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EN2M4/EN3M4 Sick Imagination: Illness, Disability and the Critical Medical Humanities

This 15 CAT module will introduce you to the rich creative and critical work in medical humanities and disability arts, thinking about what literature, lifewriting, film and graphic fiction might offer to the understanding and critique of the practice of medicine and conceptions of illness and disability. The module spans the twentieth and twenty-first century, investigating medical humanities writing from as early as 1926 and as late as 2022, but it concentrates its attention on the last twenty years, introducing recent work and theory in relation to physical disability, chronic illness and severe mental health conditions. It also encourages you to think not only about the psychological, phenomenological and social dimensions of illness and disability, but also the new forms of creativity, art and narrative that such experiences have produced.

In the wake of Covid-19, issues such as chronic illness and mental health have gained new complexity and greater prominence in the social and cultural landscapes. You will explore new writing and answer questions about how language and form can hope to represent such subjective and non-normative experiences as pain and psychosis, as well as thinking about how to create narrative about experiences that frustrate traditional linear story-telling, such as chronic illness, or terminal illness. You will learn new theoretical and critical skills useful on other modules, as well as participating in research-led teaching at the forefront of a rapidly developing field. Experiences and identities of illness and disability are of course intersectional, and the module will foreground the intersections of illness and disability with race, gender, sexuality and age.

This module has big ambitions -- we will in our collective work contribute to the cutting edge of the field of critical medical humanities, expand current understandings of the corpus of illness and disability literature and culture, and explore new forms for representing, expressing and examining experiences of non-normative embodiment.

Syllabus:

TALIS Reading List: EN2M4/EN3M4: Sick Imagination: Illness, Disability, and the Critical Medical Humanities | University of Warwick (talis.com)

Week 1

Susan Sontag, Illness as Metaphor (1978): Chapter One
Arthur Frank, The Wounded Storyteller (1995): Chapter Three: 'Illness as a Call for Stories'
Virginia Woolf, from 'On Being Ill' (1925)

Part I: 'The Big C'

Week 2: Audre Lorde, The Cancer Journals (1980) [memoir/ political essay]

We will start by looking at Lorde's account of her experience of breast cancer and mastectomy, thinking about intersectional experiences of illness, pain, embodiment and visible difference--their phenomenology and their politics.

We will likely focus on the following passages, though you should read all of the short text:

Go to the electronic version via the TALIS reading list: EN2M4/EN3M4: Sick Imagination: Illness, Disability, and the Critical Medical Humanities | University of Warwick (talis.com)

Silence, Voice, Pain, Feeling: 10-15 ("I have learned much [Part III of Introduction]" to "To put it another way, I feel always tender in the wrong places")

Care, Gender, Touch, Stigma: 20-24 ("Perhaps I can say all this more simply; I say the love of good women healed me" to "the slightest touch meanwhile threatened to be unbearable." )

Prosthesis: 27-28 "'You're not wearing a prosthesis'" to "Who can ever really have power over me again?"; 29 "Attitudes towards the necessity for prostheses" to "the concerted pressures of our demands cannot change that."

Week 3: Anne Boyer, The Undying: A Meditation on Modern Illness (2019) [critical memoir]

Read the following passages (and as much as you can of the rest) in the online version in the library [see TALIS]:

14-16 "To be declared with certainty ill" to "was collapsing in a fit of Faustianism in a devil’s bargain world."

55 "I do not want to tell the story of cancer" to "propagandize for the world as is."

88-89 "Cancer kills people" to "The human world has never required an instrument so vast."

92-96 "I wanted to write about pain without any philosophy" to "pain's education should be in more than pain's valorization."

107-109 "I wanted to write about exhaustion" to "a quest toward freedom's end."

122-124 "If this book had to exist" to "Then the moon, once so obsessed with waning, finally waxed."


Critical reading for Part I:

Excerpts from Anne Hunsaker Hawkins, Reconstructing Illness: Studies in Pathography (1998)


Part II: Chronic Narratives

Week 4: Hilary Mantel, Giving Up the Ghost (2003) [autofiction/memoir]

This week we will focus on Mantel's wonderful literary memoir, Giving up the Ghost. It would be great if you had read the whole thing -- it isn't too long or onerous -- but we will focus on the first Part ('Second Home') pp. 1-25, i.e. the whole thing, and the last Part ('Show Your Workings'), especially pp. 167-218 in the Fourth Estate edition (from "Writing about your past is like blundering through your house" to "I sat down and wrote another book").

You may also be interested in Sarah Manguso's memoir, The Two Kinds of Decay (2008), about her diagnosis with a rare chronic blood disorder. Recommended sections as below -- but do read on / around these depending on your interests. (We may make reference to some passages but I will bring those to the session.)

