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	<title>Steven Field &#8211; medhum.org</title>
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	<description>Cultivating empathy &#38; critical thinking in health, culture &#38; the arts</description>
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	<title>Steven Field &#8211; medhum.org</title>
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		<title>We Want So Much to Be Ourselves by Stephen O’Connor </title>
		<link>https://medhum.org/review/book-review/steven_field/we-want-so-much-to-be-ourselves-by-stephen-oconnor/</link>
					<comments>https://medhum.org/review/book-review/steven_field/we-want-so-much-to-be-ourselves-by-stephen-oconnor/#respond</comments>
		
		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Tue, 21 Jul 2026 15:29:24 +0000</pubDate>
				<category><![CDATA[Book Review]]></category>
		<category><![CDATA[Berlin]]></category>
		<category><![CDATA[Collaboration]]></category>
		<category><![CDATA[ethics]]></category>
		<category><![CDATA[Freud]]></category>
		<category><![CDATA[Nazism]]></category>
		<category><![CDATA[psychiatry]]></category>
		<category><![CDATA[psychoanalysis]]></category>
		<category><![CDATA[resistance]]></category>
		<category><![CDATA[totalitarianism]]></category>
		<category><![CDATA[trauma]]></category>
		<guid isPermaLink="false">https://medhum.org/?p=15495</guid>

					<description><![CDATA[Love, Duty and Psychoanalysis in Third Reich Berlin ]]></description>
										<content:encoded><![CDATA[
<p class="wp-block-paragraph">Pity the poor disciplines of psychiatry and psychoanalysis in modern German history. Traditionally, psychiatry has come in for the worst of it, and not without reason: German psychiatrists (university-centered and biologically-oriented) and neurologists were early and enthusiastic adopters of the new “science” of eugenics in the early twentieth century. They established the field of race hygiene and racial genetics, giving the Nazis a scientific basis for their racial policies, and they were the predominant architects of the notorious “euthanasia” program of the mentally ill and intellectually and developmentally disabled, which killed in aggregate roughly a quarter of a million people between 1939 and 1945, and of the sterilization program, which sterilized over 400,000 between 1933 and 1939.</p>



<p class="wp-block-paragraph">Far less dramatic—not even in the same league, but disturbing in its own way—is the record of psychoanalysis during the Third Reich (psychoanalysts were not involved in the two programs mentioned above). Psychoanalysis, pejoratively referred to as “the Jewish science” by the Nazis, was of course created by Sigmund Freud in Vienna. One of the early and seminal centers of treatment, research, and training was the Berlin Psychoanalytic Institute, founded in 1923 (it grew out of the Psychoanalytic Polyclinic, a free clinic founded three years before) by Max Eitingon, who was the director. Many of the faculty, including Eitingon, were Jews; several were also socialists.</p>



<p class="wp-block-paragraph">When the Nazis came to power in 1933, the Institute’s days were clearly numbered; not only because psychoanalysis was considered “Jewish” and so many psychoanalysts were Jewish, but also because its goals of individual growth, self-knowledge, and independence were directly antithetical to the mindset that a totalitarian government wanted to impose. Freud was now anathema, a new language of “Aryan” terms for analytic principles was devised, all Jews were purged, and the focus of psychoanalysis in Berlin shifted to the furthering of Nazi ideology: treating “war trauma” in soldiers and SS men, prioritization of and obedience to a totalitarian mindset, “reorienting” dissidents towards approved National Socialist thinking, conversion therapy as a treatment for homosexuality, and the like. The talking cure was to be weaponized for state purposes.</p>



<p class="wp-block-paragraph">Seven months after Hitler seized power, Freud wrote to a colleague in England, “Berlin is lost…” Eitingon was forced to resign and fled Germany and was replaced by two Aryan analysts as co-directors. Three years later the Institute was subsumed into the German Institute for Research and Psychotherapy, known as “the Gӧring Institute,” with a new director, Matthias Gӧring, cousin of&nbsp;<em>Reichsmarshall</em>&nbsp;Hermann Gӧring.</p>



<p class="wp-block-paragraph">The Institute’s excuse for collaborating with the regime was that it was the only way to “save” psychoanalysis and permit its survival; Freud himself had early on counseled accommodation as necessary to accomplish this end. What the Institute learned was that there is no accommodation short of full cooperation in a totalitarian state. But what was the toll of compromise on the men and women left in the Institute?</p>



<p class="wp-block-paragraph">This was the history of psychoanalysis under the Nazis, which has been reviewed in a number of scholarly works¹. The novelist Stephen O’Connor has set himself a different task: to examine the life of a fictional non-Jewish German psychoanalyst as it played out against the background of Berlin and the Berlin Psychoanalytic Institute before and after the Nazi seizure of power in January 1933. His new novel,&nbsp;<strong><em>We Want So Much to Be Ourselves</em></strong>, follows its main character, Günter Zeitz, from his initial meeting with Sigmund Freud in 1924 through the years of the Third Reich and beyond. Günter will be our avatar, our surrogate participant through whose eyes we will watch things play out, during the heyday of psychoanalysis and through its suppression. However, the novel is not primarily about the destruction of German psychoanalysis, but about Gunter&nbsp;<em>during&nbsp;</em>the destruction of German psychoanalysis. Günter will be Exhibit 1 in the case for the acute and lingering effects of trauma.</p>



<p class="wp-block-paragraph">As the novel opens we meet Günter corralling Freud on a street corner in Vienna and asking him to take him on for analytic training, which will consist largely of Günter’s personal analysis, and Freud agrees. In the doctor’s waiting room Günter meets another patient, Josine Rosen, a Jewish woman, and shortly thereafter they begin an affair. It becomes clear that Josine is troubled; she has already had a suicide attempt, and is subject to bouts of depression, but Günter is in love and within a year they marry and soon thereafter have a daughter, Hannah. Despite their ongoing disputes about some aspects of Freud’s “death force” theory, Freud recommends Günter for a position at the prestigious Berlin Psychoanalytic Institute, which he accepts. Over time, the course of true love does not exactly run smooth; Josine is unstable, and the National Socialists are increasing in power and presence in Germany, posing a problem for her as a Jew. Günter and Josine will separate and reunite several times and draw others into their story as their world descends into a very rigidly structured type of chaos. How they all navigate this personal and professional turmoil determines the rest of their lives.</p>



<p class="wp-block-paragraph">Meanwhile, we listen in as the analysts at the Institute discuss the increasingly dangerous situation, and how to respond. They initially dismiss Hitler and his “gang of toothless throwbacks” (p. 127) as upstarts with no political base and no future (as does much of the German public) until 1933, when it becomes apparent that this is no longer the case. In 1936, after Matthias Gӧring assumes the directorship, new rules for psychoanalysis are introduced; complying with these changes is clearly the only way the Institute will be allowed to continue to function. Some analysts flee, some accommodate, and some join the resistance.</p>



<p class="wp-block-paragraph">However, the novel is really Günter’s story. Günter is eminently likeable; he is a bright, engaged and engaging character pursuing his academic dream who genuinely wants to mitigate human suffering. We watch him grow from the sheltered son of a country doctor to a confident teacher and practitioner, and we watch him fall in love, repeatedly, almost as though he is “feeling his way” in this world of emotions. When the Institute is taken over and its direction changed Günter finds himself in a moral quandary: he is horrified by National Socialism but feels unable to do anything about it. Can there be a small degree of accommodation, to allow him to continue to help those who need help, or is accommodation a slippery slope which ends in a betrayal of self and principles? Silence or resistance? We watch with him as he tries to keep his professional life intact as his personal life begins to unravel. When he is forced to treat Dr. Gӧring’s nephew, an SS lieutenant recently returned from a murderous detail in the East, he reaches his personal Rubicon.</p>



<p class="wp-block-paragraph">Günter is an everyman caught in the gears of a machine, and the kernel, the gist, of the novel, is a question: how does one go on living one’s life in a system gone mad, and what are our responsibilities to others and ourselves? How do you go to work and go home to your family, how do you love and hate and gossip and drink your coffee and read your newspaper and pick up your paycheck and go to a movie, when you are convinced that a great evil is being perpetrated, that you are told to be part of it, and that any false step on your part might bring that evil down upon you? When it is your country and your countrymen and your colleagues doing it? What is the personal cost, the cost to yourself, and to your&nbsp;<em>self</em>, when—if— you come out on the other side of the madness?</p>



