Author | Susan Sontag |
---|---|
Language | English |
Subject | |
Publisher | Farrar, Straus & Giroux |
Publication date | 1978 |
Publication place | United States |
Pages | 87 |
ISBN | 978-0-374-17443-9 |
OCLC | 299370676 |
809.9 | |
Followed by | AIDS and Its Metaphors |
Illness as Metaphor is a 1978 work of critical theory by Susan Sontag, in which she challenged the victim-blaming in the language that is often used to describe diseases and the people affected by them.
Teasing out the similarities between public perspectives on cancer (the paradigmatic disease of the 20th century before the appearance of AIDS), and tuberculosis (the symbolic illness of the 19th century), Sontag showed that both diseases were popularly associated with personal psychological traits. In particular, she said that the metaphors and terms used to describe both syndromes lead to an association between repressed passion and the physical disease itself. She wrote about the peculiar reversal that "With the modern diseases (once TB, now cancer), the romantic idea that the disease expresses the character is invariably extended to assert that the character causes the disease—because it has not expressed itself. Passion moves inward, striking and blighting the deepest cellular recesses."
Sontag said that the clearest and most truthful way of thinking about diseases is without recourse to metaphor. She believed that wrapping disease in metaphors discouraged, silenced, and shamed patients. Some other writers have disagreed with her, saying that metaphors and other symbolic language help some affected people form meaning out of their experiences. [1]
Illness as Metaphor served as a way for Susan Sontag to express her opinions on the use of metaphors in order to refer to illnesses, with her main focuses being tuberculosis and cancer. The book contrasts the viewpoints and metaphors associated with each disease. At one point, tuberculosis was seen as a creative disease, leading to healthy people wanting to look as if they were ill with the disease. However, lack of improvement from tuberculosis was usually seen as lack of passion in the individual. Tuberculosis was even seen as a sign of punishment by some religions, such as Christianity, leading the afflicted to believe that they deserved their ailment. [2]
Sontag then made the comparison between the metaphors used to describe tuberculosis and cancer, with cancer being seen in the 1970s as a disease that afflicted people who lacked passion and sensuality, and those who repressed their feelings. Sontag wrote that multiple studies found a link between depression and cancer, which she argued was just a sign of the times and not a reason for the disease, since in previous times physicians found that cancer patients suffered from hyperactivity and hypersensitivity, which were signs of their times. [2]
In the last chapter, Sontag argued that society's disease metaphors cause patients to feel as if society were against them. Her final argument was that metaphors are not useful for patients, since metaphors make patients feel as if their illness was due to their feelings, rather than lack of effective treatment. [2] The most effective way of thinking about illness would be to avoid metaphorical thinking, and to focus on only the physical components and treatment. [3]
Sontag wrote the treatise while being treated for breast cancer. [4] She does not mention her personal experience with cancer in the work, but she addresses it in her related 1988 work, AIDS and Its Metaphors .
