I am finding the review of this content-rich book difficult so I will just be presenting an overview which perhaps may be lacking in important elements.
Firstly, I would state that this is the most exquisitely-written novel I long have encountered.
It tells the story of the author’s grandparents.
His grandfather, Frederick, suffered from what we now call bipolar disorder, formerly manic-depressive illness, and his behaviour brought much distress to the family and particularly Frederick’s wife, Katharine.
I myself have known two persons who suffered from this disease, but these days, or at least when I knew these two persons, patients are treated with large amounts of lithium, which normalizes their behaviour.
One of these persons, whom I regarded as a good friend, became aware that the lithium was harming his organs and therefore stopped taking it; he visited me on one occasion, when I observed the extent of his illness: he couldn’t find peace but paced back and forth in my living-room. I asked him whether he could sleep at night and he told me no. Another day he had a quarrel with a policeman on a motorway and as far as I recall was arrested and spent the night in gaol. (This was a highly respected man with a top job who previously had had no problems with the law whatsoever to my knowledge)
I believe he was correct in his assessment of the harmfulness of the amounts of lithium he had to take, since he is long since dead.
So I can well imagine the disturbed behaviour of Frederick in those days before lithium was adopted as a treatment for mania.
Frederick’s wife eventually had him committed to an institution that in the book was called The Mayflower Home for the Mentally Ill.
Though the book is based on the story of the author’s grandparents, it is otherwise mostly fictional.
Frederick was a “man of manic passions” and a gifted writer; he was also “an alcoholic, a philanderer, a madman who once exposed himself on the road leading into town – he was insane, and she (Katharine) was sane”.
The mental hospital to which Frederick was confined was “populated by great poets and writers” including the poet Robert Lowell, who appeared in the book.
The doctor in charge, Dr Wallace, tells Frederick he just needs to be patient. He will be feeling like his old self in a month or two. All he needs is a good rest.
And Katherine and her four daughters seem also to be under the illusion that after his stay at the Mayflower Frederick will be cured.
We are given an account of Frederick’s stay there and his relations with the doctors and the other patients, including Lowell.
The details of the other patients’ illnesses are also portrayed with much insight into their aetiology.
There is Marshall, a war hero who awakens to find himself deprived of three appendages and screams nearly every morning.
Lowell is delusional, believing himself to be Christ, Milton or Shakespeare. He has memorized Paradise Lost, Hamlet and the Inferno in their entirety, and believes them all to be in need of revision.
There is Professor Schultz who at the age of 17 began to hear strange sounds after his mother had been run over; subsequently, his father hanged himself.
Schultz discovers a new language which only he himself speaks; this of course prevents him communicating with others.
There is Marvin, who has fifteen personalities, ranging from a French poet to an admiral.
Frederick is permitted to write in his journal. His thoughts are: “how, drugged, left to long empty days, is one supposed to get better in such a place, when the omnipresence of the sedatives never admits clarity?”
“Is this ennui, this distance from life, the sanity to which others want to force him? When he feels nothing, will he be released?”
Dr Wallace has stated that part of Frederick’s affliction is to pull Katherine into his confusion. And this is precisely what happens: Katharine’s own mental state is affected by the situation.
Dr Canon takes over from Dr Wallace and questions the latter’s choice of treatments. Is electroconvulsive therapy an ethical form of treatment?
Katharine considers having an affair with a former admirer.
This review indicates just a small part of the book’s rich content and story-line. I highly recommend that you read this beautiful, insightful, divinely-formulated account of the ordeal of the author’s grandparents and his grandfather’s stay in a mental institution.