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10th Grade202432 Stories4th of July99 DaysA Change in AltitudeA Demon in My ViewA Dream of WolvesA Falling KnifeA Finely Tuned Apathy MachineA Heart of StoneA Life Lived RidiculouslyA Multitude of SinsA Parting GiftA Question of BloodA Quiet PlaceA Red Heart of MemoriesA River SutraA Short History of Tractors in UkrainianA Slight Trick of the MindA Stir of BonesA Thousand Miles from NowhereA Voyage Long and StrangeA Wedding in December About a BoyAbraham LincolnAcross the River and Into the TreesActs of GodAfrican PsychoAfter DarkAfter YouAfter You'd GoneAfterwardsAgenda for MurderAliens in the Prime of Their LivesAll Alone in the UniverseAll Families Are PsychoticAll in the MindAll the Way HomeAltered LandAlternatives to SexAmanda's WeddingAmelia RulesAmericaAmerica AmericaAmnesiaAmong the DepartedAn Object of BeautyAngelsAngry Youth Comix #2AnimosityAnne SextonAre You Experienced?Aristotle and Poetic JusticeAristotle DetectiveArlington ParkArtemis FowlAs Hot as It Was You Ought to Thank MeAsking For MurderAsymmetryAtonementAway Laughing on a Fast CamelBabylon and Other StoriesBad BoyBad SeedBag Of BonesBalancing ActsBarbara the Slut and Other PeopleBeach RoadBeat the ReaperBeautiful GirlsBed of RosesBefore I Go to SleepBefore the FrostBeg the QuestionBeginner's GreekBellyBeneath the SkinBenedictionBest New American VoicesBig BrotherBilly and GirlBiteBlack & WhiteBlack HelicoptersBlack Market TruthBlameBlanketsBleed for MeBlind SightBlonde FaithBlood, Salt, WaterBlueprints for Building Better GirlsBody SurfingBoneMan's DaughtersBoneyardBoneyardBoomsdayBorder CrossingBoth Ways Is the Only Way I Want ItBoysBracketBrain TrustBrava, ValentineBreaking Out of BedlamBreathing UnderwaterBrick LaneBridge of SighsBridget JonesBridget Jones's DiaryBrief Interviews with Hideous MenBruisesBrŁselBullyBurn, Bitchy, BurnButterflyBy BloodBy The Sea ShoreCalled to KillCanadaCanvasCaricatureCase HistoriesCellCemetery DanceChange of HeartChangesChasing the DimeChild 44Cinema PanopticumCinnamon KissCirceCircle NineCity of the LostClay's WayClose toYouClose Your EyesCloud 9 AffairCoincidenceCold CaseCold HitCold in HandCollected StoriesCome Up and See Me SometimeComfort and JoyCompulsionConfessions of a ShopaholicConfessions of an Ex-GirlfriendConsider LoveCouch FictionCrispinCross CountryCruddyCrumpleCutCypherDaddy's GirlsDakotaDamageDancing After HoursDanger in High PlacesDanger! Cross CurrentsDante's PoisonDante's WoodDarkest FearDating Without NovocaineDead BoysDead Canaries Don't SingDead EndDead EvenDeadly AdviceDeadly ButterflyDeadly GambleDeaf SentenceDear American AirlinesDear Zoe,Death of a Department ChairDeath of an AddictDeath with InterruptionsDeath Without TenureDeceitDecemberDeceptionDefending JacobDeliverance From EvilDemonologyDepraved HeartDictatorDisobedienceDisturbing GroundDivine JusticeDivisaderoDixie RoadDon't Wake UpDr. Jekyll & Mr. HydeDriftlessDuplicityEcstasyEmerald City BluesEmpire FallsEmpress of the WorldEnd over EndEven DeadlierEven Dogs in the WildEvenings at FiveEvery Note PlayedEvery Visible ThingEye ContactFacesFaking ItFalling ManFamily and Other CatastrophesFamily HistoryFascinationFat Angie Fear of the DarkFeeling Sorry for CeliaFellsideFeminist Philosophy And Science FictionFever 1793Field of BloodFinal JeopardyFlashpointFlat