chosen fictional descriptions of diseases could supplement scientific literature and
    clinical training to increase our understanding of neurological disorders.
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    Fiction in psychology education
    The capabilities that can be augmented through reading fiction, according to the cited
    literature, are also relevant to clinical psychology education. Here, Moghaddam (2004)
    argued for the use of fiction in psychology education (see also Mills, 2006). It can also
    be argued that fiction may be even more important in psychology education than in
    medical education: lacking the physiological measures central to medicine, psychologists
    encounter clients in complex situations with ambiguous information and a need for
    interpretation, making the ability to understand concepts and relate complex
    descriptions of reality to theoretical models central to the clinical psychologist’s
    education (e.g., Erikson & Erlandson, 2015). However, there are few studies of the
    integration of fictional literature into clinical psychology education. An exception is
    Janit, Hammock, and Richardson (2011), who found that students in a course on
    abnormal psychology increased their understanding of the subject by reading fictional
    narratives as case studies, to which they applied the theories and concepts they were
    learning. Deering (2018) found similar benefits associated with the use of fictional
    literature when teaching crisis intervention (see also Pérez et al., 2018). The influence
    of literary quality on readers’ personal development has been studied within experimental
    psychology. It has been shown that content alone does not explain the influence that has
    been observed, and that the literary quality of the text is important (Djikic, Oatley,
    Zoeterman & Peterson, 2009; Mar, Oatley, Hirsh, dela Paz, & Peterson, 2006).
    However, the question of literary quality goes beyond the scope of this study. One
    benefit of fictional literature is that traditional case studies are written with the aim to
    illustrate some particular points from a particular theoretical angle, whereas a fictional
    text usually is less focused, thus, requiring students to assume responsibility for
    identifying the theoretically relevant aspects (e.g., Michaelson, 2016).
             This difference between fiction and traditional case studies concerns a general
    feature of clinical psychology education: the clinical psychologist is constantly
    confronted with situations where there are no clear answers or where patients’ narratives
    are incoherent or infused with strong emotional reactions, which are more often than
    not the reason the patient is seeing the psychologist. Fictional literature often offers
    existential dilemmas without solutions: dilemmas that also characterize clinical
    psychological practice in which there are seldom clear or perfect solutions, and the
    professional task is to find a solution that is individually framed and good enough (e.g.,
    Hammarström, 2016; Punzi & Hagen, 2017; Topor, Böe, & Larsen, 2018).
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              Therefore, findings suggesting that fictional literature can help students to
    increase their capacity to handle complex information and reach holistic understanding,
    as reviewed by Marsh et al. (2012), have direct bearing on clinical psychology education.
    Particularly relevant to psychology education is Rolfe's (2002) claim that fictional
    literature is a potential device when teaching future health professionals to understand
    their clients on an affective level.
              This is also in line with a current trend in clinical practice and research where
    there is a prominent focus on emotional reactions and regulation in assessment and
    treatment interventions representing various theoretical perspectives (e.g., Berking et al.,
    2018; Mathiesen et al., 2015; Mlotek & Paivio, 2017). It is important to note that
    fictional characters are not restricted to the role of 'patients', but might also become
    positive role models for students, as shown by Hoggan and Cranton (2014). Many of
    the capabilities supported by reading fiction are related to what is usually discussed in
    terms of critical thinking, such as the ability to proceed with caution when conclusions
    must be drawn from complex and conflicting information.
              Accordingly, Peters et al. (2000) argued that reading fiction could support
    students’ development of critical thinking (see also Hoggan & Cranton, 2014). Whereas
    critical thinking is one of the more enigmatic concepts in higher education, it is hardly
    controversial to want students to develop critical thinking abilities in line with what
    Ennis (1993, p. 180 described as "reasonable reflective thinking focused on deciding
    what to believe or do" in relation to their professional capabilities. Here, critical thinking
    is also a matter of understanding and accepting the uncertainty of knowledge claims, a
    vital aspect of higher education going back to the early 19th century and the educational
    ideals of Wilhelm von Humboldt (e.g., von Humboldt, 1970). A way of framing the
    benefits of reading fiction is the possibility of confronting the unexpected and
    challenging features of human life under educational conditions where they can be
    discussed and placed in a context.
    Molding characters and representation
    Creating successful works of fiction involves extensive writing and revision of drafts
    (Kaufman & Kaufman, 2009; Kellogg, 2006; Oatley & Djikic, 2008). Given the central
    role of characters in fiction (Gardner, 1964; Rosenblatt, 1976), this involves drafting
    and redrafting characters to practice character creation. Consistent with this, it is found
4
    that the habit of writing fiction predicted how interesting and complex character sketches
    were found to be by raters. There is no similar association for the habit of writing
    nonfiction, perhaps because this does not generally involve creating characters. The link
    between fiction writing and character ratings was partly explained by the length of the
    sketches.
