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I have this that I must do / One day." I must take the last step, go down into the "green darkness," and find the "door to myself." There is no map, no assurance, and no way of avoiding the final plunge into darkness.

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This is a personal narrative by one of America's most accomplished authors. For the past thirty years Reynolds Price has written novels, stories, poems, essays. In this memoir Price describes his battle with a spinal tumor detected in 1984 which left him with some neurological impairment. He struggled with his own rehabilitation and eventually recovered with the aid of biofeedback and hypnosis.

The most compelling part of the book is near the end. The author muses about the meaning of his illness, "advice I'd risk conveying to a friend confronted with grave illness or other physical or psychic trauma" (p.182). He puts the travails of life into a philosophical perspective that is almost Zen-like.

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As Joanne Trautmann Banks indicates in the Foreword of this fine anthology, "when we are sick, very sick, it is often the nurse who is closest to our bodies, minds, and souls." This experience of closeness to suffering is well-reflected in the poetry and prose of the 49 nurses whose work is collected here. While these writings vary widely in form and style, they focus almost exclusively on the nursing interaction; they are nurses' stories of patients and nurses' reflections on nursing. Two major themes pervade the book. One is the powerlessness of nurses in the face of illness and suffering. The other is their tough, unsentimental devotion to their patients and the profession.

Of the poetry, particularly fine pieces include: "Raiment" (Carol Brendsel); "Daffodil Days" (Celia Brown); Butterfly (Jeanne Bryner; see this database); "What the Nurse Likes" and The Body Flute (Cortney Davis); "Hospital Parking Garage" (Jeanne LeVasseur); and "Euthanasia" (Belle Waring). Among the excellent prose pieces are "Nighthawks" (Carolyn Barbier), a tale in the voice of a ventilator-dependent woman who has elected to discontinue treatment and die; "While His Life Went on Around Him" (Angela Kennedy); "Wisteria" (Leslie Nyman); "Where Are You Now, Ella Wade?" (Joyce Renwick); and "Bev Brown" (Sybil Smith).

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Four ghosts visit the miserly businessman Ebeneezer Scrooge on Christmas Eve. After the apparition of Scrooge's dead business partner Marley, the ghosts of Christmas Past, Christmas Present, and Christmas As Yet To Come guide Scrooge through his own emotionally charged past, his harsh and loveless present, and his bleak future. The vision of his own headstone and the realization that no one will mourn his death force Scrooge to see the error of his "Bah! Humbug!" attitude toward humanity in general and Christmas in specific.

The primary recipients of Scrooge's moral rebirth are his poor clerk Bob Cratchit and his family, especially the crippled boy Tiny Tim. When Scrooge wakes from his ghostly visitations, he delivers a huge turkey to the Cratchit household and gives Bob a raise. He becomes a "second father" to Tim and reconciles with his own nephew.

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Adolescent orphan Nell Trent escapes with her gambling-addicted, mentally infirm grandfather from the villainous "dwarf" Daniel Quilp, to whom the old man, obsessed with making Nell wealthy, has lost his money and his shop. Quilp and a host of other malevolent and benevolent characters track the pair's journey through urban, rural, and industrial England. When the good characters reach the peaceful hamlet where Nell and her grandfather have settled, Nell has just died, soon to be joined by her grief-stricken grandfather.

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Ingenious Pain tells the life story of James Dyer, a surgeon in eighteenth-century England who is gifted--and cursed--with the inability to feel physical or emotional pain. Beginning with his postmortem, the novel traces the thirty-three years of his life, from his illegitimate conception on a frozen river, through the rise of his career from itinerant quack's assistant to ship's surgeon, and then to the court of Empress Catherine of Russia where he meets Mary, a mysterious woman who performs magical surgery on him with her hands, enabling him for the first time to feel and, as a result, to love.

At first this new ability drives him mad, and he is submitted to the infamous torments of Bethlehem Hospital. He gradually recovers, but his new sensitivity has disrupted his identity as a surgeon. He performs one last operation, saving the life of a Negro wrestler by opening his chest and massaging his heart. His own death, not long after, seems to signify that he has at last become a normal man, and this is a form of redemption.

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In the fictional present of Evening, Ann Lord is diagnosed with terminal cancer and spends most of her time in her own bed in her house in Cambridge, Mass, drifting in and out of a medicated sleep, cared for by her adult children and various private nurses. In her reveries Ann returns to a weekend some forty years earlier, and re-experiences meeting a young doctor named Harris Arden and finding and losing the only true passion of her life. As Evening moves episodically between present and past, only the reader can see both Ann's dying, nearly motionless body and the hidden, vital world of her memories.

Ironically, while Ann's remembered youth forms a suspenseful plot, full of romance and tragedy, her full adult life seems to have been signally lacking in any of the passion, focus, and vitality that characterized her young womanhood. The best times of her life were literally over when that weekend in the past came to an abrupt and tragic close; and now, as her own life ends, it is this past "best time" that she returns to. Ann's children, friends, and caregivers only see her as a relatively young woman, dying a tragically early and painful death; they never grasp the content or intensity of her inner life, or know the name of the man who meant most to her.

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This book is subtitled, "Toward a Psychology of Suffering." In the first chapter, Bakan sketches a theory of disease as telic decentralization. He defines "telos" as that which is "determinant of form." In multicellular organisms, there are multiple, subsidiary tele, as well as an overall telos of the organism. Growth and development can occur only if there is a certain degree of telic decentralization, yet disease can also result from this internal separation or estrangement. Bakan supports this theory with arguments from post-Darwinian evolutionary theory, Selye, and Freud.

In the second chapter, Bakan considers pain as the psychic manifestation of telic decentralization. Suffering is a pain-annihilation complex: the experience of pain external to the ego, associated with an internal fear of annihilation. In the last chapter, the author considers the Book of Job as a literary approach to understanding the meaning of pain, sacrifice, and suffering.

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Through a series of letters, the lover, Werther, narrates his story of finding love and losing it. The continuity of the piece is interrupted by the third person narrator to explicate certain segments of the tale and to describe the unsuccessful suitor's suicide.

Young Werther, an artist with independent means, meets and falls in love with a woman already betrothed. The letters he writes detail the development of his relationship with Lotte and eventually with her intended, Albert. As the date of Lotte's wedding approaches, Werther leaves the area and attempts to forget her by immersing himself in the work world.

Unsuccessful, he returns to the estate where Lotte and her new husband reside. Becoming increasingly more obsessed with the need to possess Lotte, he alienates his former friends and is banished from their presence. Suicide ideation appears on multiple occasions, and in his final agony of loss, Werther borrows Albert's pistols and kills himself.

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This poem is one in a series written by Ted Hughes, addressing his wife, the American poet Sylvia Plath, who committed suicide in 1963. Here, the speaker recalls a time when he and his wife were living in Spain, and she became ill: "You lay helpless and a little bit crazy / With the fever." For Plath, the illness seems intolerable. She whispers, "Help me" to her husband, "crie[s] out for America," and sobs "I am going to die." He takes care of her, feeling as if he is "a nursemaid" or "suddenly mother." He cooks soup and spoon feeds her.

What worries him, though, is her reaction to being ill. He wonders whether she's exaggerating, and fears that if she treats a fever as if it were "the most impossible / Of all horrible things," then how will she be "when things get really bad"? He feels himself withdraw his sympathy for her, but then he recognizes what he calls "the overload"--a bluntedness which he likens to "the callous / That eases overwhelmed doctors."

The end of the poem is ambiguous: both he and his wife are overloaded; where her response is (hyper?) sensitivity, his is anesthesia. He continues to feed her the soup. (67 lines)

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