Summary:

The narrator describes a housecall to a woman in labor. It is past midnight in winter time when the road is frozen. The doctor enters the house where the "great woman" is in misery; she is "sick," "perhaps vomiting," about to give birth to her tenth child. He exclaims to the reader "Joy! Joy!" knowing that the situation is as bleak as the wintry landscape, and, in fact, joyless. He will offer compassion and "pick the hair from her eyes."

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This small chapbook consists of six relatively long poems, all dealing with the experience of nursing. "What the Nurse Likes" presents striking images and juxtapositions that turn ordinary actions into mysterious aspects of healing. In "Becoming the Patient" Cortney Davis, who is "tired of being the nurse," empathetically identifies with her patient.

"The Body Flute" sings of the body itself, "I go on loving the flesh / after you die." The nurse works with the visible parts of the body--touches, washes, inserts, and smoothes--during life and death. "At death," she concludes, "you become wholly mine."

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Divided into three titled sections: "What Man Might Kill," "The Nurse's Task," and "The Body Flute," the poems in this volume detail moments in the life of a nurse who is also a mother who once [in imagination] dragged her daughter from a wrecked and burning car; a daughter who stood on the stairs and listened to her mother's voice; and a lover who is aware of how her own trained clinical gaze and the gaze of desire sometimes intersect.

The poems range from a whimsical reverse-reel footage of memories that reach back to the moment of conception in "The Smoke We Make Pictures Of" to a scene from childhood when she was rushed to the hospital and came home vowing to love like the "women in white bright enough to burn / running with me in their arms"--a love she describes as "Fierce. / Physical," to a poem that imagines the life of the murderer, to poems that let us into the intimacy of a nurse keeping vigil by the dying, cleaning shriveled bodies, attending women giving birth. "I Hear the Cries of Women" is a litany of memories of "Women in the clinic waiting room" who "wanted to please / wanted to be whole / had no choice / couldn't speak / wasn't heard."

Stark and striking, these poems revel in language that calls suffering by its many names. They alter the distances we keep on pain, reframe what we are repelled by and honor the gritty, sometimes gory work of nurses who are willing to imagine the lives of their patients and lean close over the stink of decay to bless the dying.

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The aging and isolated Austin Fraser paints vividly realistic images inspired by his past; he then covers them with a filmy top coat that obfuscates the clarity. His housekeeper thinks he spoils his work with this "style."

Son of a privileged mining magnate, he spent his summers on the northern shores of the Great Lakes, and his winters in upstate New York. His model, Sara, opened her life to him, and waited. He took without giving in return. His good friend George, destined to inherit his father's China Hall, is satisfied, it seems, with a meager life in porcelain painting and selling--trite, cozy images that Austin scorns. They both remember Vivian, a beautiful sophisticate who floated through their lives one summer long ago. Austin has been away in the big city for many years, but he has a hankering to see George again. Vivian reappears and goads Austin to make the journey back in time.

Wounded in the war, George has found a partner in Augusta--a fragile nurse, haunted by her horrifying war experience and addicted to morphine. But when George is confronted with Vivian again, the peaceful stability vanishes. To his amazement, Austin discovers that George had actually married Vivian that summer, but she left him at the urging of his mother. Her return opens painful wounds. After a night of recollection with Austin, Augusta slips away. Austin waits downstairs while she overdoses on morphia. George finds her dead and takes his own life too. Austin has the bodies removed.

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The epigram of this poem is a quotation from The Aeneid in which Virgil describes the infants seen by Aeneas at the entrance of hell. The babies had been "torn from their mothers' breasts" and died before their time. This 96-line poem (24 quatrains) begins with the observation that there has never been a poem written in praise of an antibiotic. Poets waste their time on "emblems" rather than the "real thing."

At this point Sappho appears and conducts the author down into hell, which is somewhat like "an oppressive suburb of the dawn," and she peers across the river to see hordes of women and children who had died of cholera, typhus, croup, and diphtheria. Sappho tells her that these women should not be defined as ciphers--court ladies or washer women--but rather as women who once "stood boot deep in flowers once in summer / or saw winter come in with a single magpie / in a caul of haws." The dead were once real people with their own life stories; real women, rather than aging statistics. The author will remember "the silences in which are our beginnings." [96 lines]

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In the first section of the book ("Rejected Prayers"), Liveson proves that the prayers were not rejected; rather, they resulted in a group of thoughtful and moving poems. These poems speak eloquently of suffering patients, especially the elderly and neurologically compromised; for example, "Jenna," wearing her "diapered dress" (p. 16), "Sonnet to Sarah," who "lets her fingers trace the pattern on the wall," (p. 20), and the patient in "Praxis," whose "smile was rare but even" (p. 21).

