In the Land of Pain

Last updated
In the Land of Pain
In the Land of Pain.jpg
2002 English translation
Author Alphonse Daudet
Translator Julian Barnes
GenreAutobiography
Published1930

In the Land of Pain is a collection of notes by Alphonse Daudet chronicling the pain and suffering he experienced from tabes dorsalis, its effects on his relationships with friends, family, and other people, and the various drugs he took and physical treatments he underwent in his fight against the disease. Daudet originally began making these notes for a projected book, but none of the material was published in his lifetime. He planned to use the title La Doulou, a Provençal word for pain. The collection was published in French in 1930 in a volume titled La Doulou (La Douleur): 1887–1895 et Le Trésor d'Arlatan: 1897, and translated into English in 2002 by Julian Barnes. [1] [2]

Contents

Synopsis

Daudet records observations, experiences, and aphorisms related to his intense suffering over the course of many years. He describes his symptoms in graphic detail and charts their progression. This begins with isolated attacks of agonising nerve pain, and eventually becomes a daily litany of pain and use of drugs like opium and chloral hydrate to fight it. He comments on the effect of his illness on family and friends, and on his outlook on life.

He describes the different physical treatments he underwent, including being suspended in the air, diets, and a variety of injections. He also details his observations of fellow sufferers of the disease and his interactions with them. In his later years, he frequently spent time at sanitariums, becoming a celebrity among the other patients. He describes his time at these sanitariums in detail. Daudet stopped making these notes a few years before his death.

Critical response

Daudet originally planned to use his notes on his sufferings to make either a novel or an autobiography. After discussing the projected work with fellow writer Edmond de Goncourt, Goncourt predicted the work would be superb because Daudet would be writing from intense personal experience. Although the book was never realized, translator Julian Barnes agrees with Goncourt's prediction in relation to the collection in its current form. He believes the notes format is appropriate and fitting for the subject because of its implication of passing time and its absence of disguise. [1]

According to critic Richard Eder, this work is worthy of lasting recognition. Daudet uses wit to probe a dark and distressing subject, providing the reader with powerful images. Daudet surprisingly responds to his pain often with humor and spirit, and even comments mockingly on his disease and its symptoms at times. Some of the most poignant moments in the book are Daudet's expressions of sympathy for his fellow sufferers. [3]

Related Research Articles

Alphonse Daudet French novelist

Alphonse Daudet was a French novelist. He was the husband of Julia Daudet (Mastani) and father of Edmée Daudet, and writers Léon Daudet and Lucien Daudet.

Porphyria Group of inherited metabolic disorders

Porphyria is a group of liver disorders in which substances called porphyrins build up in the body, negatively affecting the skin or nervous system. The types that affect the nervous system are also known as acute porphyria, as symptoms are rapid in onset and short in duration. Symptoms of an attack include abdominal pain, chest pain, vomiting, confusion, constipation, fever, high blood pressure, and high heart rate. The attacks usually last for days to weeks. Complications may include paralysis, low blood sodium levels, and seizures. Attacks may be triggered by alcohol, smoking, hormonal changes, fasting, stress, or certain medications. If the skin is affected, blisters or itching may occur with sunlight exposure.

Suffering Pain, mental, or emotional unhappiness caused by bad things happening

Suffering, or pain in a broad sense, may be an experience of unpleasantness and aversion associated with the perception of harm or threat of harm in an individual. Suffering is the basic element that makes up the negative valence of affective phenomena. The opposite of suffering is pleasure or happiness.

Julian Barnes English writer

Julian Patrick Barnes is an English writer. Barnes won the Man Booker Prize for his book The Sense of an Ending (2011), and three of his earlier books had been shortlisted for the Booker Prize: Flaubert's Parrot (1984), England, England (1998), and Arthur & George (2005). He has also written crime fiction under the pseudonym Dan Kavanagh. In addition to novels, Barnes has published collections of essays and short stories.

Trigeminal neuralgia Neurological pain disorder

Trigeminal neuralgia is a long-term pain disorder that affects the trigeminal nerve. It is a form of neuropathic pain. There are two main types: typical and atypical trigeminal neuralgia. The typical form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes. Groups of these episodes can occur over a few hours. The atypical form results in a constant burning pain that is less severe. Episodes may be triggered by any touch to the face. Both forms may occur in the same person. It is regarded to be one of the most painful disorders known to medicine, and often results in depression..

