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Loneliness
6 min read

Why do we feel so lonely?

Re-reading some classics of English literature leads Graham Tomlin to wonder what lies behind our epidemic of loneliness.

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

Individual underneath a galaxy of stars

These days I can’t seem to avoid the spectre of loneliness. Bob Geldof recently described Sinead O’Connor as ‘full of a terrible loneliness’ in the weeks before she died. Elon Musk, who owns Twitter, one of the world’s greatest social networks, was recently described as a cutting a lonely figure. Even more widely, over a quarter of all Londoners say they often or always feel lonely - and that in a city where you can’t get away from people – all 8 million of them.

Loneliness is an epidemic these days. In the UK we even have a Minister for Loneliness and a Department of Government offering ‘Loneliness Engagement Fund’ grants for groups coming up with good ideas to combat it. Loneliness, as Roger Bretherton writes, causes psychological and social damage and is one of the main threats to mental health in contemporary life. I would hazard a guess that if you’re reading this there are times you feel isolated, and would love to have a greater sense of community where you live, or richer friendships. If you don’t, then count yourself fortunate.

Underneath our immediate sense of isolation, our social unease, the ache in the soul that comes with feeling out of connection with others, lies a deeper sense of cosmic loneliness.

During the pandemic, looking around for books that would shed some light on that strange experience of isolation as so many did, I re-read two novels: Daniel Defoe's Robinson Crusoe published in 1719, and Joseph Conrad’s Nostromo, published in 1904. In both stories, people get stranded on deserted islands. Somehow lockdown didn’t seem that different.

Everyone knows the story of Robinson Crusoe. You might have thought that being the sole survivor of a shipwreck, alone on a remote island, would lead to a crisis of loneliness and self pity. Well, he does have moments when he reflects on the possibility that he might die in that desolate place, and remarks how ‘the tears would run plentifully down my face when I made these reflections.’ But the self pity doesn't last long. He goes on to ask himself the question of why he alone was saved out of all crew of the ship that foundered. He sees some kind of providential design in this - that he has been saved, not just by chance, but for some wider purpose, which gives him a sense of comfort. In fact, the novel is the tale of a kind of spiritual awakening, as he gradually sees in his story something of the hand of God mysteriously guiding and preserving him through his trials. Seeing this enigmatic hand directing his affairs, and discerning some kind of purpose in his isolation, Crusoe sets about the tasks of building a kind of small civilization on his island, constructing increasingly sophisticated shelters, planting crops, capturing and taming animals, mapping the island, until his final rescue. He is alone (until Man Friday appears of course) but strangely not alone.

In Conrad’s Nostromo, it turns out very different. This is a story of attempts to protect a hoard of silver from revolutionaries in the troubled (and fictional) South American republic of Costaguana. In the course of trying to hide the treasure, alongside Nostromo, the main figure in the story, the politically ambitious and romantic journalist Martin Decoud, also finds himself stranded on a deserted island, albeit with the load of valuable silver for company. His experience however is totally different. He has no such belief in providence and so for him, the isolation bears more heavily: “solitude appeared like a great void, and the silence of the gulf like a tense, thin cord to which he hung suspended by both hands, without fear, without surprise, without any sort of emotion whatsoever…” Unable to bear the isolation, the aimlessness of his life on the island, and the apparent failure of his plans and projects, he fills his pockets with silver ingots from the treasure, rows in a small dinghy a short way out from the shore, shoots himself with a revolver and falls overboard, sinking slowly to the bottom of the sea. And so, as Conrad describes it, in a cold, yet superb turn of phrase: “the brilliant Don Martin disappeared without a trace, swallowed up in the immense indifference of things.”

Even though they both faced isolation and loneliness, the fates of these two characters are very different. One is a story of spiritual growth, learning, meaningful activity and ultimate rescue. The other is a tragedy of lost hope and potential. It touches the heart, yet remains a tragedy.

Is it surprising that when we tell ourselves that we are alone in the cosmos, that there is no-one there to hear our cries or heartfelt longings, that the aching hole in the universe finds its way into our own hearts?

Of course, both are novels not historical episodes, yet the two books, separated by nearly 200 years, operate in very different frameworks. The first operates in a world which assumes a kind of providential ordering of things. The working of a divine hand of providence is, as Crusoe (and presumably Defoe) realises, hard to discern and difficult to distinguish in any one moment, and so leads many to doubt it is there at all. Belief in providence has always been a choice - an act of faith rather than a scientifically proved theory. And yet the story is framed within the overall belief that in the strange twists and turns of life there is a deeper divine order that leads towards a distinct purpose of good and which makes human activity directed towards that purpose meaningful.

