FIRES IN THE DARK

A scholar of psychology and psychiatry examines some of the changing regimes by which the mentally troubled are treated.

Jamison, author of An Unquiet Mind, Touched With Fire, and Night Falls Fast, opens with a graceful portrait of Sir William Osler (1849-1919), the medical pioneer recognized by American doctors a century later as “the most influential physician in history.” Osler explored many aspects of medicine, but much of what concerned him toward the end of his life had to do with the death of his son, who was badly injured on the Western Front. Returned to combat, he died there. “Death had been Osler’s tutor for the shadowland,” writes Jamison. “As a young pathologist he had performed nearly a thousand autopsies; he was keenly aware of the debt owed by the living to the dead.” Now it was personal, and he and some of his peers urged physicians to use the same attentive and loving care nurses delivered, with the charge to “bear witness to suffering, not flinch from it; be still with it and apprehend its meaning.” Those mind-oriented physicians had plenty to do when unfortunate veterans such as the poet Siegfried Sassoon, shellshocked and tormented, sought postwar care. (Said one physician to Sassoon, while on home leave before returning to the front, “you appear to be suffering from an anti-war complex.”) Jamison moves on to a consideration of the ancient connections of healing, ritual, and magic, some of which come into play in modern therapy. Along the way, while looking further at stress- and trauma-borne illness, the author studs her narrative with luminous figures such as Paul Robeson and Robert Graves, whose book Goodbye to All That was “a bitter, unsentimental account of war, atrocity, and death.” There the hero quest and its challenges come in, and, Jamison concludes memorably: “There is a cost for this, and to redeem it we look to our healers.”

A humane, elegantly written contribution to the literature of trauma and care.