Tag Archives: postpartum depression

Recommended May Releases: Adichie, Pavey and Unsworth

Three very different works of women’s life writing: heartfelt remarks on bereavement, a seasonal diary of stewarding four wooded acres in Somerset, and a look back at postnatal depression.

 

Notes on Grief by Chimamanda Ngozi Adichie

This slim hardback is an expanded version of an essay Adichie published in the New Yorker in the wake of her father’s death in June 2020. With her large family split across three continents and coronavirus lockdown precluding in-person get-togethers, they had a habit of frequent video calls. She had seen her father the day before on Zoom and knew he was feeling unwell and in need of rest, but the news of his death still came as a complete shock.

Adichie anticipates all the unhelpful platitudes people could and did send her way: he lived to a ripe old age (he was 88), he had a full life and was well respected (he was Nigeria’s first statistics professor), he had a mercifully swift end (kidney failure). Her logical mind knows all of these facts, and her writer’s imagination has depicted grief many times. Still, this loss blindsided her.

She’d always been a daddy’s girl, but the anecdotes she tells confirm how special he was: wise and unassuming; a liberal Catholic suspicious of materialism and with a dry humour. I marvelled at one such story: in 2015 he was kidnapped and held in the boot of a car for three days, his captors demanding a ransom from his famous daughter. What did he do? Correct their pronunciation of her name, and contradict them when they said that clearly his children didn’t love him. “Grief has, as one of its many egregious components, the onset of doubt. No, I am not imagining it. Yes, my father truly was lovely.” With her love of fashion, one way she dealt with her grief was by designing T-shirts with her father’s initials and the Igbo words for “her father’s daughter” on them.

I’ve read many a full-length bereavement memoir, and one might think there’s nothing new to say, but Adichie writes with a novelist’s eye for telling details and individual personalities. She has rapidly become one of my favourite authors: I binged on most of her oeuvre last year and now have just one more to read, Purple Hibiscus, which will be one of my 20 Books of Summer. I love her richly evocative prose and compassionate outlook, no matter the subject. At £10, this 85-pager is pricey, but I was lucky to get it free with Waterstones loyalty points.

Favourite lines:

“In the face of this inferno that is sorrow, I am callow and unformed.”

“How is it that the world keeps going, breathing in and out unchanged, while in my soul there is a permanent scattering?”

 

Deeper Into the Wood by Ruth Pavey

In 1999 Ruth Pavey bought four acres of scrubland at auction, happy to be returning to her family’s roots in the Somerset Levels and hoping to work alongside nature to restore some of her land to orchard and maintain the rest in good health. Her account of the first two decades of this ongoing project, A Wood of One’s Own, was published in 2017.

In this sequel, she gives peaceful snapshots of the wood throughout 2019, from first snowdrops to final apple pressing, but also faces up to the environmental degradation that is visible even in this pocket of the countryside. “I am sure there has been a falling off in numbers of insects, smaller birds and rabbits on my patch,” she insists. Without baseline data, it is hard to support this intuition, but she has botanical and bird surveys done, and invites an expert in to do a moth-trapping evening. The resulting species lists are included as appendices. In addition, Pavey weaves a backstory for her land. She meets a daffodil breeder, investigates the source of her groundwater, and visits the head gardener at the Bishop’s Palace in Wells, where her American black walnut sapling came from. She also researches the Sugg family, associated with the land (“Sugg’s Orchard” on the deed) from the 1720s.

Pavey aims to treat this landscape holistically: using sheep to retain open areas instead of mowing the grass, and weighing up the benefits of the non-native species she has planted. She knows her efforts can only achieve so much; the pesticides standard to industrial-scale farming may still be reaching her trees on the wind, though she doesn’t apply them herself. “One sad aspect of worrying about the state of the natural world is that everything starts to look wrong,” she admits. Starting in that year’s abnormally warm January, it was easy for her to assume that the seasons can no longer be relied on.

Compared with her first memoir, this one is marked by its intellectual engagement with the principles and practicalities of rewilding. Clearly, her inner struggle is motivated less by the sense of ownership than by the call of stewardship. While this book is likely be of most interest to those with a local connection or a similar project underway, it offers a universal model of how to mitigate our environmental impact. Pavey’s black-and-white sketches of the flora and fauna on her patch, reminiscent of Quentin Blake, are a highlight.

With thanks to Duckworth for the proof copy for review. The book will be published tomorrow, the 27th of May.

 

After the Storm: Postnatal Depression and the Utter Weirdness of New Motherhood by Emma Jane Unsworth

The author’s son was born on the day Donald Trump won the U.S. presidential election. Six months later, she realized that she was deep into postnatal depression and finally agreed to get help. The breaking point came when, with her husband* away at a conference, she got frustrated with her son’s constant fussing and pushed him over on the bed. He was absolutely fine, but the guilty what-ifs proliferated, making this a wake-up call for her.