<p class="wp-block-paragraph">The other characters, and their interplay, are handled carefully and realistically. Josine is a large and critical part of the story. She is clearly—and sadly—damaged, and her behavior is too erratic for us to “like” her, although she engenders tremendous sympathy . She is a tragic figure and we feel for her, although this is not always easy. The student analyst Elke Weber, who becomes a critical participant in the story, is drawn realistically and sympathetically. Hannah will become important as a character in her own right later in the book. The other characters in the novel, including some of the historical figures, are drawn simply but cleanly and expressively; the reader feels that they know them, if only briefly.</p>



<figure class="wp-block-image alignright size-full is-resized"><img fetchpriority="high" decoding="async" width="333" height="500" src="https://medhum.org/wp-content/uploads/2026/07/240496224-570758053.jpg" alt="" class="wp-image-15498" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2026/07/240496224-570758053.jpg 333w, https://medhum.org/wp-content/uploads/2026/07/240496224-570758053-200x300.jpg 200w" sizes="(max-width: 333px) 100vw, 333px" /></figure>



<p class="wp-block-paragraph"><em>We Want So Much to Be Ourselves</em>&nbsp;is well-written, engaging, and suspenseful. O’Connor’s narrative successfully summons up both the atmosphere in the world of psychoanalysis in the 1920’s and Nazi-era Berlin’s anxiety and paranoia in the 1930’s. The reader who has some familiarity with the history of Weimar and Nazi-era Germany will note a rare factual slip², but nothing that is critical for plot development or that takes away from the pleasure of the reading experience; such are the pitfalls of writing historical fiction. When we reach the last hundred pages or so—the postwar years—the narrative tempo speeds up, and near the very end the novel becomes telescoped into a series of rapid-fire moments in the protagonists’ lives, seeming more an epilogue than a continuous part of the novel; this is the section that catalogues the aftermath. Life hobbles on, though one might wish for a more leisurely unwinding of the tale.</p>



<p class="wp-block-paragraph"><em>We Want So Much to Be Ourselves</em>&nbsp;asks how a person of moral integrity can function in what the German philosopher and psychiatrist Karl Jaspers has called a&nbsp;<em>Verbrecherstaat</em>, a “criminal state”—not simply a state that occasionally commits crimes, but a state which has been transmuted entirely into a criminal enterprise—and what the price of that functioning, of complicity or resistance, might be. It portrays profoundly human characters who live through societal trauma, from which it is possible to emerge, but rarely to emerge unscathed, and emphasizes the role of connection for moving forward and healing. Importantly, it reminds us that patient care does not exist in a vacuum or a pure state, divorced from the society that surrounds it, and that when it is co-opted and weaponized by political considerations, things go very bad, very fast.</p>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong><em>We Want So Much to Be Ourselves<br></em></strong>Stephen O’Connor<br>Bellevue Literary Press, New York 2026: 496 pages<br>_______________________________________________________<br>¹The history is complicated…and contested; see Geoffrey Cocks’ “The devil and the details: psychoanalysis in the Third Reich,” in <em>Psychoanalytic Review</em>, 88 (2), 2001; Zvi Lothane, “The deal with the devil to “save” psychoanalysis in Nazi Germany” <em>Psychoanalytic Review</em>, 88(2), 2001; and Cocks’ review (in <em>Psychoanalysis and History</em> 3(2), 2001) of James and Eileen Goggin’s <em>Death of a Jewish Science—Psychoanalysis in the Third Reich</em>, among others. The Goggins feel that psychoanalysis was “destroyed” under the Nazis, while Cocks notes significant continuities in the discipline through this period, although his analysis includes psychoanalysis and psychotherapy.<br><br>²At one point one of the characters is said to have been arrested by the police and “…got off the train at Theresienstadt and went straight to the gas chamber…” (p. 425) While the person narrating this event is admittedly unsure that the prisoner went to the gas chamber, the fact is that they could not have; there were no gas chambers at Theresienstadt. In another example, a patient of the Berlin clinic is referred to as a “Leninist” who was a member of “the DKP.” The author is presumably referring here to the German Communist Party, known as the DKP, or <em>Deutsche Kommunistiche Partei</em>. However, the DKP was only founded in 1986. The Communist party in Germany during the Weimar Republic and (though it was rapidly outlawed) in the Third Reich was the KPD (<em>Kommunistiche Partei Deutschlands</em>).<br><br>Web image by Medhum.org based on the original book cover.</p>



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		<title>The Expendable Man by Dorothy B. Hughes </title>
		<link>https://medhum.org/review/book-review/steven_field/the-expendable-man-by-dorothy-b-hughes/</link>
					<comments>https://medhum.org/review/book-review/steven_field/the-expendable-man-by-dorothy-b-hughes/#respond</comments>
		
		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Tue, 17 Mar 2026 15:20:12 +0000</pubDate>
				<category><![CDATA[Book Review]]></category>
		<category><![CDATA[Focus]]></category>
		<category><![CDATA[abortion]]></category>
		<category><![CDATA[crime]]></category>
		<category><![CDATA[desert]]></category>
		<category><![CDATA[focus-medical-humanity]]></category>
		<category><![CDATA[hitchhiker]]></category>
		<category><![CDATA[innocence]]></category>
		<category><![CDATA[investigation]]></category>
		<category><![CDATA[justice]]></category>
		<category><![CDATA[murder]]></category>
		<category><![CDATA[noir]]></category>
		<category><![CDATA[paranoia]]></category>
		<category><![CDATA[Phoenix]]></category>
		<category><![CDATA[racism]]></category>
		<category><![CDATA[roadtrip]]></category>
		<category><![CDATA[suspense]]></category>
		<category><![CDATA[suspicion]]></category>
		<guid isPermaLink="false">https://medhum.org/?p=14368</guid>

					<description><![CDATA[A tense noir thriller where a young doctor becomes the prime suspect in a mysterious desert murder.]]></description>
										<content:encoded><![CDATA[
<p class="wp-block-paragraph"> Hugh Densmore, a young intern at UCLA Medical Center, is heading out of Los Angeles on his way to his niece’s wedding in Phoenix. He has signed out for the long weekend and is eagerly anticipating some time with his family, which will include (though he doesn’t know this yet) his niece’s college roommate, an eligible young woman from a prominent Washington, DC, family. Driving his mother’s late-model Cadillac, with his suitcase, medical bag, and his father’s golf clubs in the trunk, he is fifteen miles out of Indio and in the middle of nowhere when he spots a teenage girl by the side of the road. She’s a bit disheveled and is carrying a small canvas travel bag and a white plastic handbag and nothing else; she looks to him like the girls his younger sisters refer to as “cheap.” He pulls over and rolls down his window. She is sullen and somewhat evasive in answering questions, and she happens to be going to Phoenix also. Hugh feels that he can’t just leave her here, in the desert, where who knows who she might encounter, so he offers a ride; he decides, however, that he will drop her off at the next town, where she can catch the bus.  </p>



<p class="wp-block-paragraph">What could&nbsp;possibly go&nbsp;wrong, right?&nbsp;</p>



