On Marilyn, Acting and Mental Illness

Marilyn plays a mentally disturbed woman in ‘Don’t Bother to Knock’ (1952)

In Actresses and Mental Illness, a new academic study, author Fiona Gregory focuses on stars like Vivien Leigh and Frances Farmer, whose psychological problems are as well-known as their dramatic talents. In her introduction to the book, she also mentions Marilyn.

“Marilyn Monroe stands as one of the best-known examples of an actress whose life was impacted by mental illness. Actors’ and directors’ accounts of working with Monroe make frequent reference to unprofessional behaviour (lateness, inability to learn lines, conflicts with colleagues), drug addiction and visits to psychiatrists. While rumours and coded reports of Monroe’s illness circulated during her lifetime, much of the detail of her particular problems and the treatments she pursued has emerged posthumously. Each further revelation – of a psychiatrist visited; a drug treatment tried; a suicide attempt hushed up – has added to the picture of ‘Marilyn Monroe’ as icon of suffering. It’s a picture suffused with irony – imagine, that one of the most beautiful and celebrated women in the world, with seemingly every personal and professional opportunity, should be made so uncomfortable in her own skin by the demons in her mind!

In the biographical record, Monroe’s suffering – taking as its form chronic self-doubt, an unstable sense of self, and a seeming inability to forge healthy relationships – is framed as fundamentally connected to her professional identity as a performing woman. Above all, Monroe is represented in terms of her inability to formulate a stable, coherent identity … In such narratives, the creation of an alternate identity becomes a strategy to mask an essential emptiness. The notion of actress as cypher, evacuated of meaning unless she is performing, recurs in fictional and biographical representations of the actress…

In 1955, Monroe recorded a dream in which her acting coach, Lee Strasberg, ‘cuts me open’ in an operating theatre, only to find ‘… there is absolutely nothing there – Strasberg is deeply disappointed but more even – academically amazed that he had made such a mistake. He thought there was going to be so much – more than he had ever dreamed possible in almost anyone but instead there was absolutely nothing…’

Here, Monroe becomes an eloquent commentator on the fears and insecurities of the performing woman, and on the questions of identity, ambition and meaning that circulate around her. This autobiographical artefact puts emptiness at the core of Monroe’s own psyche. The fact that it is Strasberg – the man who stood as her authority on acting – who has found her out suggests that it was in her own professional realm that Monroe desired to achieve significance but feared she would be found wanting. Monroe’s dream literalises the fear of the ‘nothing’: that the glittering surface will be revealed to mask an essential absence – a lack of talent, a lack of worthiness – that recurs in fictional and biographical representations of the actress and in actress’ own meditations on self.”

Dr Ramon Acosta Pastor 1929-2016

Marilyn besieged by fans as she leaves hospital with Dr Pastor in 1961. (Photo collage by Fraser Penney)

Dr Ramon Acosta Pastor, a surgeon who treated patients including Marilyn during a long, distinguished career, has died aged 86, as Edmund Silvestre reports for the Philippine Star.

“MANILA, Philippines – Dr. Ramon Acosta Pastor, one of the surgeons who operated on Marilyn Monroe at a New York City hospital in 1961, passed away on Oct. 5 in his native Batangas City in the Philippines. He was 86.

He became closely acquainted with the late Hollywood icon when she underwent cholecystectomy (gallbladder surgery) on June 29, 1961 at the defunct Polyclinic Hospital in Manhattan and which was widely covered by the media. It was Dr. John Hammet, one of New York’s top surgeons, who led the surgical team.

Dr. Pastor’s photo beside Monroe appeared in several news publications, including the front page of The New York Times, wherein he is seen shielding Monroe from a mob of fans and members of the press while leaving the hospital after she was discharged on July 11, 1961.

That chaotic moment, the star of Some Like It Hot said in an interview, was the time she most feared for her safety.

‘It was scary. I felt for a few minutes as if they were just going to take pieces out of me. Actually, it made me feel a little sick. I mean I appreciated the concern and their affection and all that, but — I don’t know — it was a little like a nightmare. I wasn’t sure I was going to get into the car safely and get away.’

Dr. Pastor managed to walk Monroe into her limo unscathed. He hopped with her into the car and stayed by her side until she reached home.

The famed actress and sex symbol was reportedly complaining of pain from an intestinal disorder when she was rushed to the hospital from her apartment at 444 East 57th Street in Manhattan.

