Summary:

Selzer begins by describing an anonymous painting of Vesalius at the dissecting table, about to cut into the cadaver in front of him, yet glancing over his shoulder at a crucifix on the wall behind him. He then tells two medical stories in which spirituality has played a crucial role.

In the first, a man who has repeatedly refused to have a brain cancer operated on turns up one day healed, attributing it to the holy water a family member brought back from Lourdes. In the second, the Dalai Lama's personal physician does rounds in an American hospital and, using ancient techniques, diagnoses correctly, and in some detail, a case of congenital heart disease.

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This is a collection of 14 contemporary patients' accounts of dealing with their illness or injury. (The patients, four men and ten women, including the editors, are all writers.) Among them the stories cover numerous medical conditions: erythroblastosis, environmental illness, obsessive-compulsive disorder, hip dysplasia, osteoarthritis, hip replacement, H.I.V., Crohn's disease, broken leg, ruptured cervical disc, myelitis, rheumatoid arthritis, paroxysmal nocturnal hemoglobinuria, lupus, alcoholism, multiple sclerosis, diabetic retinopathy, breast cancer, severe facial scarring, and depression. The collection is unified by a focus on selfhood--the recovery, discovery, or reconstruction of the psyche that the editors propose is the deepest form of healing.

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This is a collection of 22 contemporary first-person accounts by survivors of a wide range of life’s woes--some medical, some social, and most of them at least partly emotional. The challenges the writers have faced are too numerous to represent individually in keywords, but they include incest, colonialism, disfigurement, adultery and divorce, obsessive-compulsive disorder, bone marrow transplant, and the death of family members.

All of the authors are writers, a handful of them well-known, and virtually all the works collected here have been published before. They are unified, to use the editor’s words, by the idea that "lifewriting is a passage through grief to knowledge" (she might have added "and to healing").

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Gabriel Garcia Marquez was born in 1928 and is best known in the English-speaking world for his novel, One Hundred Years of Solitude, which appeared early in his career in Spanish (1967) and later in English (1970). He was awarded the Nobel Prize in Literature in 1982 and in 1988 published the novel, 0008 (see annotation), which received considerable attention for its evocative story of love and memory.

Garcia Marquez's autobiography is recent (2002, 2003); it covers the first twenty-seven years of his life in Columbia, ending in 1955 when he is sent as a journalist to Geneva to cover the Big Four Conference for his newspaper in Bogota. Although he remained in Europe for three years after that the book does not cover that period.

Garcia Marquez was born in Aracataca, Columbia in his grandparents' home, the first child in a family that grew to include ten younger siblings. He had a hectic childhood being reared by his parents' large extended family, which included several children sired by his father with women other than his mother.

Finances were always tenuous; when he worked as a journalist he was an important supporter of the family. He received a broad classical education at the Jesuit College in Bogota, where he began his writing career. Later he studied law and journalism but did not finish law school. He read extensively from all genres of literature.

Garcia Marquez's family relationships and personal experiences were traumatic in many ways as was the political situation in Columbia. It was a tumultuous initiation to a life of creative writing. His words quoted on the flyleaf describe the book: "Life is not what one lived, but what one remembers and how one remembers it in order to recount it."

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Physician and poet Rafael Campo sometimes gives poems to his patients, tucking them in with educational materials and prescriptions. He knows that poetry can be therapeutic for both patient and caregiver, and in this beautifully organized and executed book he tells readers why and how poetry can enhance healing.

The chapters (in which Campo ponders questions such as: Is poetry necessary for survival? How does poetry locate us inside the experience of illness? Why is poetry therapeutic?) follow the arc of illness itself. In Chapter 4, "Inklings," Campo discusses how not-yet-diagnosed symptoms of sickness may be revealed in poetry, the patient "divining" signs of illness "from the clues discernible in a sentient relationship to the world around us" (p. 52).

In following chapters ("Diagnosis," "Treatment," "Side Effects," and "End of Life"), he expertly unfolds, through brilliant poem analysis, how "At every station of the disease experience, poetry has suggested an ulterior discourse that, as it accumulates, forms a composite picture of a humane idea of wellness" (p. 127). In other chapters ("Daniel," "Clara," "Sunny," "Eduardo," and "Mrs. Twomey") he discusses how poetry has changed and informed his clinical and personal interactions with patients.

Fully aware that poetry is not a "cure" for illness and that relationships between patients and caregivers are not always ideally sympathetic, Campo demonstrates how, nonetheless, poetry can be a valid healing modality. In the "Afterword," he urges readers to imagine poetry "as a metaphor itself for the process of healing" and "to experience it through the stories and voices of real people who have themselves called upon it as they faced illness" (p. 188), and he states his wish to see "non-poet physicians use this book with their own patients and medical trainees" (p. 190). An excellent "Further Reading" appendix provides wide-ranging selections for further study.

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Among animals only humans have difficulty giving birth. While other primates deliver their babies with little fuss, women experience painful labor and childbirth. The explanation for this discrepancy lies in the size of the human head at birth. As hominids evolved ever larger and larger brains, the fetal head had to increase in size at birth. Eventually the head almost outstripped the female pelvis's ability to expand enough to allow it through the birth canal. This delicate balance between fetus and pelvis accounts for human fetal and maternal morbidity and mortality.

As a response to the growing threat of childbirth, human females evolved away from estrus (i.e. sexual receptivity only when ovulating) to the menstrual cycle and continuous sexual receptivity. The mysterious moon-related cycle led women to formulate the concept of "time" and make the connection between sex and pregnancy. It also allowed them to refuse sex when they were ovulating.

Women then taught time consciousness to men, and men used their growing self-consciousness to begin to establish control over nature (and women). The sense of being-in-time led inevitably to awareness of mortality. This, in turn, stimulated humans to create gods and religion in order to ward off death anxiety.

