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77 pages 2 hours read

Robert Kolker

Hidden Valley Road: Inside the Mind of an American Family

Nonfiction | Biography | Adult | Published in 2020

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Part 2, Chapters 24-29Chapter Summaries & Analyses

Part 2

Chapter 24 Summary

1979, University of Colorado Medical Center, Denver, Colorado

In the 1970s, a young doctor named Robert Freedman began researching the causes of schizophrenia. He began with a new theory that people with the disorder might have problems with “sensory grating”—that is, they might have brain abnormalities that make it difficult to process the information their senses registered. As a result, some might feel assaulted by too many sounds or too much information and might become paranoid, reactive or delusional (180).

Freedman developed a test in which a subject listened to two clicks in rapid succession while an electrode monitored their brain activity; his hypothesis was that people without schizophrenia would respond less strongly to the second click because their brain wouldn’t interpret it as new information, whereas those with schizophrenia wouldn’t be able to filter in this way. When this proved true, Freedman became interested in tracing sensory gating problems to a particular gene, thus proving the genetic nature of the disease. To do this, Freedman realized that he’d need to focus on schizophrenic patients who were related to one another and therefore shared much of their genetic material.

Chapter 25 Summary

Margaret and Lindsay

After Mary—now Lindsay—left for Hotchkiss, she became less jealous of and closer to her sister Margaret. Just as Margaret had, Lindsay also struggled to adjust to both the academic rigor of her new environment and the wealth and privilege of her classmates.

Meanwhile, Joe, who had been working as a baggage handler in Chicago, became resentful after being denied a promotion. The angry letters he sent in response resulted in his being fired, culminating in a psychotic break in 1982: “In short order, Joe lost everything—his car, his apartment, his fiancée. Then he started seeing things” (185). He eventually returned to his parent’s home in Colorado, but the experience of having visited Joe while he was hospitalized in Chicago left a permanent impression on Lindsay.

Meanwhile, Margaret had transferred from Skidmore to the University of Colorado but continued to keep her distance from her family. When she reconnected with a Skidmore classmate, Chris, she began dating him, dazzled by his wealth and the luxuries it afforded, like yacht clubs, boating, and free trips to Maine.

On New Year’s 1984, Chris proposed, and Margaret accepted. Wylie, a friend of Margaret’s from Boulder, warned her that the relationship was moving much too fast, and Margaret herself spent the night of the reception in tears. Nevertheless, she went through with the wedding.

That same year, Jim’s wife had left him for hitting their now teenaged son. In the wake of Kathy’s departure, he became increasingly unstable, drinking heavily and at one point slashing the tires of Lindsay’s boyfriend’s car while they were visiting Hidden Valley Road.

Chapter 26 Summary

Lindsay

Lindsay returned to Boulder for college, but despite her outward success at school, she struggled increasingly with anxiety. The situation came to a head when Lindsay began dating a nephew of the Garys. Lindsay found herself unable to have sex with him, and when he asked her what was wrong, she broke down and revealed Jim’s abuse. The couple sought advice from Nancy Gary, who recommended a therapist named Louise Silvern.

Working through her childhood trauma proved to be a years-long process, but Lindsay gradually began to recognize and learn to cope with the unhealthy dynamics still at work in her family. As Lindsay became more comfortable with Silvern, she also shared the story of being raped at the party and was able to stop blaming herself for it.

Eventually, Lindsay told her mother about Jim’s abuse, only for Mimi to reveal that she herself had been sexually abused as a girl by her stepfather. Lindsay has mixed feelings about the admission, feeling both closer to her mother and feeling that her trauma was made less important: “[A]t the same time, Lindsay felt she had been denied something—her own misfortune was once again preempted by someone else’s” (199). She was also frustrated by Mimi’s willingness to blame Jim’s behavior on schizophrenia.

Nevertheless, Lindsay accomplished what she set out to do, telling her mother she wouldn’t tolerate Jim’s presence anymore. The next time Jim showed up while Lindsay was visiting Hidden Valley Road, Don ordered him to leave. Jim refused, which led to a blow-up in which Lindsay revealed his abuse to everyone present, and Jim—after shouting and breaking things—was told never to come back.

Chapter 27 Summary

By the early 1980s, purely environmental theories about schizophrenia were increasingly unviable due to both lack of evidence and psychotherapy’s poor track record in treating the disease. Nevertheless, problems remained in treating the condition as a physical disorder. It wasn’t clear how antipsychotic drugs worked, but to the extent that they did, they also created new medical issues: “The drugs made some patients obese, others stiff and ungainly, others practically catatonic—this from drugs that had been hailed as miracles” (204-205).

In 1984, DeLisi began her search for “multiplex” families with multiple instances of schizophrenia. Her research eventually led her to the Galvins, whom she visited in Colorado. With the exception of Richard, everyone agreed to take part in diagnostic interviews and blood draws. Having heard about Freedman’s research, DeLisi also alerted him to the existence of the Galvin family. Like DeLisi, he visited the Galvins, conducting his double-click tests on the family in the hopes of being able to link sensory gating to a particular region of the brain.