<p class="wp-block-paragraph">This is the set-up of Dorothy Bridges’&nbsp;<em>The Expendable Man</em>, and the answer is, of course, “plenty.” It is not a big reveal to say that the girl’s motives seem dubious, and she proves hard to be rid of, being dropped off and then repeatedly showing up again, including at Hugh’s Phoenix motel room, where he refuses to speak to her. It is not even a big reveal to say that the morning after she shows up at his motel room her body is found in a canal on the outskirts of Phoenix, and the autopsy reveals her to have been pregnant—and to have had an abortion. Unsurprisingly, the suspicion of the local police falls on Hugh, the last person—and conveniently, a physician—known to have seen her alive.&nbsp;It will be up to Hugh to prove his innocence despite the damning circumstances.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">Dorothy Hughes was known as a writer of&nbsp;<em>noir</em>&nbsp;fiction, and&nbsp;<em>The Expendable Man</em>&nbsp;is no exception.&nbsp;From the first page she creates a sense of uneasiness which pervades the entire novel.&nbsp;The dry airless heat of the southwestern desert, the rowdy and vaguely threatening teenagers in their jalopies who buzz about the town of Indio like so many flies, the trackless expanse of territory with the lone hitchhiker in the middle of nowhere, the local police, who seem to have had their humanity burned out by the heat—all of this contributes to the subtle but steadily mounting dread which characterizes so much of the novel.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">The book was written in 1963, when Los Angeles was very much the land of dreams, and Phoenix was still a relatively young and underdeveloped city just beginning to stretch out in the Maricopa Valley; it’s a short distance from the downtown neighborhoods to farms and empty lands where bad things can happen.&nbsp;And when this particular&nbsp;bad thing&nbsp;happens, people want to find the perpetrator. If it could&nbsp;possibly be&nbsp;an outsider, someone educated and from the big city, who drives a big Cadillac—someone “not one of us”—so much the better. Of course it looks too easy, but the community needs someone to blame. They need a sacrifice, and Hugh is just that: convicting him of the crime will spare the police having to look too hard in their own backyard for the culprit. Hugh is&nbsp;literally an&nbsp;expendable man.&nbsp;</p>



<p class="wp-block-paragraph">Fortunately, Hugh has his family and his new love interest to support him, and he enlists them in his attempt to solve the crime, because solving the crime is the only way to get him off the hot seat.&nbsp;How this happens is well-plotted and holds the reader’s attention.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">The fact that this is written in 1963 influences the lens through which the novel should be read; that is, with mid-twentieth-century mores and cultural referents in mind.&nbsp;Reaction to the news that the dead girl has had an abortion galvanizes the community—abortion is illegal, and the Arizona of the novel considers it immoral as well.&nbsp;The combination of people’s revulsion at the very fact of the abortion, and the thirst for punishment that&nbsp;accompanies&nbsp;it, magnifies the crime of murder;&nbsp;<em>everyone</em>&nbsp;talks about the heinous nature of what has happened.&nbsp;Also, the Cadillac was at the time a symbol of having “arrived,” and a medical school education was expensive; not all families could afford to pay for one.&nbsp;And golf was, and still is, an expensive indulgence.&nbsp;With touches like these Hughes paints&nbsp;a very specific&nbsp;picture of her protagonist.&nbsp;&nbsp;</p>



<figure class="wp-block-image alignright size-large is-resized"><img decoding="async" width="689" height="1024" src="https://medhum.org/wp-content/uploads/2026/04/TheExpendableMan2CRandomHouse2Cpublished1963-3041439967-689x1024.jpg" alt="" class="wp-image-14370" style="width:300px" srcset="https://medhum.org/wp-content/uploads/2026/04/TheExpendableMan2CRandomHouse2Cpublished1963-3041439967-689x1024.jpg 689w, https://medhum.org/wp-content/uploads/2026/04/TheExpendableMan2CRandomHouse2Cpublished1963-3041439967-202x300.jpg 202w, https://medhum.org/wp-content/uploads/2026/04/TheExpendableMan2CRandomHouse2Cpublished1963-3041439967-768x1141.jpg 768w, https://medhum.org/wp-content/uploads/2026/04/TheExpendableMan2CRandomHouse2Cpublished1963-3041439967.jpg 1005w" sizes="(max-width: 689px) 100vw, 689px" /></figure>



<p class="wp-block-paragraph"><em>The Expendable Man</em>&nbsp;is, however, so much more than simply a mystery. Hughes’ ability to create the setting and build the uneasiness is superb literary craft. Interestingly, it’s possible that the way she does this has partly to do with her excellent writing and partly to do with popular culture that postdated the novel’s publication—i.e., it may have as much to do with what the reader brings to the novel as (or rather, in addition to) what the author puts in it. Every film that included a hitchhiker story gone bad—and there are any number of them—contributes to the aura of dread in the early pages. And it is hard to read the descriptions of the action in Phoenix without channeling the early parts of Hitchcock’s&nbsp;<em>Psycho</em>.&nbsp;And we all know how that turned out.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">But&nbsp;<em>The Expendable Man</em>&nbsp;is also the novel as social commentary, never&nbsp;directly stated, but always there. The conflict between the middle- or upper-middle-class, cultured, educated, “city slicker” and the locals who think and live very differently—and are looking to hang someone—is riveting.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">There is one big reveal which comes out of left field.&nbsp;It happens&nbsp;relatively early&nbsp;on and changes&nbsp;<em>everything</em>&nbsp;in the way the reader views the story.&nbsp;It’s&nbsp;actually too&nbsp;good, too cleverly imagined, to give away, but watch for it (it’ll&nbsp;be hard to miss) and prepare to have everything&nbsp;you’ve&nbsp;thought about the story suddenly change with the breathless rapidity of a pulled-out rug.&nbsp;It will ratchet up the discomfort and make you re-evaluate the entire story and your reactions to it.&nbsp;</p>



<p class="wp-block-paragraph">Don’t&nbsp;say you&nbsp;haven’t&nbsp;been warned.&nbsp;&nbsp;</p>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong><em>The Expendable Man</em> <br></strong>Dorothy B. Hughes <br>New York, NYRB Classics, 2012 (orig published 1963), 264 pp. <br><br>Web image by Medhum.org</p>



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		<title>The Great Influenza by John Barry </title>
		<link>https://medhum.org/review/book-review/steven_field/the-great-influenza-by-john-barry/</link>
					<comments>https://medhum.org/review/book-review/steven_field/the-great-influenza-by-john-barry/#respond</comments>
		
		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Mon, 03 Nov 2025 14:08:12 +0000</pubDate>
				<category><![CDATA[Book Review]]></category>
		<category><![CDATA[Focus]]></category>
		<category><![CDATA[Litmed]]></category>
		<category><![CDATA[Contagion]]></category>
		<category><![CDATA[epidemic]]></category>
		<category><![CDATA[fear]]></category>
		<category><![CDATA[focus-infectious-disease]]></category>
		<category><![CDATA[global health]]></category>
		<category><![CDATA[historical nonfiction]]></category>
		<category><![CDATA[history]]></category>
		<category><![CDATA[infectious diseases]]></category>
		<category><![CDATA[influenza]]></category>
		<category><![CDATA[John Barry]]></category>
		<category><![CDATA[Johns Hopkins]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[microbiology]]></category>
		<category><![CDATA[mortality]]></category>
		<category><![CDATA[New York]]></category>
		<category><![CDATA[novel]]></category>
		<category><![CDATA[outbreak]]></category>
		<category><![CDATA[pandemic]]></category>
		<category><![CDATA[pandemics]]></category>
		<category><![CDATA[politics]]></category>
		<category><![CDATA[public health]]></category>
		<category><![CDATA[research]]></category>
		<category><![CDATA[Science]]></category>
		<category><![CDATA[society]]></category>
		<category><![CDATA[vaccines]]></category>
		<category><![CDATA[virology]]></category>
		<category><![CDATA[War]]></category>
		<category><![CDATA[World War I]]></category>
		<guid isPermaLink="false">https://medhum.org/?p=12624</guid>