             People who enjoy writing fiction and write frequently may have been more
    motivated to develop fuller characters, with more details, in longer sketches that were
    then rated as more interesting and complex. Participants who reported writing poetry
    also tended to create characters who were more interesting, even after fiction-writing
    habits were controlled for. The length of character sketches did not, however, account
    for this relationship. Like fiction writing, poetry writing may enable people to practice
    creating character attributes because poetry sometimes involves distinct poetic voices
    (Eliot, 1953). In poetry, physical characteristics, intentions, and actions in a plot may
    not feature as prominently as they do in fiction, but poetic voices can be represented,
    subtly, by manner of speech. Alternatively, writing poetry may involve exploring and
    expressing complex emotions, which may help people write of characters with complex
    emotional lives.
    Reading habits and creating characters
    Whereas habits of writing fiction were associated with more engaging character sketches,
    habits of reading fiction were not. In hindsight, it makes sense that simply consuming
    fiction without an eye toward character would not be a strong predictor of sketching a
    character who is engaging. Listening to music, for example, does not transform us into
    musicians. Rather than quantity, the quality of fiction that people choose to read may
    be important. Kidd and Castano (2013; 2016) found that reading literary fiction that
    was based on complex characters improved people’s understanding of others, whereas
    reading popular fiction did not (cf. Fong, Mullin, & Mar, 2013). Literary works invite
    people to engage with texts in a way that is “writerly” (Barthes, 1975).
            The implication is that readers who enter a writerly mode of thought write their
    own versions of the stories they read. The writerly mode requires active problem solving
    and is encouraged by expertise (Ericsson & Lehmann, 1999) so that writerly readers
    become more skilled over time and better able to write fiction, including the character
    sketches for this study. By contrast, the reading of popular fiction may be more likely to
5
    occur in a “readerly” mode, which involves passive absorption. Barthes (1975) called
    this “a kind of idleness,” so this mode would have no implied effects on the ability to
    write well. In line with the idea that reading in a writerly way may help character creation,
    participants who reported reading more poetry were more likely to create characters who
    were interesting and complex. It is also observed that the personality trait of Openness
    partially mediated the relationship between poetry reading and creation of engaging
    characters. Seeking out a diverse range of experience, which may include exploring
    complex emotions, may be a characteristic of readers of poetry who are high in Openness.
    When a reader who is an expert trained in literary criticism reads a challenging poem,
    she or he is able to draw on understandings of the poetry’s structures as well as means
    used in interpretation. The result is a better understanding of the poem than is available
    to novices (Peskin, 1998). Future work on character creation may therefore need to
    measure the reading of literary and popular fiction separately, with the idea that readers
    experienced in creating meaning in literary texts (prose and poetry) may be more likely
    to create compelling characters. A second implication is that engaging with works of
    literary fiction (both prose and poetry) may improve understanding of character and that
    writerly reading may itself be a form of writing and may have some of the same kinds of
    effects as the habit of writing frequently.
    Personal construct theory
    According to personal construct psychology, developed by the American psychologist
    and personality theorist George Alexander Kelly (1905–1967), individuals create
    personal constructs to organize ongoing experience and anticipate future events. A
    personal construct is a bipolar mental template, consisting of something and its perceived
    opposite. For example, one person might develop the personal construct dimension of
    “safety versus adventure,” in which safety is seen as objectionable and boring. Another
    person might develop a personal construct of “safety versus terror,” in which safety is
    desirable and soothing. Clearly, these two people mean different things when they report
    feeling safe. Personal construct psychology contends that in order to organize experience
    coherently and understandably, each person develops a set of unique personal constructs.
             One’s personal construct system is structured hierarchically, with some
    constructs more central and influential to how the world is understood than others.
    Accordingly, people often construe the same circumstances in vastly different ways. This
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    reflects personal construct theory’s notion of constructive alternativism, which holds that
    there are an infinite number of personal constructs available. People often mistakenly
    believe their manner of construing things is the only correct way, when all situations can
    be construed in countless ways. Kelly most fully developed personal construct
    psychology in a two-volume work, The Psychology of Personal Constructs.
             Originally published in 1955, the volumes present personal construct
    psychology in a formal manner intended to be least offensive to the professional
    sensibilities of 1950s psychology. Kelly presented his theory as a fundamental postulate
    and eleven corollaries. The fundamental postulate states that people organize their
    psychological experience in ways that help them most effectively anticipate events. Kelly
    stressed viability over validity in personal construct psychology. Because people only
    access the world indirectly through their personal constructs, they can never be certain
    that their constructs match reality; the validity of constructs can never be fully
    established. However, people can know whether their constructs work adequately and
    help them to successfully navigate life. Thus, the viability of constructs takes center stage
    in personal construct psychology.
