Summary:

Mackay’s story begins in the 1940s when, at age 5, he was sent to a "boarding school" run by the Catholic order of the Pauline Brothers. Mackay’s mother had herself been institutionalized for paranoid schizophrenia and his father was not in the picture. In the school Mackay was exposed to pervasive violence: "intramural" violence wherein the stronger children taunted and beat up the weaker ones; classroom violence in which the instructors slapped or beat with a razor strop those boys they deemed to be errant in any respect; organized boxing matches; and, most feared, "statutory evening punishment" where students had been selected out by a Brother to be humiliated and beaten after the evening meal and prayers. The latter violence was characterized by "the absence of mercy" and a sadistic ritualism that induced "sick-making terror" in its victims.

We follow Mackay through additional episodes of violence as he progresses through delinquent adolescence--now living in a welfare hotel with his mother--through a stint in the Navy, marriage and fatherhood, and, finally, to an episode in the New York City subway that is the crisis point of the story. In the Navy he is once again victimized by a drill instructor who humiliates Mackay into losing the "instinctive cringe" he had developed during his years at the institution.

Mackay reads in the newspaper that an old buddy--"they had suffered shame and pain together that could never be explained to anyone (38)"--has been murdered in the subway while coming to a woman’s aid. Mackay is terribly troubled by this incident, not only because of the earlier close relationship, but also because he finds himself intrigued by the story. A year later, Mackay is in a similar situation--in his presence, a well dressed but deranged man is threatening a woman in a subway station.

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Dr. Gachet looks beyond the viewer with melancholy gaze. His eyes, drooped with sadness, appear to search resignedly for something in the distance; his skin tone is sallow. He rests his head on one hand, while the other hand rests precariously on the table beside him. Lines of color swim around and through the doctor--a technique distinctive to Van Gogh--all of which are directed almost uniformly towards the top left corner of the painting. Amidst this hubbub of color and energy, the Doctor rests impassively in what seems a commentary on his mental health.

Upon the red table rest two books and a vase of flowers. The books are titled Germinie Lacerteux (1864) and Manette Salomon (1867-68) and were written by two brothers who worked in close collaboration, Edmond and Jules de Goncourt. According to M. Therese Southgate, the books may thus represent the close relationship between Vincent van Gogh and his brother, Theo, which Southgate calls "symbiotic, and eventually tragic" (Theo became insane after Vincent's death and died six months later). (See page 207 of alternate source.) The vase contains flowers of foxglove, from which the heart medication digitalis is derived. The flowers, therefore, may represent the physician aspect of Dr. Gachet.

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Written with controlled elegance, this is an absorbing autobiographical account of psychiatric hospitalization. Twenty-five years after the fact, the author describes the two years during her late adolescence in which she "slip[ped] into a parallel universe." The surreal nature of the experience is reflected in darkly comedic recollections of her inner life, the other patients, their families, the staff, and of forays into the outside world.

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James Norton travels from Boston to Paris at his domineering mother's urging to bring home his fragile sister, Ellie, and their journalist brother, Rafael. He discovers Rafael devastated by the death of his Jewish lover, Olympe. Suicide, accident, or murder? Ellie is confined to a wheelchair owing to an unexplained paralysis. James is drawn into finding solutions to both problems and his investigations lead him to seedy brothels, the bureau of a hypnotist, the morgue of aspiring neurologists, and the wards of la Salpetrière, the famous neuropsychiatric hospital for women. The autopsy reveals that Olympe had been pregnant and the questions about her death multiply. The exoneration and return to France of Dreyfus plays as a backdrop.

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The novel is set in a small, Southern town. Velma Henry, a long-time civil rights activist and feminist, sits in a hospital gown on a stool listening to the musical voice of Minnie Ransom. Old Minnie is a healer; she heals people by contacting the points of physical or psychical pain in her patients and relieving them. She is helped by her spirit guide, Old Wife. Scars heal and wounds close in minutes under her touch.

Velma needs her help because she has just tried to kill herself, sick of the painful fight for change that never comes. Her healing takes a long time, for Minnie must first convince her that she wants to be cured. The two are surrounded by tourists, doctors, and passers-by. They are in a clinic that focuses on traditional medicines of all kinds. The novel describes the inner-healing process of Velma, the efforts of Minnie and the thoughts of people looking on or associated with the scene.

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Four lonely individuals, marginalized misfits in their families/communities, each obsessed with a vision of his or her place in the world, collect about a single deaf-mute with whom they share their deepest secrets. An adolescent who desires to write symphonies, an itinerant drunk who believes he must organize poor laborers, a black physician whose desire is to motivate his people to demand their rightful place in American society, and a cafe owner whose secret wish is sexually ambiguous, believes that the deaf Mr. Singer understands and validates his or her obsession. Singer, ironically obsessed with a friendship of questionable reciprocity, commits suicide when the friend dies.

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Chekhov wrote The Shooting Party during his final year in medical school, and it was published serially in 32 weekly segments during 1884 to 1885. The book's plot is essentially a murder mystery, although in its depictions of setting and character the story anticipates Chekhov's mature style.