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In the fall of 1983, Treya Killam was about to be married to Ken Wilber, a prominent theorist in the field of transpersonal psychology, when she was diagnosed with a particularly virulent form of breast cancer. This is Ken Wilber's story, with much of it told through his wife Treya's journals and letters, of their five-year battle against her cancer, a long roller-coaster ride that ended in her death by euthanasia in 1988. The narrative includes details of several conventional and unconventional cancer therapies.

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Author Horace Davenport is a retired professor of physiology who had a distinguished career in medical science. This book reflects his more recent interest in the history of medicine and physiology in the 19th and 20th centuries. The best summary of this transcription with commentary resides in the author's own introductory paragraph, paraphrased here: From 1899 to 1900 fourth year medical students at the University of Michigan doing their medicine and surgery rotations attended a diagnostic clinic twice a week with George Dock, A.M., M.D., professor of theory and practice of clinical medicine. Dr. Dock had a secretary make a shorthand record of everything that was said at these clinics by Dock himself, the patients, and the students.

The clinics and recording of the interactions continued until the summer of 1908 when Dr. Dock left Michigan for a position at Tulane. The typed transcripts of these sessions fill 6,800 pages. This book is Davenport's distillation and, on occasion, clarification of these documents. In these transcriptions resides not only a view of the practice of academic medicine at the turn of the 20th century, but also a glimpse at one clinician's interpretation of clinical material in his own time.

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William Carlos Williams (1883-1963) was one of this country’s premier poets, winning the Bollingen Prize for poetry in January of 1953. As a practicing physician, Williams (hereafter "WCW") incorporated many of his medical experiences into his fiction, less into his poetry. Brian A. Bremen’s book examines WCW, "a medicine man," to use Kenneth Burke’s phrase for Williams (Kenneth Burke was a lifelong friend and publisher of WCW), for whom writing was "always a form of criticism-as-diagnosis." (p.6) For Bremen, a professor of English at the University of Texas at Austin and former editor of the William Carlos Williams Review, WCW’s poetics "embrace ideas about literature, history, medicine, gender relations, politics that are currently finding expression in the contemporary critical enterprise of ’cultural studies.’ " (p. 7) Bremen’s book explores how WCW developed these ideas between "Spring and All" (1923) and Paterson, Books I-IV (1951).

After quoting a remark that Burke recalls WCW making about the nature of man, Bremen states that the quotation substantiates "the close relationship between Burke’s and Williams’s thinking" and also points out "how naturally Williams’s roles as doctor and poet combine with Burke’s closely related roles of ’Cure’ and ’Pontificate.’ If, along with this coincidence, we remember that the word ’Semiotic’ comes from the Greek meaning ’concerned with the interpretation of symptoms’ and was used by d’Alembert in his ’Tree of Knowledge’ to describe that branch of medicine concerned with diagnosis, we can begin to see how Williams’s own concern with history, culture, and the word becomes the way in which he can extend his diagnostics beyond the individual to embrace both the language and the community, providing both with cure and consolation." (p. 7)

Bremen develops his argument in four chapters: Chapter 1: "Finding the Poetry Hidden in the Prose," in which Bremen lays the groundwork for his discussion of Williams’s views on poetry and prose and introduces key figures in Williams’s thinking and/or Bremen’s analysis, e.g., Kenneth Burke, Heinz Kohut, and Ludwig Wittgenstein; Chapter 2: "The Language of Flowers," in which the author uses the psychology of Jessica Benjamin and the botany of Erasmus Darwin to demonstrate how WCW’s poetry eventually shares in a "more feminine, ’mother-based’ psychology that privileges the "narcissistic" over the "oedipal" (p. 46) while his "more modern language of flowers moves beyond these simple associations to act as ’representative anecdotes’ that embody a complex notion of ’empathy’ and ’identification,’ one that both empowers and even attempts to ’cure’ the reader." (p. 45).

Chapter 3: "Modern Medicine," is of especial interest to the readers of this bibliography, and a chapter heavily dependent on the relationship between Burke and Williams and the critical evaluation of the latter by the former. This chapter argues that "it is precisely Williams’s role as a doctor and its symbiotic--not merely complementary--relationship to his role of poet that provides the clearest model of Williams’s aspirations for his writing. Specifically it is the act of diagnosis that is at the core of both Williams’s medicine and his poetry." (p. 85).

In chapter 4, Attitudes toward History, Bremen offers a critical reading of WCW’s In the American Grain, an American history text as WCW felt history should be written and understood--a thesis Bremen successfully compares to WCW’s analogous views about poetry and prose. Chapter 5, The Radiant Gist, a chapter devoted primarily to Paterson, Books I-IV, serves as well as a coda to the book.

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The events in Dry follow those in Burroughs's memoir of his bizarre childhood, Running with Scissors (see this database). Burroughs, at 24 years old and with no formal education beyond grade school, works in the high pressure advertising world of Manhattan. He's also an alcoholic, and his addiction definitely interferes with his work. Fortunately for Burroughs, he is not fired, but rather, his boss and co-workers set up an intervention. Burroughs--after telling his best friend, Pighead, who is HIV positive; his drinking buddy, the undertaker Jim; and his abusive, alcoholic father, of the plan--leaves for an inpatient rehabilitation program in Minnesota designed for gay people.

Thus begins Burroughs journey to sobriety. A journey that is replete with temptation, relapse (not only with alcohol, but also crack cocaine), love, success, loss, and grief. Burroughs experiences hallucinations, coma and life-threatening withdrawal. But ultimately, Burroughs achieves the title of his memoir. What he reveals is that, for an addict, remaining clean and dry is hard work. This daily, moment-by-moment work forces the addict to examine what is truly precious in life.

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