|
By Gail
Caldwell
The imagery in the literature of depression, from Dante's dark wood to
Julia Kristeva's black sun, is as vast and varied as the scourge
depicted, but the place itself - a landscape where time and color have
little meaning - always seems to possess a hue of infinite gray. It's
as though the state of despair, brutal thief of the outside world as
well as of the internal ability to perceive it, tests the powers of
literal description: Virginia Woolf saw it as wave after wave of
crashing pain; Emily Dickinson as "an element of blank"; Hamlet as "the
pale cast of thought." Bleached of texture and the physical laws of
motion, this static atmosphere has no use for either language or the
hope to employ it - both of which hold the promise of tomorrow, as
ludicrous to the depressed as the memory of a better past.
Like a spate of memoirists in recent years, Andrew Solomon has known
firsthand the cruelties of clinical depression, but he has also
traveled the world over to probe the universal aspects of this bleak
human condition. Several years in the making, "The Noonday Demon" is an
ambitious compendium of fact, anecdote, and insight, viewing depression
through the prisms of cultural, medical, and political circumstances.
Much of what Solomon relays is both heart-rending and fascinating; the
book has a scope and passionate intelligence that give it intrigue as
well as heft. It is also uneven and sometimes wildly overwritten,
falling prey to a garrulous hubris that, in a 500-plus-page narrative,
can be difficult company indeed.
But if Solomon tends to be the likable dinner guest who stays too long
at the table, he would probably appreciate the distinction. This a man
who confesses to a normal schedule of 12-hour workdays and four parties
a night until his first depression hit. The encounter rendered him so
helpless that his father, a man whose presence here seems saintly,
would cut up his son's dinner and feed him a bite at a time. Solomon
managed to stay out of the hospital because he had the caretakers and
resources to do so; a constellation of medications, which he still
takes, and an intensive course of intensive psychotherapy set him on
the road back. His affecting account of that experience ran in The New
Yorker in 1998; he received more than 1,000 letters in response to the
piece, some of which begat the stories that pepper this book.
Educated at Yale and Cambridge universities, Solomon has published two
previous works - a novel and a study of Soviet artists - and his
erudite curiosity bestows "The Noonday Demon" with a particularly
generous point of view. He is also, one hastens to add, the son of a
pharmaceutical industry executive; this insider position informs his
stance but does not define it. A social and political liberal, he
believes that the regimen of drugs he takes has saved his life, and
that the recent miracles in the field of antidepressants - the SSRIs,
or selective serotonin reuptake inhibitors - have given us an arsenal
of weaponry against the consequences of depression.
But he is no shill for Prozac nation or any magic-bullet phenomenon,
nor does he succumb to the other shortcut arguments on the etiology of
depression that can so limit our understanding. Instead he examines its
history (as old as our ability to describe it); its treatment (from
bloodletting to Bedlam to Freud); its occurrence in the aftermath of
war or weather or grievous personal loss. He has read all the
literature - Bowlby and Winnicott and Klein and Kristeva, as well as
the poets and philosophers - and he seems willing to go anywhere: a
state hospital in Pennsylvania, a mood-disorders support group in New
York, a treatment center for the indigent depressed in Maryland. He
travels to Greenland, where the local Inuit population has to battle
inclement weather and isolation as well as a high rate of depression.
Trapped in close quarters for most of the year, they have a taboo
against complaining - or did, until three women elders in the village
Solomon visited began to talk to one another. At church one morning,
the women announced they had begun a group where people could come to
talk about their problems - a radical notion that went against the
community's mores. By the end of a year, every woman in the village,
unbeknownst to any of the others, had made her way to the elders'
doors.
"The Noonday Demon" is full of such stories and heroes, like the
Cambodian woman - herself a victim of the atrocities of the Khmer Rouge
- who set up a treatment center in the displacement camps for
post-traumatic depression. Solomon went there to interview her; he
went, too, to Senegal, where he was bathed head-to-toe in the blood of
a slaughtered ram. A good-sport Westerner, he describes the ndeup
ceremony with the open mind of an amateur anthropologist, noting that
the animist ritual contains potentially healing elements of community,
mystery, and the promise of cause and effect. Perhaps more remarkable,
or at least more wrenching, are the accounts of personal resilience:
the little girl who, rendered mute by despair, covered her doctor with
a sea of Post-it notes that said what she needed to say.
Because Solomon's far-reaching work is a book about pain, some readers
will find it painful to read. I found it consoling and even uplifting,
if only for its narrator's derring-do ability to meet the beast
head-on. The minute but exquisite triumphs recorded here tend to
underscore the ordinary victories of a day. Whether Solomon is quoting
Schopenhauer or the man whose grandmother committed suicide in Nazi
Germany the day before her exit visa arrived, one is continually
reminded that human consciousness all but ensures a certain propensity
for misery: what the 91st Psalm calls "the destruction that wasteth at
noonday."
That said, there is something astonishing about Solomon's circuitous
path in describing what must have been the seminal event preceding his
first breakdown, and perhaps of his life: the suicide of his mother,
who was dying of ovarian cancer, in 1991. Solomon has told this story
before, in fiction and narrative, and her death is alluded to in the
opening pages of "The Noonday Demon," but he refrains from revealing
that it was a family-assisted suicide until more than halfway through
the book. Suicidality rises in staggering proportion within families
who have histories of suicide; Solomon also had a failed love
relationship and an abrupt termination by his analyst in the middle of
psychoanalysis. What's startling about this cluster of events is not
that Solomon stumbled into depression, but that he declines to explain
those circumstances fully for more than 200 pages.
This evasion, whether or not intended, points to a larger problem with
"The Noonday Demon": It is a loose and baggy monster that ought to have
been cut by about a third. Some of its most provocative points are
buried in a sea of information, not all of it germane and some of it
repetitive. The book is smart and compassionate, its narrator blessed
with insight and a charming - probably healing - sense of humor. "I'm
sorry, I'll have to cancel Wednesday," Solomon, spiraling downward,
told friends when they called. "I'm afraid of lamb chops again." But
this, too, as we know from Chaplin and Perelman and other great wits,
is one of depression's multitude of faces, many of them unmasked here
with candid grace.
|
|