Lake in WinterFlorid StatesForgive the MoonFortunate SonFortune's RocksFour Blind MiceFour CornersFred the ClownFrom Girls to GrrlzFull DisclosureGallatin CanyonGaudi AfternoonGenerosityGeorgia Under WaterGhost at the WindowGiftedGiganticGirl in TranslationGirl Walking BackwardsGirls Closed InGirls Like UsGod HeadGod Is DeadGod Is Not OneGods and BeastsGoldengroveGone GirlGood and GoneGood GriefGrace, Tamar and Laszlo the BeautifulGuises of DesireHalf In Love With DeathHappiness Sold SeparatelyHappy FamilyHappy Mutant Baby PillsHappy Now?HarleyHarry Potter and the Sorcererís StoneHe Counts Their TearsHeartbeatHeftHell's IslandHey, Wait...High HeatHolidays On IceHope in a JarHot MilkHotel on the Corner of Bitter and SweetHotel WorldHotels of North AmericaHouse of JavaHow a Gunman Says GoodbyeHow People ChangeHow to Be GoodHow to Set a Fire and WhyHow to Stop TimeHug MeI Can See YouI Don't Know How She Does ItI'd Know You AnywhereI'm Traveling AloneIf I Fall, If I DieIf You StayImagine Me GoneImposter for HireIn ZanesvilleInfinite JestIngloriousInnocentInnocent WorldInnocentsInspired SleepInvisibleIronshoreIs This What Other Women Feel Too?It Takes OneIt's Love We Don't UnderstandIt's Not Me, It's YouJacob Have I LovedJimmy CorriganJohn Dies at the EndJournal d'une femme adultŤreJust LifeKhalifahKick the Animal OutKicking the SkyKim: Empty InsideKisscutKissing DoorknobsKissing in AmericaKnife CreekKnockout MouseLambLast Chance SaloonLast NightLaura Numeroff's 10-Step Guide to Living with Your MonsterLawnboyLayoverLeft NeglectedLeisureLeo the Lightning BugLeslie's JournalLet Me Be Frank With YouLie to MeLies My Girlfriend Told MeLife After LifeLife ClassLife Is a Strange PlaceLife of PiLike the Red PandaLike You'd Understand, AnywayLikely to DieLillian in LoveLisa, Bright and DarkLisey's StoryListen to the SilenceLithium for MedeaLittle Black LiesLittle ChildrenLittle LitLittle ScarletLiíl SantaLonerLord of the FliesLosing JuliaLostLost GirlLost in the ForestLost Memory of SkinLove and Shame and LoveLove in the AsylumLove Songs for the Shy and CynicalLovely Green EyesLowboyLucy Sullivan Is Getting MarriedMachines Like MeMade for LoveMagnificenceMaking ScenesMaliceMan and BoyMan in the WoodsManstealing for Fat GirlsMarlenaMary, MaryMercy StreetMerry Christmas, Alex CrossMiddlesexMischlingMisfortuneMissing PresumedMoby DickMomma and the Meaning of LifeMonsterMonths and SeasonsMr. CommitmentMrs. DallowayMrs. FletcherMunich AirportMurder BookMurder in ByzantiumMurder in the InnMusic for TorchingMy AbandonmentMy Girlfriend Comes to the City and Beats Me UpMy Life with CorpsesMy Name Is RedMy Sister's KeeperMystery Time StoriesNasty, Short and BrutalNecessary NoiseNelson Mandela's Favorite African FolktalesNemesisNeuroticaNever Fade AwayNever Let Me GoNew Australian StoriesNew York 2140Night FilmNina: AdolescenceNo One Can Pronounce My NameNo Place to HideNone of the AboveNorth of BeautifulNothing RightNovel About My WifeObjects of My AffectionObservatory MansionsOdd Child OutOdd HoursOddsOh My GothOld SchoolOn Chesil BeachOn the CouchOnce You Go BackOne Flew Over The Cuckoo's NestOne Good TurnOne More WednesdayOne Pill Makes You SmallerOptic Nerve #11Our Souls at NightOver Tumbled GravesPaint It BlackPanicParadiseParadise LodgeParanoiaParty GirlPeculiaPerfect LivesPharmakonPhobicPianoPictures of YouPilgrim