Summary:

The narrative of Pilgrim and his psychiatrist, Carl G. Jung, begins with Pilgrim's most recent unsuccessful attempt to kill himself. The surrealistic nature of the tale begins with this mysterious inability of the title character to exit life--a life self-proclaimed to have covered multiple incarnations over millennia each of which he has memory. His friend and his servants take him to Zurich to the renowned psychiatrist's clinic for institutionalization and therapy. Enter Dr. Jung, whose personal and professional life assumes a dominant role in the narrative.

As the story progresses, the reader learns from Pilgrim's journals the interstices of his seemingly endless voyage. While Pilgrim's tale--real or imagined--is progressively revealed, the immediate lives of the Jungs are explored in increasing depth. Layer upon layer of development of plot, past and present, is peeled away until Pilgrim escapes his prison and Jung's emotional chaos is exposed.

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The story begins soon after the narrator has moved his elderly mother into Cherry Orchard, an "independent living" facility near his home in Providence, Rhode Island. Because of progressive dementia, she was no longer able to maintain her own home in New Jersey, or her relationship with Warren, her boyfriend of 20 years, with whom she spent part of each year in Florida. Thus, the narrator and his sister arranged for her move to an apartment in the exclusive Cherry Orchard, where her symptoms of Alzheimer's disease had to be hidden in order to ensure her eligibility.

The mother and son have never been close, especially after the boy's father died during his early adolescence. She was a pleasant, but distant parent, more interested in her own social and cultural affairs than in taking care of her children. The narrator is 34 years old now, married, with his own son. He has little emotional attachment to this woman who is slowing losing her mind, yet now he feels duty-bound to visit her at least weekly at Cherry Orchard.

The mother has almost entirely lost her short-term memory, yet at first blush seems surprisingly intact because of her ability to cover-up with social skills. She writes notes to herself. The texture of her life unravels. She begins to wander. Other residents complain. Occasionally a glimmer of insight appears, but quickly dies. Fighting his inclinations every step of the way, the narrator provides ever increasing physical and emotional support, while at the same time gaining a deeper understanding of how his mother was (and is). In the end nothing is changed--the mother spirals slowly downward. But in another sense everything has changed. The narrator concludes, "I had taken her in so that I could understand why I had agreed to take her. I would do it again."

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The narrator is still grieving over the recent death of her father, D.M. He suffered from emphysema and died from a sarcoma of the intestine that metastasized to other organs. While visiting Sweden, the narrator explores the Royal Library. There she discovers the celebrated Encyclopedia of the Dead--a massive collection of thousands of volumes chronicling in detail the lives of ordinary people who have died.

She finds the biography of her father and takes notes while reading it throughout the night. Fifty years of his life in Belgrade are summarized in only 5 or 6 pages yet amazingly nothing seems to be left out. No detail is too small--the first day he ever smoked a cigarette, an episode of food poisoning, a love letter.

The text is illustrated with a picture of her father and an odd flower. Late in life, he began painting floral patterns like the one depicted in the book. According to the Encyclopedia, his interest in painting paralleled the onset and progression of his cancer. In fact, the narrator learns that the flower in the book closely resembles the appearance of the sarcoma that claimed his life.

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Three stories are intertwined in this complex novel; in the end, they become one. In a series of flashbacks, the elderly Iris Chase Griffen writes of her long life. At the outset, newspaper clippings present three tragic deaths from 1945 to 1975: sister, husband, and daughter.

Iris's pretty, younger sister, Laura, died at age 25 when she drove her car off a bridge. Two years later, Iris published Laura's novel, Blind Assassin, to critical acclaim, projecting the author to posthumous fame. Only weeks later, Iris was widowed when her husband drowned. Then many years later, Iris's daughter, Aimée, breaks her neck and dies from the ravages of drug and alcohol abuse. Iris also loses care of her only grandchild, four-year old Sabrina. Iris looks back on the circumstances before and after these deaths.

