The Lonely City. Olivia Laing

sensation arises because of a felt absence or insufficiency of closeness, and its feeling tone ranges from discomfort to chronic, unbearable pain. In 1953, the psychiatrist and psychoanalyst Harry Stack Sullivan came up with what still stands as a working definition: ‘the exceedingly unpleasant and driving experience connected with inadequate discharge of the need for human intimacy’.

      Sullivan only approached loneliness in passing in his work, and as such the real pioneer of loneliness studies is the German psychiatrist Frieda Fromm-Reichmann. Fromm-Reichmann spent most of her working life in America and is memorialised in popular culture as the therapist Dr Fried in Joanne Greenberg’s semi-autobiographical novel about her teenage struggles with schizophrenia, I Never Promised You a Rose Garden. When she died in Maryland in 1957, she left on her desk an unfinished pile of notes, which was subsequently edited and published as ‘On Loneliness’. This essay represents one of the first attempts by a psychiatrist or psychoanalyst to approach loneliness as an experience in its own right, distinct from and perhaps fundamentally more damaging than depression, anxiety or loss.

      Fromm-Reichmann viewed loneliness as an essentially resistant subject, hard to describe, hard to pin down, hard even to broach as a topic, noting dryly:

      The writer who wishes to elaborate on loneliness is faced with a serious terminological handicap: Loneliness seems to be such a painful, frightening experience that people do practically everything to avoid it. This avoidance seems to include a strange reluctance on the part of psychiatrists to seek scientific clarification on the subject.

      She picks through what little material she can find, gathering up scraps from Sigmund Freud and Anna Freud and Rollo May. Many of these, she thinks, muddle together different types of loneliness, conflating that which is temporary or circumstantial – the loneliness of bereavement, say, or the loneliness that stems from insufficient tenderness in childhood – with the deeper and more intractable forms of emotional isolation.

      Of these latter, desolating states, she comments: ‘Loneliness, in its quintessential form, is of a nature that is incommunicable by the one who suffers it. Nor, unlike other non-communicable emotional experiences, can it be shared via empathy. It may well be that the second person’s empathic abilities are obstructed by the anxiety-arousing quality of the mere emanations of the first person’s loneliness.’

      When I read those lines, I remembered sitting, years back, outside a train station in the south of England, waiting for my father. It was a sunny day, and I had a book I was enjoying. After a while, an elderly man sat down next to me and tried repeatedly to strike up conversation. I didn’t want to talk and after a brief exchange of pleasantries I began to respond more tersely until eventually, still smiling, he got up and wandered away. I’ve never stopped feeling ashamed about my unkindness, and nor have I ever forgotten how it felt to have the force field of his loneliness pressed up against me: an overwhelming, unmeetable need for attention and affection, to be heard and touched and seen.

      If it’s difficult to respond to people in this state, it is harder still to reach out from it. Loneliness feels like such a shameful experience, so counter to the lives we are supposed to lead, that it becomes increasingly inadmissible, a taboo state whose confession seems destined to cause others to turn and flee. In her essay, Fromm-Reichmann returns repeatedly to this issue of incommunicability, noting how reluctantly even the loneliest of patients approach the subject. One of her case studies concerns a schizophrenic woman who asked to see her psychiatrist specifically in order to discuss her experience of deep and hopeless loneliness. After several futile attempts, she finally burst out: ‘I don’t know why people think of hell as a place where there is heat and where warm fires are burning. That is not hell. Hell is if you are frozen in isolation into a block of ice. That is where I have been.’

      I first read this essay sitting on my bed, the blinds half-drawn. On my printout, I’d drawn a wavering Biro line under the words a block of ice. I was often feeling then like I was encased in ice, or walled up in glass, that I could see out all too clearly but lacked the ability to free myself or to make the kind of contact I desired. Show tunes from upstairs again, cruising Facebook, the white walls tight around me. Hardly any wonder I’d been so fixated on Nighthawks, that bubble of greenish glass, the colour of an iceberg.

      After Fromm-Reichmann’s death, other psychologists slowly began to turn their attention to the subject. In 1975, the social scientist Robert Weiss edited a seminal study, Loneliness: The Experience of Emotional and Social Isolation. He too opened by acknowledging the subject’s neglect, noting wryly that loneliness is more often commented on by songwriters than social scientists. He felt that in addition to being unnerving in its own right – he writes of it as something that ‘possessed’ people, that is ‘peculiarly insistent’; ‘an almost eerie affliction of the spirits’ – loneliness inhibits empathy because it induces in its wake a kind of self-protective amnesia, so that when a person is no longer lonely they struggle to remember what the condition is like.

      If they had earlier been lonely, they now have no access to the self that experienced the loneliness; furthermore, they very likely prefer that things remain that way. In consequence they are likely to respond to those who are currently lonely with absence of understanding and perhaps irritation.

      Even psychiatrists and psychologists,Weiss thought, were not immune to this near-phobic dislike; they too were liable to be made uneasy ‘by the loneliness that is potential in the everyday life of everyone’. As a result, a kind of victim blaming takes place: a tendency to see the rejection of lonely people as justified, or to assume they have brought the condition on themselves by being too timid or unattractive, too self-pitying or self-absorbed. ‘Why can’t the lonely change?’ he imagines both professional and lay observers musing. ‘They must find a perverse gratification in loneliness; perhaps loneliness, despite its pain, permits them to continue a self-protective isolation or provides them with an emotional handicap that forces handouts of pity from those with whom they interact.’

      In fact, as Weiss goes on to show, loneliness is hallmarked by an intense desire to bring the experience to a close; something which cannot be achieved by sheer willpower or by simply getting out more, but only by developing intimate connections. This is far easier said than done, especially for people whose loneliness arises from a state of loss or exile or prejudice, who have reason to fear or mistrust as well as long for the society of others.

      Weiss and Fromm-Reichmann knew that loneliness is painful and alienating, but what they didn’t understand was how it generates its effects. Contemporary research has focused particularly on this area, and in attempting to understand what loneliness does to the human body it has also succeeded in illuminating why it is so appallingly difficult to dislodge. According to work being carried out over the past decade by John Cacioppo and his team at the University of Chicago, loneliness profoundly affects an individual’s ability to understand and interpret social interactions, initiating a devastating chain-reaction, the consequence of which is to further estrange them from their fellows.

      When people enter into an experience of loneliness, they trigger what psychologists call hypervigilance for social threat, a phenomenon Weiss first postulated back in the 1970s. In this state, which is entered into unknowingly, the individual tends to experience the world in increasingly negative terms, and to both expect and remember instances of rudeness, rejection and abrasion, giving them greater weight and prominence than other, more benign or friendly interactions. This creates, of course, a vicious circle, in which the lonely person grows increasingly more isolated, suspicious and withdrawn. And because the hypervigilance hasn’t been consciously perceived, it’s by no means easy to recognise, let alone correct, the bias.

      What this means is that the lonelier a person gets, the less adept they become at navigating social currents. Loneliness grows around them, like mould or fur, a prophylactic that inhibits contact, no matter how badly contact is desired. Loneliness is accretive, extending and perpetuating itself. Once it becomes impacted, it is by no means easy to dislodge. This is why I was suddenly so hyper-alert to criticism, and why I felt so perpetually exposed, hunching in on myself even as I walked anonymously through the streets, my flip-flops slapping on the ground.

      At the same time, the body’s state of red alert brings about a series of physiological