{"id":1975,"date":"2019-06-13T10:00:03","date_gmt":"2019-06-13T09:00:03","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1975"},"modified":"2020-08-07T10:07:15","modified_gmt":"2020-08-07T09:07:15","slug":"words-in-pain","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/06\/13\/words-in-pain\/","title":{"rendered":"Words in Pain"},"content":{"rendered":"

Book Review by Kelechi Anucha<\/strong><\/p>\n

Olga Jacoby. Ed. Jocelyn Catty, Trevor Moore, Skyscraper Publications, 2019.254pp, \u00a315.00.<\/p>\n

Words in Pain<\/em> is a collected volume of letters by a young woman named Olga Jacoby, written over a four year period from 1909 to 1913. It follows the inexorable progression of her terminal illness and is addressed to her close friends and adopted children. Beginning with these essentials brings into focus its strange, elusive temporality as a text that manages to be completely a product of its time while forcefully resembling ours\u2014a text that is able to time travel.<\/p>\n

Published first in 1919, Jacoby\u2019s letters were rediscovered and brought to light through the combined efforts of Trevor Moore, a retired Lawyer and Humanist celebrant and Jocelyn Catty, a Psychotherapist in research and clinical practice, and Jacoby\u2019s great granddaughter. Coincidentally, both were separately researching and developing the letters for publication before coming together to produce this special centenary edition.<\/p>\n

Early reception identifies a cluster of qualities as particularly striking: 1919 The Times Literary Supplement<\/em> review praises Jacoby\u2019s lucid and elegant prose style, the strength with which her charming personality is conveyed and her personal philosophy of Rationalism. Of these three, Jacoby\u2019s secularity seems to inspire the most interest and awe in her early reviewer, who writes: \u2018even those who hold far other views on the great issue cannot fail to rise from the perusal of these impressive pages calmed, strengthened and urged forward into a truer altruism\u2019.1<\/sup><\/a> As such the text is firmly situated in the turn from religion to a secular morality that seemed increasingly more amenable to real social progress, and as such is part of the historical context of modernism.<\/p>\n

Words in Pain<\/em> potentially stands out as an early intervention in debates around euthanasia and assisted dying and might be a useful reference for those researching disability and chronic illness in the modernist period and beyond. The book is also an early example of the illness narrative genre, and adds nuance to genre origin stories that focus on the Tuberculosis sanatorium narratives of the 1920s or the Christian tradition of conversion narratives and ars moriendi<\/em>.2<\/sup><\/a>.<\/p>\n

Of particular note to those working in the traditional medical humanities is Jacoby\u2019s remarkable friendship with her doctor. She reminisces to him: \u2018about that time I first dared to ask you for your friendship, but it was some weeks before you gave me clearly to understand that I had got it\u2019. It provides a rich material for a study of evolving patient-physician relations throughout the twentieth century from a paternalistic to consumer-centric model.<\/p>\n

However, Words in Pain<\/em> might be most valuably understood in the context of its epistolary form. As a creative practice, the peak of epistolary writing is situated in the Eighteenth century with the success of Samuel Richardson\u2019s Pamela<\/em> and Fanny Burney\u2019s Evelina<\/em> standing as testament to the narrative potency of the form. There is also of course the more longstanding tradition of letters as part of a literary estate, as a supplement to texts within the literary and theoretical canon and as the beginning of a biographical mode of criticism that inaugurates criticism itself as academic discipline. Jacoby\u2019s letters sit somewhere between these two rubrics.<\/p>\n

In this first sense, she is able to write herself into posterity as both an affectively engaging main character in her own self-orchestrated narrative; her force of character and infectious personality are realised most fully through the particularities of the epistolary form. Her insights and philosophy might have been conveyed far less effectively through the mode of (auto)biography or personal essay\u2014and while these other forms might have been practically available, there are obviously certain cultural mores that exert their influence on Jacoby: for example, the gendered nature of personal letter writing.<\/p>\n

Letter writing has a certain functionality\u2014the length and stylistic conventions of the medium seem to afford a measure of accessibility for an ill woman living in pain, compared to the greater demands of larger biographical or theoretic projects. In this way, Jacoby\u2019s letters might draw comparison with the personal blogs and columns about illness that emerge in the 1990s.3<\/sup><\/a>,[3] that are produced under similar material conditions and still influence the way we write and read illness today. The omission of the counterpart responses, particularly those of Jacoby\u2019s doctor, also markedly alter the quality of the text. In this way, it exceeds expectations that, as a collection of letters, it might straightforwardly represent a prosaic version of \u201chistory\u201d as an exhaustive, linear record of events. The text\u2019s apparent limitations thus become the source of its timelessness and success.<\/p>\n