Tabes dorsalis slow degeneration (specifically, demyelination) of the neural tracts primarily in the dorsal columns (posterior columns) of the spinal cord (the portion closest to the back of the body) and dorsal roots

Tabes dorsalis is a late consequence of neurosyphilis, characterized by the slow degeneration of the neural tracts primarily in the dorsal root ganglia of the spinal cord. These patients have lancinating nerve root pain which is aggravated by coughing, and features of sensory ataxia with ocular involvement.

Erythromelalgia Human disease

Erythromelalgia, formerly known as Mitchell's disease, is a rare vascular peripheral pain disorder in which blood vessels, usually in the lower extremities or hands, are episodically blocked, then become hyperemic and inflamed. There is severe burning pain and skin redness. The attacks are periodic and are commonly triggered by heat, pressure, mild activity, exertion, insomnia or stress. Erythromelalgia may occur either as a primary or secondary disorder. Secondary erythromelalgia can result from small fiber peripheral neuropathy of any cause, polycythemia vera, essential thrombocytosis, hypercholesterolemia, mushroom or mercury poisoning, and some autoimmune disorders. Primary erythromelalgia is caused by mutation of the voltage-gated sodium channel α-subunit gene SCN9A.

Léon Daudet French journalist and writer (1867-1942)

Léon Daudet was a French journalist, writer, an active monarchist, and a member of the Académie Goncourt.

The Société littéraire des Goncourt, usually called the académie Goncourt, is a French literary organization based in Paris. It was founded by the French writer and publisher Edmond de Goncourt (1822–1896). He wanted to create a new way to encourage literature in France, and disagreed with the contemporary policies of the Académie française.

Cyclic vomiting syndrome (CVS) is a chronic functional condition of unknown pathogenesis. CVS is characterized as recurring episodes lasting a single day to multiple weeks. Each episode is divided into four phases: inter-episodic, prodrome, vomiting, and recovery. Inter-episodic phase, is characterized as no discernible symptoms, normal everyday activities can occur, and this phase typically lasts one week to one month. The prodrome phase is known as the pre-emetic phase, characterized by the initial feeling an approaching episode, still able to keep down oral medication. Emetic or vomiting phase is characterized as intense persistent nausea, and repeated vomiting typically lasting hours to days. Recovery phase is typically the phase where vomiting ceases, nausea diminishes or is absent, and appetite returns. This syndrome is most commonly seen in children usually between ages 3 and 7, however adult diagnosis is quite common. This disorder is thought to be closely related to migraines and family history of migraines.

Hulusi Behçet Turkish dermatologist

Hulusi Behçet was a Turkish dermatologist and scientist. He described a disease of inflamed blood vessels in 1937, which is named after him as Behçet's disease. His portrait was depicted on a former Turkish postcard stamp.

Variant angina cardiac chest pain at rest that occurs in cycles

Variant angina, and less commonly Prinzmetal angina,vasospastic angina, angina inversa, coronary vessel spasm, or coronary artery vasospasm, is a syndrome typically consisting of angina in contrast to stable angina which is generally triggered by exertion or intense exercise, commonly occurs in individuals at rest or even asleep and is caused by vasospasm, a narrowing of the coronary arteries due to contraction of the heart's smooth muscle tissue in the vessel walls. In comparison, stable angina is due to the permanent occlusion of these vessels by atherosclerosis.

Broken heart metaphor for intense emotional/physical stress or pain one feels at experiencing longing

Broken heart is a metaphor for the intense emotional stress or pain one feels at experiencing great and deep longing. The concept is cross-cultural, often cited with reference to a desired or lost lover.

History of tuberculosis aspect of history

Throughout history, the disease tuberculosis has been variously known as consumption, phthisis and the White Plague. It is generally accepted that the causative agent, Mycobacterium tuberculosis originated from other, more primitive organisms of the same genus Mycobacterium. In 2014, results of a new DNA study of a tuberculosis genome reconstructed from remains in southern Peru suggest that human tuberculosis is less than 6,000 years old. Even if researchers theorise that humans first acquired it in Africa about 5,000 years ago, there is evidence that the first tuberculosis infection happened about 9,000 years ago. It spread to other humans along trade routes. It also spread to domesticated animals in Africa, such as goats and cows. Seals and sea lions that bred on African beaches are believed to have acquired the disease and carried it across the Atlantic to South America. Hunters would have been the first humans to contract the disease there.

