Dec 27

Mental Illness in the Family: Four Books

Mental illness in the family is the topic of several books worth reading.

However you define mental illness—or whatever substitute term you prefer—it’s often found within your own family, as it has been in mine. Below are four nonfiction books worth perusing.

Remnants of a Life on Paper: A Mother and Daughter’s Struggle with Borderline Personality Disorder (2013) by Bea Tusiani, Pamela Tusiani, and Paula Tusiani-Eng

The authors describe Pamela’s struggles with BPD. Pamela’s “remnants” in question are from her journals and visual art, culled posthumously.

At the age of 20 Pamela was diagnosed with severe depression. She wound up having multiple hospitalizations and 12 ECT treatments. According to Dr. Lloyd SedererThe Huffington Post, it was after this that Pamela finally received the more accurate diagnosis of BPD. She then proceeded to be admitted to other intensive programs.

Sederer: “Pamela was well into her journey of recovery when a series of treatment program and medical errors conspired to kill her. The awful irony was that she did not take her life, but irresponsible, stigmatizing and poor residential and medical care did.”

All the Things We Never Knew: Chasing the Chaos of Mental Illness (2015) by Sheila Hamilton

Hamilton’s husband was diagnosed with bipolar disorder only six weeks before he took his own life.

“Mental Illness often masks itself as selfish, anti-social behavior. It waxes and wanes, especially in higher functioning people,” Hamilton writes (Huffington Post). He’d gone deeply into debt, for example.

She has held herself partially responsible. “I’d propose one more stage of grief to Kubler-Ross’s list in the case of suicide; forgiveness…In accepting responsibility for my part in David’s death, I was able to understand his sense of futility, the level of his psychic pain, and his unwillingness to face his illness. I forgave him. I forgave myself. And in doing so, I’ve been better able to understand his decision.”

The Art of Misdiagnosis: Surviving My Mother’s Suicide (2017) by Gayle Brandeis

The book’s title takes its name from the documentary Brandeis’s 70-year-old mother Arlene was working on “about the rare illnesses she thought ravaged her family: porphyria and Ehlers-Danlos syndrome.”

“Whether they were psychosomatically induced or not,” states Kirkus Reviews, “Arlene attested that the illnesses had been repeatedly dismissed or misdiagnosed by the medical community; even the author herself admits to suffering, as a teenager, from a combination of malingering and factitious disorder.”

Melissa WuskeForeword Reviews: “Brandeis’s mother committed suicide one week after Brandeis had a baby. Those deeply contrasting experiences set the scene for the opening of this memoir: a daughter going through her mother’s things, trying to make sense of her death.”

And this quest winds up involving a “compulsive, contagious need to know her mother and herself.”

The author’s two sons were both afflicted with schizophrenia. “For his son Kevin, that struggle ended in suicide, and the heartbreak of that experience (among others) permeates every impersonal date and statistic in the book with sorrow and rage” (Shelf Awareness).

A brief explanation for the title, per Publishers Weekly:

This resounding rebuke to scornful attitudes toward the mentally ill takes its title from a notably insensitive 2010 email exchange between high-level staffers of Scott Walker during his run for Wisconsin governor. Using that moment as a touchstone of indifference, Powers…weaves a dual tale of the personal and the political…

The people who do care are usually the loved ones, of course. Shelf Awareness: “For the families of the mentally ill…caring about ‘crazy people’ is a necessity. In roughly alternating chapters, Powers allows us to watch his sons grow up, dealing with the challenges of incipient schizophrenia as well as tragic events that shape their young minds. All the while, Powers movingly relates the joys of raising creatively gifted children.”

May 18

“Imagine Me Gone”: Mental Illness In the Family

Adam Haslett‘s new novel Imagine Me Gone echoes a main theme from his highly acclaimed 2002 debut, You Are Not a Stranger Here: mental illness and its effects on loved ones.

As Haslett tells Scott Simon, NPR, there’s personal background to go with this: “…I’m no stranger to mental illness. You know, my father committed suicide when I was 14. My brother indeed suffered from anxiety. And I’ve been no stranger to those states myself, luckily, for some unknown reason, not in the same severity of my father or brother.”

Kirkus Reviews introduces Imagine Me Gone: “This touching chronicle of love and pain traces half a century in a family of five, from the parents’ engagement in 1963 through a father’s and son’s psychological torments and a final crisis…Each chapter is told by one of the family’s five voices, shifting the point of view on shared troubles, showing how they grow away from one another without losing touch.”

More info from Heller McAlpin, NPR, about the five family members:

…a British-American couple, John and Margaret, and their three grown children. We learn early that Margaret chose to proceed with her marriage to John even after unexpectedly learning about his history of severe depression during their engagement. We also learn that their eldest son, Michael, manifested a ‘ceaseless brain’ and obsession with the plight of slaves even as a child, while their daughter Celia began showing mature coping skills at an early age. Celia recalls the time her father cut the engine and played dead on a small boat in Maine, testing her and her younger brother Alec with the challenge, ‘Imagine me gone, imagine it’s just the two of you. What do you do?’ Celia kept her cool and reassured her panicked brother to regard it ‘like a safety drill at school.’

Celia becomes a social worker, Alec “a bossily opinionated gay man” (WSJ), but in the center of family turmoil is Michael. The following is an oft-cited quote from the book about Michael’s high anxiety, for which many different medications are tried:

What do you fear when you fear everything? Time passing and not passing. Death and life. I could say my lungs never filled with enough air no matter how many puffs of my inhaler I took or that my thoughts moved too quickly to complete, severed by perpetual vigilance. But even to say this would abet the lie that terror can be described when anyone who’s ever known it knows that it has no components but is instead everywhere inside you all the time until you can recognize yourself only by the tensions that string one minute to the next. And yet I keep lying by describing because how else can I avoid this second and the one after it? This being in the condition itself, the relentless need to escape a moment that never ends.

Jessica Winter, BookForum: “…Michael is…a figure at once half-deranged and brilliant, stymied and restless, utterly self-absorbed and yet pseudo-empathetic to the point of pathology…Imagine Me Gone confronts the moment when the motion finally stops, when the mind’s wheels spin and squeal against the skull until a person breaks apart, his family looking on helplessly, haunting him and haunted by him.”

Despite the seriousness of Haslett’s material, apparently there’s also no shortage of humor.

Alexis Burling, San Francisco Chronicle: “Haslett hits the nail on the head when it comes to describing just how anguishing and time-consuming psychiatric disorders can be, not only for the afflicted but also for the flailing loved ones trying their damnedest-and failing-to find a suitable fix…”