Review Catch-Up: Memoirs by Maggie Nelson and Jonathan Tepper
Two memoirs that I’ve been meaning to post about for a while now: a novella-length response to chronic pain, and a story of growing up at a refuge for addicts and AIDS victims in Spain.
Pathemata: Or, The Story of My Mouth by Maggie Nelson (2025)
This is a very short (68-page), dreamy meditation on pain. Nelson has ongoing chronic jaw pain despite multiple expensive trips to specialist clinics and many different treatment strategies tried. As she writes, it’s the pandemic era and she’s also home-schooling her son. Meanwhile, her marriage to H seems to be crumbling. The text is composed of non-indented sentences in roughly thematic groupings. But dreams are recounted as often as real-life events, making this a particularly slippery work of autofiction, with an emphasis on the fiction.
The dentist in the valley and I go back and forth over injecting my jaw with Botox.
I hold out, realising that the only thing that frightens me more than pain and its viciousness is numbness, paralysis.
Sometimes I wonder what I would have thought about all these years, if I hadn’t spent so much time thinking about the pain.
Nelson dwells on the irony of someone who talks for a living having so much trouble with oral speech. She also reflects on the early loss of her father and the recent death of a close friend, C. Could it be that jaw pain is how her body is manifesting long-held grief and stress? she wonders.
The Argonauts is an absolute classic of life writing and I’ve long admired Nelson’s cultural criticism. She’s an important thinker on queerness and embodiment, in the vein of Garth Greenwell and Olivia Laing. Aside from the indulgence of including all the dreams (and one instance of jargon: “It sounds like an invagination – a chamber to hold the pastiche of lacerations”), there’s nothing wrong with this per se. It’s just that the essay is over before it’s begun. Why not part of a longer essay collection, or expanded into a full-length memoir?
With thanks to Fern Press, Vintage (Penguin) for the proof copy for review.
{SPOILERS IN THIS ONE}
Shooting Up: A Memoir of Love, Loss, and Addiction by Jonathan Tepper (2026)
In the early 1980s, the author and his three brothers moved to Spain with their missionary parents, Elliott and Mary, who founded Betel, a rehabilitation centre for junkies (yonkis). “Our neighbourhood [San Blas in Madrid] was the biggest drug supermarket not only in Spain but in all of Europe, and it was happening right on our doorstep.” Betel is still operating today and has supported 100,000 addicts, but it all started with eight young men in the Teppers’ living room. Elliott was filled with righteous enthusiasm for the task and always had scripture passages and C.S. Lewis quotes on the tip of his tongue. When his four sons went delivering leaflets to heroin addicts on the street, they stood out for their blond hair and blue eyes. Soon, though, the yonkis they helped became more than ‘customers’, or objects of pity, but friends as close as family.
From a child’s perspective, the memoir effectively recreates scenes and dialogue from these outreach years. I especially appreciated the descriptions of what it’s like to grow up inside a religious bubble: “the invisible walls of my family and beliefs had been my world. In the [goldfish] bowl you think the water is all there is”. I’m a minister’s kid myself, so I nodded along to lines like “Being a preacher’s kid meant being the first to church and last to leave as my parents hugged and spoke to everybody.” There was real grief as, one by one, young men they knew fell victim to AIDS: Luis, Ángel, Raúl, Salva, Jambri. But there were other losses, too: Tepper’s younger brother, Timothy, died in a car accident while they were back in the USA on a sabbatical in 1991, and his mother later died by suicide after being disabled by a brain tumour.
There’s a section of black-and-white photographs at the end of the book, and the chapters are headed with Spanish phrases to evoke the setting. Later chapters follow Tepper through his college years and the triumph of getting a Rhodes scholarship. (In fact, he and his two remaining brothers all graduated from Oxford University on the same day.) The focus on academic success as a more legitimate high than that offered by drugs reminded me of Educated by Tara Westover, while the solemn duty of being an eyewitness to the AIDS crisis is reminiscent of All the Young Men by Ruth Coker Burks. This is a touching tribute to all those dead.
With thanks to the author and Constable (Little, Brown) for the advanced proof copy for review.
20 Books of Summer, 14–16: Polly Atkin, Nan Shepherd and Susan Allen Toth
I’m still plugging away at the challenge. It’ll be down to the wire, but I should finish and review all 20 books by the 31st! Today I have a chronic illness memoir, a collection of poetry and prose pieces, and a reread of a cosy travel guide.