According to a New York Mirror story, Monroe awoke in distress in the morning of June 28, 1961, prompting her secretary, May Reis, to call her primary physician at Polyclinic. After diagnosis, the doctor decided her condition warranted immediate hospitalization. She was carried to the ambulance on a stretcher, with [ex] husband Joe DiMaggio joining her in the ambulance.

Dr. Pastor’s elder brother, Antonio, who was staying with him in New York City at the time, related that Dr. Pastor told him he took care of Monroe for two weeks after the surgery, personally attending to all her medical needs.

‘Marilyn Monroe instructed him not to accept any visitors while she’s recuperating, except Joe DiMaggio,’ said Antonio, recalling a conversation he had with his younger brother.

Still in the hospital on the Fourth of July, Monroe complained of the noise coming from fireworks, Antonio said, adding, ‘Dr. Pastor said he gave her the best possible solution — putting cotton in her ears.’

It was the fifth time that Monroe was hospitalized in just 10 months, according to reports.

The three-inch horizontal scar in the upper quadrant of Monroe’s abdomen as a result of the surgery was visible in the photos taken by lensman Bert Stern for the book The Last Sitting, commissioned by Vogue magazine in late June 1962, just six weeks before Monroe died.

‘Ramon was a very gifted doctor and he was very proud of having the honor of operating on Marilyn Monroe,’ said an old-time friend, Dr. Rebecca Magbag, a New York geriatrician, who is also a native of the Philippines. ‘But he was also very humble that he really didn’t talk much about it.’

‘He’s a very nice and warm guy, very handsome, very charming, compassionate with his patients and treated everyone equally,’ Dr. Magbag also said. ‘As an eligible bachelor at the time, a lot of women were swooning over him.’

Born on Nov. 23, 1929 in Batangas City to Dr. Juan Pastor and Concha Acosta Pastor, Dr. Ramon was a 1955 medical graduate of the University of Santo Tomas in Manila. He took his internship at Yonkers General Hospital in New York and finished his training in general surgery at New York Polyclinic Medical School and Hospital, in which he served as chief resident during his last year of training.

He became a diplomate of the American Board of Surgery, but decided to turn his back on a lucrative medical career in the United States and returned home a year later to better serve the underprivileged in his small town in Batangas City.”

‘Fragments’ of Inspiration

New York-based singer-songwriter St Vincent (aka Annie Clark) talked to Drowned in Sound about how Marilyn’s writing – collected in Fragments – inspired the song, ‘Surgeon’, on her new album, Strange Mercy:

‘Clark mentioned that she “was reading Marilyn Monroe’s diary, and Marilyn wrote about working with Lee Strasberg at the Actors’ Studio. She wrote ‘best find a surgeon; Lee Strasberg, please cut me open.’ That’s such a sentiment that resonates with me, and Marilyn was such a bright and intuitive person – she gets penned as this ditzy blonde or something, but she’s quite the opposite.”‘

St Vincent: Marilyn’s Words Into Music

New York-based singer-songwriter St. Vincent has spoken to The Guardian about Marilyn, whose writing inspired ‘Surgeon’, a track on the new album, Strange Mercy:

‘Strange Mercy, she says, is very much about anaesthetising pain, and searching for ways to transform, “to be a whole person”, a sentiment expressed in a line Clark lifted from Monroe’s diaries for the song Surgeon: “Best finest surgeon, come cut me open.” “Marilyn was this relic of the 60s, and not particularly compelling when I was younger, but when I started reading about her, I really sympathised,” she says. “For all the Hollywood glitz, it was a pretty dark life. That line was just the strangest, most poignant line. I wonder how she’d feel about it being put into a pop song.”

The Monroe story, of course, ended badly: she was found dead in her bedroom by her psychoanalyst, her blood filled with nembutal and chloral hydrate. It was ruled to be suicide, though conspiracy theories abound. For Clark, though, there is something somehow redeeming in having been able to look back at Monroe’s troubles and find a spark that could give life to new art. “Creating something out of something unfortunate feels productive,” she says. She gives a small, satisfied nod.’

St Vincent on Marilyn and Music

On the American Songwriter website today, New York-based musician St Vincent explains how Marilyn’s writing inspired ‘Surgeon’, a track from her upcoming album, Strange Mercy:

‘Inspiration can come from unlikely places. Annie Clark, the Dallas-raised, Brooklyn-based musician who records as St. Vincent, was reading Marilyn Monroe’s recently published diaries when she came across a sentence that stood out to her: “Best finest surgeon,” the actress writes, “Strasberg waits to cut me open.”