At the time that Sontag was writing, the fad in alternative cancer treatment was psychotherapy for the patient's supposed "cancer personality". According to these proponents, patients brought cancer upon themselves by having a resigned, repressed, inhibited personality (which contrasted with the tuberculosis patient, who was seen as passionate and creative). By undergoing the often blame-filled psychotherapy offered by some groups, such as the Simonton Center, the patient would overcome cancer by consciously choosing to give up the emotional benefits he or she created the cancer for, and be healed. [5] Others have taken her idea further, showing not that there is a real "cancer" behind the metaphors, but that all we have is metaphor—even in science—to understand the behavior of a disease that remains mysterious. [6]
The work was originally published as three long essays in the New York Review of Books . [7] Some of the more inflammatory language was slightly toned down for republication. For example, what Sontag originally called the "inimitable looniness" of Wilhelm Reich's language was softened to the "inimitable coherence". [7]
While one of Sontag's widest read and most celebrated works, [8] [9] Illness as Metaphor received mixed reviews. Kirkus Reviews called it "a small, liberating book that could become the cancer patient's Common Sense." [10]
The literary critic Denis Donoghue of The New York Times gave the book a negative review, describing it as "a deeply personal book pretending for the sake of decency to be a thesis." He added:
As an argument, it seems to me strident, unconvincing as it stands, a prosecutor's brief that admits nothing in defense or mitigation. The brief is too brief to be just. So the reader is left with a case not fully made but points acutely established; enough, at any rate, to make him feel not only that he must in future watch his language but, with the same vigilance, watch his attitudes, prejudices, spontaneities. [7]
Despite this criticism, Donoghue also writes, "If I wanted to see a fine discrimination made, with precisely the right degree of allowance for and against, I wouldn't ask Miss Sontag to supply it. She would be bored by the request. But if I badly wanted to win, at nearly any cost, I would do anything to have Miss Sontag on my side." It is not clear, then, whether Donoghue is disdainful, admiring, or merely jealous of Sontag's persuasive writing.[ original research? ]
The literary critic and frequent Sontag detractor Camille Paglia described the book as "clumsy and ponderous, like a graduate-school seminar paper." [11]
A disease is a particular abnormal condition that adversely affects the structure or function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical conditions that are associated with specific signs and symptoms. A disease may be caused by external factors such as pathogens or by internal dysfunctions. For example, internal dysfunctions of the immune system can produce a variety of different diseases, including various forms of immunodeficiency, hypersensitivity, allergies, and autoimmune disorders.
Susan Lee Sontag was an American writer, critic, and public intellectual. She mostly wrote essays, but also published novels; she published her first major work, the essay "Notes on 'Camp' ", in 1964. Her best-known works include the critical works Against Interpretation (1966), On Photography (1977), Illness as Metaphor (1978) and Regarding the Pain of Others (2003), as well as the fictional works The Way We Live Now (1986), The Volcano Lover (1992), and In America (1999).
Max Gerson was a German-born American physician who developed the Gerson therapy, a dietary-based alternative cancer treatment that he claimed could cure cancer and most chronic, degenerative diseases. Gerson therapy involves a plant-based diet with coffee enemas, ozone enemas, dietary supplements and raw calf liver extract, the latter was discontinued in the 1980s after patients were hospitalized for bacterial infections.
The Volcano Lover is an historical novel by Susan Sontag, published in 1992. Set largely in Naples, it focuses upon Emma Hamilton, her marriage to Sir William Hamilton, the scandal relating to her affair with Lord Nelson, her abandonment, and her descent into poverty. The title comes from William Hamilton's interest in volcanoes, and his investigations of Mount Vesuvius.
On Photography is a 1977 collection of essays by American writer Susan Sontag. The book originated from a series of essays Sontag published in the New York Review of Books between 1973 and 1977.
Alice James was an American diarist, sister of novelist Henry James and philosopher and psychologist William James. Her relationship with William was unusually close, and she seems to have been badly affected by his marriage. James suffered lifelong health problems that were generally dismissed as hysteria in the style of the day. She is best known for her published diaries.
Shirley Ardell Mason was an American art teacher who was reported to have dissociative identity disorder. Her life was purportedly described, with adaptations to protect her anonymity, in 1973 in the book Sybil, subtitled The True Story of a Woman Possessed by 16 Separate Personalities. Two films of the same name were made, one released in 1976 and the other in 2007. Both the book and the films used the name Sybil Isabel Dorsett to protect Mason's identity, though the 2007 remake stated Mason's name at its conclusion.
A chronic condition is a health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term chronic is often applied when the course of the disease lasts for more than three months. Common chronic diseases include diabetes, functional gastrointestinal disorder, eczema, arthritis, asthma, chronic obstructive pulmonary disease, autoimmune diseases, genetic disorders and some viral diseases such as hepatitis C and acquired immunodeficiency syndrome. An illness which is lifelong because it ends in death is a terminal illness. It is possible and not unexpected for an illness to change in definition from terminal to chronic. Diabetes and HIV for example were once terminal yet are now considered chronic due to the availability of insulin for diabetics and daily drug treatment for individuals with HIV which allow these individuals to live while managing symptoms.