'The Beginning'; 'Signs'; 'Bad Blood'; 'Metaphors' (pp. 1-15)

'Causation' (21-22)

'Paralyzed'; 'Death' (49-53)

Care: 'Juan'; 'Fear and Fright'; 'Color'; 'The Chair' (74-81); 'The Old Neurologist'; 'The New Neurologist' (85-89)

Attention: 'Attention' (106-109); 'The Point and the Ray' (165-166)

Knowing, Measuring: 'Memory'; 'Relevance', 'Measuring' (174-182)

'The End' (183-4)

Week 5: Sarah Rose Etter, The Book of X (2019) [YA speculative fiction]

This is an intriguing recent work of speculative fiction about a being born and living with a painful and stigmatising congenital condition, as well as about the experience of extreme loneliness. It is often spoken about as participating in the subgenre of (women's) body horror, as well as speculative fiction (and YA fiction -- though I'd hesitate to recommend it to my just-teen daughter). The juxtaposition of illness and loneliness is potentially quite troubling, as is the whole plot. But it is interesting for taking up the themes of the module, as well as adjacent issues to do with gender and embodiment, in the idiom of speculative fiction to create a work full of ambiguous but suggestive symbols. I was a bit nervous of putting this on the module but it was widely appreciated and written about last year and I think led to some really astute thinking and writing.

Critical reading for Part II:

from Kathlyn Conway, Beyond Words: Illness and the Limits of Expression (2007)

from Meghan O'Rourke, The Invisible Kingdom: Reimagining Chronic Illness (2022)

If you want another take on this subject, do have a look at Tessa Brunton's graphic novel, Notes from a Sickbed (2022)

Part III: Disability, Performance, Identity

Week 7: The Endgame Project.

Samuel Beckett's Not I (play) and Touretteshero

To read: Beckett's plays Endgame (1957) and Not I (1972) -- published individually or in the Faber Complete Dramatic Works. Both versions available electronically on the library catalogue.

We will look this week at disability and neurodiversity in relation to the work of Samuel Beckett. We will focus on two disabled-led productions of Beckett's work: a production of Beckett's Endgame by movie actors with Parkinson's Disease (2021) [play/documentary]; and a 2017 production of Beckett's Not I by writer/actor/performer/director Jess Thom (aka Touretteshero).

Look at some video material on the Endgame Project here: ME TO PLAY – When the body gives way, all that's left is soul. (theendgameproject.com)

And read Jess Thom's first account of engaging with Beckett's Not I here: Not I and Me | Touretteshero

Critical reading: Hannah Simpson, Samuel Beckett and Disability Performance (Palgrave Macmillan, 2022).

[Further reading: Ato Quayson, Aesthetic Nervousness: Disability and the Crisis of Representation (Columbia UP, 2007)

Matt Hargrave, Theatres of Learning Disability: Good, Bad or Plain Ugly? (Springer, 2016)]

Week 8:

Terry Galloway, Mean Little Deaf Queer (2009) [memoir]

We will focus this week on Terry Galloway's 2009 memoir about her life experience with deafness and as a queer performer and writer (and lover).

from Keah Brown, The Pretty One: On Life, Pop Culture, Disability and Other Reasons to Fall in Love with Me (2019) [essays]

Critical reading: Eli Clare, Exile and Pride: Disability, Queerness, and Liberation (Cambridge, MA: South End Press, 1999)

Part IV: The Land of Enlightenment: Experiences of Psychosis and Delusion

Week 9: Janet Frame, An Angel at My Table (1984) [memoir]
Jane Campion (dir.), An Angel at My Table (1990) [film]

We will look this week at New Zealand author Janet Frame's literary autobiography, An Angel at My Table, and the acclaimed film based on this work.

Week 10:
from Esmé Weijun Wang, The Collected Schizophrenias (2019) [essays]

Critical reading for Part IV:

Angela Woods, The Sublime Object of Psychiatry: Schizophrenia in Clinical and Cultural Theory (OUP, 2011)

Matthew Broome, 'The Neuroscience, Psychopathology, and Philosophy of Time', Philosophy, Psychiatry, Psychology, vol. 12, no. 3 (2005): 187-194

Stephen Harper, 'The Suffering Screen: Cinematic Portrayals of Mental Distress', Madness, Power and the Media (Springer, 2009): 59-102


Assessment

Critical bibliography (800 words) -- descriptive bibliography of sample entries for an anthology: an affirmative collection of writing on illness and/or disability. (30%) Deadline: Term 1, Week 10 Tuesday 03.12.24

Essay (3000/4000 words) Deadline: Term 2, Week 1 Friday 10.01.25


Secondary Reading

Angela Woods, 'Rethinking “Patient Testimony” in the Medical Humanities: The Case of Schizophrenia Bulletin’s First Person Accounts', Journal of Literature and Science [J Lit Sci], vol. 6, no. 1 (2012): 38–54

Made with Padlet

The Collected Schizophrenias

Notes from a Sickbed : Brunton, Tessa, Brunton, Tessa: Amazon.co.uk: Books