In this story the doctor seems initially to be compassionate, albeit blunt and prejudiced. He is an acute observer of human nature. He knows what he has to do to achieve his goal. When he is frustrated by the patient, he becomes angry and reveals an odd but perhaps necessary attraction to violence. In a sense, he enjoys forcing and injuring the girl. He did the "right" thing technically, perhaps his patient benefited, but did he do the right thing? Were his actions ethical or perverted?

Editor's Note: For those reading Williams in a literature and medicine context, Hugh Crawford's book, Modernism, Medicine, & William Carlos Williams (annotated in this database), may be of interest. Also of interest is Brian A. Bremen's chapter (3), "Modern Medicine," in his book, William Carlos Williams and the Diagnostics of Culture (New York: Oxford University Press, 1993). Bremen argues that "The Use of Force" illustrates Williams's insistence on incorporating "occult" knowledge into his (empathic) "diagnostics" and contrasts it with the (self-deceptive) scientific objectivism of the neurologist-writer, S. (Silas) Weir Mitchell.