I think I have another seven April releases on the go that kind publishers have sent my way, but I’m so slow at finishing books that these two are the only ones I’ve managed so far. (I see lots of review catch-up posts in my future!) For now I have a travel memoir musing on the wonders of the New Forest and the injustice of land ownership policies, and a casebook of medical mysteries that can all be classed as culturally determined psychosomatic illnesses.
The Circling Sky: On Nature and Belonging in an Ancient Forest by Neil Ansell
After The Last Wilderness and especially Deep Country, his account of five solitary years in a Welsh cabin, Ansell is among my most-admired British nature writers. I was delighted to learn that his new book would be about the New Forest as it’s a place my Hampshire-raised husband and I have visited often and feel fond of. It has personal significance for Ansell, too: he grew up a few miles from Portsmouth. On Remembrance Sunday 1966, though, his family home burned down when a spark from a central heating wire sent the insulation up in flames. He can see how his life was shaped by this incident, making him a nomad who doesn’t accumulate possessions.
Hoping to reclaim a sense of ancestral connection, he returned to the New Forest some 30 times between January 2019 and January 2020, observing the unfolding seasons and the many uncommon and endemic species its miles house. The Forest has more than 1000 trees of over 400 years old, mostly oak and beech. Much of the rest is rare heath habitat, and livestock grazing maintains open areas. There are some plants only found in the New Forest, as well as a (probably extinct) cicada. He has close encounters with butterflies, a muntjac, and less-seen birds like the Dartford warbler, firecrest, goshawk, honey buzzard, and nightjar.
But this is no mere ‘white man goes for a walk’ travelogue, as much of modern nature writing has been belittled. Ansell weaves many different themes into the work: his personal story (mostly relevant, though his mother’s illness and a trip to Rwanda seemed less necessary), the shocking history of forced Gypsy relocation into forest compounds starting in the 1920s, biomass decline, and especially the unfairness of land ownership in Britain. More than 99% of the country is in the hands of a very few, and hardly any is left as common land. There is also enduring inequality of access to what little there is, often along race and class lines. The have-nots have been taught to envy the haves: “We are all brought up to aspire to home ownership,” Ansell notes. As a long-term renter, it’s a goal I’ve come to question, even as I crave the security and self-determination that owning a house and piece of land could offer.
Ansell speaks of “environmental dread” as a “rational response to the way the world is turning,” but he doesn’t rest in that mindset of despair. He’s in favour of rewilding, which is not, as some might assume, about leaving land alone to revert to its original state, but about the reintroduction of native species and intentional restoration of habitat types. In extending these rewilded swathes, we would combat the tendency to think of nature as something kept ‘over there’ in small reserves while subjecting the rest of the land to intensive, pesticide-based farming and the exploitation of resources. The New Forest thus strikes him as an excellent model of both wildlife-friendly land management and freedom of human access.
I appreciated how Ansell concludes that it’s not enough to simply love nature and write about the joy of spending time in it. Instead, he accepts a mantle of responsibility: “nothing is more political than the way we engage with the world around us. … Nature writing may often be read for comfort and reassurance, but perhaps we need to allow a little room for anger, too, for the ability to rage at everything that has been taken from us, and taken by us.” The bibliography couldn’t be more representative of my ecologist husband’s and my reading interests and nature library. The title is from John Clare and the book is a poetic meditation as well as a forthright argument. It also got me hankering for my next trip to the New Forest.
With thanks to Tinder Press for the proof copy for review.
The Sleeping Beauties: And Other Stories of Mystery Illness by Suzanne O’Sullivan
O’Sullivan is a consultant at the National Hospital for Neurology and Neurosurgery. She won the Wellcome Book Prize for It’s All in Your Head, and The Sleeping Beauties picks up on that earlier book’s theme of psychosomatic illness – with the key difference being that this one travels around the world to investigate outbreaks of mass hysteria or sickness that have arisen in particular cultural contexts. An important thing to bear in mind is that O’Sullivan and other doctors in her field are not dismissing these illnesses as “fake”; they acknowledge that they are real and meaningful, yet there is clear evidence that they are not physical in origin – brain tests come back normal – but psychological with bodily manifestations.
The case that gives the book its title appeared in Sweden in 2017. Child asylum seekers who had experienced trauma in their home country were falling into a catatonic state. O’Sullivan visited the home of sisters Nola and Helan, part of the Yazidi ethnic minority group from Iraq and Syria. The link between them and the other children affected was that they were all now threatened with deportation: Their hopelessness had taken on physical form, giving the illness the name resignation syndrome. “Predictive coding” meant their bodies did as they expected them to. She describes it as “a very effective culturally agreed means of expressing distress.”