at Tinker CreekPlaying with FirePlea of InsanityPopCoPoppy ShakespearePower SplitPreaching to the CorpsePrepPresumed InnocentProzac HighwayPumping Up NapoleonPureRachel's HolidayRacing the DevilRadiant CoolRaptors Red SnowReleaseRelentlessRemembrance of Things Past, Vol 1: CombrayRescueReturn to IsisReunion at Red Paint BayRevolting YouthRevolutionary RoadRight LivelihoodsRippleRoomRun DownRun for Your LifeSamaritanSand DollarSaturdaySaturday's ChildSay You Are My SisterSay You're One of ThemSay You're SorrySaying It Out LoudSchopenhauer's TelescopeSeason to TasteSecond LifeSee How SmallSeed of the Dogwood TreeSelf-Portrait with BoySerious GirlsSexyShades of BlueShadow BabyShamelessShatteredShooterShort PeopleShutter IslandShy GirlSigned, Mata HariSilencedSilent CruiseSince You AskSister CrazySister MischiefSisterlandSkin DeepSleeping BeautySleepwalkSlip of the KnifeSmackSmall Avalanches and Other StoriesSmutSnowSo Brave, Young and HandsomeSo LuckySome Thing BlackSometimes It's New YorkSong for EloiseSongs for the MissingSongs Without WordsSounds from the Bell JarSourlandSpeakSpeaking With the AngelSpeed ShrinkingSquirrel Seeks ChipmunkSshhhh!Stealing TimeSteel BreezeStill AliceStill in LoveStill MissingStir-FryStoner & SpazStop PretendingStraight ManStrange FleshStrange Stories for Strange Kids StrayingSummer BlondeSunstrokeSupreme CourtshipSwimmerSwimming Sweet ArrowSwimming to ElbaSwimming with StrangersSworn to SilenceSycamoreSylvia PlathTaking FlightTales of PsychotherapyTalking to AddisonTeaseTell the Truth, Shame the DevilTestimonyThat Old Cape MagicThe DrifterThe 101 Best Graphic NovelsThe 7 Deadly Sins SamplerThe Abortionist's DaughterThe Abstinence TeacherThe AccidentalThe AdultsThe AlienistThe Almost MoonThe Arctic IncidentThe ArrangementThe Artist of DisappearanceThe Austere AcademyThe Average American MarriageThe AwakeningThe Babes in the WoodThe Bad BeginningThe Beach HouseThe Beast of CretaceaThe Beat Goes OnThe Bell JarThe Best AwfulThe Big GirlsThe Big KissThe Big LoveThe Bird HouseThe Bird WomanThe Birthday RiotsThe Bitch PosseThe Blue Moon Erotic Reader IIIThe Blue NotebookThe Boat RockerThe Book of JamaicaThe Book of JoeThe Book of LeedsThe Book of LiesThe Book of LiverpoolThe Book of the DeadThe Boy at the KeyholeThe BramblesThe Brass VerdictThe Brimstone JournalsThe Burden of ProofThe Cake HouseThe CallingThe Castle in the ForestThe ChemistThe Children ActThe Children of MenThe Christmas TrainThe Christmas WeddingThe ClosersThe Consciousness PlagueThe Conspiracy ClubThe CorrectionsThe CorrectionsThe Covery and ThenThe Cuckoo's CallingThe CureThe Curious Incident of the Dog in the Night-TimeThe Dark HouseThe Dark RoomThe Darkest Evening of the YearThe Day I Ate Whatever I WantedThe Dead Fathers ClubThe Dead Fish MuseumThe Dead HourThe Dead of SummerThe Death of Bunny MunroThe Delight of Being OrdinaryThe DepositionThe Devotion of Suspect XThe Diary of a Teenage GirlThe Disobedience Of The Daughter Of The SunThe Diviner's TaleThe DivinersThe DollmakerThe Double BindThe Dream BearerThe Dressmaker of Khair KhanaThe Dubious Salvation of Jack V.The Dulcimer Boy The Dynamite RoomThe EcstaticThe Education of Mrs. BemisThe Elementary ParticlesThe End Of AliceThe End of EverythingThe End of Mr. YThe Erotic EdgeThe Eternity CubeThe Extinction of DesireThe Female PersuasionThe Field