Introducing the Barbellion Prize & A Review of Sanatorium by Abi Palmer
New this year, the Barbellion Prize will be awarded annually “to an author whose work has best represented the experience of chronic illness and/or disability.” It’s named after W.N.P. Barbellion (the pen name of Bruce Frederick Cummings), the English author of The Journal of a Disappointed Man, which he started writing at 13. A self-taught naturalist, he specialized in lice when he worked for the British Museum’s department of natural history in London. He was rejected for war service in 1915 after a doctor found him to have multiple sclerosis. At that time, the diagnosis was like a death sentence; indeed, Cummings died at age 30 in 1919, though by then he had managed to produce two volumes of memoirs as well as a daughter.
Here’s some more information on the prize criteria from the website: “Eligibility for the prize is predicated on the author’s presentation of life with a long-term chronic illness or disability, whether that be in the form of blindness, MS, cystic fibrosis, dwarfism, or another comparable condition that may substantially define one’s life. Authors – such as those in a carer’s capacity – who themselves are not ill may be considered for the prize if their work is truly exceptional as an articulation of life with illness, but authors who themselves deal personally with illness or disability will take priority in any selection for the prize.”
Especially in the absence of the Wellcome Book Prize, which has been on hiatus since the announcement of the 2019 winner, I’m delighted that there is a new prize with a health slant, particularly one that will lead to greater visibility for disabled writers and their stories. From a longlist of eight, in January the Barbellion Prize judges chose a shortlist of four titles: three memoirs and a work of autofiction. The publishers kindly agreed to send me the shortlist for review. Two have arrived so far (there have been postal delays in the UK, as in many places).
I have already read one of the nominees and will do my best to review the rest before the £1000 prize is awarded on the 12th. The others are:
- Golem Girl by Riva Lehrer – An illustrated memoir by a visual artist born with spina bifida.
- The Fragments of My Father by Sam Mills – A memoir of being a carer for her father, who has paranoid schizophrenia; also includes musings on Leonard Woolf and F. Scott Fitzgerald, who cared for mentally ill wives. I’m currently reading this one.
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.
Sanatorium by Abi Palmer (2020)
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.
Abi feels fragile due to a whole host of body issues, some in her past but most continuing into the present: an autoimmune connective tissue disorder, psoriatic arthritis, Crohn’s disease, and sexual assaults. Her knee is most immediately problematic, leading her to use a mobility scooter. As her health waxes and wanes, other people – unable to appreciate any internal or incremental changes – judge her by whether or not she is able to walk well.
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.
Locations are given in small letters in the top corner of the page, apart from for the more dreamlike segments that can’t be pinned down to any one place. For instance, I was reminded of a George Saunders story by the surreal interlude in which Abi imagines Van Gogh’s Starry Night reproduced in the hair on a detached pair of legs mounted on a wall as a work of art.
The different formats and short chunks of prose generally keep the voice from becoming monotonous, though I did wonder if occasional use of the third person (and some more second person) could have been effective, too. Far from a straightforward memoir, the book incorporates passages that are closer to fantasy and poetry, and the visual elements and fertile imagery attest to Palmer’s background as a mixed-media artist.
Sanatorium is a fascinating work – matter-of-fact, playful and sensual – that vividly conveys the reality of life with a chronic illness. It was already on my wish list, but I’m so glad that this shortlisting gave me a chance to read it. Though I haven’t read the other nominees yet, the passages below are proof that this would be a deserving Barbellion Prize winner.
You go through life as a chronically ill person with so many different people who have so many different opinions about how your treatment should be. They’re not always useful or right. You have to build your own narrative and your own sense of what feels appropriate. You have to learn to trust your body to tell you what’s working. But that’s hard too, when your body keeps changing the rules.
I am one of the more privileged ones and still I’m screaming. God, it would be so nice just to dissolve into nothing and wash up onto a lonely beach.
I wonder if what I’ve learned about chronic illness, more than anything, is that it’s a constant cycle. You fall apart, then you try your best to rebuild again. I wonder what would happen if I stopped trying.
Readalikes I have also reviewed:
- Heal Me by Julia Buckley
- Bodies of Water by V. H. Leslie
- My Year of Rest and Relaxation by Ottessa Moshfegh
With thanks to Penned in the Margins for the free copy for review.