The other story has lost that sense of divine order, and is left only with the “immense indifference of things.” This is a world in which there is nothing beyond what we can see and feel, no objective purpose, direction or goal other than that dreamed up by us. Human activity, in this case, the search for wealth and riches, seems strangely pointless. All that is left is human love and relationship and when that becomes impossible, due to enforced loneliness, there seems little point left to life.

Richard Dawkins famously wrote: ‘the universe we observe has precisely the properties we should expect if there is at bottom no design, no purpose, no evil, no good, nothing but blind pitiless indifference.’ For the moment I'll leave to one side the question of whether the universe does point in that direction, but either way, if we tell ourselves that story, as we have so often been doing for the last couple of centuries, is it surprising that often we feel dreadfully alone? Is it surprising that when we tell ourselves that we are alone in the cosmos, that there is no-one there to hear our cries or heartfelt longings, that the aching hole in the universe finds its way into our own hearts? It doesn’t take much imagination to see that the ‘immense indifference of things’ leaves a hollowness in the heart of life and the pit of the stomach.

Such a deeper cosmic loneliness might explain why we can still feel alone even in a city, even in a crowd or even sometimes among our friends. It helps us see our loneliness not just as a tragedy but as a pointer towards our need from greater sense of connection than any human being could give.

In Matthew’s gospel, the very last sentence depicts Jesus saying to his perplexed but bewildered disciples, scarcely daring to believe that he has actually risen from the dead: “Surely I am with you always, to the very end of the age.” This simple promise is one that has held and sustained Christians for generations, in prison cells, through dangerous voyages, through purges, in times of persecution, misunderstanding and sickness and, yes, times of loneliness in modern western societies. Of course, we need a sense of belonging, and the company of others, as we are made for that. But underneath it we need a deeper connection, a bond with something, or someone at the very heart of things. Such a promise doesn’t remove loneliness, but it makes it bearable, even meaningful.

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Psychology
7 min read

We don’t have an over-diagnosis problem, we have a society problem

Suzanne O’Sullivan's question is timely
A visualised glass head shows a swirl of pink across the face.
Maxim Berg on Unsplash.

Rates of diagnoses for autism and ADHD are at an all-time high, whilst NHS funding remains in a perpetual state of squeeze. In this context, consultant neurologist Suzanne O’Sullivan, in her recent book The Age of Diagnosis, asks a timely question: can getting a diagnosis sometimes do more harm than good? Her concern is that many of these apparent “diagnoses” are not so much wrong as superfluous; in her view, they risk harming a person’s sense of wellbeing by encouraging self-imposed limitations or prompting them to pursue treatments that may not be justified. 

There are elements of O-Sullivan’s argument that I am not qualified to assess. For example, I cannot look at the research into preventative treatments for localised and non-metastatic cancers and tell you what proportion of those treatments is unnecessary. However, even from my lay-person’s perspective, it does seem that if the removal of a tumour brings peace of mind to a patient, however benign that tumour might be, then O’Sullivan may be oversimplifying the situation when she proposes that such surgery is an unnecessary medical intervention.  

But O’Sullivan devotes a large proportion of the book to the topics of autism and ADHD – and on this I am less of a lay person. She is one of many people who are proposing that these are being over diagnosed due to parental pressure and social contagion. Her particular concern is that a diagnosis might become a self-fulfilling prophecy, limiting one’s opportunities in life: “Some will take the diagnosis to mean that they can’t do certain things, so they won’t even try.” Notably, O’Sullivan persists with this argument even though the one autistic person whom she interviewed for the book actually told her the opposite: getting a diagnosis had helped her interviewee, Poppy, to re-frame a number of the difficulties that she was facing in life and realise they were not her fault.  

Poppy’s narrative is one with which we are very familiar at the Centre for Autism and Theology, where our team of neurodiverse researchers have conducted many, many interviews with people of all neurotypes across multiple research projects. Time and time again we hear the same thing: getting a diagnosis is what helps many neurodivergent people make sense of their lives and to ask for the help that they need. As theologian Grant Macaskill said in a recent podcast:  

“A label, potentially, is something that can help you to thrive rather than simply label the fact that you're not thriving in some way.” 

Perhaps it is helpful to remember how these diagnoses come about, because neurodivergence cannot be identified by any objective means such as by a blood test or CT scan. At present the only way to get a diagnosis is to have one’s lifestyle, behaviours and preferences analysed by clinicians during an intrusive and often patronising process of self-disclosure. 

