Summary:

Elizabeth Carpenter is preparing for her fiftieth wedding anniversary and hoping that her children will come home for the event. She nurses her irritable, invalid husband, a retired teacher, who has been a rigid father and is now bedridden with a chronic illness. He is too proud to ask for the things he needs or wants, and spends his vacant hours comparing what he perceives as the dull, dutiful Elizabeth to the "other woman" he loved long ago.

Their oldest child, Victoria, once a fragile beauty full of promise, is institutionalized for a chronic mental illness characterized by irrational fears and self-doubt. The middle child, Jason, is a psychiatrist who has been unable to establish trusting relationships and seeks affirmation through multiple sexual adventures. The youngest child is Emily, a concert violinist whose way of achieving peace is to live abroad, avoiding commitments and her family from whom she is hiding the fact of her own son, Adam. But the reunion leads them to revisit relationships and events in the past and results in some surprises for their present and future.

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Slater subtitles her book, A Therapist's Memoir of Madness. Embedded in this definition are two elements: a psychotherapist's composite experiences with a small cadre of patients and the therapist's personal experience with a mental disorder. The author draws the reader into a fascinating series of anecdotes based on therapeutic encounters.

These stories are as much, if not more, about the therapist's deepest responses to her patients than about the patient him or herself. This particular approach adds an element of confession to the work that one does not often find in clinical studies. And, finally, Slater takes the reader backward in time to her own past as a woman with profound emotional pain.

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In this collection of poems, the author details her descent into the hell of bipolar disorder and the re-integration of her life, thanks to lithium therapy. In "Other Lives" she describes herself as "mother of none, good friend to all, / who for no apparent reason, / tries to kill herself, twice." She writes angrily to the psychiatrist who misdiagnosed her and prescribed the wrong medication: "Your first mistake was to see me at all. / Your second, prescribing the Elavil." (in "Shocking Treatment") While she misses the productivity and "rush" of her hypomanic episodes, she realizes this is the price she has to pay to avoid another "two years of pain or nothing, numbness."

As the author's health improves, she cares for friends who are dying of AIDS and for the dying father of a friend: "I'm learning, as I nurse / my father that the worst / would be protection from / death's reality." (in "For Jean") The collection is interlaced with a series of poems called "Black Stones" in which the author encounters very directly the reality of death. In the last of these, she cries out the words of her friend Matthew who has just died: "Rika, dear friend, live and live and live!"

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In this journal of her 66th year (one of several volumes of her widely-read journals) May Sarton reflects on the depression of losing a long, intimate friend to acute senility, on living with waves of loneliness in a life of chosen and beneficent solitude, and on a mastectomy which followed quickly upon diagnosis. She weaves together themes of friendship, especially friendship among women, mental and physical health, speculating on psychosomatic dimensions of illness, living with an aging body, and the ongoing issues of self-esteem that aging and solitary women confront in a particular way. Each of the 2-3 page entries is a complete and complex reflection, beautifully developed, and often pithy and poetic.

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The Stone Diaries recount the life of Daisy Goodwill (1905-199? [sic]). "[W]ife, mother, citizen of our century," her son closes the benediction of her memorial service. Yet Daisy is also the orphaned daughter of an orphan--her dramatic birth a turning point for her father, the neighbours--and a social outcast. Daisy becomes a happy child, a lifelong friend, a college graduate, a consummate gardener, a cultivator of stories, a pragmatist, a romantic, a widow twice (once scandalously, once more ordinarily) . . . . In short, the diaries of "Day's Eye" bear witness to the extraordinary lives of seemingly ordinary "citizens."

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This is another of Hemingway's dense vignettes, filled with nuance but spare in style. The anecdote revolves around the difference between a clean, bright cafe and a dark, not-so-clean, bar as a place for lonely men to spend the long, sleepless nights. Two waiters discuss a lingering patron in a cafe who overstays his welcome as the night wears on. The old man gets quietly drunk each night; just last week he tried to kill himself, but was rescued.

Tonight he tries to pass the night in a clean, well-lighted place. The young waiter, impatient, to get home to his wife, does not comprehend the importance of this place to this old man's survival. The older waiter, who does understand, walks into the night himself, unable to find his own clean, well-lighted place in which to pass a lonely and sleepless night.

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In this reflective memoir, a son in his mid-forties recalls the final years of his mother's life, the mystery of her changed being as she succumbed to Alzheimer's disease, and the long weeks and months he spent as caretaker, confronting the mystery of his own life and the role of memory in it by witnessing at close range the closing down of both life and memory in her. The book is candid about the whole range of feelings--including the most unexpected and unwelcome--associated with the difficult decision to bring an aging and infirm parent into one's household, care for her, reconfigure family life, and consent to the disconcerting inversion of parent-child roles.

Each of its forty short chapters is a lyrical moment. Daniel weaves memories of his mother's life--musing about those parts he can only know second hand--and exquisite portraiture, with ongoing reflection about his purposes in writing; what gifts there may have been in the difficult process of seeing her through a difficult passage into death; and how some of those gifts unfold only in the aftermath. His speculations about the inner life of an Alzheimer's patient add nothing to medical understanding, but model a deeply edifying kind of compassion and will to imagine beyond the failures of mind and body to a silent, inarticulate self that still deserves to be honored.

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Tomorrow, as soon as it dawns, I will go to visit your grave, Papa, Adriana, in the long abandoned family home, reflects on her life before her father’s death when she was fifteen. She remembers their closeness and similarities, but also their distance and differences. Wedded by their physical resemblance, temperament and interests, they are also separated--by silence and sorrow, desires and disillusionments.

One night the adolescent tries to discuss her father’s torment, but both become angry. It is their last conversation. In the hours that follow, her beloved father takes his life with a single bullet.

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The poem is a description of the experience of severe depression. The speaker describes how she goes about her day while "it"--the depression, unnamed in the poem--is with her always, keeping her from experiencing any pleasure in life.

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De Quincey was a well-known 19th century English journalist and essayist. He was orphaned at a young age and sent away to school, where he was successful but bored and soon ran away. He then spent several years living as a vagrant in Wales, then London. In London, he was reunited with an old family friend who supported him financially and sent him to study at Oxford.

At age 28, De Quincey began to use opium (mixed with alcohol in the form of laudanum) regularly to treat his severe stomach pains. Though his intake was moderate at first, he soon became addicted. At first he rationalized the use of the drug. Later, he experienced opium-induced stupors in which he could not distinguish dream from reality nor note the passage of time.

He also developed memory loss and long periods of depression. He resolved to wean himself from the drug and did so, although in the final version (1856) of this memoir he admits to having slipped back into addiction a number of times.

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