Some of Us Just Fall: On Nature and Not Getting Better by Polly Atkin (2023)
I was heartened to see this longlisted for the Wainwright Prize. It was a perfect opportunity to recognize the disabled/chronically ill experience of nature and the book achieves just what the award has recognised in recent years: the braiding together of life writing and place-based observation. (Wainwright has also done a great job on diversity this year: there are three books by BIPOC and five by women on the nature writing shortlist alone.)
Polly Atkin knew something was different about her body from a young age. She broke bones all the time, her first at 18 months when her older brother ran into her on his bicycle. But it wasn’t until her thirties that she knew what was wrong – Ehlers-Danlos syndrome and haemochromatosis – and developed strategies to mitigate the daily pain and the drains on her energy and mobility. “Correct diagnosis makes lives bearable,” she writes. “It gives you access to the right treatment. It gives you agency.”
The book assembles long-ish fragments, snippets from different points of her past alternating with what she sees on rambles near her home in Grasmere. She writes in some depth about Lake District literature: Thomas De Quincey as well as the Wordsworths – Atkin’s previous book is a biography of Dorothy Wordsworth that spotlights her experience with illness. In describing the desperately polluted state of Windermere, Atkin draws parallels with her condition (“Now I recognise my body as a precarious ecosystem”). Although she spurns the notion of the “Nature Cure,” swimming is a valuable therapy for her.
Theme justifies form here: “This is the chronic life, lived as repetition and variance, as sedimentation of broken moments, not as a linear progression.” For me, there was a bit too much particularity; if you don’t connect to the points of reference, there’s no way in and the danger arises of it all feeling indulgent. Besides, by the time I opened this I’d already read two Ehlers-Danlos memoirs (All My Wild Mothers by Victoria Bennett and Floppy by Alyssa Graybeal) and another reference soon came my way in The Invisible Kingdom by Meghan O’Rourke. So overfamiliarity was a problem. And by the time I forced myself to pick this off of my set-aside shelf and finish it, I’d read Nina Lohman’s stellar The Body Alone. For those newer to reading about chronic illness, though, especially if you also have an interest in the Lakes, it could be an eye-opener.
With thanks to Sceptre (Hodder) for the free copy for review.
Selected Prose & Poetry by Nan Shepherd (2023)
I’d read and enjoyed Shepherd’s The Living Mountain, which has surged in popularity as an early modern nature writing classic thanks to Robert Macfarlane et al. I’m not sure I’d go as far as the executor of the Nan Shepherd Estate, though, who describes her in the Preface as “Taylor Swift in hiking boots.” The pieces reprinted here are from her one published book of poems, In the Cairngorms, and the mixed-genre collection Wild Geese. There is also a 28-page “novella,” Descent from the Cross. After World War I, Elizabeth, a workers’ rights organiser for a paper mill, marries a shell-shocked veteran who wants to write a book but isn’t sure he has either the genius or the dedication. It’s interesting that Shepherd would write about a situation where the wife has the economic upper hand, but the tragedy of the sickly failed author put me in mind of George Gissing or D.H. Lawrence, so didn’t feel fresh. Going by length alone, I would have called this a short story, but I understand why it would be designated a novella, for the scope.
None of the miniature essays – field observations and character studies – stood out to me. About half of the book is given over to poetry. As with the nature writing, there is a feeling of mountain desolation. There are a lot of religious references and hints of the mystical, as in “The Bush,” which opens “In that pure ecstasy of light / The bush is burning bright. / Its substance is consumed away / And only form doth stay”. It’s a mixed bag: some feels very old-fashioned and sentimental, with every other line or, worse, every line rhyming, and some archaic wording and rather impenetrable Scots dialect. It could have been written 100 years before, by Robert Burns if not William Blake. But every so often there is a flash of brilliance. “Blackbird in Snow” is quite a nice one, and reminiscent of Thomas Hardy’s “The Darkling Thrush.” I even found the cryptic lines from “Real Presence” that inspired a song on David Gray’s Skellig. My favourite poem by far was:

Overall, this didn’t engage me; it’s only for Shepherd fanatics and completists. (Won from Galileo Publishers in a Twitter giveaway)
England As You Like It: An Independent Traveler’s Companion by Susan Allen Toth (1995)
A reread. As I was getting ready to go overseas for the first time in the summer of 2003, Toth’s trilogy of memoirs whetted my appetite for travel in Britain. (They’re on my Landmark Books in My Life, Part II list.) This is the middle book and probably the least interesting in that it mostly recounts stays in particular favourite locations, such as Dorset, the Highlands, and various sites in Cornwall. However, I’ve never forgotten her “thumbprint theory,” which means staying a week or more in an area no larger than her thumb covers on a large-scale map, driving an hour or less for day trips. Not for her those cram-it-all-in trips where you race through multiple countries in a week (I have American friends who did Paris, London and Rome within six days, or five countries in eight days; blame it on stingy vacation policies, I guess). Instead, she wants to really bed into one place and have the time to make serendipitous discoveries such as an obscure museum or a rare opening of a private garden.