of the DogsThe Fig EaterThe First Fifteen Lives of Harry AugustThe Fortunate OnesThe Gingerbread GirlThe Girl in 6EThe Girl in the GardenThe Girl on Mill StreetThe Girl Who Kicked the Hornet's NestThe Girl Who Loved Tom GordonThe Girl Who Played with FireThe Girl with the Dragon TattooThe Girl Without a NameThe GirlsThe Good PsychologistThe Great Books Foundation Short Story OmnibusThe Green ParrotThe Grief of OthersThe Grim GrottoThe Guise of AnotherThe Gum ThiefThe Guy Not TakenThe Hearts of MenThe Heretic's DaughterThe HoursThe Housekeeper and the ProfessorThe Ice QueenThe Ice TwinsThe InseparablesThe InterestingsThe IntimatesThe Keeper of Lost CausesThe Keeper of Lost ThingsThe Kindness of StrangersThe Kings of LondonThe Language of SecretsThe Last ChildThe Last MileThe Last PhysicianThe Last PrecinctThe Lay of the LandThe Lincoln LawyerThe Little FriendThe Lost MotherThe Love HexagonThe Lovely BonesThe Lover's DictionaryThe Madonnas of Echo ParkThe Madwoman in the AtticThe Man from BeijingThe Man in My BasementThe Man of My DreamsThe Map of True PlacesThe Marriage PlotThe Master BedroomThe Memory Book The Memory Keeper's DaughterThe Mercy RoomThe Mermaids SingingThe Meursault InvestigationThe Ministry of Special CasesThe MiracleThe Miserable MillThe Missing ProfessorThe Most Dangerous ThingThe MuralistThe Museum of InnocenceThe NarrowsThe New YorkersThe NewleywedsThe Night ListenerThe NixThe Notebook of Lost ThingsThe Obvious ChildThe One With the NewsThe Other Side of the StoryThe Outlaw AlbumThe Particular Sadness of Lemon CakeThe PastThe People of the VeilThe Perfect GirlThe Philosopher's LoverThe Philosophical PractitionerThe Possession of Mr. CaveThe PowerThe Pregnant WidowThe Promise of a LieThe Promised LandThe PyramidThe ReaderThe Red HouseThe Red RoomThe Red ThreadThe ReporterThe Reptile RoomThe Resurrection StoneThe ReturnThe Right MistakeThe RoadThe Rule of FourThe Same Stuff as StarsThe Savage GirlThe ScarecrowThe Schopenhauer CureThe Second GirlThe SecretThe Secret Life of BeesThe Secret of Lost ThingsThe Secret ScriptureThe Secret SpeechThe Secret Wisdom of the EarthThe SharkThe Shock of the FallThe Shutter of SnowThe Silence RoomThe SisterThe Sisterhood of the Traveling PantsThe Sky ChangesThe SnowmanThe SongwriterThe Sorrows of an AmericanThe Sound of Broken GlassThe Speed AbaterThe Speed of DarkThe Spinoza ProblemThe Stethoscope CureThe Stone GodsThe Story HourThe Story of Beautiful GirlThe Sudden Arrival of ViolenceThe Summer ChildrenThe Sweet Relief of Missing ChildrenThe Sweetness at the Bottom of the PieThe SyndromeThe Tenth CircleThe Tenth JusticeThe Third AngelThe Time Traveler's WifeThe Torn SkirtThe TouristThe Trick Is to Keep BreathingThe Trouble with Goats and SheepThe Troubled ManThe Undertaker's WifeThe Unexpected Inheritance of Inspector ChopraThe Unfortunate Decisions of Dahlia MossThe UnnamedThe UnquietThe Unseen WorldThe Usual MistakesThe Vanishing Act of Esme LennoxThe VegetarianThe Virgin BlueThe Virgin CureThe Water ChildrenThe WaveThe Weed That Strings the Hangman's BagThe Whole TruthThe Wide WindowThe Wild Assís SkinThe Witch ElmThe Woman and the ApeThe Woman UpstairsThe Wrong Side of GoodbyeThe Year of the FloodThe Year That FollowsTherapyThere Are No EldersThings You Didnt SeeThings You Should KnowThinks...Third Class SuperheroThirty NothingThis