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DESCENT

A MEMOIR OF MADNESS

A slim addition to a long bookshelf on depression.

A writerly account of the downward spiral of clinical depression.

Writing about one’s own depression presents unique challenges. Sinking into the abyss typically renders the writer incapable of writing, so such memoirs are almost invariably written well after the fact, with the writer describing what, at the time, seemed an affectless void. Prize-winning novelist Guterson (Ed King, 2011, etc.) differs from many in knowing specifically what triggered his depression and exactly when it started. He was in Washington, D.C., during the attacks of 9/11 and found himself not only devastated, but wondering how others could resume their lives, almost as if nothing had happened: “Anyone not despondent, I believed, was wearing blinders. The rightness of unhappiness was obvious and clear. The only reasonable response to the world was an overwhelming and excruciating sadness; everything else was willful delusion.” Reasonable enough, but neither his drive home to Washington state nor the months that followed lifted his spirits. Guterson consulted therapists, took pills and pondered suicide. It’s impossible to criticize the recovery and catharsis reflected in this manuscript, but it’s plain that he’s no longer at a loss for words and that those words seem self-consciously literary. Of discussing his condition with his family, he writes, “There is such a thing as filial indulgence and a manner of discourse possible between siblings that’s possible nowhere else. In other words, our dialogue was fraught with complication to the point of a compelling Freudian mootness.” Only in the last few pages does he turn the corner toward a recovery more gradual and less specifically causal (pills? time? love?) than the shock that blindsided him.

A slim addition to a long bookshelf on depression.

Pub Date: Sept. 10, 2013

ISBN: 978-0-8041-6925-7

Page Count: 80

Publisher: Vintage

Review Posted Online: Aug. 11, 2013

Kirkus Reviews Issue: Sept. 1, 2013

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NIGHT

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...

Elie Wiesel spent his early years in a small Transylvanian town as one of four children. 

He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions. 

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance.

Pub Date: Jan. 16, 2006

ISBN: 0374500010

Page Count: 120

Publisher: Hill & Wang

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Jan. 15, 2006

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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