Review
Addiction
Culture
Theatre
5 min read

The ancient drama of rehab

People Places & Things is a modern play with old stories.

Simon Walsh is a communications consultant, journalist and non-stipendiary priest in the Diocese of London.

on a stage a woman kneels on a bed amid frantic action around her.
Denise Gough as Emma.

‘There is no higher power,’ says a character defiantly in People Places & Things, the revival of Duncan Macmillan’s 2015 play about addicts and addiction. It’s an echo from Greek tragedy when anyone denies the gods, and now has a modern ring in all the self-help, self-belief talk of recovery and resolve.  

Denise Gough reprises her lead performance as Emma for which, last time around, she swept the board in awards and nominations. It’s easy to see why. She’s on stage almost the entire time, compelling and fluent throughout. The opening scene has her in the white-box modern set wearing a Victorian costume, for her character is an actress in Chekhov’s The Seagull – almost meta, and the first hint and how this a show where realities and identities blur with layers upon layers. 

Soon after, Emma (if that is her real name) checks into a rehab unit. She doesn’t feel she has a problem but is there for a break. ‘Drugs and alcohol have never let me down,’ she says at one point. A brisk female doctor in a white coat admits her, played by Sinéad Cusack. A couple of scenes later, Cusack reappears as the clinic’s group therapist. This time she’s full of empathy – barefoot and with a scarf over one shoulder – all herbal tea and sympathy. 

But the therapist’s work with her charges is vital. Some even get to ‘graduate’ and host a non-alcoholic party the night before they leave, having successfully stayed the course. Probably not Emma though. She’s too feisty, individually unable to admit her problems, and inevitably she crashes. There’s a naturalistic feel to the production and narrative, even when it jolts into dream-like sequences or bright lights with thumping techno music.  

Anyone with experience of an addict or addiction will find it all too familiar. The later scene where Emma returns to the parental home is a crucible of pain, and embodies the play’s title. It concerns ‘the people who can make us relapse, the places which trigger associations, and the things which are the props of the old habits’. And it’s made more complex by the family in grief over the recent, sudden death of Emma’s beloved brother in a freak accident. ‘It should have been you instead’ is the parental curse on this remaining child. 

There’s a slow and silent feel to the way it develops. The word inexorable comes to mind, something that cannot be changed or stopped. Like Greek tragedy, the tension is in how this will resolve, and if it will turn out as badly as feared. It does and it doesn’t, which is at least true to the addiction journey. 

Jeremy Herrin expertly directs an intensely fine cast: Russell Anthony, Holly Atkins, Ryan Hutton, Malachi Kirby, Danny Kirrane, Paksie Vernon, Kevin McMonagle, Ayò Owóyemi-Peters, Lousie Templeton, Dillon Scott-Lewis. These are nuanced, crafted performances which inhabit Bunny Christie’s versatile, stylish set with presence. 

 

What the healings have in common is the aftermath – a sense of vision restored, stability refound, new clarity... 

Faith plays at the edges of this work. There are passing references to religion: a ‘bibling grief’, communion wine, the power of prayer. More tears, said St Teresa of Avila, are shed over answered prayers than unanswered ones, and this outward expression of a cry for help connotes the spiritual struggle of addicts along with their pity. As the first disciples themselves asked, ‘Teach us, Lord, how to pray.’ 

Addiction was not something Jesus had much to say about. Healings take place throughout each of the four gospels. The sufferers present with various ailments and of differing origins. For some it is hereditary, others through sin (such as when Matthew records Jesus healing a paralyzed man with the words ‘your sins are forgiven’). At other times there is a clear need for recognition such as when Jesus visits his hometown. He ‘laid hands on a few sick people and cured them’ but otherwise ‘could do no deed of power there… and was amazed at their unbelief’. 

These healings, however, do not obviously deal with addiction. The closest connection is probably the examples which deal with demons. The encounter with a man possessed in the land of the Gerasenes, a little earlier, is instructive. Here is someone who ‘lived among the tombs; and no one could restrain him anymore, even with a chain; for he had often been restrained but the chains he wrenched apart; and no one had the strength to subdue him’. But Jesus confronts the demon, the ’unclean spirit’, and sends it into a herd of swine ‘numbering about two thousand, which then rushes to the sea and is drowned. 

What the healings have in common is the aftermath – a sense of vision restored, stability refound, new clarity. The healed demoniac is found with Jesus, ‘sitting there, clothed and in his right mind’, though the swineherds do not believe it and remain scared. They beg Jesus to leave and the ex-demoniac wants to go with him, but Jesus tells him to stay: ‘Go home to your friends, and tell them how much the Lord has done for you, and what mercy he has shown you.’ He is to give his testimony. 

Drama at its heart has to be about telling a story and finding a universal truth.

It’s a running debate that lived experience and life identity are now more important than acting ability when it comes to race, sexuality, gender and so on. Denise Gough has given testimony ahead of this run – how as a teenager she fled her native Wexford for London where she fell into homelessness, drug and alcohol abuse, and was the victim of grooming. She has told her story, with purpose, much as those people who experienced healing and deliverance gave their own account to the Early Church. 

Drama at its heart has to be about telling a story and finding a universal truth. The gospels are full of this, with redemption and rehabilitation. Lives changed, sins forgiven, and a new future made possible. There is power in believing, and knowing that when someone might stumble and fall, it is not the end. In fact, it might just be the beginning. 

