For in virtually any other serious sickness, a patient who felt similar devastation would be lying flat in bed, possibly sedated and hooked up to the tubes and wires of life-support systems, but at the very least in a posture of repose and in an isolated setting. His invalidism would be necessary, unquestioned and honorably attained. However, the sufferer from depression has no such option and therefore finds himself, like a walking casualty of war, thrust into the most intolerable social and family situations. There he must, despite the anguish devouring his brain, present a face approximating the one that is associated with ordinary events and companionship. He must try to utter small talk, and be responsive to questions, and knowingly nod and frown and, God help him, even smile.

There is a region in the experience of pain where the certainty of alleviation often permits superhuman endurance. We learn to live with pain in varying degrees daily, or over longer periods of time, and we are more often than not mercifully free of it. When we endure severe discomfort of a physical nature our conditioning has taught us since childhood to make accommodations to the pain’s demands — o accept it, whether pluckily or whimpering and complaining, according to our personal degree of stoicism, but in any case to accept it. Except in intractable terminal pain, there is almost always some form of relief; we look forward to that alleviation, whether it be through sleep or Tylenol or self-hypnosis or a change of posture or, most often, through the body’s capacity for healing itself, and we embrace this eventual respite as the natural reward we receive for having been, temporarily, such good sports and doughty sufferers, such optimistic cheerleaders for life at heart. In depression this faith in deliverance, in ultimate restoration, is absent. The pain is unrelenting, and what makes the condition intolerable is the foreknowledge that no remedy will come — not in a day, an hour, a month, or a minute. If there is mild relief, one knows that it is only temporary; more pain will follow. It is hopelessness even more than pain that crushes the soul. So the decision-making of daily life involves not, as in normal affairs, shifting from one annoying situation to another less annoying — or from discomfort to relative comfort, or from boredom to activity — but moving from pain to pain. One does not abandon, even briefly, one's bed of nails, but is attached to it wherever one goes.

When I was first aware that I had been laid low by the disease, I felt a need, among other things, to register a strong protest against the word “depression.” Depression, most people know, used to be termed “melancholia,” a word which appears in English as early as the year 1303 and crops up more than once in Chaucer, who in his usage seemed to be aware of its pathological nuances. “Melancholia” would still appear to be a far more apt and evocative word for the blacker forms of the disorder, but it was usurped by a noun with a bland tonality and lacking any magisterial presence, used indifferently to describe an economic decline or a rut in the ground, a true wimp of a word for such a major illness. It may be that the scientist generally held responsible for its currency in modern times, a Johns Hopkins Medical School faculty member justly venerated — the Swiss-born psychiatrist Adolf Meyer — had a tin ear for the finer rhythms of English and therefore was unaware of the semantic damage he had inflicted by offering “depression” as a descriptive noun for such a dreadful and raging disease. Nonetheless, for over seventy-five years the word has slithered innocuously through the language like a slug, leaving little trace of its intrinsic malevolence and preventing, by its very insipidity, a general awareness of the horrible intensity of the disease when out of control. As one who has suffered from the malady in extremis yet returned to tell the tale, I would lobby for a truly arresting designation. “Brainstorm,” for instance, has unfortunately been preempted to describe, somewhat jocularly, intellectual inspiration. But something along these lines is needed. Told that someone’s mood disorder has evolved into a storm — a veritable howling tempest in the brain, which is indeed what a clinical depression resembles like nothing else — even the uninformed layman might display sympathy rather than the standard reaction that “depression” evokes, something akin to “So what?” or “You’ll pull out of it” or “We all have bad days.” The phrase “nervous breakdown” seems to be on its way out, certainly deservedly so, owing to its insinuation of a vague spinelessness, but we still seem destined to be saddled with “depression” until a better, sturdier name is created.