    Self-characterization as narrative tool
    Kelly encouraged therapists to read self-characterizations carefully. He believed that
    clients’ “hottest” issues (“personal themes”) are revealed in the text. As the presentation
    of cases will show, this point of Kelly’s is a useful one. People do choose to refer to
    topics that they feel are the hottest at the time they engage in writing. The “safety” of
    using the third person helps them touch upon emotion ally loaded issues that they would
    have left untouched for a long time in ordinary therapy talk. One wonders why the tool
    of self-characterization has had little appeal even top practitioners who were advocates
    of the personal construct theory (see Fransella, 1995). Perhaps within the “modernist”
    tradition, therapists were searching in vain for detailed instructions on how to work on
    the texts produced. However, as far as guidelines to analysis were concerned, Kelly only
    proposed concentrating on opening and closing phrases and paragraphs. In his view,
    opening phrases indicate how persons see themselves at the present time, whereas closing
    phrases indicate where they see themselves as going in the future. Fransella (see Fransella
    & Dalton, 1990) complemented Kelly’s general guidelines by specifying some rules of
    thumb for exploring “personal themes.” These were: (a) noticing omissions (for example,
7
    the symptom); (b) attending to topics that show how clients think they differ from
    others; and (c) monitoring ideas that seem to have structure versus those that appear
    unstructured.
             Although these suggestions sound interesting, in the personal construct
    therapist’s analysis of the text, the main concern appears to be the “stripping” of the
    narrative in order to discover the mental constructs that constitute the “essence.” But
    going beyond the search for constructs, one can see that what is said between the
    beginning and closing phrases is at least as intriguing. So is the sequence of events and
    ideas, the grammar, the repetition of words, and so on. Perhaps Kelly’s principle “if you
    do not know what is wrong with someone, ask them, they may tell you” makes more
    sense to practitioners today than it did then.
             Vogel (1994) suggested that “new meanings and new possibilities open up when
    we look beyond the ways in which individuals classify, represent, and construct
    individual people and to the stories in which these people and things are embedded” (p.
    247).
             Although the existing guidelines for analyzing self-characterizations appear
    somewhat disappointing to any therapist who takes an interest in the narrative as a whole,
    the same does not hold true for the specific instructions for writing it. These instructions
    trigger the creation of narratives that, when examined both as a whole and in their parts,
    offer fascinating therapy material. In addition, the instructions seem to be also
    “appropriate” from a narrative and constructionist perspective, since they encompass
    elements found in the work of some postmodern theorists and practitioners. These
    elements are the following:
    1. The altered point of view method, which means encouraging the client to talk about
    the self/the family from the perspective of a third person, especially a friend or relative
    (see for example Freedman & Combs, 1996; Gergen & Kaye, 1992; Tomm, 1998), and
    looking at the self/the family from various angles through time (for example, from the
    present to the future). This latter is achieved by using the various versions of the original
    instructions.
    2. The use of the theatre metaphor (“play,” “principal character”), which in the narrative
    and constructionist literature is found to conceptualize both the personal and the family
    life, as well as the therapeutic sessions (see for example Bruner, 1990; MacCormack,
    1997; Omer, 1993; Sarbin, 1986; Vogel, 1994; White & Epston, 1990). Fransella
8
    (1995) explains that Kelly appreciated the theatre and its therapeutic impact on actors.
    He was familiar with Moreno’s methods of psychodrama and self-presentation, which
    had an influence on his own tools of self-characterization and fixed-role therapy (a
    behavior “experiment” based on a scenario—the enactment sketch—that has certain
    differences compared to the way the person describes the self in the present).
    Applications in Therapy
    The cases that follow were not chosen in order to provide any standard directions or
    guidelines on how characterization sketches may be interpreted. They were chosen to
    illustrate ways that such narratives can be read to help therapists recognize a
    person’s/family’s language codes and narrative themes, which may be traced through
    generations (see Papp & Imber-Black, 1996). The assumption supported in this article
    is that such work is catalytic in helping people find their own “voice” (Penn & Frankfurt,
    1994; see also McLeod, 1997). Bruner (1990) has suggested that the “parts” we play in
    life have been more or less assigned to us before we were even born, and thus our stories
    are constrained by the part we were given within a particular “plot” (see Byng-Hall,
    1998). Parry (1991) points out that this occurs particularly in family stories (and of
    course in other larger stories). The interconnectedness of family members’ stories cause
    family members to feel betrayed when one member neglects or refuses to play the part
    he or she had “agreed” to play. The result may be a family crisis, which is resolved when
    the “naughty” family member returns to the appointed role or when his or her
    “pathology” becomes part of the family story. The cases presented below show that,
    when family stories become constraining, family members are forced to fit into very tight
    “costumes” that often belong/belonged to other family members of previous
    generations. Thus, family members are required to accept the descriptions of the
    experiences of others as their own, or “tell a story in other voices” (Parry, 1991), so that
    they can be “just like” someone else. They also have to maintain “warded off areas of
    feeling” (McLeod, 1997), so that they can “forget” how uncomfortable their tight
    costume feels. When people are helped to find their voice, they can take charge of their
    own story. As Parry (1991) clarifies, finding one’s voice does not mean acting as some
    kind of “unitary personality.” It only means having an “authorial
    voice” that decides how to act, or which character to be (and what costume to wear) in
    a particular context (see also Parry and Doan, 1994).
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