  

People, Places & Things is on at the Trafalgar Theatre, Whitehall, London, SW1A 2DY, until 10 August 2024.

Article
AI
Attention
Culture
5 min read

Will AI’s attentions amplify or suffocate us?

Keeping attention on the right things has always been a problem.

Mark is a research mathematician who writes on ethics, human identity and the nature of intelligence.

A cute-looking robot with big eyes stares up at the viewer.
Robots - always cuter than AI.
Alex Knight on Unsplash.

Taking inspiration from human attention has made AI vastly more powerful. Can this focus our minds on why attention really matters? 

Artificial intelligence has been developing at a dizzying rate. Chatbots like ChatGPT and Copilot can automate everyday tasks and can effortlessly summarise information. Photorealistic images and videos can be generated from a couple of words and medical AI promises to revolutionise both drug discovery and healthcare. The technology (or at least the hype around it) gives an impression of boundless acceleration. 

So far, 2025 has been the year AI has become a real big-ticket political item. The new Trump administration has promised half a trillion dollars for AI infrastructure and UK prime minister Keir Starmer plans to ‘turbocharge’ AI in the UK. Predictions of our future with this new technology range from doom-laden apocalypse to techno-utopian superabundance. The only certainty is that it will lead to dramatic personal and social change. 

This technological impact feels even more dramatic given the relative simplicity of its components. Huge volumes of text, image and videos are converted into vast arrays of numbers. These grids are then pushed through repeated processes of addition, multiplication and comparison. As more data is fed into this process, the numbers (or weights) in the system are updated and the AI ‘learns’ from the data. With enough data, meaningful relationships between words are internalised and the model becomes capable of generating useful answers to questions. 

So why have these algorithms become so much more powerful over the past few years? One major driver has been to take inspiration from human attention. An ‘attention mechanism’ allows very distant parts of texts or images to be associated together. This means that when processing a passage of conversation in a novel, the system is able to take cues on the mood of the characters from earlier in the chapter. This ability to attend to the broader context of the text has allowed the success of the current wave of ‘large language models’ or ‘generative AI’. In fact, these models with the technical name ‘Transformer’ were developed by removing other features and concentrating only on the attention mechanisms. This was first published in the memorably named ‘Attention is All You Need’ paper written by scientists working at Google in 2017. 

If you’re wondering whether this machine replication of human attention has much to do with the real thing, you might be right to be sceptical. That said, this attention-imitating technology has profound effects on how we attend to the world. On the one hand, it has shown the ability to focus and amplify our attention, but on the other, to distract and suffocate it. 

Attention is a moral act, directed towards care for others.

A radiologist acts with professional care for her patients. Armed with a lifetime of knowledge and expertise, she diligently checks scans for evidence of malignant tumours. Using new AI tools can amplify her expertise and attention. These can automatically detect suspicious patterns in the image including very fine detail that a human eye could miss. These additional pairs of eyes can free her professional attention to other aspects of the scan or other aspects of the job. 

Meanwhile, a government acts with obligations to keep its spending down. It decides to automate welfare claim handling using a “state of the art” AI system. The system flags more claimants as being overpaid than the human employees used to. The politicians and senior bureaucrats congratulate themselves on the system’s efficiency and they resolve to extend it to other types of payments. Meanwhile, hundreds of thousands are being forced to pay non-existent debts. With echoes of the British Post Office Horizon Scandal, the 2017-2020 the Australian Robo-debt scandal was due to flaws in the algorithm used to calculate the debts. To have a properly functioning welfare safety net, there needs to be public scrutiny, and a misplaced deference to machines and algorithms suffocated the attention that was needed.   

These examples illustrate the interplay between AI and our attention, but they also show that human attention has a broader meaning than just being the efficient channelling of information. In both cases, attention is a moral act, directed towards care for others. There are many other ways algorithms interact with our attention – how social media is optimised to keep us scrolling, how chatbots are being touted as a solution to loneliness among the elderly, but also how translation apps help break language barriers. 

Algorithms are not the first thing to get in the way of our attention, and keeping our attention on the right things has always been a problem. One of the best stories about attention and noticing other people is Jesus’ parable of the Good Samaritan. A man lies badly beaten on the side of the road after a robbery. Several respectable people walk past without attending to the man. A stranger stops. His people and the injured man’s people are bitter enemies. Despite this, he generously attends to the wounded stranger. He risks the danger of stopping – perhaps the injured man will attack him? He then tends the man’s wounds and uses his money to pay for an indefinite stay in a hotel. 

This is the true model of attention. Risky, loving “noticing” which is action as much as intellect. A model of attention better than even the best neuroscientist or programmer could come up with, one modelled by God himself. In this story, the stranger, the Good Samaritan, is Jesus, and we all sit wounded and in need of attention. 

But not only this, we are born to imitate the Good Samaritan’s attention to others. Just as we can receive God’s love, we can also attend to the needs of others. This mirrors our relationship to artificial intelligence, just as our AI toys are conduits of our attention, we can be conduits of God’s perfect loving attention. This is what our attention is really for, and if we remember this while being prudent about the dangers of technology, then we might succeed in elevating our attention-inspired tools to make AI an amplifier of real attention. 

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