Summary:

A theatre classic about a dysfunctional family, whose summer on the shore is flawed by alcohol, tuberculosis, drug addiction, and denial of all of the above. Considered by biographers to be highly autobiographical, the plot of the play centers about the progressive retreat by wife and mother into drugs as her husband and sons pretend they do not see. Alcohol abuse among the men of the family contributes to the rising tension in the work, as does increasing concern about one son’s tuberculosis. The action and psychological power of the play accelerate steadily through the first three acts, then climax with recognition of the brutal realities in the final act.

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A one-armed tramp, appropriately named "Mr. Shiftlet," walks up to a run-down farm where an old woman and her retarded daughter, Lucynell, are sitting on the front porch. Lucynell cannot talk. Mr. Shiftlet persuades the old woman to hire him for work around the farm and for repairing a car. She says she can feed him but not pay him. Over a period of a few weeks he repairs the car (which is what he really wants) and offers to marry Lucynell if her mother will give him some money.

After the wedding Mr. Shiftlet takes Lucynell on a honeymoon, but abandons her in a country diner the first day, claiming she’s a hitchhiker. As he drives towards Mobile, he picks up a boy and begins to lecture him about being good to his mother. The angry boy jumps out of the car, and Mr. Shiftlet prays that God will "break forth and wash the slime from this earth."

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Losing Julia is narrated by Patrick Delaney, age 81, a World War I veteran, who lives, somewhat independently, in Great Oaks, an assisted living facility. Still able to go into town to get new clothes, books, etc. and enchanted with the kindness and loveliness of Sarah and other female staff members, the well-educated and quick-witted protagonist offers a fresh perspective on "institutional" care.

Much of Patrick’s story, however, concerns Daniel, a war-time buddy, and other soldiers in his embattled unit prior to and during the hellacious Battle of Verdun. Several soldiers are carefully and memorably drawn by the stories they tell about life at home and their aspirations. Daniel stands out as Patrick’s closest friend in the trenches, a young man who is courageous, rational, fearful, and in love with Julia.

Like his peers, Patrick listens to Daniel’s lyrical recollection of the woman others can only imagine. Patrick realizes that he has fallen in love with Julia’s image. Most of the men, including Daniel, are killed brutally in one of the war’s most savage battles. When Patrick’s post-war efforts to find the elusive Julia fail, he marries, works as an accountant, and has two children. Like the war, Julia remains, however, a constant shadow throughout his life.

When a war monument is constructed ten years later on the site of the last atrocious battle, Patrick, his wife, his toddler son, and his sister-in-law journey to Paris. With his family happily detained in Paris, Patrick goes to Verdun alone for the monument’s unveiling ceremonies with many other veterans and grieving family members. It is here that Julia appears and the two become lovers during the time at Verdun and then for a short time in Paris.

The story, non-sequential in its presentation, weaves the various elements of aging, memory, war, love, and loss together for readers to untangle and follow.

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Although the title suggests a letter, this prose poem is written more as a dramatic monologue. The speaker speaks to his wound ("my dear") as though it were a jealous lover. Written some 18 months after a diagnosis (which is left unclear), the poem allows the speaker to think back over the time, reflecting on "what a great change has come over us recently", meaning a new kind of maturity, of empathy, brought about by the speaker’s suffering. The "letter" ends with the speaker’s remark to his wound: "The surgeon was dead right. Nothing will ever part us. Good-night and God bless you, my dear. / Better burn this."

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This is a story of injury in the midst of exuberant good health, followed by a progressively darkening journey. The writer experiences a period of isolation from normal life by his hospitalization, isolation from a part of his body by neurosensory damage to the injured leg, isolation from the security of medical colleagues by their insensitivity to his anguish. Sacks reaches a psychological nadir before beginning his return. He chronicles, retrospectively, the stages of this trip. As in the classical journey myths, the traveler returns with new insight and an altered vision of the meaning of disease.

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An epigraph preceding this 28-line poem, apparently from notes by the physician-writer’s physician-father, sets the action of the poem in Wales in 1938. In the operating room, the surgeon attempts to locate the brain tumor of a patient who was under only local anesthesia because of his blood pressure. In those days in that place, finding the tumor was a "somewhat hit and miss" procedure that seems to have involved looking for it with one’s fingers.

A grotesque image, but all goes well until the patient, in a "gramophone" or "ventriloquist" voice not his own, cries out, "Leave my soul alone, leave my soul alone!" The doctor withdraws from the brain, but the patient then dies, after which the mood in the operating room is shocked and speechless, as "silence matched the silence under snow."

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This poem captures the last thoughts and sensations of a person on her death bed. Surrounded by mourners who are bracing themselves for her death, the narrator’s focus as she dies is on the most mundane of living creatures: a buzzing fly. The final ebb of consciousness is depicted as a loss of light and sight: "And then the Windows failed--and then / I could not see to see--."

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The narrator describes the disorientation felt as she attempted unsuccessfully to organize her thoughts. The "sequence [of thoughts] ravelled out of reach / Like balls upon a floor."

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The narrator, who has narrowly escaped death, feels as if there were "odd secrets . . . to tell" to the world of the living. She speculates about her next (and last) encounter with death, anticipating it with curiosity, and resigning herself to the "slow tramp [of] the centuries."

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Sontag argues against the use of illness as metaphor. She states her main point on the first page of this long essay : "The most truthful way of regarding illness--and the healthiest way of being ill--is one most purified of, most resistant to, metaphoric thinking."

Tuberculosis and cancer serve as her two central examples of the human tendency to use metaphoric thinking about illness. In the 19th century, tuberculosis was considered a disease of passion, of "inward burning," of the "consumption" of life force. Sufferers were thought to have superior sensibility; the illness purified them of the dross of everyday life. The romantic image of the TB sufferer became "the first widespread example of that distinctively modern activity, promoting the self as an image" (p. 29). Metaphoric thinking about TB declined in the early part of the 20th century as the disease succumbed to science and public health measures.

Cancer has now become the predominant disease metaphor in our culture. Cancer is considered a disease of repression, or inhibited passion. The cancer sufferer characteristically suppresses emotion, which after many years emerges from the unconscious self as malignant growth. As in Auden’s poem, Miss Gee, reproduced on page 49, (see annotation in this database): "Childless women get it, / And men when they retire . . . . " Sontag uses the 19th century view of insanity as another example of malignant metaphoric thinking, while metaphor related to syphilis was somewhat more benign. She concludes the essay with an eloquent prediction that, as we learn more about the etiology and treatment of cancer, its metaphorical system will die on the vine. (I wonder if Sontag would consider my "die on the vine" an appropriate metaphor here?)

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