In the second sense, this form evokes Jacoby as independent intellectual and thinker. There is the suggestion that, circumstances permitting, Jacoby might have developed her ideas and become more established in the circles of the day. She reads widely, her letters scattered with references to Rousseau, Shelley and Swinburne, as well as late-Victorians George Meredith and H.G. Wells. She models herself as a woman of letters, more explicitly still upon George Eliot, quoting at length from one of Eliot\u2019s letters in her own (p. 166). We might retrospectively create connections between Jacoby\u2019s dedication to cultivating her own mind and the emerging modernist intelligentsia, reading Words in Pain,<\/em> for example, alongside Virginia Woolf\u2019s influential essay On Being Ill<\/em>. Among the drawbacks Woolf sees regarding illness as a topic for writing is the \u2018poverty of the [English] language\u2019.4<\/sup><\/a> Elaine Scarry echoes and expands Woolf with her influential dictum: \u2018physical pain does not simply resist language but actively destroys it\u2019.5<\/sup><\/a> Indeed Jacoby seems to write around her pain rather than directly of it. It is primarily in her very last letters that we see her use language to try to convey her suffering\u2014her \u2018difficulty breathing and the great done-upness that comes after the coughing fit\u2019 (p. 197).<\/p>\n

Originally published anonymously, the letters tread the distinction Kelly Elissa Sullivan identifies between the epistolary form both as a type of public speech and a form of private expression.6<\/sup><\/a> Sullivan further identifies an additionally curious quality of letters \u2013 their lack of immediacy means that they are always already too late. This notion of lateness takes on a particular significance in the context of Jacoby\u2019s long illness\u2014the sense, as the first edition foreword has it, that she is living \u2018under the sentence of death\u2019.<\/p>\n

For a general audience today, this centenary edition of Words in Pain<\/em> inspires deep interest for other reasons. Chief of these is Jacoby\u2019s surprising progressive approaches to parenting and her prescient support of adoption\u2014now an established alternative and inclusive family-making system, but at the time a relatively rare practice.<\/p>\n

Words in Pain<\/em> is a rich text\u2014researchers and lay readers alike stand to benefit significantly from its rediscovery and publication.<\/p>\n

Kelechi Anucha
\nPhD Student, Waiting Times Project
\nUniversity of Exeter<\/p>\n

[1]<\/a> \u2018List of New Books and Reprints\u2019, The Times Literary Supplement<\/em>, 23 October 1919, p. 593+, The Times Literary Supplement Historical Archive.<\/p>\n

[2]<\/a> Ann Jurecic, Illness as Narrative<\/em>, Pittsburgh Series in Composition, Literacy, and Culture (Pittsburgh: University of Pittsburgh Press, 2012), p. 7; Anne Hunsaker Hawkins, Reconstructing Illness: Studies in Pathography<\/em>, 2nd ed (West Lafayette, Ind: Purdue University Press, 1999), p. 31.<\/p>\n

[3]<\/a> Roger Luckhurst, The Trauma Question<\/em> (London\u202f; New York: Routledge, 2008), p. 130.<\/p>\n

[4]<\/a> Virginia Woolf, \u2018On Being Ill\u2019, The New Criterion<\/em>, 4.1 (1926), p. 34.<\/p>\n

[5]<\/a> Elaine Scarry, The Body in Pain<\/em> (Oxford\u202f; New York: Oxford University Press, 1985), p. 4.<\/p>\n

[6]<\/a> Kelly Elissa Sullivan, Epistolary Modernism<\/em>, 2014. Retrieved from ProQuest Dissertations & Theses Global .<\/p>\n","protected":false},"excerpt":{"rendered":"

Book Review by Kelechi Anucha Olga Jacoby. Ed. Jocelyn Catty, Trevor Moore, Skyscraper Publications, 2019.254pp, \u00a315.00. Words in Pain is a collected volume of letters by a young woman named Olga Jacoby, written over a four year period from 1909 to 1913. It follows the inexorable progression of her terminal illness and is addressed to […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2965,15025],"tags":[15063],"class_list":["post-1975","post","type-post","status-publish","format-standard","hentry","category-book-reviews","category-reviews","tag-review"],"yoast_head":"\nWords in Pain - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/06\/13\/words-in-pain\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Words in Pain - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Book Review by Kelechi Anucha Olga Jacoby. Ed. 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