					<description><![CDATA[John Barry’s The Great Influenza vividly recounts the 1918 pandemic’s medical, social, and political upheavals with novelistic precision.]]></description>
										<content:encoded><![CDATA[
<p class="wp-block-paragraph">John Barry’s <em>The Great Influenza</em> is a deep dive into the history of the influenza pandemic of 1918. But it is not simply a deep dive into the purely medical aspects of that history—as no medical histories truly are—but is in addition an exploration of the social and political currents of the time that coexisted with and facilitated the pandemic.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">Although his story opens with the establishment of the Johns Hopkins Hospital in 1876, Barry immediately takes a detour into the history of medicine dating back to Hippocrates, and traces the history of medical/scientific thought from Ancient Greece to the end of the 19<sup>th</sup> century. He then introduces a series of physicians, scientists, and medical researchers who will play their parts in the story of the pandemic (this first section is called “The Warriors”) and outlines their training, research, and interactions.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">It isn’t until page 91 that he takes us to the rural Kansas county in which the story of the pandemic begins. For although it was called the “Spanish Flu,” that was actually an eponym of convenience; in fact, the first cases of pandemic flu seem to have arisen on the American prairie. However, newspaper reporting on the new pandemic was felt by the Allies and Central Powers alike to be contrary to the public interest (the war was still raging), so it was left to neutral Spain, whose king had come down with the disease, to publish the early reports. In this section, “The Swarm”, Barry also briefly reviews the basic (not to worry, very basic) microbiology of viruses and the history of some prior pandemics. He follows this with the section called “The Tinderbox,” in which he traces the events leading up to the entry of the United States into World War I, and the importance of that war and the political and social conditions surrounding it in the history of the pandemic. From here on in the influenza itself takes center stage; in sections called “It Begins,” “Explosion,” “Pestilence,” “The Race,” and “The Tolling of the Bell,” the rapid and lethal course of the pandemic is described in gripping (no pun intended) detail. The last two sections discuss the scientific advances (and some false starts) brought about by the cadre of researchers working day and night to tame the outbreak, and then Barry finally turns to the retreat of the virus and ultimate end of the pandemic. The book ends as it began, returning to the stories of the individual men and women of science who engaged in the battle to beat the disease of which it had initially been said by many that “[t]his was, after all, only influenza.”&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">For anyone seeking to understand the 1918 influenza pandemic not only from a scientific and medical historical standpoint, but also with an appreciation of the political and sociocultural milieu in which it took place, you can’t do much better than Barry’s work. It is not short—it clocks in at 461 pages, with another nearly 40 pages of endnotes and a 20 page bibliography—but it is well-paced and reads smoothly; the narrative carries you along, a testament to the author’s writing style. Barry succeeds in putting a human face on the pandemic and creates a mental image of the horror of pandemic disease which can stand up alongside those we have of the Black Death of the mid-fourteenth century, with which it is often compared. For those of us who know the flu as a seasonal visitor, (for most of us a major annoyance, but nonetheless a disease that kills tens of thousands each year), the images of massive and rapid death—villages abandoned except for piles of corpses, trains that “left one station with the living…[and]…arrived with the dead and dying”—seem surreal. Barry paces the book in such a way that one can almost hear the stopwatch ticking in the background; <em>The Great Influenza</em> is scientific and historical reporting done with great attention to detail and to getting the medical facts right, but it is reporting done with a novelist’s flair.&nbsp;&nbsp;</p>



<figure class="wp-block-image alignright size-full is-resized"><img decoding="async" width="324" height="500" src="https://medhum.org/wp-content/uploads/2025/11/111267-L-411918261.jpg" alt="" class="wp-image-12627" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2025/11/111267-L-411918261.jpg 324w, https://medhum.org/wp-content/uploads/2025/11/111267-L-411918261-194x300.jpg 194w" sizes="(max-width: 324px) 100vw, 324px" /></figure>



<p class="wp-block-paragraph">Even as the pandemic begins to recede, leaving in its wake not only the dead but those living with its sequelae, such as post-encephalitic syndromes (the Woodrow Wilson/Treaty of Versailles anecdote is particularly striking), the helplessness of medical science is reaffirmed; the pandemic recedes of its own accord, because the virus mutates to less virulent forms, and the very large number of those who have survived helps to create herd immunity.&nbsp;&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">In the book’s Afterword, added in 2018, the author discusses and compares influenza pandemics which followed the 1918 experience, talks about some of the antiviral drugs introduced over the years and how they work, and speculates about what the next great influenza pandemic might look like and how it might be prepared for. His concern was prescient, although it would be a coronavirus, rather than influenza, that would cause widespread death and societal disruption. In fact, one of the most jarring aspects of this story is the fact that, if one changes the dates and the names, the tale bears an uncanny resemblance to the COVID-19 story, right down to the attempts at minimization by the government and even the isolation and victimization of an ethnic group (in 1918 the Germans, who were the enemy in the world war, rather than Asian-Americans, as it would be during COVID).&nbsp;&nbsp;</p>



<p class="wp-block-paragraph"><em>The Great Influenza</em> is a detailed, highly readable, and sobering account of an episode which demonstrated once again that despite what we may think, we are not the masters of the world in which we live, and that a microbe could rapidly kill on a devastating scale and upend society—again—and there was initially little that could be done to stop it.&nbsp;&nbsp;</p>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong><em>THE GREAT INFLUENZA: A Story of the Deadliest Pandemic in History</em><br></strong>John Barry <br>Penguin Books, New York, 2004 (reissued with new afterword, 2018)<br>461 pages <br><br>A previous version of this review was published in the NYU Literature, Arts, and Medicine Database.<br>Web image by Medhum.org</p>



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		<title>The Winter Soldier by Daniel Mason</title>
		<link>https://medhum.org/review/book-review/steven_field/the-winter-soldier-by-daniel-mason/</link>
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		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Thu, 18 Sep 2025 17:47:13 +0000</pubDate>
				<category><![CDATA[Book Review]]></category>
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		<guid isPermaLink="false">https://medhum.org/?p=11681</guid>

					<description><![CDATA[A lyrical World War I tale blending medicine, love, and ethics, The Winter Soldier immerses readers in history and humanity.]]></description>
										<content:encoded><![CDATA[
<p class="bold-first wp-block-paragraph">When <em>The Winter Soldier</em> opens, Lucius Kszelewski, youngest son of a patrician Polish family living in Vienna, is on a train bound in the dead of winter for a field hospital in the Carpathian Mountains. It is 1915, and Austria-Hungary is at war with Russia. Lucius, a medical student, has completed only six semesters of medical school, but World War I has intervened, and due to a shortage of physicians in the army the government has decreed that students may graduate early, become doctors, and immediately be commissioned. &nbsp;Lucius has done so and is on his way to Lemnowice, a Galician village, where he believes he will work with other physicians and finally learn to be “a real doctor.”</p>



<p class="wp-block-paragraph">When he arrives, he finds that the hospital is an expropriated village church overrun by rats and ravaged by typhus, and he is the only physician. The hospital is run by a nun, Sister Margarete, assisted only by orderlies, and the patient load runs the gamut from fractures and gunshot wounds to gangrenous legs and massive head trauma. The front is only a few kilometers away, and the wounded arrive continuously; the quiet and formal Sister Margarete confidently and unobtrusively guides him through rounds, surgeries, and battlefield medicine. Lucius is initially wary of her, perhaps a bit awed by her, and ultimately falls in love with her. &nbsp;</p>



<p class="wp-block-paragraph">The transforming event is the arrival of the “winter soldier,” Jozsef Horvath, brought in from the snow mute and shell-shocked, but with no visible wounds. For Lucius, who is fascinated by diseases of the brain and mind, this patient presents a tremendous challenge. Lucius is sure that Horvath has “war neurosis,” what the British physicians of the time were calling shell shock and what we today would call PTSD, and he is determined to understand and heal him. Lucius and Margarete make slow progress with their patient, but his attempts to care for the patient have unintended effects, and Lucius must then deal with the consequences of his actions.</p>



<p class="wp-block-paragraph">The war, and the hospital routine, go on. One day, while Lucius and Margarete are relaxing in the woods, Margarete runs off; Lucius returns to the village, but Margarete is not there. While Lucius and the staff search for her, Lucius gets lost; he stumbles onto a battlefield and is dragooned into service with a regiment of the Austrian infantry. He ultimately escapes and tries to make his way back to the field hospital, and to Margarete, but Lemnowice has fallen to the Russians. The hospital has been evacuated—and Margarete has disappeared. &nbsp;Lucius’ search for her will take him across the war-torn remnant of the Empire.</p>