Beautiful LifeThis Body of DeathThose GirlsThose Who Wish Me DeadThumbsuckerTimothy Tunny Swallowed a BunnyTina's MouthTiny DeathsTisToby's RoomTony & SusanToo Much HappinessTooth and NailTouchTouching Spirit BearTouchy SubjectsTrailer GirlTransparencyTraumaTreacherous LoveTrespassTriburbiaTucker PeakTuringTwentieth Century EightballTwinmakerTwo Can PlayTwo Little Girls in BlueUnaccustomed EarthUnder Rose-Tainted SkiesUnder the DamUnder the HarrowUnder the InfluenceUnfitUnholy StoriesUniversal HarvesterUnkemptUnlessUp in FlamesUp in the AirUpstateVacuum in the DarkValenciaVenus DriveVeronika Decides to DieVery ValentineViolet & ClaireVisits from The Drowned GirlVoid MoonWaiting for SunriseWakeWarlightWastelandWatching the DarkWe Are All Completely Beside OurselvesWe Are OkayWelding with ChildrenWell-Remembered DaysWemberly WorriedWhat Became of UsWhat It Means to Love YouWhat the Birds SeeWhat Waiting Really MeansWhat Was She Thinking? Notes on a ScandalWhat We Don't Know About ChildrenWhat's So Terrible About Swallowing an Apple Seed?When My Heart Joins the ThousandWhen We Were AnimalsWhen We Were OrphansWhere We LivedWhite HotWhite HousesWhy Did I EverWidowWild AwakeWild Child[email protected]Willful CreaturesWitWithout TessWolf in White VanWomen's Murder Club Box SetYou or Someone Like YouYou Should Have KnownYou Will Know MeYour Body is ChangingYour Heart Belongs to MeZapZap
Sixteen classic short stories, sixteen case studies. That's the formula for this book by psychiatry professor William Tucker. How People Change explains the method Tucker uses to teach medical students about suffering, struggle and change. Tucker uses fiction for this purpose, having found the psychiatric literature too reductionist, given its tendency to "privilege pathological categories over experience" (cover notes). The book outlines Tucker's method of reading, group discussion, and analysis, and provides examples of analysis of each of the sixteen stories. The full text of each story is included, making the book both an anthology and a description of teaching and learning. Stories were chosen to reflect Erikson's eight stage model of human development, with the exception of the first stage (birth to twelve months) as that stage is not covered by any notable short story. The discussions provide a plot summary followed by five questions used as heuristics to further understanding of the story, and in particular the conflict of the central protagonist. The result is a book which could easily be used by teachers in other institutions either as it is, or by adapting the method to their own students' needs.
The short story is singularly suited to Tucker's purpose, providing as it does a "slice of life" without necessarily explaining what happens beyond the (usually) brief period covered. A well written short story should sufficiently reveal its main characters without the need to relate all the consequences of its key event. The rule of "show don't tell" is congruent with what a physician will encounter in clinical experience, a brief vignette of a fully developed life. Just as the author will not outline the full history of each character, patients present with complaints representative of their life course. It is up to the clinician to discern whether a pain is just a pain, or something that warrants closer investigation.
