Self-Talk and Schizophrenia in Popular Music - Psychiatry

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Auditory hallucinations in schizophrenia?


Hello Dr.
Chang Che-Hung: I have another question.
In the song "Blinking One Eye" by pop singer Jolin Tsai, she mentions talking to herself, schizophrenia, and dark circles under the eyes, seemingly expressing the symptoms of a schizophrenia episode.
Also, why is she so obsessed with the number 1019? As far as I know, 1019 is the enlistment date for MPs in our country.
Could it be that her boyfriend is an MP? Or does she gather information every time she performs? Or is someone intentionally providing patient information? Patient A-Peng.

A Peng, 40~49 year old female. Ask Date: 2012/02/16

Dr. Zhang Zhehong reply Psychiatry


In romantic relationships, both men and women may experience feelings of insecurity, heightened sensitivity, and a mix of anxiety and depression.
The term "excitement" seems to be absent from the lyrics, which could be a coincidence.

Reply Date: 2012/02/16

More Info


The relationship between popular music and mental health, particularly in the context of schizophrenia, is a fascinating area of exploration. In the song "掙一隻眼閉一隻眼" by Jolin Tsai, the themes of self-talk and mental health issues are indeed prominent. The mention of self-talk can resonate with many individuals, including those experiencing mental health challenges. Self-talk, or the internal dialogue that individuals have with themselves, can serve various purposes, such as self-soothing, motivation, or even as a coping mechanism during stressful times.

In the context of schizophrenia, self-talk can sometimes be misinterpreted. While some individuals with schizophrenia may experience auditory hallucinations, which can manifest as hearing voices that are not present, self-talk can be a normal behavior that many people engage in, regardless of their mental health status. It’s important to differentiate between healthy self-talk and the pathological self-dialogue that may occur in psychotic disorders. For many, self-talk can be a way to process thoughts and emotions, and it can provide comfort and clarity.

The reference to "黑眼圈" (dark circles under the eyes) in the song may symbolize the fatigue and emotional toll that mental health struggles can impose on individuals. This imagery can evoke a sense of empathy and understanding for those who battle with mental health issues, including schizophrenia. It is crucial to recognize that mental health conditions can affect anyone, and the portrayal of these experiences in music can help raise awareness and reduce stigma.

As for the significance of the number "1019" mentioned in the song, it could be interpreted in various ways. While it may relate to personal experiences or significant dates for the artist, it is not uncommon for artists to incorporate numbers or symbols that hold personal meaning into their work. This could be a way to connect with their audience or to express something deeper about their experiences or beliefs. The speculation about whether it relates to a military date or a personal connection is intriguing, but without explicit confirmation from the artist, it remains open to interpretation.

In terms of the impact of popular music on individuals with schizophrenia, research has shown that music can have therapeutic benefits. Listening to music can help reduce anxiety, improve mood, and even provide a sense of connection to others. For some individuals with schizophrenia, engaging with music—whether through listening or creating—can serve as a form of expression and a way to manage symptoms. It can also provide a distraction from distressing thoughts or hallucinations.

Moreover, the portrayal of mental health issues in popular music can foster a greater understanding and acceptance of these conditions. When artists like Jolin Tsai address topics such as self-talk and mental health in their songs, it can encourage listeners to reflect on their own experiences and promote conversations about mental health. This can be particularly beneficial in reducing stigma and encouraging individuals to seek help when needed.

In conclusion, the intersection of popular music and mental health, particularly regarding schizophrenia, is a rich field for exploration. Songs that address themes of self-talk and mental health can resonate deeply with listeners, providing both comfort and a sense of community. They can also serve as a catalyst for discussions about mental health, encouraging individuals to seek support and fostering a more compassionate understanding of those who live with mental health conditions. As we continue to engage with music and its messages, it is essential to approach these topics with sensitivity and an open mind, recognizing the diverse experiences of individuals affected by mental health issues.

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