Despite the invidious nature of this diagnostic process, more and more people are willing to subject themselves to it. Philosopher Robert Chapman looks to late-stage capitalism for the explanation. Having a diagnosis means that one can take on what is known as the “sick role” in our societal structures. When one is in the “sick role” in any kind of culture, society, or organisation, one is given social permission to take less personal responsibility for one’s own well-being. For example, if I have the flu at home, then caring family members might bring me hot drinks, chicken soup or whatever else I might need, so that I don’t have to get out of bed. This makes sense when I am sick, but if I expected my family to do things like that for me all the time, then I would be called lazy and demanding! When a person is in the “sick role” to whatever degree (it doesn’t always entail being consigned to one’s bed) then the expectations on that person change accordingly.  

Chapman points out that the dynamics of late-stage capitalism have pushed more and more people into the “sick role” because our lifestyles are bad for our health in ways that are mostly out of our own control. In his 2023 book, Empire of Normality, he observes,  

“In the scientific literature more generally, for instance, modern artificial lighting has been associated with depression and other health conditions; excessive exposure to screen time has been associated with chronic overstimulation, mental health conditions, and cognitive disablement; and noise annoyance has been associated with a twofold increase in depression and anxiety, especially relating to noise pollution from aircraft, traffic, and industrial work.” 

Most of this we cannot escape, and on top of it all we live life at a frenetic pace where workers are expected to function like machines, often subordinating the needs and demands of the body. Thus, more and more people begin to experience disablement, where they simply cannot keep working, and they start to reach for medical diagnoses to explain why they cannot keep pace in an environment that is constantly thwarting their efforts to stay fit and well. From this arises the phenomenon of “shadow diagnoses” – this is where “milder” versions of existing conditions, including autism and ADHD, start to be diagnosed more commonly, because more and more people are feeling that they are unsuited to the cognitive, sensory and emotional demands of daily working life.  

When I read in O’Sullivan’s book that a lot more people are asking for diagnoses, what I hear is that a lot more people are asking for help.

O’Sullivan rightly observes that some real problems arise from this phenomenon of “shadow diagnoses”. It does create a scenario, for example, where autistic people who experience significant disability (e.g., those who have no perception of danger and therefore require 24-hour supervision to keep them safe) are in the same “queue” for support as those from whom being autistic doesn’t preclude living independently. 

But this is not a diagnosis problem so much as a society problem – health and social care resources are never limitless, and a process of prioritisation must always take place. If I cut my hand on a piece of broken glass and need to go to A&E for stiches, I might find myself in the same “queue” as a 7-year-old child who has done exactly the same thing. Like anyone, I would expect the staff to treat the child first, knowing that the same injury is likely to be causing a younger person much more distress. Autistic individuals are just as capable of recognising that others within the autism community may have needs that should take priority over their own.   

What O’Sullivan overlooks is that there are some equally big positives to “shadow diagnoses” – especially as our society runs on such strongly capitalist lines. When a large proportion of the population starts to experience the same disablement, it becomes economically worthwhile for employers or other authorities to address the problem. To put it another way: If we get a rise in “shadow diagnoses” then we also get a rise in “shadow treatments” – accommodations made in the workplace/society that mean everybody can thrive. As Macaskill puts it:  

“Accommodations then are not about accommodating something intrinsically negative; they're about accommodating something intrinsically different so that it doesn't have to be negative.” 

This can be seen already in many primary schools: where once it was the exception (and highly stigmatised) for a child to wear noise cancelling headphones, they are now routinely made available to all students, regardless of neurotype. This means not only that stigma is reduced for the one or two students who may be highly dependent on headphones, but it also means that many more children can benefit from a break from the deleterious effects of constant noise. 

When I read in O’Sullivan’s book that a lot more people are asking for diagnoses, what I hear is that a lot more people are asking for help. I suspect the rise in people identifying as neurodivergent reflects a latent cry of “Stop the world, I want to get off!” This is not to say that those coming forward are not autistic or do not have ADHD (or other neurodivergence) but simply that if our societies were gentler and more cohesive, fewer people with these conditions would need to reach for the “sick role” in order to get by.  

Perhaps counter-intuitively, if we want the number of people asking for the “sick role” to decrease, we actually need to be diagnosing more people! In this way, we push our capitalist society towards adopting “shadow-treatments” – adopting certain accommodations in our schools and workplaces as part of the norm. When this happens, there are benefits not only for neurodivergent people, but for everybody.

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