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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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Prologue-Part 1, Chapter 4Chapter Summaries & Analyses

Hidden Valley Road

Prologue Summary

1972, Colorado Springs, Colorado

One day in 1972, a seven-year-old Mary led her oldest brother Donald (then 27, and wearing a bedsheet draped to resemble monk’s robes) to the top of a hill near their home in Colorado Springs. She had told Donald to bring a rope with them, and after reaching the top of the hill, Mary began tying Donald to a tree; inspired by movies she’d seen, Mary wanted to burn her brother at the stake. Donald, believing his little sister to be the Virgin Mary, submitted passively to her instructions, but Mary never went through with her plan, instead leaving Donald praying on the hilltop.

Mary (now known as Lindsay) recounts this story in 2017 on her way to visit Donald in an assisted living facility in Colorado Springs. She continues to grapple with the ways schizophrenia has impacted her life and the lives of her other brothers and sisters, who grew up at a time when understanding of the disease was in its infancy and the pressure to conform to the image of an all-American family was intense. During the decades that researchers interested in the origins of schizophrenia were studying the Galvin family for clues, the children were trying to make their own way: “reconstitute[] the fragments of their parents’ dream, and shap[e] it into something new” (xxi). 

Chapter 1 Summary

Mimi: 1951, Colorado Springs, Colorado

Shortly after moving to Colorado Springs for the first time, Don and Mimi befriended a zoologist who agreed to teach them the basics of falconry. Although trapping and taming wild birds wasn’t something Mimi would ever have envisioned herself doing, the practice’s illustrious history appealed to her: Mimi had been born into a wealthy family from Texas, and while her parents divorced when she was just five, Mimi never stopped priding herself on her pedigree.

A childhood spent in New York City following her mother’s remarriage had further cemented Mimi’s love of fine culture and introduced her to Don, whom she met and began dating in high school. After graduation, Don enrolled at Georgetown in the hopes of one day working for the State Department. However, while serving in the Marine Corps Reserve, Don was fast-tracked as a naval officer, and in 1944, he received his first posting.

Mimi had initially enrolled in college, but she never completed her degree; she and Don eloped shortly before he shipped out, and shortly after Mimi’s discovery that she was pregnant. As Don took part in the final months of fighting near Okinawa, Mimi suffered severe morning sickness. She gave birth to their first son, Donald, in July of 1945.

Chapter 2 Summary

1903, Dresden, Germany

One foundational text in the study of schizophrenia is a firsthand account from a turn-of-the-century German man named Daniel Paul Schreber. After experiencing a psychotic break at the age of 51, Schreber was diagnosed with “dementia praecox”—the original term used to describe schizophrenia—and was committed to Sonnenstein Asylum, where he wrote Memoirs of My Nervous Illness. In this work, Schreber described the many strange spiritual and cosmic events he believed himself to have experienced: for instance, being impregnated by God.

At the time Schreber was committed, the idea of mental illness was still relatively new; for most of human history, mental disorders had been considered moral or spiritual in nature. However, while the scientists who coined the terms dementia praecox and schizophrenia believed they were dealing with a physical disorder, its mechanism was unclear. Certain families experienced high rates of mental illness, but schizophrenia didn’t seem to be inherited in any predictable pattern, and in some cases, it appeared spontaneously.

Meanwhile, another theory of the disease was taking shape. After reading Schreber’s work, Sigmund Freud determined that psychosis stemmed from unresolved Oedipal issues. The debate about the relative importance of nature and nurture would remain unresolved for decades to come: “This is the argument the Galvins were born into. By the time the Galvin boys came of age, the field was splitting open and dividing and subdividing almost like a cell” (20).

Chapter 3 Summary

Mimi

Don returned from the Pacific six months after his son’s birth and finished his bachelor’s degree. The couple’s second son, Jim, was born in 1947, at which point Don’s naval career took the family to Rhode Island and then to Virginia. Faced with Mimi’s frustration—she had wanted to remain in New York and hoped Don would enter law school—Don reassured her that the Navy would pay for his further education, though they’d be disappointed: “Despite glowing reviews and hearty recommendations from his commanding officers, he was turned down each time he applied for graduate-level course work” (22). Meanwhile, Mimi gave birth to a third son, John, in 1949.

That same year, Don finally resigned from the Navy, only to join the Air Force as a lieutenant. Initially, it seemed as though the family would still be able to live in New York, but at the last moment, the Air Force chose Colorado Springs rather than Long Island for its new headquarters. The Galvins moved there in early 1951, and Mimi slowly overcame her disappointment to make a new life for herself, becoming involved in an amateur opera group, taking up watercolors, and converting to Catholicism to please Don’s family.