Silvano Arieti was a psychiatrist regarded as one of the world's foremost authorities on schizophrenia. He received his M.D. from the University of Pisa and left Italy soon after, due to the increasingly antisemitic racial policies of Benito Mussolini.
The Apollonian and the Dionysian are philosophical and literary concepts represented by a duality between the figures of Apollo and Dionysus from Greek mythology. Its popularization is widely attributed to the work The Birth of Tragedy by Friedrich Nietzsche, though the terms had already been in use prior to this, such as in the writings of poet Friedrich Hölderlin, historian Johann Joachim Winckelmann, and others. The word Dionysian occurs as early as 1608 in Edward Topsell's zoological treatise The History of Serpents. The concept has since been widely invoked and discussed within Western philosophy and literature.
Through its effect on the world's population and major artists in various fields, tuberculosis has appeared in many forms in human culture. The disease was for centuries associated with poetic and artistic qualities in its sufferers, and was known as "the romantic disease". Many artistic figures, including the poet John Keats, the composer Frédéric Chopin and the artist Edvard Munch, either had the disease or were close to others who did.
AIDS and Its Metaphors is a 1989 work of critical theory by Susan Sontag. In this companion book to her Illness as Metaphor (1978), Sontag extends her arguments about the metaphors attributed to cancer to the AIDS crisis. Sontag explores how attitudes to disease are formed in society, and attempts to deconstruct them.
Insight-oriented psychotherapy is a category of psychotherapies that rely on conversation between the therapist and the client. It involves developing the patient's understanding of past and present experiences, how they are related to each other and the effect they have on the patient's interpersonal relationships, emotions and symptoms. Insight-oriented psychotherapy can be an intensive process, wherein the client must spend multiple days per week with the therapist.
Supportive psychotherapy is a psychotherapeutic approach that integrates various therapeutic schools such as psychodynamic and cognitive-behavioral, as well as interpersonal conceptual models and techniques.
Camille Anna Paglia is an American academic, social critic and feminist. Paglia was a professor at the University of the Arts in Philadelphia, Pennsylvania from 1984 until the university's closure in 2024. She is critical of many aspects of modern culture and is the author of Sexual Personae: Art and Decadence from Nefertiti to Emily Dickinson (1990) and other books. She is also a critic of contemporary American feminism and of post-structuralism, as well as a commentator on multiple aspects of American culture such as its visual art, music, and film history.
Breast cancer awareness is an effort to raise awareness and reduce the stigma of breast cancer through education about screening, symptoms, and treatment. Supporters hope that greater knowledge will lead to earlier detection of breast cancer, which is associated with higher long-term survival rates, and that money raised for breast cancer will produce a reliable, permanent cure.
Suleika Jaouad is an American writer, advocate, and motivational speaker. She is the author of the "Life, Interrupted" column in The New York Times and has also written for Vogue, Glamour, NPR's All Things Considered and Women's Health. Her 2021 memoir Between Two Kingdoms was a New York Times Best Seller.
War metaphors are often used to describe a person's experience with cancer. Those who have died are said to have lost their "battle with cancer", while the living are described as "fighting cancer".
The causes of Jane Austen's death, which occurred on July 18, 1817 at the age of 41, following an undetermined illness that lasted about a year, have been discussed retrospectively by doctors whose conclusions have subsequently been taken up and analyzed by biographers of Jane Austen, one of the most widely read and acclaimed of English writers.
The Undying: Pain, Vulnerability, Mortality, Medicine, Art, Time, Dreams, Data, Exhaustion, Cancer, and Care is a 2019 memoir by the American author, poet, and essayist Anne Boyer. The book chronicles Boyer's experience as a breast cancer patient. Boyer takes an untraditional approach to the standard illness narrative, by weaving together her personal journey as a patient in treatment with reflections on art and literature, and critiques of capitalism and the medical industry.