Writing when writhing with psychosis: a computational linguistic autopsy of Vaslav Nijinsky’s diary

‘God of Dance’ Vaslav Nijinsky wrote profusely during a short period in 1918–1919, immediately preceding his diagnosis of schizophrenia and long-term confinement. This diary, in its uncensored form, constitutes one of the most extensively documented ex tempore first-person accounts during psychosis. It offers a chance to explore the impact of psychosis on writing—not just on what one writes, but also how one writes under such torment. The text generates a pervasive impression of repetitive, meandering thought—invoking suspicions of being a product of formal thought disorder —an affliction that lies at the core of schizophrenia. We study the specific linguistic structure of this diary using computational approaches, comparing it to a word-count-matched control text composed by his wife, Romola Nijinsky, to characterise what the writing does show. Our computational analysis reveals intact topic-level discourse organisation with adequate surface-level coherence. But this apparent coherence is generated via repetition of words—indexing an inability to escape a narrow lexical repertoire—a pattern we term the perseveration paradox . Furthermore, first-person pronoun usage was 5.45-fold higher than in the control text, and its removal reduced coherence and increased perplexity, demonstrating that the self-pronoun ‘I’ functioned as a structural scaffold for Nijinsky’s thought in written text. All findings replicated on the original Russian manuscript, confirming robustness despite translation. Nijinsky’s diary is not simply a document of suffering or a record of thought disorder; it is an unwitting self-portrait of a mind condensing around a fixed, narrow repertoire of words and the concepts they stand for.

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Publication Details

Journal
Medical Humanities
Published
2026-08-21
DOI
https://doi.org/10.1136/medhum-2026-014121
Primary Topic
Neurobiology of Language and Bilingualism
Type
article
Field-Weighted Citation Impact
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article

Writing when writhing with psychosis: a computational linguistic autopsy of Vaslav Nijinsky’s diary

Oliver Delgaram-Nejad, Dalia Elleuch, Gleb Melshin, Alban Voppel et al.
Medical Humanities
Neurobiology of Language and Bilingualism
article

Writing when writhing with psychosis: a computational linguistic autopsy of Vaslav Nijinsky’s diary

Oliver Delgaram-Nejad, Dalia Elleuch, Gleb Melshin, Alban Voppel, Lena Palaniyappan
article en

Abstract

‘God of Dance’ Vaslav Nijinsky wrote profusely during a short period in 1918–1919, immediately preceding his diagnosis of schizophrenia and long-term confinement. This diary, in its uncensored form, constitutes one of the most extensively documented ex tempore first-person accounts during psychosis. It offers a chance to explore the impact of psychosis on writing—not just on what one writes, but also how one writes under such torment. The text generates a pervasive impression of repetitive, meandering thought—invoking suspicions of being a product of formal thought disorder —an affliction that lies at the core of schizophrenia. We study the specific linguistic structure of this diary using computational approaches, comparing it to a word-count-matched control text composed by his wife, Romola Nijinsky, to characterise what the writing does show. Our computational analysis reveals intact topic-level discourse organisation with adequate surface-level coherence. But this apparent coherence is generated via repetition of words—indexing an inability to escape a narrow lexical repertoire—a pattern we term the perseveration paradox . Furthermore, first-person pronoun usage was 5.45-fold higher than in the control text, and its removal reduced coherence and increased perplexity, demonstrating that the self-pronoun ‘I’ functioned as a structural scaffold for Nijinsky’s thought in written text. All findings replicated on the original Russian manuscript, confirming robustness despite translation. Nijinsky’s diary is not simply a document of suffering or a record of thought disorder; it is an unwitting self-portrait of a mind condensing around a fixed, narrow repertoire of words and the concepts they stand for.

Medical Humanities
University of Sfax (TN), Douglas Mental Health University Institute (CA), McGill University (CA)
Openalex Percentile: Top 9%
Neurobiology of Language and Bilingualism
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Writing when writhing with psychosis: a computational linguistic autopsy of Vaslav Nijinsky’s diary — Oliver Delgaram-Nejad, Dalia Elleuch, et al. · Medical Humanities (2026) | TGRS Research Map | TGRS