"The Shooting Party" is the name of a manuscript that an unknown author, who appears out of nowhere, begs a publisher to read and publish. The author agrees at least to read it, and the author says that he will return in three months for the verdict. The body of the book then is this mysterious manuscript, which is written as a first person narrative. Its narrator and central character is the author recounting his own experience. In a "Postscript" the publisher tells us what happened when the author's returned three months later.

The narrator is the local magistrate in a rural region. His good friend and drinking partner, Count Alexei, has an estate nearby. Count Alexei's bailiff, Urbenin, is a middle-aged widower with two children. Also living on the estate are Nikolai Efimych, an old retainer who has gone crazy, and his beautiful daughter Olga. During the first part of The Shooting Party we learn that Count Alexei is a drunk and a lecher; Urbenin is a decent, hard-working, and lonely man; and Olga is caught between her presumably "true" love of the narrator and her desire to advance in life by marrying Urbenin. However, after marrying the bailiff, she takes another step upward by leaving her husband for a live-in affair with the Count, meanwhile secretly protesting her love for the narrator.

The climax occurs during a hunting party in the woods, when Olga goes off by herself and is later found murdered. All the evidence leads to her husband as the culprit. When an unexpected witness who might be able to implicate a different killer appears, the witness himself is mysteriously murdered. At the end of the manuscript, Urbenin is convicted of murder and sent to prison. However, in the "Postscript" the publisher, who proves to be a far better detective than the narrator/magistrate, identifies the real killer from clues that he has observed in the manuscript.

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Nathaniel Lachenmeyer’s memoir is a reconstructed account of his father Charles’s battle with paranoid schizophrenia and Nathaniel’s inability or unwillingness to recognize his father’s need for help. After his father’s death, Nathaniel contacted many of the people who had known his father, both when he was a student and college professor and later when his illness forced him into mental hospitals, squalid apartments, and homeless living on the streets. Nathaniel’s search to understand his father after his death led him to interview the many health care workers, police, street people, restaurant staff, and others who knew Charles when he was very ill.

Charles was delusional, often hearing voices and talking to his mother, who had been dead for years. Typical of people suffering from paranoid schizophrenia, Charles did not see himself as mentally ill. Therefore he did not like to take medications and would refuse treatments when he could, although his health care workers could see substantial changes for the better when he was on medication. He believed he was the victim of a mind control experiment, forced on him by his persecutors. He died out of touch with his family, having suffered almost twenty years on his own with his illness.

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The artist faces the viewer at a slight angle. He wears a bandage across his ear and under his chin, a purple and black winter cap upon his head, and a green overcoat with only the top button fastened. His sallow skin, in combination with the bandage, makes clear that the artist is unwell. In the background, upon a yellow wall, hangs one completed painting, vibrant and colorful, depicting a landscape and three women. Another painting that is only a sketch sits on a wooden easel to Van Gogh's right. A small section of a large window is visible on the right side of the painting.

Every color used to paint Van Gogh's person and clothing finds its pair in his surroundings: the purple of his hat couples with the window, his yellow skin couples with the wall, his overcoat and eyes pair with the landscape in the painting on the wall, and the white of his bandage complements the sketch behind him.

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Shannon Moffett, a medical student at Stanford University School of Medicine, became fascinated with the brain during her anatomy and neurobiology courses. She set off across the country to interview people--scientists, doctors, patients, ethicists, and religious leaders--who devote their careers trying to understand the brain and cognition. With infectious enthusiasm and energy, Moffett brings the reader to meet these dedicated people, their work, their theories and their lives.

The book contains eight chapters and hence eight mini-biographies: 1) neurosurgeon Roberta Glick, 2) cognitive neuroscientist and brain imagist John Gabrieli, 3) Francis Crick (of DNA double helix fame) and Christof Koch--scientists studying consciousness, 4) sleep researcher Robert Stickgold, 5) Judy Castelli who has dissociative identity disorder (multiple personality disorder), 6) philosopher Daniel Dennett, 7) neuroethicist Judy Illes, and 8) Zen monk Norman Fischer.

Separating the chapters are "interludes" that map neural and brain development from conception to death. The book has a reference list for each chapter and a complete index, as well as a web resource (www.shannonmoffett.com) to which the reader is directed for graphics.

The writing is compelling, direct, fresh and insightful. For example, in "Touching the Brain," we follow the exhausting lifestyle of an academic neurosurgeon who works at Cook County Hospital in Chicago as she performs surgery, teaches, attends services at a temple, drives her car, takes care of her family including two young children, rounds on patients, hosts a potluck dinner, and simultaneously discusses her reading, travel and spirituality.

Moffett aptly describes Glick with her "waist-length red hair, ... beaten-metal earrings dangling almost to her shoulders and a saffron batik dress" as someone you'd "expect to find reading storybooks to kindergartners in a public library" (8). In fact, it is Moffett's eye for accessible detail that makes not only the people, but also neuroscience come alive. Artfully woven into the text are lessons on the history of brain research and current understanding (and questions) about the brain, its meaning and function.

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