Despite all of this, progress remained slow; DeLisi’s research, for instance, yielded contradictory results about the genetic relationship between schizophrenia and other mental illnesses. At NIMH in 1990, researchers did succeed in uncovering new evidence of brain abnormalities in people with schizophrenia (specifically, a smaller hippocampus), but one of the researchers behind the study, Daniel Weinberger, was beginning to feel that brain imaging studies were a dead end. His own theory was that schizophrenia began much earlier than the period when its obvious symptoms emerge (typically late adolescence or early adulthood). One implication of this theory was that the best way of treating schizophrenia might be early childhood or even in utero intervention for at-risk individuals.

Chapter 28 Summary

Don, Donald, Jim, John, Michael, Richard, Joe, Mark, Matt, and Peter

Although his efforts to live independently consistently failed, Donald spent seven years largely stable before experiencing a major breakdown in 1986. He was hospitalized and put on new medication, but he had another psychotic break in 1990. Meanwhile, the medication had begun to take a physical toll on him, limiting his ability to move freely.

Jim—now visited only by Mimi—had also developed health problems, including weight gain and a weak heart. Joe suffered from the same complaints, but he was psychologically well enough to live on his own and maintain some sort of relationship with his healthy siblings. Likewise, Matt had dramatically improved after beginning clozapine in 1986; although he remained resentful of treatment, his delusions and hallucinations mostly subsided. As a result, he was able to live a relatively independent life, even volunteering at a food kitchen for homeless veterans.

Meanwhile, Peter had fallen into a pattern of arrests and hospitalizations. His diagnosis was now bipolar disorder, but he continued to resist taking medication. During one assessment interview, he opened up about something he’d previously kept secret: that he was also abused by Jim as a child.

The healthy Galvin siblings did their best to distance themselves from the rest of the family. Partly out of concern for their own children’s welfare, John and his wife rarely visited, while Richard spent much of his twenties partying and investing in high-stakes mining projects. Michael and Mark remained in closer communication with the family, though Mark seemed permanently scarred. He dropped out of college, divorced the mother of his three children, then remarried and began managing the bookstore at the University of Colorado (221).

Don’s health deteriorated throughout the 1980s following a cancer diagnosis, and his physical condition prevented him from taking part in the hobbies he once enjoyed, most notably, falconry.

Chapter 29 Summary

Margaret

Margaret became pregnant soon after marrying, and Chris insisted that she get an abortion; she did, but the marriage fell apart within a year anyway. She moved back to Colorado, completed her college degree, and began seeking solace in yoga, camping, hikes, etc. Margaret also reconnected with Wylie and eventually began dating him. The two married in 1993.

Although uninterested in traditional therapy, Margaret sought out various experimental treatments, mysticism, retreats, art therapy, group therapy, and Gestalt; “For a few years, she found solace in Brainspotting, an avant-garde trauma therapy concentrating on controlling one’s eye movements in the midst of creative visualization” (226). Margaret’s attempts to confront Jim and Mimi about the abuse she had endured weren’t particularly successful, but over time, she managed to let go of some of her hurt and anger, though she continued to avoid most of her family whenever possible.

Part 2, Chapters 24-29 Analysis

Although Margaret and Lindsay remained close to one another throughout the 1980s and 90s, this period also witnessed the origins of the rift that would eventually deepen in the wake of their mother’s 2017 death. To a large extent, the sisters’ closeness was the result of shared trauma:

For years, the sisters talked about everything. Do you remember this? Did this really happen? Remember that night? They cooked together, exercised together, and deconstructed their childhoods together. This was the period when they were closest, bonded by a mission to understand what had happened to them (224).

Temperamentally, however, the sisters were (and are) very different from one another, which perhaps explains why they chose different means of coping with the trauma of their pasts.

The turning point for Lindsay was beginning therapy with Louise Silvern. Prior to this, Lindsay had simply attempted to turn her back on her childhood entirely, but when it became clear that that approach wasn’t working, she applied the same grit and stubbornness to directly confronting everything that had happened to her, methodically learning ways of dealing with it. This willingness to tackle difficult subjects head-on went hand-in-hand with Lindsay’s growing sympathy for and desire to help her sick brothers, as visiting a drugged Joe after his breakdown horrified her. She realized that traditional medicine likely didn’t treat any of her brothers’ illnesses.

Margaret, by contrast, found it difficult to relate to her sick brothers, at one point writing in her diary, “I cannot understand or cope with my brothers, especially Matt, Peter, Joe and Donald. […] My family depresses me, they hinder my progress in many ways” (187). Similarly, while Margaret also sought therapy to deal with her trauma, she preferred a less direct approach than her sister, instead gravitating towards methods that tapped into her creative and spiritual interests. As time went on, Lindsay would come to see her sister’s way of dealing with her past as self-absorbed and perhaps even somewhat dishonest, but Margaret wasn’t alone in shying away from a close examination of her childhood. Richard, for instance, turned to drugs because he worried he was headed for the same fate as Brian. This kind of denial is especially noteworthy in light of Freedman’s research into sensory gating, which essentially found that psychologically healthy individuals automatically filter out much of what’s going on around them to avoid becoming overwhelmed; in other words, a certain amount of “denying” reality may actually help people get through life. 

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