In this succinct, wry and hard-hitting memoir, Unsworth exposes the conspiracies of silence that lead new mothers to lie and pretend that everything is fine. Since her son’s traumatic birth (which I first read about in Dodo Ink’s Trauma anthology), she hadn’t been able to write and was losing her sense of self. To add insult to injury, her baby had teeth at 16 weeks and bit her as he breastfed. She couldn’t even admit her struggles to her fellow mum friends. But “if a woman is in pain for long enough, and denied sleep for long enough, and at the same time feels as though she has to keep going and put a ‘brave’ face on, she’s going to crack.”

The book’s titled mini-essays give snapshots into the before and after, but particularly the agonizing middle of things. I especially liked the chapter “The Weirdest Thing I’ve Ever Done in a Hotel Room,” in which she writes about borrowing her American editor’s room to pump breastmilk. Therapy, antidepressants and hiring a baby nurse helped her to ease back into her old life and regain some part of the party girl persona she once exuded – enough so that she was willing to give it all another go (her daughter was born late last year).

While Unsworth mostly writes from experience, she also incorporates recent research and makes bold statements of how cultural norms need to change. “You are not monsters,” she writes to depressed mums. “You need more support. … Motherhood is seismic. It cracks open your life, your relationship, your identity, your body. It features the loss, grief and hardship of any big life change.” I can imagine this being hugely helpful to anyone going through PND (see also my Three on a Theme post on the topic), but I’m not a mother and still found plenty to appreciate (especially “We have to smash the dichotomy of mums/non-mums … being maternal has nothing to do with actually physically being a mother”).

I’m attending a Wellcome Collection online event with Unsworth and midwife Leah Hazard (author of Hard Pushed) this evening and look forward to hearing more from both authors.

*It took me no time at all to identify him from the bare facts: Brighton + doctor + graphic novelist = Ian Williams (author of The Lady Doctor)! I had no idea. What a fun connection.

With thanks to Profile Books/Wellcome Collection for the free copy for review.

 

What recent releases can you recommend?

Be(com)ing an ‘Expert’ on Postpartum Depression for #NonficNov

This Being/Becoming/Asking the Expert week of the month-long Nonfiction November challenge is hosted by Rennie of What’s Nonfiction.

I’m also counting this as the first entry in my new “Three on a Theme” series, where I’ll review three books that have something significant in common and tell you which one to pick up if you want to read into the topic for yourself. I have another medical-themed one lined up for this Friday as a second ‘Being the Expert’ entry.

I never set out to read several memoirs of women’s experience of postpartum depression this year; it sort of happened by accident. I started with the graphic memoir and then chanced upon a recent pair of traditional memoirs published in the UK – in fact, I initially pitched them as a dual review to the TLS, but they’d already secured a reviewer for one of the books.

 

Inferno: A Memoir by Catherine Cho

I was delighted to see this prediction of mine make the Sunday Times Young Writer of the Year Award shortlist. Coincidentally, I was already halfway through the book on my Kindle (via NetGalley) at that point, but its nomination gave me the push to finish in a timely manner. Cho, a Korean American literary agent based in London, experienced stress-induced postpartum psychosis after the birth of her son, Cato. She and her husband James had gone back to the USA when Cato was two months old to introduce him to friends and family, ending with a big Korean 100-day celebration for him at her in-laws’ home in New Jersey. Almost as soon as they got to her in-laws’, though, she started acting strangely: she was convinced there were cameras watching their every move, and Cato’s eyes were replaced with “devil’s eyes.” She insisted they leave for a hotel, but soon she would be in an emergency room, followed by a mental health ward.

Cho alternates between her time on the New Bridge ward – writing in a notebook, trying to act normal whenever James visited, expressing milk from painfully swollen breasts, and interacting with her fellow patients with all their quirks – and a rundown of the rest of her life before the breakdown. Her Kentucky childhood was marked by her mathematician father’s detachment and the sense that she and her brother were together “in the trenches,” pitted against the world. In her twenties she worked in a New York City corporate law firm and got caught up in an abusive relationship with a man she moved to Hong Kong to be with. All along she weaves in her family’s history and Korean sayings and legends that explain their values.

Twelve days. That was the length of her hospitalization in early 2018, but Cho so painstakingly depicts her mindset that readers are fully immersed in an open-ended purgatory – a terrifying time when she questioned her sanity and whether she was cut out for motherhood. “Koreans believe that happiness can only tempt the fates and that any happiness must be bought with sorrow,” she writes. She captures both extremes, of suffering and joy, in this vivid account.

My rating:

 

What Have I Done? An honest memoir about surviving postnatal mental illness by Laura Dockrill

Dockrill is a British children’s author. Her style reminded me of others of her contemporaries who do a good line in light, witty, warts-and-all, here’s-what-it’s-really-like-to-be-a-woman books: Dolly Alderton, Caitlin Moran and the like. From a labor that quickly deviated from her birth plan due to an emergency Caesarean to the usual post-baby blues to full-blown psychosis, Dockrill recreates her experience with fluid dialogue and italicized passages of her paranoid imaginings. Her memoir resembles Cho’s in its broad strokes but also in certain particulars, like imagining surveillance cameras and hearing a voice in her head telling her she is a bad mum. I skimmed this one because of a library deadline and because of an overload on similar content. I had a greater affinity for Cho’s literary style compared to the more between-girlfriends, self-help bent of this memoir. With the glossary and resources at the end, though, I’d say this one would be more useful for someone going through the same thing.

