Pathemata by Maggie Nelson review – a writer’s attempt to describe chronic pain

Woolf said language ‘runs dry’ when it comes to convey the reality of illness. Here is an impressive effort to do just thatIn her landmark 1985 work, The Body in Pain, American essayist Elaine Scarry makes a case for the “unsharability” of pain and its resistance to language. “Physical pain,” she writes, “does not simply resist language but actively destroys it.” Sixty years earlier in On Being Ill, Virginia Woolf made her famous claim about how language “runs dry” when it comes to articulating illness. Both theories grapple with inexpressibility. Experiencing serious, persistent pain invokes many feelings: irritation, curiosity (what’s causing it?), fear (of something sinister) and ultimately the desire to eradicate it. The search for a diagnosis can be as debilitating as the condition itself. In Pathemata: Or, the Story of My Mouth, Maggie Nelson tries to solve the mystery of a longstanding health issue. “Each morning, it is as if my mouth has survived a war – it has protested, it has hidden, it has suffered.”Nelson breadcrumbs backwards through teenage orthodontist visits, recurrent battles with tonsillitis and “tongue thrust” in an attempt to find the source of the problem. She diligently keeps records of appointments, medications and scans, lugging files between GPs and several dentists whose waiting rooms show slick testimonial videos. Written during the pandemic, this short work is also testament to the apocalyptic uncertainty that infused that time. Her partner is in a separate support bubble and Nelson makes several attempts to get their son vaccinated, her frustration palpable. When the child complains about her anger, she confesses: “I have never felt as angry as I’ve felt over the past two years.” Continue reading...

May 5, 2025 - 10:22
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Pathemata by Maggie Nelson review – a writer’s attempt to describe chronic pain

Woolf said language ‘runs dry’ when it comes to convey the reality of illness. Here is an impressive effort to do just that

In her landmark 1985 work, The Body in Pain, American essayist Elaine Scarry makes a case for the “unsharability” of pain and its resistance to language. “Physical pain,” she writes, “does not simply resist language but actively destroys it.” Sixty years earlier in On Being Ill, Virginia Woolf made her famous claim about how language “runs dry” when it comes to articulating illness. Both theories grapple with inexpressibility. Experiencing serious, persistent pain invokes many feelings: irritation, curiosity (what’s causing it?), fear (of something sinister) and ultimately the desire to eradicate it. The search for a diagnosis can be as debilitating as the condition itself. In Pathemata: Or, the Story of My Mouth, Maggie Nelson tries to solve the mystery of a longstanding health issue. “Each morning, it is as if my mouth has survived a war – it has protested, it has hidden, it has suffered.”

Nelson breadcrumbs backwards through teenage orthodontist visits, recurrent battles with tonsillitis and “tongue thrust” in an attempt to find the source of the problem. She diligently keeps records of appointments, medications and scans, lugging files between GPs and several dentists whose waiting rooms show slick testimonial videos. Written during the pandemic, this short work is also testament to the apocalyptic uncertainty that infused that time. Her partner is in a separate support bubble and Nelson makes several attempts to get their son vaccinated, her frustration palpable. When the child complains about her anger, she confesses: “I have never felt as angry as I’ve felt over the past two years.” Continue reading...