<p class="wp-block-paragraph"><em>The Winter Soldier</em> is a war story, a doctor story, and a romance, and it also poses a wrenching question of medical ethics. This is a lot to ask of any novel, but Mason pulls it off with aplomb. The writing is lyrical; the author’s descriptions of the variation of the seasons in the Carpathian forests are poetic and beautifully detailed, and his characterizations are finely drawn. We can not only clearly see, but also feel that we know, these people, not only the major figures of the doctor and the nurse, but also the orderlies, the Austrian soldiers, Lucius’ somewhat bemused Professor Zimmer, and Lucius’ parents (who are marvels of characterization: the retired military officer father who lives on past glory and cannot see his son for who he is, and the controlling, clever, acid-tongued society <em>grande</em> <em>dame</em> mother who can only see her son for who she thinks he should be). Lucius and Margarete feel real, and their interaction feels real…and complicated. The historical setting comes alive with detail, and the reader truly feels that they are in <em>that</em> place at <em>that</em> time, whether at a formal dinner in a Viennese mansion or treating war casualties in a Galician backwater. And the medical details are correct, not just the medical terms but even the way in which they are used in dialogue, which is not surprising, as Mason is a physician; it isn’t always easy to get this right, but Mason does. &nbsp;</p>



<p class="wp-block-paragraph">But the true heart of the medical story here is the ethical quandary in which Lucius finds himself—the complex nature of the doctor-patient relationship, the motivations which drive it, and the decisions we make. Although this takes up a relatively short page count, its repercussions continue throughout the novel.</p>



<figure class="wp-block-image alignright size-full is-resized"><img loading="lazy" decoding="async" width="669" height="1000" src="https://medhum.org/wp-content/uploads/2025/09/91O9qf1cVCL._UF10001000_QL80_.jpg" alt="" class="wp-image-11684" style="width:320px" srcset="https://medhum.org/wp-content/uploads/2025/09/91O9qf1cVCL._UF10001000_QL80_.jpg 669w, https://medhum.org/wp-content/uploads/2025/09/91O9qf1cVCL._UF10001000_QL80_-201x300.jpg 201w" sizes="auto, (max-width: 669px) 100vw, 669px" /></figure>



<p class="wp-block-paragraph">The novel has a particular, though minor, resonance for the time of COVID-19 (though it was released two years before the pandemic occurred). The action of the novel is set in motion when, due to a war-induced doctor shortage, medical schools decided to allow upper-level students like Lucius to graduate early and become doctors, and then immediately posted them, often with little practical experience, to field hospitals near the front lines. &nbsp;Several American medical schools took a superficially similar action in Spring 2020 when doctors were desperately needed to help staff hospital units during the coronavirus pandemic, although this only applied to fourth-years who were but a few months short of graduation and would have already had the clinical experience which Lucius lacked. So while the situations aren’t entirely analogous, the concept of students opting into a trial by fire is.</p>



<p class="wp-block-paragraph"><em>The Winter Soldier</em> can be appreciated for its historical perspective, its story of human relationships, the ethical dilemma it poses, and the beauty of its prose. Or enjoyed for what it is—a great read.</p>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong><em>The Winter Soldier</em></strong><br>Daniel Mason<br>New York, Little Brown &amp; Co., 2018; 318 pp.<br><br>A previous version of this review was published in the NYU Literature, Arts, and Medicine Database.<br>Web image created by Medhum.org</p>
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		<title>The Eye in the Door by Pat Barker </title>
		<link>https://medhum.org/review/book-review/steven_field/the-eye-in-the-door-by-pat-barker/</link>
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		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Tue, 22 Jul 2025 23:33:26 +0000</pubDate>
				<category><![CDATA[Book Review]]></category>
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		<guid isPermaLink="false">https://medhum.org/?p=11214</guid>

					<description><![CDATA[A gripping exploration of wartime paranoia, identity, and psychological trauma on the British Home Front during World War I.]]></description>
										<content:encoded><![CDATA[
<p class="wp-block-paragraph">Pat Barker’s three volume <em>Regeneration</em> series of novels are set at the Craiglockhart War Hospital, a real place, in Scotland, in 1917, where William HR Rivers, a real psychiatrist and anthropologist, is treating British soldiers sent home from the front for the newly-described entity of “shell shock,” what we would come to know as Post-Traumatic Stress Disorder, or PTSD.</p>



<p class="wp-block-paragraph"><em>The Eye in the Door</em>, the second in the trilogy, turns its attention to the Home Front, and more specifically describes the rampant paranoia during the war, as the government targets two groups:&nbsp; homosexuals and “conchies,” or conscientious objectors.&nbsp; While it too is tethered to historical fact, it is more of a fictional narrative concentrating on the state-sponsored witch-hunt, refracted through the story of Billy Prior, a patient of Dr. Rivers.&nbsp; Billy is bisexual; he also grew up with childhood friends who became pacifists and objectors, and who may or may not have been involved in a plot to assassinate the Prime Minister, and so he moves in both of these marginalized and persecuted worlds.&nbsp; He also has fallen in love with a woman whom he wants to marry.&nbsp; During his ongoing treatment of Billy, Rivers confronts his own repressed childhood memories.&nbsp;&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">The Regeneration Trilogy has much to recommend it in considering works of literature in the area of medical humanities.&nbsp; First—and obviously—it is about the psychological damage suffered by young men pressed into military service during wartime, and the way in which medicine approaches their resultant illness with the tools it has at hand.&nbsp; Each one of these soldiers has a story, each one has a trauma, and there are no pharmacological options. Much like Freud (a contemporary whose work was well-known to him), Rivers felt that the way to treat the shell-shocked soldiers was a “talking cure,” making the traumatic events unrepressed and having the patients recognize and address them.&nbsp; The stories of the soldiers’ treatments are engaging, Rivers’ warmth and compassion for his charges is unmistakable, and the nature of physician-patient interaction during treatment is explored.&nbsp;&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">Barker also poses questions about gender; more specifically, about the nature of manhood and the role of women in a male-dominated society turned upside down by a cataclysm.&nbsp; Being a man in England during the war means being in uniform and preferably fighting in France; the conchies and the gay men are seen by many, including many women, as being “less than” men, and in their otherness, as subversive.&nbsp; Women, for their part, have had to step up and assume the roles in the workforce that men have vacated to go off to fight.&nbsp;&nbsp; It is supposedly the love of their fellow men that allows the soldiers to fight as a unit, to want to enlist and to want to re-up after they are wounded, and this comradeship is trumpeted by those in command.&nbsp; But it is crucial that everyone understand that this must be the right kind of love; the wrong kind of love is ferreted out and made example of.&nbsp;</p>



<figure class="wp-block-image alignright size-medium is-resized"><img loading="lazy" decoding="async" width="199" height="300" src="https://medhum.org/wp-content/uploads/2025/07/91EeG3vM4dL._UF10001000_QL80_-199x300.jpg" alt="" class="wp-image-11223" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2025/07/91EeG3vM4dL._UF10001000_QL80_-199x300.jpg 199w, https://medhum.org/wp-content/uploads/2025/07/91EeG3vM4dL._UF10001000_QL80_-600x900.jpg 600w, https://medhum.org/wp-content/uploads/2025/07/91EeG3vM4dL._UF10001000_QL80_.jpg 664w" sizes="auto, (max-width: 199px) 100vw, 199px" /></figure>



<p class="wp-block-paragraph">There are many paradoxes, and many instances of doubling or of opposites, in the novels.&nbsp; Rivers wants to cure his patients, although curing them will render them fit to be sent back to combat and likely be killed.&nbsp; Several bisexual men lead bifurcated lives.&nbsp; And underlying all of it is a society rigidly divided along class lines, with the WC’s—the working classes—distinguished not only by their living and working conditions but also by the idiomatic speech put into their mouths by the author.&nbsp;&nbsp; The war may be in some ways a great “we’re all in this together” moment, but it can’t erase class distinctions.&nbsp;&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">It is worth noting that Barker’s style can range over to the gritty and realistic, as well as the graphic, whether describing the events occurring on a battlefield in Picardy or in a bedroom (or back alley) in London. The writing style is crisp, and the narrative moves along nicely.&nbsp; The author’s characterizations are on point, especially William Rivers and Billy Prior.&nbsp; Barker has a great feel for language, although some of the words and expressions several of the characters use are distinctly British and may be unfamiliar to American ears.&nbsp; She conveys an England—or at least, a segment of England—tired of war, tired of being bombed, often living hand to mouth in cold water flats with faded wallpaper and trying gamely to carry on despite being ground down.&nbsp;</p>