With Don increasingly absorbed by his work and hobbies, Mimi was also the primary disciplinarian for her children, who now numbered five (Brian and Michael having been born in 1951 and 1953, respectively): “Who needed anyone else, Mimi thought, when she obviously was the best person to teach the boys, as they grew older, about opera and art and the observation of exotic birds, the examination of strange insects, and the identification of wild mushrooms?” (27).

In 1954, the Galvins left Colorado Springs for four years in Quebec and California. By the time they returned, they had three more sons: Richard (1954), Joe (1956), and Mark (1957). 

Chapter 4 Summary

1948, Rockville, Maryland

In 1935, a therapist named Frieda Fromm-Reichmann joined the staff of Chestnut Lodge, which had been treating schizophrenic patients since its opening in 1910. Fromm-Reichmann adhered to the Freudian view of schizophrenia as stemming from childhood trauma; she also believed that it was curable with psychotherapy, and her efforts with patients seemed to produce results. Her most famous success story involved the teenager Joanne Greenberg, who published a fictionalized account of her treatment—I Never Promised You a Rose Garden—in 1964.

In some ways, Fromm-Reichmann's methods were revolutionary; typical psychiatric “treatments” of the time consisted of injections of turpentine, insulin-induced comas, and lobotomies. What's more, the view of schizophrenia as a hereditary disorder had often gone hand in hand with advocacy of eugenics.

However, in shifting the conversation surrounding mental illness to environmental factors, Fromm-Reichmann ended up placing a disproportionate amount of blame on parents—particularly mothers. In 1948, Fromm-Reichmann coined the term “schizophrenogenic” to describe women whose inappropriately dominant role in the family supposedly set the stage for their children’s illness. Although this theory had little evidence to support it, it quickly became widespread amongst practitioners.

Prologue-Part 1, Chapter 4 Analysis

The Galvin family attracted the attention of scientific researchers because they seemed to hold the key to answering longstanding questions about the origins of schizophrenia. These same questions are at the heart of Hidden Valley Road, which is not just a scientific inquiry into what causes the disorder, but also a historical inquiry into how it came to be considered a distinct disorder in the first place. As Chapter 2 observes, the idea that schizophrenia was a disease differed dramatically from the earlier view of mental illness as “a perversion worthy of prison or banishment or exorcism” (16). This attention to cultural context is significant, because while the symptoms we now associate with schizophrenia have always existed, the way we interpret those symptoms can have real-life consequences for those experiencing them. In fact, Kolker will ultimately suggest that the entire view of schizophrenia as a discrete medical condition may do more harm than good, both because of the stigma the diagnosis entails, and because it erases the differences that exist between individuals (which could have implications for the kind of treatment each should receive).

The main focus of the work’s technical chapters is the nature versus nurture debate—specifically, to what extent schizophrenia is the result of genetics, and to what extent it is the result of trauma. At this point in the book, neither explanation seems like a particularly good fit for the Galvins; there’s no obvious history of mental illness on either Don or Mimi’s side of the family, and while Mimi’s perfectionism does meet Fromm-Reichmann's criteria of “schizophrenogenic,” Kolker has already cast significant doubt on that theory. In fact, what’s striking about the Galvins in these first few chapters is how all-American and “normal” they seem. As Kolker notes in the Prologue, the Galvin children “perfectly spanned the baby boom” (xix), and their parents “seemed to embody everything that was great and good about their generation” (xix).

However, this apparent normalcy is itself significant. Although Kolker is careful to note that trauma alone does not cause schizophrenia, he cites theories suggesting that trauma might trigger or exacerbate an underlying predisposition towards the condition. In the case of the Galvins, there are already indications (e.g., Mimi’s frustrations with Don) that their family life wasn’t as idyllic as it might have appeared from the outside; Kolker will later reveal much starker evidence of this, including the fact that Mimi was sexually abused as a child, and the fact that Don likely had several affairs over the course of the marriage.

All of this is noteworthy in and of itself, but Hidden Valley Road suggests that, more than anything else, it was the family’s attempts to cover up their traumas, struggles, and dysfunctionality that proved damaging. In this sense, the book serves as an indictment not only of a psychiatric establishment that encouraged parents to overlook their children’s problems for fear of blame, but also of the broader postwar culture in America, which promoted an unattainable ideal of professional success and domestic harmony, and then shamed those who couldn’t or wouldn’t conform to the ideal.  

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