And Finally by Henry Marsh & Sinkhole by Juliet Patterson
As I mentioned about my first batch of September releases, the nonfiction was on two broad themes: books about books (two still to come), and books about death (with What Remains? by Rupert Callender still to come). Here’s two from the latter camp.
And Finally: Matters of Life and Death by Henry Marsh
Marsh is a retired brain surgeon and the author of Do No Harm, one of the very best medical memoirs out there, as well as Admissions. As he was turning 70 a couple of years ago, two specific happenings prompted this third book. One: he volunteered for a brain scan as part of a medical study and, though he was part of a healthy cohort, was appalled at the degeneration his results showed. The other was that, after years of ignoring symptoms, he was diagnosed with advanced prostate cancer and a someday, far-off mortality started to seem a lot closer. The pandemic amplified his health worries and sense of isolation, so he threw himself into various domestic projects like clearing his loft, home renovations, and remodelling his daughter’s dollhouse to give to his beloved granddaughters.
As in Admissions, the book flits between topics: the hypoxia he experienced on a trip to Nepal, surgical mistakes made (he once operated on the wrong side of the neck), balcony gardens he created on his hospital’s neurosurgery wards, a potter friend who died of a brain tumour, and so on. Along with details of his cancer treatment, he discusses its typical course and waxes lyrical about the meaning of dreams, what we know about consciousness, and the fairy stories he made up to tell his granddaughters over Zoom during lockdown. He acknowledges his own limitations – he was conned not once but twice by cowboy builders, and declined to operate on a young Ukrainian doctor, leaving it to a colleague – and speaks out against technologies to extend the human lifespan and in favour of assisted dying.
In general, the book feels quite scattered and repetitious. However, I appreciated Marsh’s usual candour and could see how he would want to finish this quickly and get it out into the world, even if it would have benefited from further editing to make each chapter a more polished stand-alone essay. The good news is that his scan results were promising as of spring 2022 and I’ve seen on Twitter that he’s now in Ukraine with Rachel Clarke to speak at the Lviv BookForum. Is it selfish to hope we’ll get another book from him? 
With thanks to Jonathan Cape for the free copy for review.
Sinkhole: A Legacy of Suicide by Juliet Patterson
In December 2008, poet Juliet Patterson’s father died by suicide, hanging himself from a bridge near his Minnesota home in the middle of the night. When the news came, Patterson was recovering from a car accident the week before and in the middle of debates with her partner Rachel about whether they would have a child. Her father had been in his late seventies, in fine health and with full mental capacity; he left his affairs ship-shape, and his suicide note was mostly practicalities about insurance, bank accounts and car ownership.
On the face of it, he wasn’t an obvious candidate, not someone you would worry about. Yet there was family history: both of Patterson’s parents lost their fathers to suicide. And there was a bizarre direct connection between their two Kansas-based families: her maternal grandmother’s best friend became her paternal grandfather’s secretary and mistress.
Patterson returns to Kansas on research trips to unearth her grandfathers’ lives: William a pottery manager who later struck it rich through Gulf Oil and Edward a New Deal Democratic congressman who lost his second bid for re-election. She pairs archival evidence – photographs and newspaper clippings – with skillfully imagined accounts of what each of her three ancestors did and felt on the day of his suicide. Her thinking is guided especially by the work of Edwin Shneidman, a psychologist who studied suicide notes.
Throughout, sinkholes, which are common in Kansas due to coal mining (one even opened up near her grandmother’s house), are both reality and metaphor for the chasm a suicide leaves. This gorgeously written family memoir approaches its difficult subject matter with brave tenderness and is one of my nonfiction favorites from the year so far. 
Published by Milkweed Editions in the USA. With thanks to Nectar Literary for the advanced e-copy for review.
“Being the Expert” on Women’s Religious Memoirs Again: Unfollow & Leaving the Witness
I’ve fallen behind on the weekly prompts for Nonfiction November, but wanted to post a follow-up to my 2018 list of a baker’s dozen of memoirs I’ve read that explore women’s religious experiences. I’ve read a couple more this year that are worth adding to the list; in addition to their themes of doubt and making a new life outside the church, they also share an interesting detail: it’s an online friend that goads each author into questioning her beliefs. Even if you aren’t typically interested in this subgenre, you’ve likely heard of Unfollow because of the high-profile story behind it. (This week is hosted by Katie of Doing Dewey.)
Unfollow: A Journey from Hatred to Hope, Leaving the Westboro Baptist Church by Megan Phelps-Roper
“God hates f*gs.” If you know one thing about Westboro Baptist Church of Topeka, Kansas, it’s that this slogan plastered their signs and was part of their armory of in-your-face chants at nationwide protests.