Novellas in November Wrap-Up, with Mini-Reviews
Novellas in November was a great success, helping me to finish more books in one month than I possibly ever have before. David Szalay’s Turbulence – a linked short story collection of tantalizing novella length – just arrived yesterday; I’ve started it but will be finishing it in December. The slim volume Fox 8 by George Saunders is also waiting for me at the library and I should be able to read it soon.
For this final installment I have 10 small books to feed back on: a mixture of fiction, graphic novels, nature books and memoirs.
Fiction:
West by Carys Davies (2018)
[149 pages]
A gritty piece of historical fiction about a widowed mule breeder, Cyrus Bellman, who sets out from Pennsylvania to find traces of the giant creatures whose bones he hears have been discovered in Kentucky. He leaves his 10-year-old daughter, Bess, in the care of his sister, knowing he’ll be gone at least two years and may never return. Chapters cut between Cy’s harrowing journey in the company of a Native American guide, Old Woman From A Distance, and Bess’s home life, threatened by the unwanted attentions of their ranch hand neighbor and the town librarian. I don’t usually mind dark stories, but this was so bleak that I found it pretty unpleasant. The deus ex machina ending saved it somewhat. 
Like a Mule Bringing Ice Cream to the Sun by Sarah Ladipo Manyika (2016)
[118 pages]
Morayo Da Silva is an unlikely heroine: soon to turn 75, she’s a former English professor from Nigeria who hopped between countries with her ambassador husband but now lives alone in San Francisco. The first-person narration switches around to give the perspectives of peripheral figures like a shopkeeper, a homeless woman, and Sunshine, the young friend who helps Morayo get her affairs in order after she has a fall and goes into a care home temporarily. These shifts in point of view can be abrupt, even mid-chapter, and are a little confusing. However, Morayo is a wonderful character, inspiring in her determination to live flamboyantly. I also sympathized with her love of books. I would happily have read twice as many pages about her adventures. 
Graphic Novels:
Cassandra Darke by Posy Simmonds (2018)
[94 pages]
Simmonds would be great for graphic novel newbies: she writes proper, full-length stories, often loosely based on a classic plot, with lots of narration and dialogue alongside the pictures. Cassandra Darke is a 71-year-old art dealer who’s laid low by fraud allegations and then blindsided by a case of mistaken identity that brings her into contact with a couple of criminal rings. To start with she’s a Scrooge-like curmudgeon who doesn’t understand the big fuss about Christmas, but she gradually grows compassionate, especially after her own brief brush with poverty. Luckily, Simmonds doesn’t overdo the Christmas Carol comparisons. Much of the book is in appropriately somber colors, with occasional brightness, including the yellow endpapers and built-in bookmark.
The Dave Walker Guide to the Church by Dave Walker (2006)
[88 pages]
Most of these comics originally appeared in the Church Times, the official newspaper of the Church of England. No doubt you’ll get the most out of it if you’re familiar with Anglican churches or the like (Episcopalian or even Roman Catholic). My mother-in-law is a C of E vicar and we’ve attended a High Anglican church for the last two years, so I got many a good snort out of the book. Walker pokes fun at bureaucracy, silly traditions, closed-mindedness, and the oddities of church buildings and parishioners’ habits. My favorite spreads compare choirs and music groups on criteria like “ability to process in” and liken different church members to chess pieces to explain church politics.
Nature Books:
Rain: Four Walks in English Weather by Melissa Harrison (2016)
[100 pages]
In the course of a year Harrison took four rainy walks, in different seasons and different parts of England. She intersperses her observations with facts and legends about the rain, quotes from historical weather guides and poems. It has the occasional nice line, but is overall an understated nature/travel book. A noteworthy moment is when she remembers scattering her mother’s ashes on a Dartmoor tor. I most liked the argument that it’s important to not just go out in good weather, but to adapt to nature in all its moods: “I can choose now to overcome the impulse for comfort and convenience that insulates us not only from the bad in life but from much of the good. I think we need the weather, in all its forms, to feel fully human.”