This general unawareness of what depression is really like was apparent most recently in the matter of Primo Levi, the remarkable Italian writer and survivor of Auschwitz who, at the age of sixty-seven, hurled himself down a stairwell in Turin in 1987. Since my own involvement with the illness, I had been more than ordinarily interested in Levi’s death, and so, late in 1988, when I read an account in The New York Times about a symposium on the writer and his work held at New York University, I was fascinated but, finally, appalled. For, according to the article, many of the participants, worldly writers and scholars, seemed mystified by Levi’s suicide, mystified and disappointed. It was as if this man whom they had all so greatly admired, and who had endured so much at the hands of the Nazis — a man of exemplary resilience and courage — had by his suicide demonstrated a frailty, a crumbling of character they were loath to accept. In the face of a terrible absolute — self-destruction — their reaction was helplessness and (the reader could not avoid it) a touch of shame. My annoyance over all this was so intense that I was prompted to write a short piece for the op-ed page of the Times. The argument I put forth was fairly straightforward: the pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne. The prevention of many suicides will continue to be hindered until there is a general awareness of the nature of this pain. Through the healing process of time — and through medical intervention or hospitalization in many cases — most people survive depression, which may be its only blessing; but to the tragic legion who are compelled to destroy themselves there should be no more reproof attached than to the victims of terminal cancer.

One of the century’s most famous intellectual pronouncements comes at the beginning of The Myth of Sisyphus: “There is but one truly serious philosophical problem, and that is suicide. Judging whether life is or is not worth living amounts to answering the fundamental question of philosophy.” Reading this for the first time I was puzzled and continued to be throughout much of the essay, since despite the work’s persuasive logic and eloquence there was a lot that eluded me, and I always came back to grapple vainly with the initial hypothesis, unable to deal with the premise that anyone should come close to wishing to kill himself in the first place. A later short novel, The Fall, I admired with reservations; the guilt and self-condemnation of the lawyer-narrator, gloomily spinning out his monologue in an Amsterdam bar, seemed a touch clamorous and excessive, but at the time of my reading I was unable to perceive that the lawyer was behaving very much like a man in the throes of clinical depression. Such was my innocence of the very existence of this disease.

When I was a young writer there had been a stage where Camus, almost more than any other contemporary literary figure, radically set the tone for my own view of life and history. I read his novel The Stranger somewhat later than I should have — I was in my early thirties — but after finishing it I received the stab of recognition that proceeds from reading the work of a writer who has wedded moral passion to a style of great beauty and whose unblinking vision is capable of frightening the soul to its marrow. The cosmic loneliness of Meursault, the hero of that novel, so haunted me that when I set out to write The Confessions of Nat Turner I was impelled to use Camus’s device of having the story flow from the point of view of a narrator isolated in his jail cell during the hours before his execution. For me there was a spiritual connection between Meursault’s frigid solitude and the plight of Nat Turner — his rebel predecessor in history by a hundred years — likewise condemned and abandoned by man and God. Camus’s essay “Reflections on the Guillotine” is a virtually unique document, freighted with terrible and fiery logic; it is difficult to conceive of the most vengeful supporter of the death penalty retaining the same attitude after exposure to scathing truths expressed with such ardor and precision. I know my thinking was forever altered by that work, not only turning me around completely, convincing me of the essential barbarism of capital punishment, but establishing substantial claims on my conscience in regard to matters of responsibility at large. Camus was a great cleanser of my intellect, ridding me of countless sluggish ideas, and through some of the most unsettling pessimism I had ever encountered causing me to be aroused anew by life’s enigmatic promise.

And as I began to discipline and harness myself, began for the first time to examine as coldly and as clinically as I could the tough problems which before this I had refused to face, I had a fine revelation. I realized that what had been lacking in my novelist's vision was really a sense of architecture - a symmetry, perhaps unobtrusive but always there, without which a novel sprawls, becoming a self-indulgent octopus. It was a matter of form, and up until now this was an issue that out of laziness or fear, perhaps both, I had tried to avoid.
I completed Lie Down in Darkness on a spring evening in 1951 in a room on West Eighty-Eighth Street in Manhattan.