I most liked the early general chapters about how to make air travel bearable, her obsession with maps, her preference for self-catering, and her tendency to take home edible souvenirs. Of course, all the “Floating Facts” are hopelessly out-of-date. This being the early to mid-1990s, she had to order paper catalogues to browse cottage options (I still did this for honeymoon prep in 2006–7) and make international phone calls to book accommodation. She recommends renting somewhere from the National Trust or Landmark Trust. Ordnance Survey maps could be special ordered from the British Travel Bookshop in New York City. Entry fees averaged a few pounds. It’s all so quaint! An Anglo-American time capsule of sorts. I’ve always sensed a kindred spirit in Toth, and those whose taste runs toward the old-fashioned will probably also find her a charming tour guide. I’ve also reviewed the third book, England for All Seasons. (Free from The Book Thing of Baltimore)
Miscellaneous #ReadIndies Reviews: Mostly Poetry + Brown, Sands
Catching up on a few final #ReadIndies contributions in early March! Short responses to some indie reading I did from my shelves over the course of last month.

Bloodaxe Books:
Parables & Faxes by Gwyneth Lewis (1995)
I was surprised to discover this was actually my fourth book by Lewis, a bilingual Welsh author: two memoirs, one of depression and one about marriage; and now two poetry collections. The table of contents suggest there are only 16 poems in the book, but most of the titles are actually headings for sections of anywhere between 6 and 16 separate poems. She ranges widely at home and abroad, as in “Welsh Espionage” and the “Illinois Idylls.” “I shall taste the tang / of travel on the atlas of my tongue,” Lewis writes, an example of her alliteration and sibilance. She’s also big on slant and internal rhymes – less so on end rhymes, though there are some. Medieval history and theology loom large, with the Annunciation featuring more than once. I couldn’t tell you now what that many of the poems are about, but Lewis’s telling is always memorable.
Sample lines:
For the one
who said yes,
how many
said no?
…
But those who said no
for ever knew
they were damned
to the daily
as they’d disallowed
reality’s madness,
its astonishment.
(from “The ‘No’ Madonnas,” part of “Parables & Faxes”)
(Secondhand purchase – Westwood Books, Sedbergh) 
&
Fields Away by Sarah Wardle (2003)
Wardle’s was a new name for me. I saw two of her collections at once and bought this one as it was signed and the themes sounded more interesting to me. It was her first book, written after inpatient treatment for schizophrenia. Many of the poems turn on the contrast between city (London Underground) and countryside (fields and hedgerows). Religion, philosophy, and Greek mythology are common points of reference. End rhymes can be overdone here, and I found a few of the poems unsubtle (“Hubris” re: colonizers and “How to Be Bad” about daily acts of selfishness vs. charity). However, there are enough lovely ones to compensate: “Flight,” “Word Tasting” (mimicking a wine tasting), “After Blake” (reworking “Jerusalem” with “And will chainsaws in modern times / roar among England’s forests green?”), “Translations” and “Word Hill.”
Favourite lines:
(oh, but the last word is cringe!)
Catkin days and hedgerow hours
fleet like shafts of chapel sun.
Childhood in a cobwebbed bower
guards a treasure chest of fun.