Growing up in small-town Ontario without a mother, Iris was expected to look after Laura. But the younger girl's guileless intensity inspired exasperation and jealousy, as well as affection. In the 1930s, the sisters managed to hide a young radical, Alex Thomas, in the family attic before he escaped to Spain; they both fell in love. But at age nineteen, Iris is forced to enter a joyless marriage to wealthy Richard Griffen out of obedience to her father who hoped that the union would save his factory. It did not.

Laura is bossed by the politically ambitious Richard and his domineering sister, Winifred. Defiance and maternity allow Iris to carve out her own space within the confines of the social situation. But she is increasingly estranged from the romantic, inscrutable Laura who is eventually sent to an "asylum" where she has an abortion. Upon her release, the sisters reconnect, only to hurt each other with painful revelations (unrevealed here to avoid spoiling the effect for readers; some will have guessed them in advance).

The other two of the three stories stem from Laura's acclaimed novel "Blind Assassin," parts of which are interspersed. On one level, it relates the passionate affair of a refined woman (very like the author) and a political fugitive (very like Alex) who meet in his sordid hiding places. On another level, it is an Ali Baba-esque fairy tale, invented by the lovers, about a cruel society in which child-labor, ritualistic rape, and human sacrifice are routine. The killers are children who have been blinded by their enforced work knotting beautiful rugs.

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Leo comes back to sell off the run-down family farm on the Italian coast of Tuscany, hoping for enough to finance his return to Chicago. He is plagued by memories. A tour bus is lured into Santo Fico--by ruse or by accident--and once the British visitors are safely ensconced in the hotel restaurant, Leo and his old friend Topo launch into the lucrative scam that they invented as boys: storytelling to "sell" a viewing of treasures inside the local church.

The "miracle" is the stump of an ancient fig tree that once sheltered St Francis; and the "mystery" a luminous fresco by an anonymous artist, possibly Giotto. Leo is encouraged by his dramatic success. But in the night, an earthquake severely damages the church. Yielding to temptation, Leo "saves" the fresco by stealing it in large chunks and hiding it under his bed. Surely now he will have enough money to escape.

The old priest is grievously saddened and goes on a hunger strike to expiate his own sins, on which he blames the desecration. The priest is cared for by his niece, Marta. Embittered by her late husband's infidelity and early death, she frets over her two daughters: one dutiful but blind; the other healthy but headstrong. Marta already resents Leo for some transgression in their past; rightly guessing his crime, she demands that he "make a miracle" for the priest.

Topo and Leo invent several, ambitious but preposterous scenarios, each of which flops spectacularly. The priest good-naturedly overlooks (or fails to see) their transparent ploys; yet he manages to perceive miracles everywhere else in the everyday atmosphere of his beloved village. Of course, Leo returns the fresco, of course he stays, and of course he finds love with Marta after all.

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Four soldiers with a similar wound--laryngeal damage after being shot in the throat--share a room in a German military hospital during World War I. Each of them has a tracheostomy tube, and they can only speak by covering the opening of the tube with a finger. Because every breath or laugh generates the sound of a little whistle, these men are dubbed "whistlers" and their hospital room is named after them. The injured soldiers are Pointner, Kollin, Benjamin, and an 18-year-old English prisoner of war, Harry Flint. They undergo a series of painful surgeries (without anesthesia) to dilate the narrowed and scarred air passage.

The surgeon, Dr. Quint, is a compassionate man with incredible physical strength. He holds the "whistlers" in high regard. They in turn venerate the devoted surgeon. Pointner and Kollin die. Surgery on Benjamin and Harry is successful and their tracheostomy tubes are removed. They can now breathe normally and soon discover their new voices.

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While eating lunch in the hospital atrium, the retired doctor who narrates this story notices a boy in a wheelchair looking at him. The elderly physician and the youngster begin a conversation. The fourteen-year-old boy is terminally ill with cancer. The doctor quickly determines that the lad only has time left for honesty. The boy lies, however, about his name. He calls himself Thomas Fogarty but his real name is Tony. "What will you do on your last day on earth?" the moribund boy asks the narrator.

The doctor shares with Tony his own fantasy about dying. He envisions a former student who is now a great surgeon transporting him to an ancient forest. There he becomes part of the woods and keenly aware of the mystery of life. Soon his mind breaks with his body. Death is just "a painless transition."

