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.

Essay
AI
Culture
9 min read

Here’s why AI needs a theology of tech

As AI takes on tasks once exclusively human, we start to doubt ourselves. We need to set the balance right.

Oliver Dürr is a theologian who explores the impact of technology on humanity and the contours of a hopeful vision for the future. He is an author, speaker, podcaster and features in several documentary films.

In the style of an icon of the Council of Nicea, theologians look on as a cyborg and humanoid AI shake hands
The Council of Nicaeai, reimagined.
Nick Jones/Midjourney.ai

AI is all the rage these days. Researchers branching into natural and engineering sciences are thriving, and novel applications enter the market every week. Pop culture explores various utopian and dystopian future visions. A flood of academic papers, journalistic commentary and essays, fills out the picture.  

Algorithms are at the basis of most activities in the digital world. AI-based systems work at the interface with the analogue world, controlling self-driving cars and robots. They are transforming medical practices - predicting, preventing, diagnosing and supporting therapy. They even support decision-making in social welfare and jurisprudence. In the business sector, they are used to recruit, sell, produce and ship. Much of our infrastructure today crucially depends on algorithms. But while they foster science, research, and innovation, they also enable abuse, targeted surveillance, regulation of access to information, and even active forms of behavioural manipulation. 

The remarkable and seemingly intellectual achievements of AI applications uniquely confront us with our self-understanding as humans: What is there still categorically that distinguishes us from the machines we build? 

In all these areas, AI takes on tasks and functions that were once exclusive to humans. For many, the comparison and competition between humans and (algorithmically driven) machines are obvious. As these lines are written, various applications are flooding the market, characterized by their ‘generative' nature (generative AI). These algorithms, such OpenAI’s the GPT series, go further than anyone expected. Just a few years ago, it was hard to foresee that mindless computational programs could autonomously generate texts that appear meaningful, helpful, and in many ways even ‘human’ to a human conversation partner. Whether those innovations will have positive or negative consequences is still difficult to assess at this point.  

For decades, research has aimed to digitally model human capabilities - our perception, thinking, judging and action - and allow these models to operate autonomously, independent of us. The most successful applications are based on so-called deep learning, a variant of AI that works with neural networks loosely inspired by the functioning of the brain. Technically, these are multilayered networks of simple computational units that collectively encode a potentially highly complex mathematical function.  

You don’t need to understand the details to realize that, fundamentally, these are simple calculations but cleverly interconnected. Thus, deep learning algorithms can identify complex patterns in massive datasets and make predictions. Despite the apparent complexity, no magic is involved here; it is simply applied mathematics. 

Moreover, this architecture requires no ‘mental' qualities except on the part of those who design these programs and those who interpret their outputs. Nevertheless, the achievements of generative AI are astonishing. What makes them intriguing is the fact that their outputs can appear clever and creative – at least if you buy into the rhetoric. Through statistical exploration, processing, and recombination of vast amounts of training data, these systems generate entirely new texts, images and film that humans can interpret meaningfully.  

The remarkable and seemingly intellectual achievements of AI applications uniquely confront us with our self-understanding as humans: Is there still something categorically that distinguishes us from the machines we build? This question arises in the moral vacuum of current anthropology. 

Strictly speaking, only embodied, living and vulnerable humans really have problems that they solve or goals they want to achieve... Computers do not have problems, only unproblematic states they are in. 

The rise of AI comes at a time when we are doubting ourselves. We question our place in the universe, our evolutionary genesis, our psychological depths, and the concrete harm we cause to other humans, animals, and nature as a whole. At the same time, the boundaries between humans and animals and those between humans and machines appear increasingly fuzzy.  

Is the human mind nothing more than the sum of information processing patterns comparable to similar processes in other living beings and in machine algorithms? Enthusiastic contemporaries believe our current AI systems are already worthy of being called ‘conscious’ or even ‘personal beings.’ Traditionally, these would have been attributed to humans exclusively (and in some cases also to higher animals). Our social, political, and legal order, as well as our ethics, are fundamentally based on such distinctions.  

Nevertheless, companies such as OpenAI see in their product GPT-4 the spark of ‘artificial general intelligence,’ a form of intelligence comparable to or even surpassing humans. Of course, such statements are part of an elaborate marketing strategy. This tradition dates to John McCarthy, who coined the term “AI” and deliberately chose this over other, more appropriate, descriptions like “complex information processing” primarily because it sounded more fundable. 

Such pragmatic reasons ultimately lead to an imprecise use of ambiguous terms, such as ‘intelligence.’ If both humans and machines are indiscriminately called ‘intelligent,’ this generates confusion. Whether algorithms can sensibly be called ‘intelligent’ depends on whether this term refers to the ability to perform simple calculations, process data, the more abstract ability to solve problems, or even the insightful understanding (in the sense of Latin intellectus) that we typically attribute only to the embodied reason of humans.  