(from “Age of Awareness”)
(Secondhand purchase – Carlisle charity shop) 
Carcanet Press:
Tripping Over Clouds by Lucy Burnett (2019)
The title is a setup for the often surrealist approach, but where another Carcanet poet, Caroline Bird, is warm and funny with her absurdism, Burnett is just … weird. Like, I’d get two stanzas into a poem and have no idea what was going on or what she was trying to say because of the incomplete phrases and non-standard punctuation. Still, this is a long enough collection that there are a good number of standouts about nature and relationships, and alliteration and paradoxes are used to good effect. I liked the wordplay in “The flight of the guillemet” and the off-beat love poem “Beer for two in Brockler Park, Berlin.” The noteworthy Part III is composed of 34 ekphrastic poems, each responding to a different work of (usually modern) art.
Favourite lines:
This is a place of uncalled-for space
and by the grace of the big sky,
and the serrated under-silhouette of Skye,
an invitation to the sea unfolds
to come and dine with mountain.
(from “Big Sands”)
(New (bargain) purchase – Waterstones website) 
&
The Met Office Advises Caution by Rebecca Watts (2016)
The problem with buying a book mostly for the title is that often the contents don’t live up to it. (Some of my favourite ever titles – An Arsonist’s Guide to Writers’ Homes in New England, The Voluptuous Delights of Peanut Butter and Jam – were of books I couldn’t get through). There are a lot of nature poems here, which typically would be enough to get me on board, but few of them stood out to me. Trees, bats, a dead hare on the road; maps, Oxford scenes, Christmas approaching. All nice enough; maybe it’s just that the poems don’t seem to form a cohesive whole. Easy to say why I love or hate a poet’s style; harder to explain indifference.
Sample lines:
Branches lash out; old trees lie down and don’t get up.
A wheelie bin crosses the road without looking,
lands flat on its face on the other side, spilling its knowledge.
(from the title poem)
(New (bargain) purchase – Amazon with Christmas voucher) 
Faber:
Places I’ve Taken My Body by Molly McCully Brown (2020)
The title signals right away how these linked autobiographical essays split the ‘I’ from the body – Brown resents the fact that disability limits her experience. Oxygen deprivation at their premature birth led to her twin sister’s death and left her with cerebral palsy severe enough that she generally uses a wheelchair. In Bologna for a travel fellowship, she writes, “There are so many places that I want to be, but I can’t take my body anywhere. But I must take my body everywhere.” A medieval city is particularly unfriendly to those with mobility challenges, but chronic pain and others’ misconceptions (e.g. she overheard a guy on her college campus lamenting that she’d die a virgin) follow her everywhere.
A poet, Brown earned minor fame for her first collection, which was about historical policies of enforced sterilization for the disabled and mentally ill in her home state of Virginia. She is also a Catholic convert. I appreciated her exploration of poetry and faith as ways of knowing: “both … a matter of attending to the world: of slowing my pace, and focusing my gaze, and quieting my impatient, indignant, protesting heart long enough for the hard shell of the ordinary to break open and reveal the stranger, subtler singing underneath.” This is part of a terrific run of three pieces, the others about sex as a disabled person and the odious conservatism of the founders of Liberty University. Also notable: “Fragments, Never Sent,” letters to her twin; and “Frankenstein Abroad,” about rereading this novel of ostracism at its 200th anniversary. (Secondhand purchase – Amazon) 
New River Books:
The Hedgehog Diaries: A Story of Faith, Hope and Bristle by Sarah Sands (2023)
Reasons for reading: 1) I’d enjoyed Sands’s The Interior Silence and 2) Who can resist a book about hedgehogs? She covers a brief slice of 2021–22 when her aged father was dying in a care home. Having found an ill hedgehog in her garden and taken it to a local sanctuary, she developed an interest in the plight of hedgehogs. In surveys they’re the UK’s favourite mammal, but it’s been years since I saw one alive. Sands brings an amateur’s enthusiasm to her research into hedgehogs’ place in literature, philosophy and science. She visits rescue centres, meets activists in Oxfordshire and Shropshire who have made hedgehog welfare a local passion, and travels to Uist to see where hedgehogs were culled in 2004 to protect ground-nesting birds’ eggs. The idea is to link personal brushes with death with wider threats of extinction. Unfortunately, Sands’s lack of expertise is evident. This was well-meaning, but inconsequential and verging on twee. (Christmas gift from my wishlist) 
Baker is a lecturer in Scottish literature at the University of Aberdeen. His first non-academic publication is a curiously beguiling novella-length reappraisal of favourite children’s books. “To misquote Heraclitus, you cannot read the same book twice.” While he’s sheepish about including so many 19th- and early-20th-century white male authors, he can’t do otherwise as these are the texts that first taught him about death, loneliness and friendship: 
from “The Visitor” by Idra Novey
“Egg Mother” by Kim Samek (from I Am the Ghost Here): I’m two stories into Samek’s gently surreal collection. This second story combines the themes of parenting and grief prevalent above. Her openings are knockout: “At thirty-six I turn into a scrambled egg. It happens a few months after I give birth.” In therapy, the narrator discovers that she’s been repressing her grief over her mother, who died of cancer when the narrator was 13. The therapist suggests that she and her husband hold a joint ‘funeral’ for her mother and her younger self in a graveyard. But even after the ritual, she doesn’t return to herself. It’s a sobering but realistic message: some things one just doesn’t get over.