The Aerotoxic Association was founded on 18 June 2007, at the British Houses of Parliament by former BAe 146 Training Captain John Hoyte, to raise public awareness about the ill health allegedly caused after exposure to airliner cabin air that he claimed been contaminated to toxic levels, by engine oil leaking into the bleed air system, which pressurizes all jet aircraft, with the exception of the Boeing 787.

Autophobia, also called monophobia, isolophobia, or eremophobia, is the specific phobia of isolation; a morbid fear of being egotistical, or a dread of being alone or isolated. Sufferers need not be physically alone, but just to believe that they are being ignored or unloved. Contrary to what would be implied by a literal reading of the term, autophobia does not describe a "fear of oneself". The disorder typically develops from and is associated with other anxiety disorders.

Visceral pain is pain that results from the activation of nociceptors of the thoracic, pelvic, or abdominal viscera (organs). Visceral structures are highly sensitive to distension (stretch), ischemia and inflammation, but relatively insensitive to other stimuli that normally evoke pain such as cutting or burning. Visceral pain is diffuse, difficult to localize and often referred to a distant, usually superficial, structure. It may be accompanied by symptoms such as nausea, vomiting, changes in vital signs as well as emotional manifestations. The pain may be described as sickening, deep, squeezing, and dull. Distinct structural lesions or biochemical abnormalities explain this type of pain in only a proportion of patients. These diseases are grouped under gastrointestinal neuromuscular diseases (GINMD). Others can experience occasional visceral pains, often very intense in nature, without any evidence of structural, biochemical or histolopathologic reason for such symptoms. These diseases are grouped under functional gastrointestinal disorders (FGID) and the pathophysiology and treatment can vary greatly from GINMD. The two major single entities among functional disorders of the gut are functional dyspepsia and irritable bowel syndrome.

Goncourt Journal

The Goncourt Journal was a diary written in collaboration by the brothers Edmond and Jules de Goncourt from 1850 up to Jules' death in 1870, and then by Edmond alone up to a few weeks before his own death in 1896. It forms an unrivalled and entirely candid chronicle of the literary and artistic Parisian world in which they lived, "a world", it has been said, "of bitter rivalries and bitterer friendships, in which every gathering around a café table on the Grands Boulevards [was] a chance to raise one's status in the byzantine literary hierarchy". Fear of lawsuits by the Goncourts' friends and their heirs prevented publication of anything but carefully chosen selections from the Journal for many years, but a complete edition of the original French text appeared in the 1950s in 22 volumes, and there have been several selective translations into English.

Charles Lasègue French psychiatrist

Ernest-Charles Lasègue was a French physician that released over one hundred scientific papers. He became recognized in the mid-19th century from his work in the fields of psychiatry and neurology. He published many of his works in a journal called Archives Générales de Médecine, in which he was an editor. A few of his major contributions consisted of his work with delusions of persecutions, a concept coined "folie à deux," and his description of hysterical anorexia. Aside from his publications, he worked various jobs before becoming the Chair of Clinical Medicine at Pitié-Salpêtrière Hospital. He remained positioned there until dying at the age of 66 due to complications from diabetes.

1557 influenza pandemic

In 1557 a pandemic strain of influenza emerged in Asia, then spread to Africa, Europe, and eventually the Americas. This flu was highly infectious and presented with intense, occasionally lethal symptoms. Medical historians like Thomas Short, Lazare Rivière and Charles Creighton gathered descriptions of catarrhal fevers recognized as influenza by modern physicians attacking populations with the greatest intensity between 1557 and 1559. The 1557 flu saw governments, for possibly the first time, inviting physicians to instill bureaucratic organization into epidemic responses. It is also the first pandemic where influenza is pathologically linked to miscarriages, given its first English names, and is reliably recorded as having spread globally. Influenza caused higher burial rates, near-universal infection, and economic turmoil as it returned in repeated waves.

References

  1. 1 2 Barnes, Julian (2002). "Introduction". In the Land of Pain. New York: Knopf. pp. V–XV. ISBN   0-375-41485-1.
  2. Bouloumié, Arlette, ed. (2003). Écriture et maladie : " Du bon usage des maladies " (in French). Paris: Imago. p. 117. ISBN   2-911416-76-7.
  3. Eder, Richard (2 February 2003). "Another Country". The New York Times. Retrieved 9 February 2014.