{"id":3868,"date":"2024-04-17T10:00:47","date_gmt":"2024-04-17T09:00:47","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3868"},"modified":"2024-04-05T09:47:14","modified_gmt":"2024-04-05T08:47:14","slug":"tears-on-tears-a-career-built-on-the-tragedies-of-others","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2024\/04\/17\/tears-on-tears-a-career-built-on-the-tragedies-of-others\/","title":{"rendered":"Tears on Tears: A Career Built on the Tragedies of Others"},"content":{"rendered":"<p><strong><em>T\u00e1r<\/em> (Todd Field, USA, 2022)<\/strong><br \/>\n<strong>Review by Franco Ferrarini, gastroenterologist, and film reviewer<\/strong><\/p>\n<p>Lydia T\u00e1r (Cate Blanchett) is a world-famous conductor. Her fame is not just due to her achieving the prestigious position of being the director of the Berlin Philharmonic, but also for being the first <em>female <\/em>chief conductor reaching this position. However, she is not only interested in her own career: she spent 5 years with an indigenous tribe in Peru to study their music. Moreover, with the help of Eliot Kaplan (Mark Strong), an investment banker and amateur conductor, she founded the \u201cAccordion Foundation\u201d in New York to help young female musicians develop their skills and advance their careers as conductors. Her multiple talents include writing an autobiography titled \u201cT\u00e1r on T\u00e1r\u201d (T\u00e1r means tears in Icelandic).<\/p>\n<p>&nbsp;<\/p>\n<style type=\"text\/css\">\r\n       .errordiv { padding:10px; margin:10px; border: 1px solid #555555;color: #000000;background-color: #f8f8f8; width:500px; }#advanced_iframe {visibility:visible;opacity:1;}#ai-layer-div-advanced_iframe p {height:100%;margin:0;padding:0}<\/style><script type=\"text\/javascript\">  var ai_iframe_width_advanced_iframe = 0;  var ai_iframe_height_advanced_iframe = 0;var aiIsIe8=false;var aiOnloadScrollTop=\"true\";\r\nif (typeof aiReadyCallbacks === 'undefined') {\r\n    var aiReadyCallbacks = [];  \r\n} else if (!(aiReadyCallbacks instanceof Array)) {\r\n    var aiReadyCallbacks = [];\r\n}    function aiShowIframeId(id_iframe) { jQuery(\"#\"+id_iframe).css(\"visibility\", \"visible\");    }    function aiResizeIframeHeight(height) { aiResizeIframeHeight(height,advanced_iframe); }    function aiResizeIframeHeightId(height,width,id) {aiResizeIframeHeightById(id,height);}<\/script><iframe loading=\"lazy\" id=\"advanced_iframe\"  name=\"advanced_iframe\"  src=\"https:\/\/www.youtube.com\/embed\/Na6gA1RehsU?si=qucMTiOczHQGsdsK\"  width=\"560\"  height=\"315\"  frameborder=\"0\"  border=\"0\"  allowtransparency=\"true\"  allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\"  style=\";width:560;height:315;\" ><\/iframe><script type=\"text\/javascript\">var ifrm_advanced_iframe = document.getElementById(\"advanced_iframe\");var hiddenTabsDoneadvanced_iframe = false;\r\nfunction resizeCallbackadvanced_iframe() {}function aiChangeUrl(loc) {}<\/script>\n<p>&nbsp;<\/p>\n<p>This is Lydia\u2019s bright side, which she brilliantly exhibits at the beginning of the film, during an interview with Adam Gopnick (himself) at the New Yorker Festival. But there is also a dark side. Lydia does not accept opinions and viewpoints different from hers, she is self-centered and unempathetic. Initially she exploits then ditches others on a whim, as seen in her relationship with the young musician Krista Taylor (Sylvia Flote). After breaking up, Lydia expels Krista from the Accordion Foundation, ignoring Krista\u2019s deteriorating mental status and impending risk of suicide. Sadly, Krista does commit suicide, leaving a note in which she accuses Lydia of professional misconduct. Published literature show that suicide is highly prevalent in artists with a risk 125% higher than the general population in the U.S.,<a href=\"#_ftn1\" name=\"_ftnref1\"><sup>1<\/sup><\/a> especially in young age (e.g. Kurt Cobain, the leader of the American grunge band \u201cNirvana\u201d who died at age of 27, and David Foster Wallace, American writer who died at the age of 46). There is no definite explanation for this phenomenon; one might speculate as possible causes the pressure of success, the fear of being unable to keep up with the public\u2019s expectations and\/or a loss of inspiration; unfortunately, sound scientific data on this subject are lacking.<a href=\"#_ftn2\" name=\"_ftnref2\"><sup>2<\/sup><\/a><\/p>\n<p>Krista\u2019s suicide marks the beginning of Lydia\u2019s fall from grace; she starts experiencing auditory hallucinations, Krista\u2019s parents sue her for their daughter\u2019s suicide, she is abandoned by her personal assistant Francesca (No\u00e9mie Merlant), and her female partner Sharon (Nina Hoss) takes away their adopted child.