<p class="wp-block-paragraph">And underlying it all, The Great War—its idealization, its senselessness.&nbsp; The three volumes of this trilogy are beautifully written, hold the attention, and move quickly, and its relatively spare language has a lot to say.&nbsp;</p>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong><em>The Eye in the Door <br></em></strong>Pat Barker&nbsp;<br>Dutton: 1994, 288 pages&nbsp;<br><br>Photo of Chester from &nbsp;<a href="https://unsplash.com/@clevelandart">The Cleveland Museum of Art</a>&nbsp;</p>



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		<title>The Third Reich of Dreams by Charlotte Beradt </title>
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		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Mon, 23 Jun 2025 13:05:07 +0000</pubDate>
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		<guid isPermaLink="false">https://medhum.org/?p=11056</guid>

					<description><![CDATA[A haunting collection of Nazi-era dreams revealing how authoritarian terror invaded not only public life but also the unconscious mind.
]]></description>
										<content:encoded><![CDATA[
<p class="wp-block-paragraph">Robert Ley, the Nazi politician and head of the German Labor Front from 1933 to 1945, is quoted in an epigraph to one of the chapters in this book as saying, “The only private individuals left in Germany are people sleeping.”&nbsp;</p>



<figure class="wp-block-image alignright size-full is-resized"><img loading="lazy" decoding="async" width="300" height="300" src="https://medhum.org/wp-content/uploads/2025/06/o3mpakifi3jaij7mt8fer5he6f._SY300_CR00300300_.jpg" alt="" class="wp-image-11068" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2025/06/o3mpakifi3jaij7mt8fer5he6f._SY300_CR00300300_.jpg 300w, https://medhum.org/wp-content/uploads/2025/06/o3mpakifi3jaij7mt8fer5he6f._SY300_CR00300300_-150x150.jpg 150w" sizes="auto, (max-width: 300px) 100vw, 300px" /><figcaption class="wp-element-caption">Charlotte Beradt</figcaption></figure>



<p class="wp-block-paragraph">He was wrong. &nbsp;</p>



<p class="wp-block-paragraph">In Nazi Germany, sleep was a poor protection from the horrors of the external world, as Charlotte Beradt, a Berlin journalist, found out. Beradt, a Jew and a Communist—and thus an ultimate outsider in Hitler’s state—began having unsettling dreams shortly after the Nazi takeover of the government in 1933, dreams of being “chased, tortured, shot at, [and] scalped,” from which she awakened drenched in sweat. Wondering if others might be having similar experiences, she began collecting dream reports from neighbors, friends, and acquaintances, aided in some cases by a friendly physician who would ask his patients about their dreams in the context of their office visits. She recorded them in her notebook or on scraps of paper, often in coded language so they would be unrecognizable to prying eyes, especially of the police. This project engaged her from 1933 until she left Germany in 1939, ultimately winding up in New York City and settling among a community of German expatriates and refugees, including Hannah Arendt. She originally published her dream reports in 1966; this new English translation by Damion Searls appeared in 2025.&nbsp;</p>



<p class="wp-block-paragraph">The book is divided into eleven chapters, each reporting several dreams that are linked by a common thread. Patterns emerge and are echoed: initially, the loss of privacy and the intrusion of state policies into everyday life. There are dreams in which the dreamer is under surveillance or feel they must conform to state policies; Goebbels and Hitler appear in several of these, or exist in the background. There are Kafkaesque nightmares where household items like stoves and pillows become monitors of activity or nagging and accusatory voices (Beradt refers to the “Orwellian” sense of being watched, noting that the dream content prefigures Orwell’s <em>1984</em> by many years). &nbsp;</p>



<p class="wp-block-paragraph">Interestingly, after 1935 (and the passage of the notorious Nuremberg Race Laws) dreams show up in the text characterized by a preoccupation with the wish for the ideal Aryan body type (blonde, blue-eyed, tall), or, more commonly, the preoccupation with the dreamer’s falling short of this ideal and being singled out for it. Non-Jewish Germans have dreams in which their noses are too prominent and “the authorities” accuse them, directly or indirectly, of having Jewish ancestry. And in her final chapter, “Jewish Dreamers, or, ‘I’ll Make Way for the Trash, if Needed,’ ” Beradt catalogues the dreams of Jewish Germans, dreams of exile, loss, hounding and pursuit, and self-abnegation.&nbsp;</p>



<figure class="wp-block-image alignright size-full is-resized"><img loading="lazy" decoding="async" width="408" height="633" src="https://medhum.org/wp-content/uploads/2025/06/Screen-Shot-2025-06-20-at-1.27.57-PM.png" alt="" class="wp-image-11059" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2025/06/Screen-Shot-2025-06-20-at-1.27.57-PM.png 408w, https://medhum.org/wp-content/uploads/2025/06/Screen-Shot-2025-06-20-at-1.27.57-PM-193x300.png 193w" sizes="auto, (max-width: 408px) 100vw, 408px" /></figure>



<p class="wp-block-paragraph">The book is a relatively brief (122 pages) compendium of nightmares, some of which have the feel of surrealistic short film clips, which catalogues the increasing encroachment of a totalitarian state on the lives—and into the unconscious worlds—of its subjects. The author’s analyses of dreams bespeak her familiarity with dreamwork concepts (she is referred to in several biographical sketches—not part of the book—as a “member of the Berlin psychoanalytic community,” although she was not a trained psychoanalyst), and many of her interpretations are sophisticated and suggest significant familiarity with Freudian concepts.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">It is worth noting that Beradt has probably surveyed a skewed population; her subjects are mostly people she knows, or referred by people she knows and presumably trusts, and there is a selection bias, in that she has probably not approached, say, Nazi Party members or sympathizers for their dreams. A large number of the dreams seem to date from the early years of the Third Reich, 1933-1935/6; it is possible that in the later years it was just too terrifying to talk about one’s nighttime visions…or that the dreamers had started to leave the country. </p>



<p class="wp-block-paragraph"><em>The Third Reich of Dreams</em> makes absorbing and chilling reading. It is fascinating to see how dreams, the realm of the personal unconscious, become infiltrated by and reflective of societal change in real time. Sometimes “the royal road to the unconscious” leads straight to the dreamer’s front door. &nbsp;</p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe loading="lazy" title="Book Talk – Totalitarian Dreams and Real Nightmares: Hannah Arendt and Charlotte Beradt" width="1310" height="737" src="https://www.youtube.com/embed/miXHroM28U4?feature=oembed" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe>
</div></figure>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong>The Third Reich of Dreams </strong> <br>by Charlotte Beradt, translated by Damion Searls <br>c. 1966, 2025 <br>Princeton University Press <br>122 pp. <br><br>Web photo by <a href="https://unsplash.com/@ed_wingate?utm_content=creditCopyText&amp;utm_medium=referral&amp;utm_source=unsplash">Ed Wingate</a> </p>



<p class="wp-block-paragraph"><br></p>
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		<title>The Empusium by Olga Tokarczuk </title>
		<link>https://medhum.org/review/book-review/steven_field/the-empusium-by-olga-tokarczuk/</link>
					<comments>https://medhum.org/review/book-review/steven_field/the-empusium-by-olga-tokarczuk/#respond</comments>
		
		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Mon, 24 Mar 2025 14:43:58 +0000</pubDate>
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		<guid isPermaLink="false">https://medhum.org/?p=9748</guid>

					<description><![CDATA[A Gothic, feminist horror novel blending folklore, philosophy, and suspense in a tuberculosis sanatorium before World War I.]]></description>
										<content:encoded><![CDATA[
<h4 class="wp-block-heading"><strong>Back to the Mountain</strong>&nbsp;</h4>



<p class="wp-block-paragraph">Shortly before the outbreak of The Great War, a young engineering student arrives at a tuberculosis sanitorium high in the mountains of Central Europe. Over the course of his visit there he will share many meals (and drinks) with some of the other patients, a group which will include among others a Catholic conservative and a liberal humanist; there will be long, leisurely after-dinner discussions of varied philosophical topics; temperature charts will be compared; and he will become intrigued by a mysterious woman who is also a patient.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">And no, this is not <em>The Magic Mountain</em>.&nbsp;</p>