Tony dies the next morning. He had dictated an unfinished letter to the doctor, and Tony's nurse delivers it to him. As a retired physician, the narrator has performed a valuable service by helping prepare the boy for death. As a writer, the narrator still hopes to save him. He has immortalized Tony by converting him into an enduring story.

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A young art student falls off a ladder and literally lands into the arms of a middle-aged doctor. Daisy Whimple is a poor, homeless woman with multiple body piercings. She has volunteered to decorate the Gynae Ward of the hospital where she had once been a patient undergoing surgery for a complicated abortion.

Dr. Damian Becket is an obstetrician and gynecologist. He is a lapsed Catholic who is separated from his wife. Becket is interested in modern art and attracted to an art historian, Martha Sharpin. The hospital has a collection of medical antiquities in need of cataloging. Some of the pieces are treasures but others are horrible relics. Martha is in charge of organizing the collection, and Daisy is paid to assist her.

Because she has nowhere to live, Becket invites Daisy to stay at his apartment. They make love every night for one week until she leaves. While attending an art exhibit, Becket and Martha spot a sculpture of the goddess Kali. The figure is comprised of artifacts "borrowed" from the hospital's collection including prosthetic arms, antiquated instruments, and body parts. It is designed by Daisy.

The sculpture is not the only unexpected thing created by Daisy. She is pregnant by Becket. Daisy requests an abortion but he insists that she have the baby. The pregnancy is almost miraculous given the damage done to Daisy's fallopian tubes from her previous abortion. It turns out to be a difficult delivery and Becket must perform it since he is the most qualified obstetrician at the hospital. The baby is a healthy girl. The newborn child radically changes the lives of Daisy, Becket, and Martha, yet the three of them have no clue what to do next.

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In this collection of poems, Alan Shapiro looks unflinchingly at his brother David’s illness and death from brain cancer in 1998. David was an actor and a "song and dance" man on Broadway, hence the title and the frequent allusion to songs and show business. The poems trace an arc from the two boys’ childhood, when they dance together lip-syncing to Ethel Merman’s "There’s No Business Like Show Business" ("Everything the Traffic Will Allow," p. 1) through the diagnosis of brain tumor ("Sleet," p. 8) to the poet’s "Last Impressions" after his brother’s death (p. 57).

The everyday, ordinary world bursts its seams as the poet sits in a radiology waiting room waiting for his brother to return from his "Scan" (p. 10) The poet tries to watch a basketball game on TV, but "soon as my brother’s name / was called" a woman sitting next to him begins to tell the story of her husband, who has turned into "a well trained zombie." Soon his brother David moves toward zombie-hood as well. In "The Phone Call" (p. 23), he listens to "the mangled speech, aphasic / pratfalls halfway through the / sentences . . . " that tells him "you can’t imagine it at all."

But brain damage doesn’t mean the loss of wisdom. In "The Last Scene" (p. 33) the poet sits beside his dying brother, who bestirs himself from somnolence to ask, "Do you think / you have a / problem?" "Look at yourself," he says, "how you sit here / drinking all alone."

David dies without missing a beat, according to the script, but his brother loses his place in the text; he simply doesn’t know his lines. In the beautiful "Broadway Revival" (p. 43), he concludes, "I play / the brother / who doesn’t know his lines, / and you the actor / who waits there in the wings, / who holds the script, / who knows it all / by heart and / will not say."

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Dr. Flaherty, a practicing neurologist, sets out to explore the act of writing and, more broadly, creativity, in the context of both neuroscience and emotion. She begins by describing several brain conditions that seem to enhance the need to write, even to the extent of obsessive hypergraphia. Next she turns to the opposite state, writer's block, looking at both psychological and neuroscientific perspectives.

Using some of the recent studies of the relationships between certain brain centers and language related phenomena, Flaherty further clarifies some of the cognitive bases for creating literature. Finally, the study turns specifically to the temporal lobe as the possible organic site of the perceived voice of the muse in religious and creative inspiration.

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