The Beauties of a Cottage Garden by Gertrude Jekyll (2009)
[88 pages]
This mini-volume from Penguin’s English Journeys series feels like a bit of a cheat because it’s extracted from Wood and Garden (1899). Oh well. In short chapters Jekyll praises the variety of colors, smells and designs you’ll find in the average country garden, no matter how modest its size. She speaks of gardening as a lifelong learning process, humbly acknowledging that she’s no expert. “I hold that the best purpose of a garden is to give delight and to give refreshment of mind, to soothe, to refine, and to lift up the heart in a spirit of praise and thankfulness. … a garden is a grand teacher. It teaches patience and careful watchfulness; it teaches industry and thrift; above all, it teaches entire trust.”
The Glorious Life of the Oak by John Lewis-Stempel (2018)
[87 pages]
I didn’t enjoy this as much as the other Lewis-Stempel book I read this month, The Secret Life of the Owl. There’s a lot here about the role the oak has played in British history, such as in warships and cathedral roofs. Other topics are the oak’s appearance and function in different seasons, the use of acorns and oak leaves in cooking, and the myths and legends associated with the trees. I felt there was too much minimally relevant material added in to make up the page count, such as a list of Britain’s famous named oaks and long poems from the likes of John Clare and William Cowper. While Lewis-Stempel always has a piercing eye, I wonder if he shouldn’t be saving up his energies to write more substantial books.
General Nonfiction / Memoirs:
My Year by Roald Dahl (1993)
[64 pages]
I spotted a copy in our Stamford Airbnb bedroom and read it over our two nights there. These short month-by-month essays were composed in the last year of Dahl’s life. Writing with children in mind, he remarks on what schoolkids will experience, whether a vacation or a holiday like Guy Fawkes night. But mostly he’s led by the seasons: the birds, trees and other natural phenomena he observed year after year from his home in Buckinghamshire. Dahl points out that he never lived in a city, so he chose to mark the passing of time chiefly by changes in the countryside. This is only really for diehard fans, but it’s a nice little book to have at the bedside. (Illustrated, as always, with whimsical Quentin Blake sketches.)
Heart Berries by Terese Marie Mailhot (2018)
[178 pages]
Mailhot was raised on a First Nation reservation on an island off of British Columbia. She is wary of equating her family with Native stereotypes, but there’s no denying that her father was a drunk and ended up murdered. After a childhood of abuse and foster homes, Mailhot committed herself to a mental hospital for PTSD, bipolar II and an eating disorder. It was there that she started writing her story. Much of the book is addressed in the second person to her partner, who helped her move past a broken marriage and the loss of her older son to his father’s custody. Though I highlighted lots of aphoristic pronouncements, I had trouble connecting with the book as a whole: the way imprecise scenes blend into each other makes it hard to find a story line in the murk of miserable circumstances. A more accurate title would have been “Indian Condition” or “Indian Sick” (both used as chapter titles).
Americashire: A Field Guide to a Marriage by Jennifer Richardson (2013)
[151 pages]
A memoir by an American woman married to a Brit and adjusting to English village life was always going to appeal to me. If you approach this as a set of comic essays on the annual rituals of rich toffs (summer fairs, auctions, horse racing, a hunt ball, a cattle market, etc.), it’s enjoyable enough. It’s when Richardson tries to be more serious, discussing her husband’s depression, their uncertainty over having children, and her possible MS, that the book falters. You can tell her editors kept badgering her to give the book a hook, and decided the maybe-baby theme was strongest. But I never sensed any real wrestling with the question. Not a bad book, but it lacks a clear enough idea of what it wants to be. 
Total number of novellas read this month: 26
[not reviewed: In the Space between Moments: Finding Joy and Meaning in Medicine by Pranay Sinha – 
]
A few that didn’t take: The Optician of Lampedusa by Emma Jane Kirby, The Mussel Feast by Birgit Vanderbeke, Sea of Ink by Richard Weihe
My overall favorite: The Gifts of the Body by Rebecca Brown
Runners-up: Surfacing by Margaret Atwood, How to See Nature by Paul Evans, Bodies of Water by V. H. Leslie, and Ghost Wall by Sarah Moss
The ones that got away from me:
There’s always next year!
Bookish Beck = Rebecca Foster. American transplant to England. Freelance proofreader and book reviewer.
Bookish Beck 