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The Guardian - UK
The Guardian - UK
Entertainment
Clive Paget

4.48 Psychosis review – a dazzling, harrowing opera worthy of Sarah Kane’s furious writing

Actors from 4.48 Psychosis huddle in matching grey cardigans, faces close, in emotional embrace
In-yer-face … Lauren Young, Sophia Burgos, Jacquelyn Stucker and Hannah Edmunds in 4.48 Psychosis at Linbury theatre. Photograph: Tristram Kenton/the Guardian

Sarah Kane revolutionised British theatre with five provocative plays written between 1995 and 1999. Her final work, 4.48 Psychosis, was her most personal, confronting the clinical depression she struggled with for years. The play was first performed posthumously in 2000, after she died by suicide in 1999.

The Royal Opera and Guildhall School of Music and Drama commissioned Philip Venables to adapt the play as an opera, which debuted in 2016. The composer, also known for a certain “in-yer-face” approach, set Kane’s original text almost entirely, realising its 24 disjointed sections in a raw, imaginative score teeming with minimalist licks, prickly synth-pop and consoling nods to the baroque. The libretto shifts between poetic abstraction and scathing exchanges between a patient and a psychologist. An ensemble of six female singers navigates themes of depression, isolation and the agonising choices surrounding medication.

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