In Texas, the author meets Miskito people from Nicaragua who combat the convulsions and hallucinations of “grisi siknis” in their community with herbs and prayers; shamans are of more use in this circumstance than antiepileptic drugs. A sleeping sickness tore through two neighbouring towns of Kazakhstan between 2010 and 2015, affecting nearly half of the population. As with the refugee children in Sweden, it was a stress response to being forced to move away – though people argued they were being poisoned by a local uranium mine. There is often a specific external factor that is blamed in these situations, as when mass hysteria and seizures among Colombian schoolgirls were attributed to the HPV vaccine.
This book was released on the 1st of April, and at times I felt I was the victim of an elaborate April Fool’s joke: the cases are just so bizarre, and we’re used to rooting out a physical cause. But she makes clear that, in a biopsychosocial understanding (as also discussed in Pain by Abdul-Ghaaliq Lalkhen), these illnesses are serving “a vital purpose” – just psychological and cultural. The first three chapters are the strongest; the book feels repetitive and somewhat aimless thereafter, especially in Chapter 4, which hops between different historical outbreaks of psychosomatic illness, like among the Hmong (cf. Anne Fadiman’s The Spirit Catches You and You Fall Down), and other patients she treated for functional disorders. The later example of “Havana syndrome” doesn’t add enough to warrant its inclusion.
Still, O’Sullivan does well to combine her interviews and travels into compelling mini-narratives. Her writing has really come on in leaps and bounds since her first book, which I found clunky. However, much my favourite of her three works is Brainstorm, about epilepsy and other seizure disorders of various origins.
With thanks to Picador for the proof copy for review.
What recent releases can you recommend?
I call it Book Serendipity when two or more books that I read at the same time or in quick succession have something pretty bizarre in common. Because I have so many books on the go at once (usually 20‒30), I suppose I’m more prone to such incidents.
Josh Cohen’s How to Live. What to Do, a therapist’s guide to literature, explains why this might happen:
More than one writer – the French poet Stéphane Mallarmé, the Argentinian writer Jorge Luis Borges – has advanced the exhilarating idea that each book is an infinitesimally small piece of one single, endless Book. I’ve always felt that this idea, unlikely as it might sound, makes perfect sense if you read enough novels [also nonfiction, for me]. The incidents, descriptions, phrases and images in the book you’re reading will always recall the incidents in another, and those in turn will call up the incidents in another, so that even as you’re reading one book, you’re reading countless others.
The following are in roughly chronological order.
- Mother‒baby swimming sessions in Some Body to Love by Alexandra Heminsley and The Still Point of the Turning World by Emily Rapp.
- [I think it would be a spoiler to even name them, but two novels I read simultaneously in January featured 1) a marriage / close relationship between a man and a woman – even though the man is gay; and 2) a character who beat his wife and then died in a convenient ‘accident’. One was published in 1997 and the other in 2020.]
- Stomas appeared in Dazzling Darkness by Rachel Mann and First Time Ever by Peggy Seeger late in my 2020 reading, and then in early 2021 in Pain: The Science of the Feeling Brain by Abdul-Ghaaliq Lalkhen and Love’s Work by Gillian Rose.
- An account of the author’s experience of ovarian hyperstimulation syndrome in Hormonal by Eleanor Morgan and I Miss You when I Blink by Mary Laura Philpott.
- Salmon fishing takes place in Snow Falling on Cedars by David Guterson and Kings of the Yukon by Adam Weymouth.
- The medical motto “see one, do one, teach one” appears in Breathtaking by Rachel Clarke and Complications by Atul Gawande.
- Filipino medical staff feature in America Is Not the Heart by Elaine Castillo and Breathtaking by Rachel Clarke.
- Twin Peaks is mentioned in The Fragments of My Father by Sam Mills and the anthology Trauma: Essays on Art and Mental Health; a different essay in the latter talks about Virginia Woolf’s mental health struggle, which is a strand in the former.
- St. Teresa of Ávila is mentioned in Heart by Gail Godwin and Sanatorium by Abi Palmer.
- The same Rachel Long poem appears in her debut collection, My Darling from the Lions, and The Emma Press Anthology of Love – but under different titles (“Portent” vs. “Delayed Gratification”).
- There’s a matriarch named Dot in Unsettled Ground by Claire Fuller and The Magician’s Assistant by Ann Patchett.
- There’s an Alaska setting in The Quality of Silence by Rosamund Lupton and Kings of the Yukon by Adam Weymouth.
- Becoming a mother is described as a baptism in Sanctuary by Emily Rapp Black and The Fragments of My Father by Sam Mills.
- While reading America Is Not the Heart by Elaine Castillo, I saw Castillo mentioned in the Acknowledgements of My Darling from the Lions by Rachel Long.
- Polar explorers’ demise is discussed in Ex Libris by Anne Fadiman and The Still Point by Amy Sackville.
- “Butterfingers” / “butter-fingered” is used in America Is Not the Heart by Elaine Castillo and The Clock Winder by Anne Tyler.
