Review
Culture
5 min read

The Creative Act by Rick Rubin – no prisoners taken

A biography lacking in personal anecdotes, makes up for it with a profound understanding of the creative process. Imogen Stokes recommends an essential read on art’s transformative power.

Imogen Stokes is a musician and member of Voka Gentle. She is also part of P.S. a missional community of multidisciplinary artists supporting and encouraging each other to cultivate a biblical culture of worship and fellowship in the heart of industry.

Rick Rubin | The Creative Act: A Way of Being

From Johnny Cash to Kanye West, Rick Rubin has worked with some of the biggest names in music. Notably titled ‘the most important producer of the last 20 years’ by MTV, the famously bearded founder of Def Jam records has nine Grammy awards under his belt and is one of the most sought-after producers working today. 

Written over the course of four years, a period that saw Rubin work with bands such as The Strokes and The Red Hot Chilli Peppers, The Creative Act: A Way of Being might promise a memoir yet assumes the form of something more like a self-help guide. Rubin distils what he has learned throughout his illustrious 40-year career into a series of short chapters that read somewhat like meditations, contemplating the meaning of art in general; how to make it well and why it matters to keep trying. While its dearth of personal anecdotes may be disappointing to fans hoping to gain insight into some of the producer’s many exploits, this book requires little to no contextual knowledge of Rubin’s life and work to enjoy. 

“There was a version of the book three years ago,” Rubin told The Bookseller magazine last October. “The content was similar but the feeling of it... it did not feel like a call to action. It was beautiful, but it wasn’t inspirational.” If inspiring artists to create meaningful art is Rubin’s primary aim, suffice to say The Creative Act: A Way of Being largely succeeds.  

Happily, this book is not just for musicians; for any working artist in search of practical guidance, Rubin offers encouragements and hands-on suggestions for how to cultivate discipline, maintain creative perspective and successfully finish work. His tips are, in many cases, refreshingly rudimentary. Set up a daily schedule of practice and stick to it. Level up your taste in the medium you are working in. Allow yourself to be distracted sometimes. Such instructions immediately reminded me of Oblique Strategies, Brian Eno and Peter Schmidt’s tarot-like deck of pithy creative prompts, conceived in 1975 as a work of art and designed to stimulate creativity. And the advice is sage. As an artist myself, I had barely gotten halfway through when my highlighter began to run out of ink.  

Rubin’s thesis on art-making is full of self-aware contradiction. It is a serious matter, he says, but it’s also reliant on play. One should employ a rigorous schedule yet embrace rest and spontaneity. Practise your craft but be aware of the value in naivety;  

‘often the most innovative ideas come from those who master the rules to such a degree that they can see past them or from those who never learned them at all’,  

and remember that both years of artistic toil and a five-minute flash of inspiration can both produce a valuable result.  

[It] does an excellent job of meeting the creative in their tiredness while celebrating their bravery.  

It is this ability to understand and speak to the tensions faced by an overwhelming majority of artists that is a real strength of this book and a testament to Rubin’s experience as a producer. The creative process is rarely straightforward; success can be difficult to define and inspiration elusive. However, he admits, in the pursuit of great art ‘there are no shortcuts.’ The Creative Act: A Way of Being does an excellent job of meeting the creative in their tiredness while celebrating their bravery. It exists, at the end of the day, to remind them why it’s important to make art at all. I can corroborate this with my own experience: as a reader I brought all the baggage of any working artist. I felt understood and reassured, both by Rubin’s reverence for art-making and by his admission that art is rarely straightforward, and that artists can be hard to understand. This, for Rubin, is by no means an indictment. It’s part of the journey, and an important one at that.   

Rubin’s reverence for the power of art and the significance of the artist is without question. This can sometimes, though, verge on the eulogising of unhealthy behaviour— an issue, I can’t help but feel, is endemic to the music industry at large.  

'The great artists in history… are protective of their art in a way that is not always co-operative. Their needs as a creator come first. Often at the expense of their personal lives and relationships',  

writes Rubin, excusing selfishness as a ‘childlike spirit’ to be aspired to. Surely, while singular focus is key, this doesn’t need to override a generosity of spirit, does it? Van Gogh certainly didn’t think so, famously writing: 

 ‘there is nothing more truly artistic than to love people.’ 

There’s an evident undercurrent of divine inspiration woven throughout the book, too. Rubin acknowledges and explores the cosmic thread that runs through all things, the energy of which the artist both observes and channels through their work. The artist without this spiritual viewpoint, he posits, is at a crucial disadvantage. For Rubin, the spiritual world provides a crucial sense of wonder and a degree of open-mindedness rarely found within the confines of science. A dedication towards a deeper connection with and understanding of the ‘Source’ (the creative force of the universe) will inevitably merit a greater artistic encounter. Rubin therefore encourages artists to be disciplined in their spiritual practice in order to ‘build up the musculature of the psyche to more acutely tune in and receive from the divine’.  

Rick Rubin with Neil Diamond, 2006. Photo by MusicLoverDiamond. 

Rick Rubin with Neil Diamond

As a believer, of course I perceived Rubin’s ‘Source’ to be a metonym for the God of the Bible, and while occasionally Rubin’s universalism strays into abstraction— perhaps even cliché— there is genuine substance here; many of his spiritual encouragements overlap significantly with Christian teachings, for instance his appeal to artists to be ‘in’ currents of culture, not ‘of’ them, and the assertion that ‘it is better to follow the universe than those around you’. He admires the biblical attitudes of patience, discipline and child-likeness, and even quotes directly from the Bible’s book of Ecclesiastes, ‘for everything there is a season... ’,  when illustrating the rhythms of nature. 

Although it might be viewed as a simple guide to creative rules and rhythms, at the heart of this book the challenge is set.  

You are either living as an artist, or you’re not. You are either adopting this way of being, or you aren’t.  

Rubin takes no prisoners. The Creative Act: A Way of Being is an essential read for anyone looking to explore the importance of art or to remind themselves why they shouldn’t give up. For Rubin, a facilitator and a collaborator, the transformational powers of art are undeniable and artists themselves are almost magical creatures who need understanding and care. This book is both about, and for them.  

Article
Change
6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient
Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care.   Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions? 

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.  

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers. 

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.  

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired  infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’. 

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care. 

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?” 

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. 

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.” 

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.  

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.  

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”    

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.