Fred Phelps in 2002. (User Rudolf 1922 on sv.wikipedia.)
Megan Phelps-Roper grew up in the Church, which was founded by her grandfather, Fred Phelps, and made up mostly of her extended family: Phelps had 13 children, and Phelps-Roper is one of 11. In 1989 Phelps learned that nearby Gage Park was a gay cruising spot and wrote in disgust to the mayor and other city officials. In a sense, he never got over it. The anti-homosexuality message would become Westboro’s trademark, at least until the church started its picketing of military funerals after the Iraq War – which, like 9/11, was interpreted as being God’s just punishment of American immorality.
By portraying it from the inside and recreating her shifting perspective from early childhood onwards, Phelps-Roper initially makes her extreme upbringing seem normal. After all, it’s the only thing she knew, and it never would have occurred to her that her family could be wrong. The Phelpses were fiercely intelligent and also ran a law firm, so it’s impossible to just dismiss them as redneck idiots. Frequent passages from the King James Bible appear in italics to echo the justifications the Church cited for its beliefs and actions.
Only gradually did doubts start to creep in for the author as various uncles and brothers left the church. Phelps-Roper was even the voice of Westboro on Twitter, but defending funeral protests became increasingly difficult for her. Two things brought her to a breaking point. First, in something of a coup, the Church appointed a new body of elders – all male, of course – who instituted ever more draconian rules, such as a dress code for women, and effectively removed her mother from leadership. (Ultimately, they would kick the dying Fred Phelps himself out of the church.) Secondly, the Church started to spread fake news via doctored photos. For example, they claimed to be protesting a royal wedding in London, when in fact Westboro members never go anywhere the First Amendment can’t protect them.
All along, Phelps-Roper had been corresponding with “C.G.,” an online acquaintance with whom she played Words with Friends. Chad gently encouraged her to ask why Westboro believed as it did, and to unpick rather than ignore any doctrines that didn’t make sense. “What if we’re wrong? What if this isn’t The Place led by God Himself? What if we’re just people?” she wondered. In November 2012, she and her sister Grace left the Church and the family home, where she’d lived until age 26, and retreated to a Deadwood, South Dakota Airbnb to hike, read and think about what they’d left behind and what came next. I’d had just about enough of Westboro and its infighting by that point in the book – the chapter about her leaving gets a little melodramatic – so, like the author, I was glad to move on to another setting, and this interlude ended up being my favorite section.
Westboro Baptist Church demonstration outside the Virginia Holocaust Museum, March 2010. (JCWilmore [CC BY 3.0 (https://creativecommons.org/licenses/by/3.0)%5D.)
Note: Westboro was the subject of a Louis Theroux documentary in 2006, and in a nice full-circle moment, he’s now interviewing Phelps-Roper on some of her UK book tour spots. And, in another lovely aside, she married C.G.
My rating:
With thanks to riverrun for the free copy for review.
Leaving the Witness: Exiting a Religion and Finding a Life by Amber Scorah
Like In the Days of Rain by Rebecca Stott, this is the story of growing up in a cult and what happens when, as an adult, a woman has to build a new life free from the constraints – but also unmoored from the comforting framework – of a previously unquestioned belief system. Scorah grew up in Vancouver’s community of Jehovah’s Witnesses and, although she was temporarily disfellowshipped as a teenager for having premarital sex, the faith was her home and gave her a sense of purpose. Witnesses are discouraged from attending university or pursuing careers; without exception, they’re expected to preach and win converts – the only task worth engaging in given that the world is headed towards Armageddon.
Scorah and her husband went to China as clandestine JW missionaries. Her Mandarin skills were good enough that she could become friends with her English-language pupils and then start to talk to them about religion. In the meantime, she became an early podcast host with the program “Dear Amber,” which offered advice on the Chinese language and culture. She embarked on a flirtatious correspondence with one of her regular listeners, Jonathan from Los Angeles, who goaded her into rethinking everything she’d been taught to believe. “I was questioning with a mind that had been trained not to. It was highly uncomfortable.”
As her marriage and faith simultaneously crumbled, Scorah had to decide what was left to form the foundation of a new life on her own in New York City. “My eye-glazing peace, unquestioning contentment, and eternal life were gone, and the time ahead of me was filled with people I didn’t yet know, uncertainty about the future, and, one day, death.” I was absorbed in the bittersweet outworkings of this before and after: a process of losing faith and deciding what’s next.