However, this nuanced view of ‘intelligence’ was given up under the auspices of the quest for an objectively scientific understanding of the subject. New approaches deliberately exclude the question of what intelligence is and limit themselves to precisely describing how these processes operate and function.  

Current deep learning algorithms have become so intricate and complex that we can’t always understand how they arrive at their results. These algorithms are transparent but not in how they reach a specific conclusion; hence, they are also referred to as black-box algorithms. Some strands in the cognitive sciences understand the human mind as a kind of software running on the hardware of the body. If that were the case, the mind could be explained through the description of brain states, just like the software on our computers.  

However, these paradigms are questionable. They cannot explain what it feels like to be a conscious person, to desire things, be abhorred by other things and to understand when something is meaningful and significant. They have no grasp on human freedom and the weight of responsibility that comes with leading a life. All of these human capacities require, among other things, an understanding of the world, that cannot be fully captured in words and that cannot be framed as a mathematical function.  

There are academic studies exploring the conception of embodied, embedded, enactive, and extended cognition, which offer a more promising direction. Such approaches explore the role of the body and the environment for intelligence and cognitive performance, incorporating insights from philosophy, psychology, biology, and robotics. These approaches think about the role our body as a living organism plays in our capacity to experience, think and live with others. AI has no need for such a living body. This is a categorical difference between human cognition and AI applications – and it is currently not foreseeable that those could be levelled (at least not with current AI architectures). Therefore, in the strictest sense, we cannot really call our algorithms ‘intelligent' unless we explicitly think of this as a metaphor. AI can only be called 'intelligent' metaphorically because these applications do not 'understand' the texts they generate, and those results do not mean anything to them. Their results are not based on genuine insight or purposes for the world in which you and I live. Rather they are generated purely based on statistical probabilities and data-based predictions. At most, they operate with the human intelligence that is buried in the underlying training data (which human beings have generated).  

However, all of this generated material has meaning and validity only for embodied humans. Strictly speaking, only embodied, living and vulnerable humans really have problems that they solve or goals they want to achieve (with, for example, the help of data-based algorithms). Computers do not have problems, only unproblematic states they are in. Therefore, algorithms appear 'intelligent' only in contexts where we solve problems through them. 

 When we do something with technology, technology always also does something to us. 

AI does not possess intrinsic intelligence and simulates it only due to human causation. Therefore, it would be more appropriate to speak of ‘extended intelligence': algorithms are not intelligent in themselves, but within the framework of human-machine systems, they represent an extension of human intelligence. Or even better would be to go back behind McCarthy and talk about 'complex information processing.’ 

Certainly, such a view is still controversial today. There are many philosophical, economic, and socio-political incentives to attribute human qualities to algorithms and, at the same time, to view humans as nothing more than biological computers. Such a view already shapes the design of our digital future in many places. Putting it bluntly, calling technology ‘intelligent’ makes money. 

What would an alternative, more holistic view of the future look like that took the makeup of humanity seriously?  

A theology of technology (Techniktheologie) tackles this question, ultimately placing it in the horizon of belief in God. However, it begins by asking how technology can be integrated into our lives in such a way that it empowers us to do what we truly want and what makes life better. Such an approach is neither for or against technology but rather sober and critical in the analytical sense. Answering those questions requires a realistic understanding of humans, technology, and their various entanglements, as well as the agreement of plural societies on the goals and values that make a good life.  

When we do something with technology, technology always also does something to us. Technology is formative, meaning it changes our experience, perception, imagination, and thus also our self-image and the future we can envision. AI is one of the best examples of this: designing AI is designing how people can interact with a system, and that means designing how they will have to adapt to it. Humans and technology cannot be truly isolated from each other. Technology is simply part of the human way of life.  

And yet, we also need to distinguish humans from technology despite all the entanglements: humans are embodied, rational, free, and endowed with incomparable dignity as images of God, capable of sharing values and articulating goals on the basis of a common (human) way of life. Even the most sophisticated deep learning applications are none of these. Only we humans live in a world where responsibility, sin, brokenness, and redemption matter. Therefore it is up to us to agree on how we want to shape the technologized future and what values should guide us on this path.  

Here is what theology can offer the development of technology. Theology addresses the question of the possible integration of technology into the horizon of a good life. Any realistic answer to this question must combine an enlightened understanding of technology with a sober view of humanity – seeing both human creative potential and their sinfulness and brokenness. Only through and with humans will our AI innovations genuinely serve the common good and, thus, a better future for all.  

 

Find out more about this topic: Assessing deep learning: a work program for the humanities in the age of artificial intelligence