These poems also speak passionately of social and historical pain, and of injustice writ large. Some of the most powerful are in the section called "Before the Plaster Sets," with which the book ends: "My First Death" (p. 63), "Holocaust Torah" (p. 66), and "Yom Kippur, 5760--Musaf" (p. 68).

The latter poem is a kind of contemporary re-envisioning of Allen Ginsburg’s 1956 poem "America." Jay Liveson writes, "Yom Kippur, this is serious. We sit here / hoping to somehow tune the engine / or at least check the map." Is tuning the engine enough? Perhaps we are fooling ourselves; much more needs to be done. How can we be content to sit and tune the engine in this unjust world? Perhaps the poem that speaks this theme most eloquently is "Statistical Causes of Traumatic Shock Syndrome in Gaza--Chart VII" (p. 72).

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Narrative competence is important for effective health care practice. By "narrative competence" I mean mastering a wide array of narrative skills, ranging from active listening and empathic responding in the client-practitioner interaction to reflective writing about one's professional experience. In the author's first book (The Therapeutic Potential of Creative Writing: Writing Myself, see this database), she explores the potential of creative writing as an aspect of therapy, and also presents some introductory writing skills. This book overlaps somewhat in covering the background for reflective practice, but focuses in considerably more detail on skill building.

Near the beginning of the book, Bolton presents a clear summary of "The Principles of Reflective Practice" (chapter 2). Recognizing that therapeutic writing is often accomplished in a group setting, the material on "Group Processes and Facilitation" (chapter 4), "The Creation of a Team" (chapter 5), and "Assessment, Evaluation, Mentoring and Values" (chapter 6) serves to introduce the last 100 pages of the book, which address specific writing skills, beginning with "How to Begin Writing" (chapter 8).

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The poem, a domestic epic, employs the convention of in medias res. The central issue, the death of a child, has not been addressed by the parents whose lives are in strange suspension. A staircase, where the action of the poem occurs, symbolizes both the ability of husband and wife to come together and the distance between them.

In their first discussion of this traumatic event, readers learn that the child was buried in the yard by the father during the New England winter, while the mother watched from a window in the staircase landing, stunned by her husband's steadfast attendance to the task. His energy and "carelessness" at a time when she was shaken and immobilized by grief was incomprehensible and infuriating. The husband, meanwhile, has grieved in a different way, reconciling the death of his child to fate and the caprices of nature.

When the poem opens, their separate interpretations and feelings finally are expressed, and each is surprised by what the other says. The husband speaks from the bottom of the stairs, she from a step just above the landing. Significantly, they don't come together on the architectural bridge and, when the poem concludes, readers are not assured that this marriage will regain the closeness it might have had prior to the child's death. The highly dramatic poem underscores the impact of loss and the need for communication or discussion of loss by those involved. When no reconciliation occurs, the loss intensifies to become destructive.

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A doctor is called to the home of a poor, immigrant family. A beautiful little girl is quite ill. As diphtheria has been going around, the doctor attempts to examine her throat. The girl, however, won't open her mouth. She fights him off and all attempts to cajole her into compliance fail. Yet, the doctor is resolved to see that throat. He forces the girl's father to hold her down, while he manages to wrest open her mouth after a long battle. She does, in fact, have diphtheria.

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The poet as a young girl sits in a dentist's office in Worcester, Massachusetts, waiting for her Aunt Consuelo, who is being treated. She looks at the exotic photographs in National Geographic magazines--volcanoes, pith helmets, "babies with pointed heads," and "black, naked women with necks / wound round and round with wire." The girl hears her aunt cry out in pain. Suddenly, she has a revelation, "you are an I, / you are an Elizabeth, / you are one of them," a person. In some mysterious way, they were all bound together, even the women with "those awful hanging breasts."[99 lines]

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