I bought a bottle of old Grand-Dad bourbon; it was, I remember precisely, a full half pint, which was a prodigious amount of booze for a young man of twenty - at least, I know, for me. I got gloriously drunk on the Southern Railway local that rattled its way all night up through the Carolinas, gazing out at the bleak, moon-drenched wintry fields and happily pondered my deliverance. The chancellor, bless his soul, had really taken most of the curse off the bitter defeat I had initially felt there at the Biltmore. It really was better for me not to go to Oxford, I told myself, throwing in various Anglophilic injunctions: the food you wouldn't feed to a starving hound dog, the men were prancing homosexuals, the women all had foul breath, it was a moribund civilisation. "Screw Oxford," I remember saying aloud, and "Up yours, Cecil Rhodes!" Next year, instead of shivering to death in some library carrel, instead of - "Get this, old fellow!" I heard myself cackling - instead of writing a paper on the hexameters of Arthur Hugh Clough, that old Victorian nanny, I would be in New York, beginning my first novel.

Unlimited Quote Collections

Organize your favorite quotes without limits. Create themed collections for every occasion with Premium.

William Blackburn [i.e. one of William Styron's teachers] cared about writing and had an almost holy concern for the langage. Before too long my work got much better. I sweated like a coolie over my essays, themes and fledgling short stories until my splintered syntax and humpbacked prose achieved a measure of clarity and grace.
He informed me that one could not become a writer without a great deal of reading. To write one must read, he repeated, read . . .
He was unquestionably a glorious teacher. I deeply miss him. It helped immeasurably to have him tell me, at the age of twenty-one, that I could become a writer.

When At Play in the Fields of the Lord was published in 1965 there was revealed in stunning outline the fully realized work of a novelist writing at white heat and at the peak of his powers; [...] Peter is a poet and a scientist, and the mingling of these two personae has given us such carefully observed, unsentimental, yet lyrically echoing works as The Cloud Forest, Under the Mountain Wall, The Tree where Man was Born and The Snow Leopard. [...] We behold a writer of phenomenal scope and versatility.

PREMIUM FEATURE

Advanced Search Filters

Filter search results by source, date, and more with our premium search tools.

I think it is absolute and unimpeachable testimony to a book's impact on us that we are able to associate it so keenly with the time and the surroundings and the circumstances in which we read it. Only a very great work can produce this memory; [...] There is what psychologists call a gestalt, an unforgettability of interwoven emotions with which the work will ever in recollection be connected with the environment. Somehow the excitement of reading All the King's Men is always linked in my mind with the howling blizzard outside and the snow piling up in a solid white impacted mass outside my basement window. [...] I finished All the King's Men as in a trance, knowing once and for all that I, too, however falteringly and incompletely, must try to work such magic.

For General of the Army Douglas MacArthur, military life may be symbolized by "beacons flashing across uncharted depths . . . faint bugles sounding reveille," but for many if not most of his countrymen it is something else: it is reveille. It is training manuals and twenty-mile hikes, stupefying lectures on platoon tactics and terrain and the use of the Lister bag, mountains of administrative paperwork, compulsive neatness and hideous barracks in Missouri and Texas, sexual deprivation, hot asphalt drill fields and deafening rifle ranges, daily tedium unparalleled in its ferocity, awful food, bad pay, ignorant people and a ritualistic demand for ass-kissing almost unique in the quality of its humiliation. The world that MacArthur thrills to makes most of his fellow Americans choke with horror.

To those of us who have suffered severe depression - myself included - this general unawareness of how relentlessly the disease can generate an urge to self-destruction seems widespread; the problem badly needs illumination.
What is saddening about Primo Levi's death is the suspicion that his way of dying was not inevitable and that with proper care he might have been rescued from the abyss. I find it difficult not to believe that if Mr Levi had been under capable hospital attention, sequestered from the unbearable daily world in a setting where he would have been safe from his self-destructive urge, and where time would have permitted the storm raging in his brain to calm itself and die away, he would be among us now.

The Shabaka [Sundiata Waglini] story illuminates the most sordid defects of capital punishment. His blackness and poverty helped doom him. He was ruthlessly cheated; it was never his privilege to be granted - even for a phantom crime - the incarceration [i.e. instead of death row] that it meted out to others and that carries the possibility of redemption.