“I thought that was an incredibly poetic line and a strange sentiment – wanting someone to come in and make that adjustment that will heal you,” says Clark, who adds that the troubled actress “was a highly intelligent woman and doesn’t get enough credit for being very powerful.” Clark pondered the line as she finished Monroe’s Fragments: Poems, Intimate Notes, Letters, and eventually she used it as the chorus for “Surgeon,” a stand-out on Strange Mercy, her third album as St. Vincent. It begins at a dreamily unrushed pace, with Clark’s florid vocals filling the frame and her spidery guitarwork adding detail to the background. The tempo gradually tightens until the song mutates into a breakneck jam between Clark and gospel organist Bobby Sparks. When it sounds like the song might simply snap in half, “Surgeon” fades out abruptly. Roll credits.

It’s a more vigorous and abrasive sound than expected from St. Vincent, and the lyrics prove equally strained and edgy. Rather than cinematic and critical, that voice sounds like that of someone desperate to be cut open. “I took elements of what I knew about Marilyn Monroe and superimposed them with something that I knew personally,” Clark explains. “I think it’s all fair game – whatever makes the best and most compelling story with a sturdy emotional truth to it.” ‘

St Vincent Inspired by Marilyn’s Writing

Marilyn leaving hospital in 1954

St Vincent – aka musician Annie Erin Clark – performed ‘Surgeon’, a song inspired by Marilyn Monroe’s writings, now available as a free download from her forthcoming album, Strange Mercy, at New York’s Metropolitan Museum of Art on Thursday, reports the Times:

‘St. Vincent ended her concert at the Metropolitan Museum of Art on Thursday night with an emotionally complicated plea. “Best, finest surgeon,” she sang coolly, fingers skittering along the neck of her guitar. “Come cut me open.”

The song was “Surgeon,” with lyrics inspired by an entry in Marilyn Monroe’s diary, and St. Vincent made its queasy hunger feel palpable, even, somehow, during the mounting vulgarity of the synth-guitar solo that she used as a coda.

Surgery isn’t a bad metaphor for the process by which St. Vincent, a k a Annie Clark, creates her music. But she’s rarely if ever the one being operated on. What she does is traumatic but controlled, unsentimental but not uncaring. She can seem clinical, but she knows what she’s doing in there.’

The song is based on a piece published in Fragments, the 2010 collection of Marilyn’s writing. It was written on Waldorf-Astoria stationary (MM lived at the hotel in 1955.)

This may be an account of a dream. It is filled with characters from Marilyn’s life at the time – Lee Strasberg, Arthur Miller, Milton Greene, Dr Hohenberg, the Rostens – and suggests Marilyn’s intense fear of not living up to their expectations.

Like many of Marilyn’s undefined pieces, it has the quality of a prose poem. The bolded parts denote spelling anomalies, while the crossings-out are her own.

Best finest surgeon – Strasberg

waits to cut me open which I don’t mind since Dr H

has prepared me – given me anesthetic

and has also diagnosed the case and

agrees with what has to be done –

an operation – to bring myself back to

life and to cure me of this terrible dis-ease

whatever the hell it is –

Arthur is the only one waiting in the outer

room – worrying and hoping operation successful

for many reasons – for myself – for his play and

for himself indirectly

Hedda – concerned – keeps calling on phone during

operation – Norman – keeps stopping by hospital to

see if I’m okay but mostly to comfort Art

who is so worried –

Milton calls from office with lots of room

and everything in good taste – and is conducting

business in a new way with style – and music

is playing and he is relaxed and enjoying himself even if he

is very worried at the same time – there’s a camera

on his desk but he doesn’t take pictures anymore except

of great paintings.

Strasberg cuts me open after Dr. H gives me

anesthesia and tries in a medical way to comfort

me – everything in the room is white in fact but I

can’t even see anyone just white objects –

they cut me open – Strasberg with Hohenberg’s ass.

and there is absolutely nothing there – Strasberg is

deeply disappointed but more even – academically amazed

that he had made such a mistake. He thought there was going

to be so much – more than he had dreamed possible in

almost anyone but

instead there was absolutely nothing – devoid of

every human living feeling thing – the only thing

that came out was so finely cut sawdust – like

out of a raggedy ann doll – and the sawdust spills

all over the floor & table and Dr. H is puzzled

because suddenly she realizes that this is a

new type case of puple. The patient (pupil – or student – I started to write) existing of complete emptiness

Strasberg’s hopes & dreams for theater are fallen.

Dr H’s dreams and hopes for a permanent psychiatric cure

is given up – Arthur is disappointed – let down +