the loss of a mother (Eva Luna by Isabel Allende; The Memory of Borrowed Books by Meg Anderson; The Curious Incident of the Dog in the Night-Time by Mark Haddon; Late Migrations by Margaret Renkl; I Capture the Castle by Dodie Smith) – so common an element in novels that I have to think it’s shorthand for a character who has to pluckily rely on their own psychological resources




Small Rain by Garth Greenwell: A poet and academic (who both is and is not Greenwell) endures a Covid-era medical crisis that takes him to the brink of mortality and the boundary of survivable pain. Over two weeks, we become intimately acquainted with his every test, intervention, setback and fear. Experience is clarified precisely into fluent language that also flies far above a hospital bed, into a vibrant past, a poetic sensibility, a hoped-for normality. I’ve never read so remarkable an account of what it is to be a mind in a fragile body.



















Stories of motherhood, the quest to find effective treatment in a patriarchal medical system, volunteer citizen science projects (monitoring numbers of dead seabirds, returning beached cetaceans to the water, dissecting fulmar stomachs to assess their plastic content), and studying Shetland’s history and customs mingle in a fascinating way. Huband travels around the archipelago and further afield, finding a vibrant beachcombing culture on the Dutch island of Texel. As in
And this despite the fact that four of five chapter headings suggest pandemic-specific encounters with nature. Lockdown walks with his two children, and the totems they found in different habitats – also including a chaffinch nest and an owl pellet – are indeed jumping-off points, punctuating a wide-ranging account of life with nature. Smyth surveys the gateway experiences, whether books or television shows or a school tree-planting programme or collecting, that get young people interested; and talks about the people who beckon us into greater communion – sometimes authors and celebrities; other times friends and family. He also engages with questions of how to live in awareness of climate crisis. He acknowledges that he should be vegetarian, but isn’t; who does not harbour such everyday hypocrisies?

In April 2020, McHugh experienced a relapse of MS so bad she had to move back in with her parents and was sleeping 20 hours a day. Her sphere had contracted to a single room. If only, she wished, there was “something to concentrate on that wasn’t my unravelling body or the unravelling world.” A Catholic upbringing and childhood holidays in Northumberland made her think about the early Christian hermits and saints like Aidan, Cuthbert and Julian of Norwich who salvaged something from solitude, who out of the privations of monasticism made monuments of faith and, sometimes, written documents, too.



Kika & Me by Amit Patel – Patel was a trauma doctor and lost his sight within 36 hours due to a rare condition. He was paired with his guide dog, Kika, in 2015.
Water is a source of comfort and delight for Abi, the narrator of Sanatorium (whose experiences may or may not be those of the author; always tricky to tell with autofiction). Floating is like dreaming for her – an intermediate state between the solid world where she’s in pain and the prospect of vanishing into the air. In 2017 she spends a few weeks at a sanatorium in Budapest for water therapy; when she returns to London she buys a big inflatable plastic bathtub to keep up the exercises as she tries to wean herself off of opiates.
The book is in snippets, often of just a paragraph or even one sentence, and cycles through its several strands: Abi’s time in Budapest and how she captures it in an audio diary; ongoing therapy at her London flat, custom-designed for disabled tenants (except “I was the only cripple who could afford it”); the haunted house she grew up in in Surrey; and notes on plus prayers to St. Teresa of Ávila, accompanied by diagrams of a female figure in yoga poses.