<p class="wp-block-paragraph"><em>The Empusium</em> is the latest novel from the Nobel- and International Booker Prize winner Olga Tokarczuk. The author subtitles her book “A Health Resort Horror Story,” which is exactly what it is. But it is a horror story which the author has cleverly folded into not just the setting of Thomas Mann’s novel, but the setting and certain elements of the plotline, all of them slightly altered, but recognizable. In fact, recognizing them is part of the fun of this well-plotted, rather Gothic tale.&nbsp;</p>



<figure class="wp-block-image alignright size-medium is-resized"><img loading="lazy" decoding="async" width="300" height="300" src="https://medhum.org/wp-content/uploads/2025/03/Screen-Shot-2025-03-22-at-21.12.32-e1742692956220-300x300.png" alt="" class="wp-image-9752" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2025/03/Screen-Shot-2025-03-22-at-21.12.32-e1742692956220-300x300.png 300w, https://medhum.org/wp-content/uploads/2025/03/Screen-Shot-2025-03-22-at-21.12.32-e1742692956220-150x150.png 150w, https://medhum.org/wp-content/uploads/2025/03/Screen-Shot-2025-03-22-at-21.12.32-e1742692956220.png 400w" sizes="auto, (max-width: 300px) 100vw, 300px" /><figcaption class="wp-element-caption">Olga Tokarczuk </figcaption></figure>



<p class="wp-block-paragraph">As the novel opens Mieczysław Wojnich, a young Pole from Łwów, has arrived at the tuberculosis sanitorium at Gӧbersdorf, in Lower Silesia (currently Poland, formerly Prussia), to be treated for his illness. There is no room at the main building, so he is assigned a room at Opitz’s Guesthouse for Gentlemen, where he meets his fellow (male) patients, who come from various Central European cities and differing viewpoints, but who seem to agree on one thing: the general inferiority of women. Philosophical discussions, which often take place over or after leisurely meals and the consumption of a magic mushroom-laced liqueur called Schwӓrmerei, range widely over several topics (war, language, the nature of reality) but most of the time are intensely misogynistic—what is the purpose of women? Do women have smaller brains than men? Do women’s bodies belong to the State? Have any great discoveries ever been made by women? Should women even be educated at all? (Tokarczuk helpfully includes an appendix to the novel in which she notes that all of the quotes of her characters on this subject are paraphrased from quotes by well-known prominent authors of the past, from Augustine of Hippo to William Butler Yeats) &nbsp;</p>



<p class="wp-block-paragraph">Things at the sanitorium go badly from the beginning of Wojnich’s stay. He stumbles upon the dead body of a woman laid out on a table, who turns out to be the wife of the guesthouse proprietor, and his companions tell him surreptitiously that she may have been murdered. He hears noises—voices—coming from empty rooms, and cries in the night from outside the guesthouse. An art student who is terminally ill confides that “people die here,” and not just from tuberculosis; every November, apparently, a young man disappears in the surrounding woods, only to have his body turn up ripped to pieces. And what exactly is going on with those woodsmen in the forest, anyway?&nbsp;</p>



<p class="wp-block-paragraph"><em>The Empusium</em> works on many levels. It is an homage to <em>The Magic Mountain</em>, but it is definitely not a retelling of <em>The Magic Mountain</em>. The allusions to Mann’s novel are multiple: the pre-World War I setting at a sanitorium in both novels; the fact that both Mieczysław Wojnich and Hans Castorp are engineering students; the philosophies of Settembrini and Naphtha in the <em>Mountain</em>, analogous to the conservative and humanist positions taken in <em>The Empusium</em>; the close childhood relationship between Castorp and Pribislav Hippe (<em>Mountain</em>) and Wojnich and Anatoly (<em>Empusium</em>), in each case bonding over a pencil. And as in <em>The Magic Mountain</em>, there is a narrator who occasionally breaks the fourth wall; verb tenses in <em>The Empusium</em> shift repeatedly from third-person singular past tense to first-person plural present. These are not subtle, nor are they intended to be.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">Allusions aside, <em>The Empusium</em> is its own story, and a totally different narrative. It is a horror story, a revenge story, a wryly feminist tale of the supernatural set in a place hopefully of healing but also of chronic illness and the ever-present specter of death. Tokarczuk builds suspense slowly, bit by bit, with increasing tension. Almost from the beginning there is the undeniable sensation that something is very wrong at Gӧbersdorf, although it’s hard to pin down exactly what it is. Wojnich often has the feeling that he is being watched. The story line draws from a tradition of folk horror, and specifically from the notion that bad things can happen to “city people” when they are out in the country, among the “old ways.” &nbsp;</p>



<figure class="wp-block-image alignright size-large is-resized"><img loading="lazy" decoding="async" width="671" height="1024" src="https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-671x1024.jpg" alt="" class="wp-image-9749" style="width:280px" srcset="https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-671x1024.jpg 671w, https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-196x300.jpg 196w, https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-768x1173.jpg 768w, https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-1006x1536.jpg 1006w, https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-1341x2048.jpg 1341w, https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL-1320x2016.jpg 1320w, https://medhum.org/wp-content/uploads/2025/03/61wlR88sdPL.jpg 1524w" sizes="auto, (max-width: 671px) 100vw, 671px" /></figure>



<p class="wp-block-paragraph"><em>The Empusium</em> is also more than just a horror story, and an important aspect relates to the misogynistic attitudes mentioned earlier. Tokarczuk takes a position on the nature of male-female relations (perhaps the use of a sanitorium as the setting is meant to suggest that misogyny is an illness infecting educated society). In this book “civilization” seems to be identified with maleness, and maleness is located in the sanitorium and the guesthouse, a controlled environment with its dining rooms and drawing rooms and intellectual conversation—and in the medical world, since this is a facility for medical treatment— and it is here that women are demeaned. The forest, on the other hand, is the home of the Tuntschi, female figures created by laborers out of sticks and moss and other forest detritus. It is a place both beautiful and enchanting—and dangerous. Men venture into the (female) forest, and the forest—in the form of the Schwӓrmerei, which Wojnich describes as redolent of mushrooms, moss, and earth—is brought into the guesthouse; boundaries are porous. Male and female, the guesthouse and the forest each have their secrets…and Wojnich is the last to know. But Wojnich has a secret of his own. &nbsp;&nbsp;</p>



<p class="wp-block-paragraph">And the title? A word created by the author. Empusa, in Greek mythology, was a shape-shifting female spirit who seduced young men, drank their blood, then devoured them.&nbsp;&nbsp;</p>



<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong><em>The Empusium</em></strong><br>Olga Tokarczuk <br>Riverhead/Penguin Random House, New York, 2022 <br>302 pp. <br><br>Web photo by <a href="https://unsplash.com/@marekpiwnicki" target="_blank" rel="noreferrer noopener">Marek Piwnicki</a> </p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe loading="lazy" title="Olga Tokarczuk: &quot;I think the most fun and mysterious thing is creating characters.&quot;" width="1310" height="983" src="https://www.youtube.com/embed/EhHRWXNcsQ0?feature=oembed" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe>
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		<title>James by Percival Everett </title>
		<link>https://medhum.org/review/book-review/steven_field/james-by-percival-everett/</link>
					<comments>https://medhum.org/review/book-review/steven_field/james-by-percival-everett/#respond</comments>
		
		<dc:creator><![CDATA[Steven Field]]></dc:creator>
		<pubDate>Sun, 06 Oct 2024 20:46:42 +0000</pubDate>
				<category><![CDATA[Book Review]]></category>
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		<guid isPermaLink="false">https://medhum.org/?p=7612</guid>

