Experiences in mental illness are often highly subjective and out of the ordinary and may be difficult to describe in ordinary language. Through images, metaphors, and other literary tools, literature can facilitate understanding that would not be possible otherwise.

Portrayals of psychiatry provide important feedback for clinicians on how they are perceived by their patients and also for the public on how those with mental illness perceive their position in society. This feedback is often negative, but there are positive examples too. Patients often write about the humanity of the psychiatrist and appreciate their being versed in a range of disciplines, including art or music.

Literature is about weaving a narrative, which is an important part of recovery in psychiatry. Only in literature are we afforded more licence to use our imaginations and less bounded by the limits of reality. In literature, patients and psychiatrists can express many of their thoughts, feelings, and values that could be seen as inappropriate or ‘unprofessional’ in any other context.

Literary works can lay bare those aspects of the cultural and moral context of practice that we may not think about otherwise, including the origins of relevant societal and professional values.