Virginia Woolf was no stranger to doctors: For much of her life she suffered from fevers, migraines, fainting spells, and the stark depressive episodes for which she’s well-known. In her essay “On Being Ill,” first published in T.S. Eliot’s journal The Criterion in 1926, Woolf taught a lesson learned from a life in sickbeds—that illness is epic, as worthy a topic as love and battle. But while warriors have the Greeks, and lovers have Keats and Shakespeare, she says, the sick lack a great bard. She implores readers to develop a poetic vocabulary for the body out of order, and calls us to pay attention to the ways pathology elevates our senses and enlivens our language.
When she discovered “On Being Ill,” The Empathy Exams author Leslie Jamison found welcome license in Woolf’s directive. In her essay for this series, Jamison explains how she felt pressure to steer clear of physicality in her work—to be ashamed of her fascination with the body and its many states of illness. She recalled how an accident left her physically speechless—a dramatic demonstration of Woolf’s proposition that the sick become mute—and explained why she wants to learn to utter, in her work, the many things a body can endure.
In The Empathy Exams, a nonfiction collection, we see this tendency at work. Jamison’s essays continually seek language to express her body’s history—a broken nose, a broken jaw, a fluky ventricle, a surprise pregnancy—to make her experiences brilliantly visible and thereby understood. But the exploration moves beyond her own wounds towards the suffering of others. In essays about poverty and its tourists, medical actors and career malingerers, wrongfully imprisoned convicts and the prison of the body, Jamison asks urgent questions about the nature of empathy itself: How can we say “I hurt” and be heard? How much of empathy is rooted in selfishness? And how might we, all of us, broaden the capacity of our hearts?
The Empathy Exams is winner of the Graywolf Press Nonfiction Prize. Jamison’s first book, The Gin Closet, a novel, was finalist for the Los Angeles Times Book Prize. Her essays have appeared in Harper’s, The Believer, Oxford American, and A Public Space. She lives in Brooklyn.
From Virginia Woolf’s “On Being Ill”:
“…strange indeed that illness has not taken its place with love and battle and jealousy among the prime themes of literature. Novels, one would have thought, would have been devoted to influenza; epic poems to typhoid; odes to pneumonia; lyrics to toothache. But no, with a few exceptions … literature does its best to maintain that its concern is with the mind; that the body is a sheet of plain glass through which the soul looks straight and clear, and, save for one or two passions such as desire and greed, is null, and negligible and non-existent. On the contrary, the very opposite is true. All day, all night the body intervenes; blunts or sharpens, colours or discolours, turns to wax in the warmth of June, hardens to tallow in the murk of February. The creature within can only gaze through the pane—smudged or rosy; it cannot separate off from the body like the sheath of a knife or the pod of a pea for a single instant; it must go through the whole unending procession of changes, heat and cold, comfort and discomfort, hunger and satisfaction, health and illness, until there comes the inevitable catastrophe; the body smashes itself to smithereens, and the soul (it is said) escapes. But of all this daily drama of the body there is no record.”
Leslie Jamison: “On Being Ill” isn’t just making a case for illness as a literary subject, but for the brute, bare fact of the body itself. By insisting we acknowledge that we sweat and crave and itch all day (“all day, all night”), Woolf reminds us we have the right to speak about these things—to make them lyric and epic—and that we should seek a language that honors them. The man who suffers a migraine, she writes, is “forced to coin words himself, taking his pain in one hand and a lump of pure sound in the other.” What does it sound like, this strange, unholy language of nerves and excretions? How do we articulate the kind of pain that refuses language? We throw up our hands, or we hurl our charts: one through ten, bad to worse, from the smiley face to its wretched, frowning cousin.
Woolf’s argument may have been more urgent in her time than in ours—we have more records of the “daily drama of the body” now than we did then—but when I first read her battle cry, her call to arms (not just arms but legs and teeth and bones), it felt like encountering a long-lost relative: the banner I’d never known I’d always been fighting under: Bodies matter—we can’t escape them—they’re full of stories—how do we tell them? Her argument might have the urgency of a battle cry but it’s also vulnerable; it’s posing questions; it’s got mess and nerve—it’s leaking some strange fluid from beneath its garments, hard to tell in the twilight, maybe pus or tears or blood. Even her syntax feels bodily—full of curves and joints and twists, shifting and stretching the skin of her sentences.