My rating:

 

Dear Scarlet: The Story of My Postpartum Depression by Teresa Wong (2019)

Memoir as letter and as graphic novel. Wong narrates the traumatic birth of her first child and her subsequent postpartum depression in black-and-white sketches that manage to feel breezy and fun despite the heavy subject matter. “I felt lost. I had no maternal instincts and no clue how I was supposed to take care of a baby,” she writes to Scarlet. “Your first two months in the world were the hardest two months of my life.”

For Wong, a combination of antidepressants, therapy, a postnatal doula, an exercise class, her mother’s help, and her husband’s constant support got her through, and she knows she’s lucky to have had a fairly mild case and to have gotten assistance early on. I loved the “Not for the Faint of Heart” anatomical spreads and the reflections on her mother’s tough early years after arriving in Canada from China.

The drawing and storytelling style is similar to that of Sarah Laing and Debbie Tung. The writing is more striking than the art, though, so I hope that with future work the author will challenge herself to use more color and more advanced designs (from her Instagram page it looks like she is heading that way).

My rating:

My thanks to publicist Beth Parker for the free e-copy for review.

 

What I learned:

All three authors emphasize that motherhood does not always come naturally; “You might not instantly love your baby,” as Dockrill puts it. There might be a feeling of detachment – from the baby and/or from one’s new body. They all note that postpartum depression is common and that new mothers should not be ashamed of seeking help from medical professionals, baby nurses, family members and any other sources of support.

These two passages were representative for me:

Cho: “I don’t feel a rush of love or an overwhelming weight of responsibility, emotions that I’d been expecting. Instead, I felt curious, like I’d just been introduced to a stranger. He was a creature, an idea, not even human yet, just a being, a life. … I’d thought I would reclaim my body after birth, but instead, it was now a tool, something to sustain life.”

Dockrill: “If childbirth and motherhood are the most natural, universal, common things in the world, the things that women have been doing since the beginning of time, then why does nobody tell us that there’s a good chance that you might not feel like yourself after you have a baby? That you might even lose your head? That you might not ever come back?”

On this topic, I have also read: Birth of a New Brain by Dyane Harwood. There are more book ideas here and here.

Nobody Told Me by Hollie McNish, one of my current bedside books, also deals with complicated pregnancy emotions and the chaotic early months of motherhood.

 

If you read just one, though… Make it Inferno by Catherine Cho.

 

Can you see yourself reading any of these books?

Die, My Love by Ariana Harwicz

This intense Argentinian novella, originally published in 2012 and nominated for this year’s Republic of Consciousness and Man Booker International Prizes, is an inside look at postpartum depression as it shades into what looks like full-blown psychosis. We never learn the name of our narrator, just that she’s a foreigner living in France (like Harwicz herself) and has a husband and young son. The stream-of-consciousness chapters are each composed of a single paragraph that stretches over two or more pages. From the first page onwards, we get the sense that this character is on the edge: as she’s hanging laundry outside, she imagines a sun shaft as a knife in her hand. But for now she’s still in control. “I wasn’t going to kill them. I dropped the knife and went to hang out the washing like nothing had happened.”

Not a lot happens over the course of the book; what’s more important is to be immersed in this character’s bitter and perhaps suicidal or sadistic outlook. But there are a handful of concrete events. Her father-in-law has recently died, so she tells of his funeral and what she perceives as his sad little life. Her husband brings home a stray dog that comes to a bad end. Their son attends a children’s party and they take along a box of pastries that melt in the heat.

The only escape from this woman’s mind is a chapter from the point of view of a neighbor, a married radiologist with a disabled daughter who passes her each day on his motorcycle and desires her. With such an unreliable narrator, though, it’s hard to know whether the relationship they strike up is real. This woman is racked by sexual fantasies, but doesn’t seem to be having much sex; when she does, it’s described in disturbing terms: “He opened my legs. He poked around with his calloused hands. Desire is the last thing there is in my cries.”

The language is jolting and in-your-face, but often very imaginative as well. Harwicz has achieved the remarkable feat of showing a mind in the process of cracking up. It’s all very strange and unnerving, and I found that the reading experience required steady concentration. But if you find the passages below intriguing, you’ll want to seek out this top-class translation from new Edinburgh-based publisher Charco Press. It’s the first book in what Harwicz calls “an involuntary trilogy” and has earned her comparisons to Virginia Woolf.

“My mind is somewhere else, like I’ve been startled awake by a nightmare. I want to drive down the road and not stop when I reach the irrigation ditch.”

“I take off my sleep costume, my poisonous skin. I recover my sense of smell and my eyelashes, go back to pronouncing words and swallowing. I look at myself in the mirror and see a different person to yesterday. I’m not a mother.”

“The look I’m going for is Zelda Fitzgerald en route to Switzerland, and not for the chocolate or watches, either.”

My rating:

 

Translated from the Spanish by Sarah Moses and Carolina Orloff. My thanks to the publisher for the free copy for review.