- There’s a mention of someone eating paper torn from books (the horror!) in Ex Libris by Anne Fadiman and The Clock Winder by Anne Tyler.
- I was reading three pre-releases at once, each of 288 pages: Milk Fed by Melissa Broder, Unsettled Ground by Claire Fuller, and A Town Called Solace by Mary Lawson.
- The Jewish golem myth is the overarching metaphor of Milk Fed by Melissa Broder and Golem Girl by Riva Lehrer.
- There’s a ceremony to pay respects to those who donated their bodies for medical school dissection in Maybe You Should Talk to Someone by Lori Gottlieb and Golem Girl by Riva Lehrer.
- An old woman with dementia features in The Living Sea of Waking Dreams by Richard Flanagan, Keeper by Andrea Gillies, and The Clock Winder by Anne Tyler.
- A mother dies of cancer on Christmas Day in This Party’s Dead by Erica Buist and The Fragments of My Father by Sam Mills.
- The main character does stand-up comedy in Milk Fed by Melissa Broder and This Party’s Dead by Erica Buist.
- Winning a goldfish at a carnival in The Air Year by Caroline Bird, A Feather on the Breath of God by Sigrid Nunez, and Anna Vaught’s essay in the Trauma anthology.
- ECT (electroconvulsive therapy) is mentioned in Adventures in Human Being by Gavin Francis and Woman on the Edge of Time by Marge Piercy.
- There’s a father who is non-medical hospital staff in The Push by Ashley Audrain (a cleaner) and A Feather on the Breath of God by Sigrid Nunez (a kitchen worker).
- There’s a character named Hart in The Wild Laughter by Caoilinn Hughes and The Birth House by Ami McKay.
- Cannibalism is a point of reference, a major metaphor, or a (surreal) reality in Mother for Dinner by Shalom Auslander, Eat or We Both Starve by Victoria Kennefick, and Light Perpetual by Francis Spufford.
- Infertility and caring for animals were two big themes shared by Brood by Jackie Polzin and Catalogue Baby by Myriam Steinberg. This became clearer when I interviewed both authors in February. Also, both women have shocks of pink hair in their publicity photos!
- A young woman works at a hotel in The Distance between Us by Maggie O’Farrell and My Dark Vanessa by Kate Elizabeth Russell (and The Glass Hotel by Emily St. John Mandel, which I read late last year).
What’s the weirdest reading coincidence you’ve had lately?
Three new books with medical themes (no surprise there), including the first Covid wave in the UK; fertility and body issues in a new queer family; and pain management strategies.
Breathtaking: Inside the NHS in a Time of Pandemic by Rachel Clarke
Clarke is a palliative care doctor based in Oxfordshire. She runs the Katharine House hospice but during the coronavirus pandemic has also been on active duty in the Oxford University Hospitals system. If you’re on social media you have likely come across some of her postings as she has been equally vocal in her praise of the NHS and her criticism of Boris Johnson’s faltering policies, which are often of the too little, too late variety. So I was eager to read her insider’s account of hospital treatment of the first wave of Covid in the UK, especially because her previous book, Dear Life, was one of my top two nonfiction releases of last year.
The focus is on the first four full months of 2020, and the book originated in Clarke’s insomniac diaries and notes made when, even after manically busy shifts, she couldn’t rest her thoughts. Her pilot husband was flying to China even as increasingly alarming reports started coming in from Wuhan. She weaves in the latest news from China and Italy as well as what she hears from colleagues and disease experts in London. But the priority is given to stories: of the first doctor to die in China; of a Yorkshire ICU nurse’s father, who comes down with Covid and is on a ventilator in an Oxford hospital; and of her patients there and in the hospice. She is touched that so many are making great sacrifices, such as by deciding not to visit loved ones at the end of their lives so as not to risk spreading infection.
A shortage of PPE remained a major issue, though Dominic Pimenta (whose Duty of Care was my first COVID-19 book) pulled through for her with an emergency shipment for the hospice – without which it would have had to close. Clarke marvels at the NHS’s ability to create an extra 33,000 beds within a month, but knows that this comes at a cost of other services, including cancer care, being stripped back or cancelled, meaning that many are not receiving the necessary treatment or are pushing inescapable problems further down the road.
A comparison with Gavin Francis’s Intensive Care, published earlier in the month, is inevitable. Both doctors bounce between headlines and everyday stories, government advice and the situation on the ground. Both had their own Covid scare – Clarke didn’t meet the criteria to be tested so simply went back to work two weeks later, when she felt well enough – and had connections to regions that foreshadowed what would soon happen in the UK. Both give a sense of the scope of the crisis and both lament that, just when patients need compassion most, full PPE leads to their doctors feeling more detached from them than ever.