					<description><![CDATA[A gripping, clever retelling that flips racial dynamics, giving voice to the silenced, and exploring power, identity, and resistance with biting commentary and emotional depth.]]></description>
										<content:encoded><![CDATA[
<p class="wp-block-paragraph">Percival Everett is a prolific author whose works include the novels <em>Erasure</em> (adapted into the recent film American Fiction), <em>The Trees</em> (shortlisted for the 2022 Booker Prize), and some twenty-two others. His most recent work is <em>James</em>, also shortlisted for the Booker, a partial retelling, from a different viewpoint, of <em>The Adventures of Huckleberry Finn</em>. <em>James</em> employs the literary device of creating a story which puts another novel’s secondary character into the starring role of their own narrative. Like Jean Rhys with the “madwoman in the attic” of <em>Jane Eyre</em> in <em>Wide Sargasso Sea</em>, and Geraldine Brooks with the absent father of <em>Little Women</em> in <em>March</em>, Everett has allowed the character Jim in Twain’s classic novel to tell his narrative from his own point of view. And what a point of view it is, and what a different and edgier road it strides down.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">The action in <em>James</em>, which is told in the first person, follows a good part of Twain’s story line. James, a slave, overhears that he is to be sold to a man in New Orleans and separated from his wife and family, so he flees his owner’s home and hides on a small island in the Mississippi River to buy time and plan. Meanwhile, Huck’s father, a violent alcoholic, has returned to town, and to get away from him, Huck has faked his own death, has run away from home, and is also sheltering on the same island. Together Huck and James flee down the Mississippi on a raft. With Huck thought to be dead and the runaway James presumed to be his killer, James realizes that Huck’s safety and survival are the only proofs of his innocence. &nbsp;&nbsp;</p>



<p class="wp-block-paragraph">Many of the episodes of Twain’s novel are here, but when James and Huck become separated, James’s independent narrative begins. He is left in the service of a blacksmith, where his singing attracts the attention of a leader of a minstrel troupe, who purchases him. But to perform, James must first be made up as a white man and then wear blackface. The troupe also contains a light-skinned black man passing as white, who befriends James and runs away with him. They wind up on a crowded riverboat and James discovers that Huck is on the same boat. The ship’s boiler explodes, the ship capsizes, and James must decide to save either his friend or Huck. He saves Huck (there are multiple reasons for this) and then sets about trying to return home to find his family and get them to safety…and freedom.&nbsp;</p>



<p class="wp-block-paragraph"><em>James</em> is often funny, but it is not light. Separation of families, whippings, and killings are presented as the backdrop to daily life—which renders them even more horrible. However, Everett is not just interested in retelling the Huck Finn story from another character’s viewpoint; he is interested in telling a different story: James’s. Turning the racial dynamic upside down, Everett’s slaves speak perfect English among themselves, but purposely revert to deep stereotypical dialect when around white people. They understand that by code-switching in this way they are giving the whites what they want and expect; to do otherwise would challenge the rigid social hierarchy and thus put the slaves in grave danger. Their use of dialect keeps them relatively safe, and importantly, helps them maintain a kind of control of the situation. When you have so little, a secret is a powerful thing.&nbsp;</p>



<p class="wp-block-paragraph">For much of the book is about power. There is a wonderful scene early in the novel where James is holding a class for slave children in which he drills them on the way they must speak around whites:&nbsp;</p>



<p class="wp-block-paragraph">“White folks expect us to sound a certain way, and it can only help if we don’t disappoint them,” I said. “The only ones who suffer when they are made to feel inferior is us. Perhaps I should say when they don’t feel ‘superior.’ So, let’s pause to review some of the basics.”&nbsp;</p>



<p class="wp-block-paragraph">The children then proceed to enumerate the rules: don’t make eye contact, never speak first, never address any subject directly when talking to another slave. The correct way to report a fire in the kitchen is not “Fire, fire!”, but “Lawdy, missum! Looky dere.”—because “…we must let the whites be the ones who name the trouble.” In this and other sections Everett lets us peek behind a curtain to see Black resistance in action. He also makes us see beyond Twain’s literary stereotype to understand the enslaved Black characters as fully formed people: aware, articulate, clever, and possessed of deep emotional lives, creators of a complex society within the general society of the time and place. Everett isn’t interested in the myth of the long-suffering, infinitely patient, preternaturally wise servant, except to explode it. &nbsp;</p>



<p class="wp-block-paragraph"><em>James </em>suggests that it is the control of the tools of the intellect—primarily spoken language (though James can read and write as well)—that is ultimately the slaves’ power and their defense. Denying the enslaved an education was, of course, a way of keeping them down, and many in the South fought hard to maintain this status quo. James’s treasured possessions are a book, a notebook, and a pencil, and the code-switching mentioned above is not merely a defense, but a way in which white masters can be manipulated. &nbsp;</p>



<figure class="wp-block-image alignright size-full is-resized"><img loading="lazy" decoding="async" width="662" height="1000" src="https://medhum.org/wp-content/uploads/2024/10/71SLeCwMlWL._AC_UF10001000_QL80_.jpg" alt="" class="wp-image-9270" style="box-shadow:var(--wp--preset--shadow--natural);width:280px" srcset="https://medhum.org/wp-content/uploads/2024/10/71SLeCwMlWL._AC_UF10001000_QL80_.jpg 662w, https://medhum.org/wp-content/uploads/2024/10/71SLeCwMlWL._AC_UF10001000_QL80_-199x300.jpg 199w" sizes="auto, (max-width: 662px) 100vw, 662px" /></figure>



<p class="wp-block-paragraph">Besides education, Everett explores another source of power (or its lack): skin color, its implications and, despite the rigid social system, its malleability. Beyond the primary black/white power implications of the antebellum South, we have in the minstrel performance section white men in blackface, a black man “passing” as white who dons blackface, and a black man who must be made up to look white before he can put on blackface. There is even a biracial character in the novel, who shows up so unexpectedly that the reader is left to wonder about the author’s motivation here; is he saying this is far more common than anyone thought? Is he sending up the Great American Novel? Saying that the black and white roots of American history—and literature— are more inextricably commingled than we could imagine? Everett doesn’t expound on this but leaves us to hypothesize.&nbsp;</p>



<p class="wp-block-paragraph">&nbsp;Perhaps the most obvious signifier of power in the novel is in the title. The protagonist is not James, the name the white world—his enslaver—calls him. but James, the name he chooses for himself. At one point he is told to identify himself:&nbsp;&nbsp;</p>



<figure class="wp-block-pullquote has-text-align-left has-palette-color-5-background-color has-background" style="font-size:clamp(15.747px, 0.984rem + ((1vw - 3.2px) * 0.645), 24px);"><blockquote><p>“And who are you?”&nbsp;<br><br>“James.”&nbsp;<br><br>“James what?&nbsp;<br><br>“Just James.”&nbsp;</p></blockquote></figure>



<p class="wp-block-paragraph">He is not someone’s property, no longer to be identified by a name someone else has given him. He has chosen this name, and the ability to name (see the children’s discussion above) is a power in itself.&nbsp;</p>



<p class="wp-block-paragraph"><em>James</em> is brilliant, clever, eminently readable, a tale of personal victory and an emotionally rich yet biting commentary on the dynamics of race relations. It is also grimly serious in its portrayal of the horrors of daily life for enslaved people in the antebellum South. Everett starts with Twain’s work and takes it in another direction, with another voice heard from. James’s intelligence, humanity, and determination run through the entire novel; in Everett’s telling, James is not simply Huck’s long-suffering sidekick, the good loyal companion who is ultimately liberated—literally—by Huck and Tom Sawyer. James has his own agenda, and though he may be bought and sold, he is at no time a pawn. He is hyperaware of his situation and always searching for a way to accomplish his ends; he has agency. Near the novel’s end we even have a Biblical moment where James brings down a cataclysm upon his enslavers and leads his people to freedom.&nbsp;&nbsp;</p>



<p class="wp-block-paragraph">A retelling of <em>Huckleberry Finn</em>, indeed.&nbsp;</p>



<p class="wp-block-paragraph"><em>James</em> is shortlisted for the 2024 Booker Prize.  Nonso Anozie reads  an excerpt: </p>



<figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"><div class="wp-block-embed__wrapper">
<iframe loading="lazy" title="Nonso Anozie reads from ‘James’ | The Booker Prize" width="1310" height="737" src="https://www.youtube.com/embed/avxRVX9qAe4?feature=oembed" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe>
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<p class="has-palette-color-5-background-color has-background has-small-font-size wp-block-paragraph"><strong>James</strong><br>Percival Everett&nbsp;<br>Doubleday, New York<br>320 pp (hardcover)&nbsp;<br><br>Feature image by Guille Pozzi</p>



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