Tucker has chosen examples that represent a wide spectrum of the short story genre. They include The Overcoat (Gogol), two from Chekov (Gooseberries and Oysters), The Rocking-Horse Winner (Lawrence), The Adulterous Woman (Camus), two from Joyce's Dubliners (Araby and The Dead), Her First Ball (Mansfield) Good Country People (O'Connor) and others. The range of nationalities represented is impressive, and no doubt deliberate. It is noteworthy that Tucker has included The Overcoat in this collection, as this story is often regarded as the leading exemplar of the modern short story, and of much modern fiction. To paraphrase an expression attributed to Dostoevsky, the other authors in How People Change emerge from under Gogol's overcoat. Tucker's intention is to show the universal truths captured by each author. No contemporary authors are represented, probably because Tucker wanted to use stories that had proven themselves over time.
Tucker comments that students' responses to these stories are varied, with several interpretations emerging during group discussions. Some initially find the stories frustrating as there is no obvious change. It is only through rereading and discussion that understanding of the subtlety of the author's craft becomes apparent. In The Dead, for example, the full implications of Gabriel's thwarted night of romance are not immediately apparent. But given the opportunity to piece together the key elements of the story a pattern emerges of a man who has lost more than the opportunity for a night of romance. Tucker is aware of his own influence in bringing about this more in depth understanding, and concedes that his interpretation of the story is not the last word. However my impression is that Tucker is anything but a didactic teacher leading students towards one correct view. Something that is both notable and commendable is that there is no attempt to make a psychiatric diagnosis, even in cases that would readily lend themselves to this sort of unnecessary mediclization. Similarly, Erikson's stages are used as a guide, not as a means classification. The stories are not those that are discussed from time to time in the psychiatric literature as exemplifying mental illness, they are stories of the ordinary people physicians are likely to encounter in day to day practice. Another feature of the book, and something I'm sure Tucker's students are grateful for, is that there is no attempt to use literary theory to analyze these stories. That is simply not Tucker's purpose, and in How People Change he demonstrates the rich understandings to be gleaned from fiction without resorting to deeply theoretical analysis.
I found myself in broad agreement with Tucker's analyses, given that these are somewhat tentative. Leila (Her First Ball) has faced and responded to a challenge about her developing identity; Hulga (Good Country People) has learned a rough lesson in intimacy, but a telling one given her complicity in its execution (what a marvelous story this is!); Mrs. Verney (Sleep it off, Lady -- Jean Rhys) struggles with the same issues as her aged peers, but is compromised by alcoholism in her ability to respond to these challenges. The only exception to my agreement with Tucker's interpretations was his use of an alternative analysis of The Overcoat to make a point about public health programs. This was lost on me, although I found his earlier analysis of the hapless Akaky to be spot on.
A single reading of a short story is never going to exhaust its possible meanings. In many cases a wider lens of analysis would reveal other issues of relevance. For example Gabriel's concern with death is not just an individual affair, it is in one individual's expression of concern with the death of Ireland, at least the Ireland of Gabriel's past. Gabriel is quite explicit about this in his after dinner speech. Joyce also provides a metaphorical reference in the military colorings of the stout bottles that are assembled like an army regiment. Similarly, the adulterous wife who gives Camus' story its title is a French colonial in Algeria, awakened to the timelessness of the indigenous people and therefore to her own outsider status. Her transcendental moment can be read not just as an orgasm, but as a cultural epiphany. And Mansfield was always acutely aware of Englishness, not her own by birth, but by ancestry and tradition. Her debutante Leila then, can be read as the cultivated English rose confronted by a gruff colonial. Such readings do not so much compete with those of Tucker, but illustrate the multiple layers of meaning inherent in these stories.
Tucker's students are fortunate indeed to have this introduction both to the possibilities of literature and the real life struggles of people in the ordinary course of their lives. Not all patients will invite or welcome professional intervention, or as Tucker acknowledges, will necessarily need it. Physicians who are able to normalize rather than pathologize experience are well placed to provide humane and empathic care. Tucker does his students a great service by alerting them to the ordinariness of human experience. This is a great book for those involved in the medical humanities, and for all teachers in the health and social sciences.
© 2007 Tony O'Brien
Tony O'Brien is a short story writer, and lecturer in mental health nursing at the University of Auckland, New Zealand: [email protected]