However, within the same page count, Francis manages to convey more of the science behind the virus and its transmission, and helpfully explores the range of effects Covid is having for different groups. He also brings the story more up to the minute with a look back from November, whereas Clarke ends in April and follows up with an epilogue set in August. A book has to end somewhere, yes, but with this crisis ongoing, the later and more relevant its contents can be, the better. And in any book that involves a lot of death, mawkishness is a risk; Clarke so carefully avoided this in Dear Life, but sometimes succumbs here, with an insistence on how the pandemic has brought out the best in people (clapping and rainbows and all that). Her writing is as strong as ever, but I would have appreciated a sharper, more sombre look at the situation a few months later. Perhaps there will be a sequel.
With thanks to Little, Brown UK for the free copy for review.
Some Body to Love: A Family Story by Alexandra Heminsley
From Heminsley’s previous book, Leap In, I knew about her getting married and undergoing IVF. It was also a book about outdoor swimming; I appreciated her words on acquiring a new skill as an adult and overcoming body issues. This memoir continues the story: in 2017, after a gruelling journey through infertility treatment, Heminsley finally got the baby she wanted. But not before a couple more heart-wrenching moments: the lab made an error and notified her that she shared no DNA with this last embryo, and while heavily pregnant she was assaulted by a drunk man on a train. Both incidents left her feeling a loss of agency. “Why was I consistently being deemed the least reliable witness of my own reality?” she asks.
As they adjusted to new life with a baby, Heminsley started to notice that she wasn’t connecting with her husband, D, like she used to. She felt emotionally unsupported and, in fact, jealous of D’s relationship with their son, L. And while they’d never been the most conventional couple, D’s changes of appearance and wardrobe seemed like a sign of something bigger. Indeed, when L was six months old, D told Heminsley, “this body doesn’t represent who I am” and announced a decision to begin transitioning.
As D moved towards having a body that fit their identity, Heminsley, too, needed to get back in touch with her body. After books like Running Like a Girl, she was considered an exercise guru, but she didn’t see herself in the new obsession with Instagram-ready images of fitness perfection. This is not, then, primarily a memoir of queer family-making, because D’s transitioning was not Heminsley’s story to tell and mostly occurs in the background. Instead she focuses on what she does know and can control: her relationship to her own body.
However, this entails what can feel like irrelevant flashbacks to her teenage years of undergoing rehab at a military clinic in Germany for hypermobility, trips to Trinidad and Italy, and the genesis of her two sporting memoirs. Much as I applaud the sensitivity to trans and body issues, the book ends up feeling scattered. Still, the writing is so candid and the narrative so eventful that you’ll race through this even if you don’t normally pick up nonfiction. (For a bit more information, see my short write-up of the virtual book launch.)
With thanks to Chatto & Windus for the free copy for review.
Pain: The Science of the Feeling Brain by Abdul-Ghaaliq Lalkhen
Originally from South Africa, Dr Lalkhen is an anaesthesiology and pain specialist based in Manchester. In a nutshell, his approach is “biopsychosocial,” meaning that he seeks to understand pain not just as a physical phenomenon resulting from acute injury or damage but as an ongoing process that is affected by emotional and psychological factors. Particularly in the context of chronic syndromes, he acknowledges that pain can continue even when its immediate cause has been repaired. Mental preparation can come into the equation: if a patient assumes they’ll wake up from surgery healed, they may be alarmed if pain persists. Lalkhen talks about managing patient expectations, perhaps with something as simple as the promise, “we’ll aim to get your pain down to a 4 after surgery.” In part, he blames Western society’s Cartesian philosophy for treating mind and body as separate rather than a system.
There are genetic and psychological reasons people might be predisposed to chronic pain. Pain itself can then change the brain chemistry, making the body more alert to pain signals. People can choose one of three paths, Lalkhen observes: “You can spend your time agitating about the alarm going off, you can try to ignore it (but the ignoring of it actually takes up more energy), or the final alternative is to learn to live with this deeply unpleasant situation.” Those who opt for pharmacological solutions can become addicted to opiates, which are less effective over time. Non-drug-related therapies involve the desensitization of nerves, the injection of anaesthetics or steroids, or the implanting of spinal cord stimulators. But all of these strategies have their limitations, and can diminish in efficacy. The patients he sees in his pain clinics may be disappointed that, rather than offering a panacea, he wants to wean them off their current pain relief and help them develop a new way of thinking about pain.
I felt I learned a lot from reading this. Lalkhen is careful to state that he is only referring to non-cancer pain (cancer pain in terminal patients will take all the morphine you can throw at it). Like many physicians, he worries about the modern epidemic of overtreatment and our obsession with wellness. I especially enjoyed the discussion of the understanding of pain and its treatment from the ancient world onward, and in particular the history of opiates. The prose is not literary, but this is an accessible and informational read if the subject matter draws you.
With thanks to Atlantic Books for the free copy for review.