<\/p>\n<p>To make matters worse, an article in the New York Post labels Lydia as a sexual predator. In view of these accusations, the board of the Philharmonic orchestra replaces Lydia with Eliot Kaplan as a conductor of Mahler\u2019s 5<sup>th<\/sup> symphony, a piece that Lydia loves most. She reacts violently and assaults Kaplan during the rehearsals. Banned from the music business, she ends up in the Philippines, alone conducting a small group playing the theme of a videogame.<\/p>\n<p>Lydia\u2019s character exhibits several traits of a narcissistic personality disorder (NPD) which is characterized by grandiosity, need for admiration, and lack of empathy. This disorder is estimated to have a 0.5-5% prevalence in the US population.<a href=\"#_ftn3\" name=\"_ftnref3\"><sup>3<\/sup><\/a> Its etiology is unclear: besides genetic predisposition, adverse childhood experiences such as being neglected or being excessively praised have been suggested.<a href=\"#_ftn4\" name=\"_ftnref4\"><sup>4<\/sup><\/a><sup>,<a href=\"#_ftn5\" name=\"_ftnref5\">5<\/a><\/sup> Of the two subtypes of NPD, grandiose and vulnerable, Lydia belongs to the former as shown by her overt aggression, lack of empathy, and exploitation of others.<\/p>\n<p>The film plot raises an interesting \u201cwhich came first\u201d question: is Lydia primarily affected by a NPD, hence she chose a job which satisfied her narcissism, or did she develop this disorder because of her job? A conductor\u2019s task in an orchestra is quite different from a musician\u2019s: whereas the latter just plays her\/his instrument at their best and passively follows a conductor\u2019s instructions, the former is a true leader with absolute power over musicians, a role traditionally assumed by male individuals. When Lydia states in an interview, \u201c<em>The reality is that from the very beginning&#8230; I know precisely what time it is, and the exact moment we will arrive at our destination together\u2019\u2019,<\/em> she sounds almighty as a God, with the right to decide her musicians\u2019 destiny even outside the concert hall. Krista\u2019s fate suggests that this might not be an overstatement.<\/p>\n<p>The film\u2019s ending could be interpreted as a penance for Lydia\u2019s wrongdoings or an affirmation of her love for music since she still finds satisfaction in conducting a modest music group with no suggestion of her earlier narcissistic attitude. Blanchett was awarded the Volpi Cup for best actress in 2022 at the 79<sup>th<\/sup> Venice Film Festival, a well-deserved award for her ability to portray authentically the diverse features of NPD.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><u>References<\/u><\/strong><\/p>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> Stack S. <em>Gender and Suicide Risk Among Artists: A Multivariate Analysis<\/em>. Suicide and Life-Threatening Behavior 1996;26 (4):374-9.<\/p>\n<p><a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a> Andreasen NC. <em>The relationship between creativity and mood disorders<\/em>. Dialogues Clin Neurosci 2008;10:251-5.<\/p>\n<p><a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a> Ronningstam E. <em>An update on narcissistic personality disorder<\/em>.\u00a0Curr Opin Psychiatry.\u00a02013 Jan; 26(1):102-6.<\/p>\n<p><a href=\"#_ftnref4\" name=\"_ftn4\">[4]<\/a> Caligor E, Levy KN, Yeomans FE. <em>Narcissistic personality disorder: diagnostic and clinical challenges<\/em>.\u00a0Am J Psychiatry.\u00a02015 May; 172(5): 415-22.<\/p>\n<p><a href=\"#_ftnref5\" name=\"_ftn5\">[5]<\/a> Dixon-Gordon KL, Whalen DJ, Layden BK, Chapman AL. <em>A Systematic Review of Personality Disorders and Health Outcomes<\/em>.\u00a0Can Psychol.\u00a02015 May; 56(2): 168-90.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00e1r (Todd Field, USA, 2022) Review by Franco Ferrarini, gastroenterologist, and film reviewer Lydia T\u00e1r (Cate Blanchett) is a world-famous conductor. Her fame is not just due to her achieving the prestigious position of being the director of the Berlin Philharmonic, but also for being the first female chief conductor reaching this position. However, she [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2024\/04\/17\/tears-on-tears-a-career-built-on-the-tragedies-of-others\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206],"tags":[15099],"class_list":["post-3868","post","type-post","status-publish","format-standard","hentry","category-film","tag-film-review"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tears on Tears: A Career Built on the Tragedies of Others - Medical Humanities<\/title>\n<meta name=\"description\" content=\"Franco Ferrarini reviews Todd Field&#039;s T\u00e1r in today&#039;s film review.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3868\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tears on Tears: A Career Built on the Tragedies of Others - 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