# Painting psychosis: an empirical investigation of the self-portraits of Edvard Munch

**Authors:** Eric C. Bettelheim, Jingyi Liu, Paola Dazzan, Federico Turkheimer

PMC · DOI: 10.3389/fpsyt.2025.1643264 · Frontiers in Psychiatry · 2026-02-05

## TL;DR

This paper investigates how Edvard Munch's self-portraits reflect his mental health, suggesting he may have had early onset psychosis.

## Contribution

The study empirically links stylistic changes in Munch's self-portraits to his mental health and life events.

## Key findings

- Significant changes in contrast, color, and fractal dimension in Munch's self-portraits correlate with psychopathology.
- Portraits of others differ stylistically from self-portraits, suggesting comorbid social anxiety disorder.
- Productivity varied during critical life periods, supporting a diagnosis of early onset psychosis.

## Abstract

Substantial evidence demonstrates that the brain is more interested in faces than in other subjects and that self-related material, particularly self-images, have higher saliency than non-self-referential material. Studies of self-portraits have revealed correlations between stylistic elements and artists’ states of mind. Edvard Munch, a founder of Expressionism and most famous for “The Scream”, was pre-occupied with depicting his subjective experience and a prolific painter of self-portraits. He has been posthumously diagnosed as suffering from schizophrenia, anxiety, bipolar and other disorders associated with altered perception. Munch’s painted self-portraits were empirically examined to determine if variations in stylistic elements, contrast, colour and fractal dimension, correlate with life events associated with psychopathology. His portraits were also examined as controls and to test whether images of others, related and unrelated to him, vary stylistically from his self-portraits and from each other. Productivity was examined as an independent indicator. Significant changes in contrast, colour, fractal dimension and productivity during critical periods in his life were identified in his self-portraits consistent with the conclusion that Munch is diagnostically best described as suffering from early onset psychosis. Examination of his portraits of related and unrelated people revealed differences from self-portraits and from each other consistent with comorbid social anxiety disorder.

## Linked entities

- **Diseases:** schizophrenia (MONDO:0005090), anxiety (MONDO:0005618), psychosis (MONDO:0005485), social anxiety disorder (MONDO:0001247)

## Full-text entities

- **Diseases:** somatic disorders (MESH:D013001), syphilis (MESH:D013587), morphological abnormalities (MESH:D000013), dystonic (MESH:D004421), Inflammation (MESH:D007249), trauma (MESH:D014947), alcohol and nicotine dependence (MESH:D014029), borderline personality disorder (MESH:D001883), dementia paralytica (MESH:D001044), Munch's alcohol dependence (MESH:D000437), respiratory disease (MESH:D012140), Colour vision impairment (MESH:D014786), anhedonia (MESH:D059445), pain (MESH:D010146), Hypofunction (MESH:D000309), paranoia (MESH:D010259), lung disease (MESH:D008171), insomnia (MESH:D007319), abuse of (MESH:D019966), Mental illness (MESH:D001523), Schizophrenia (MESH:D012559), neuroinflammation (MESH:D000090862), Anxiety (MESH:D001007), psychotic episodes (MESH:C580065), swelling of photoreceptors (MESH:D004487), rod dysfunction (MESH:D017696), altered mood (MESH:D019964), agoraphobia (MESH:D000379), pneumonia (MESH:D011014), vertigo (MESH:D014717), conversion disorder (MESH:D003291), hyperactivity (MESH:D006948), fever (MESH:D005334), antisocial behaviour (MESH:D000987), gastrointestinal and cardiac distress (MESH:D012128), cyclothymic disorder (MESH:D003527), Deficits (MESH:D009461), dopaminergic dysregulation (MESH:D021081), cone dysfunction (MESH:C566719), anxiety disorders (MESH:D001008), epileptic seizure (MESH:D004827), microvascular abnormalities (MESH:D017566), Hallucinations (MESH:D006212), nervous collapse (MESH:D001261), Reduced colour discrimination (MESH:D010468), deficient psychomotor behaviour (MESH:D011596), smoker (MESH:C000719328), death (MESH:D003643), Delusions (MESH:D063726), mental disturbance (MESH:D008607), hallucinatory (MESH:C000726587), inability to focus attention (MESH:D001289), Painting psychosis (MESH:D011618), Abnormality in retinal morphology and function (MESH:D012173), infected (MESH:D007239), bronchitis (MESH:D001991), mental health disturbances (OMIM:603663), rheumatism (MESH:D012216), psychological disorder (MESH:D000067073), limb numbness (MESH:D006987)
- **Chemicals:** bromides (MESH:D001965), aspirin (MESH:D001241), glutamate (MESH:D018698), GABA (MESH:D005680), D (MESH:D003903), Colour (MESH:C000656253), Nicotine (MESH:D009538), oil (MESH:D009821), Alcohol (MESH:D000438), dopamine (MESH:D004298), serotonin (MESH:D012701)
- **Species:** Canis lupus familiaris (dog, subspecies) [taxon 9615], Nicotiana tabacum (American tobacco, species) [taxon 4097], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

11 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12916415/full.md

## References

318 references — full list in the complete paper: https://tomesphere.com/paper/PMC12916415/full.md

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Source: https://tomesphere.com/paper/PMC12916415