The final chapter is a whirlwind tour through her first years in NYC, including the tragic death of her infant son, Karl. This makes for something of an abrupt end to the book; I might have liked to get as much detail on all this as we got about the time in China. But it was clearly a deliberate decision to present such life and death matters from a hard-won secular perspective, without the false balm of a religion that promises she’ll see her son again. There’s a lot of secrecy about the Jehovah’s Witnesses, so this is a rare insider’s view as well as a wrenching account of loss and starting over.
My rating:
Full disclosure: Amber Scorah offered me a copy through a Facebook group we are both a part of.
Thanks to her and Viking for sending a free copy for review.
Can you see yourself reading either of these books?
Heartland by Sarah Smarsh
If you were a fan of Hillbilly Elegy by J.D. Vance, then debut author Sarah Smarsh’s memoir, Heartland, deserves to be on your radar too. Smarsh comes from five generations of Kansas wheat farmers and worked hard to step outside of the vicious cycle that held back the women on her mother’s side of the family: poverty, teen pregnancy, domestic violence, broken marriages, a lack of job security, and moving all the time. Like Mamaw in Vance’s book, Grandma Betty is the star of the show here: a source of pure love, she played a major role in raising Smarsh. The rundown of Betty’s life is sobering: her father was abusive and her mother had schizophrenia; she got pregnant at 16; and she racked up six divorces and countless addresses. This passage about her paycheck and diet jumped out at me:
Each month, after she paid the rent and utilities, and the landlady for watching Jeannie, Betty had $27 left. She budgeted some of it for cigarettes and gas. The rest went to groceries from the little store around the corner. The store sold frozen pot pies, five for a dollar. She’d buy twenty-five of them, beef and chicken flavor, and that would be her dinner all month. Every day, a candy bar for lunch at work and a frozen pot pie for dinner at home.
It’s a sad state of affairs when fatty processed foods are cheaper than healthy ones, and this is still the case today: the underprivileged are more likely to subsist on McDonald’s than on vegetables. Heartland is full of these kinds of contradictions. For instance, in the Reagan years the country shifted rightwards and working-class Catholics like Smarsh’s mother started voting Republican – in contravention of the traditional understanding that the Democrats were for the poor and the Republicans were for the rich. Smarsh followed her mother’s lead by casting her first-ever vote for George W. Bush in 2000, but her views changed in college when she learned how conservative fiscal policies keep people poor.
This isn’t a straightforward, chronological family story; it jumps through time and between characters. You might think of reading it as like joining Smarsh for an amble around the farm or a flip through a photograph album. Its vignettes are vivid, if sometimes hard to join into a cohesive story line in the mind. Some of the scenes that stood out to me were being pulled by truck through the snow on a canoe, helping Grandma Betty move into a house in Wichita but high-tailing it out of there when they realized it was infested by cockroaches, and the irony of winning a speech contest about drug addiction when her stepmother was hooked on opioids.
Heartland serves as a personal tour through some of the persistent trials of working-class life in the American Midwest: urbanization and the death of the family farm, an inability to afford health insurance and the threat of toxins encountered in the workplace, and the elusive dream of home ownership. Like Vance, Smarsh has escaped most of the worst possibilities through determination and education, so is able to bring an outsider’s clarity to the issues. At times she has a tendency to harp on the same points, though, adding in generalizations about the effects of poverty rather than just letting her family’s stories speak for themselves.
The oddest thing about Smarsh’s memoir – and I am certainly not the first reviewer to mention this since the book’s U.S. release in September – is who it’s directed to: her never-to-be-born daughter, “August”. Teen pregnancy was the family curse Smarsh was most desperate to avoid, and even now that she’s in her late thirties, a journalist and academic returned to Kansas after years on the East Coast, she remains childless. August is who Smarsh had in mind while working two or more jobs all through high school, earning higher degrees and buying her dream home. All along she was saving August from the hardships of a poor upbringing. While the unborn child is a potent symbol, it can be disorienting after pages of “I” to come across a “you” and have to readjust to who is being addressed.
Heartland is a striking book, not without its challenges to the reader, but one that I ultimately found rewarding to read in short bursts of 10 to 20 pages at a time. It’s worthwhile for anyone interested in what it’s really like to be poor in America.
My rating:
A favorite passage:
“My life has been a bridge between two places: the working poor and ‘higher’ economic classes. The city and the country. College-educated coworkers and disenfranchised loved ones. A somewhat conservative upbringing and a liberal adulthood. Home in the middle of the country and work on the East Coast. The physical world where I talk to people and the formless dimension where I talk to you.”
Heartland: A Memoir of Working Hard and Being Broke in the Richest Country on Earth was published by Scribe UK on November 8th. My thanks to the publisher for a free copy for review.
Bookish Beck = Rebecca Foster. American transplant to England. Freelance proofreader and book reviewer.
Bookish Beck 