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10th Grade202432 Stories4th of July99 DaysA Change in AltitudeA Demon in My ViewA Dream of WolvesA 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 MurderAtonementAway 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 KissCircle 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 HeartDisobedienceDisturbing GroundDivine JusticeDivisaderoDixie RoadDr. Jekyll & Mr. HydeDriftlessDuplicityEcstasyEmerald City BluesEmpire FallsEmpress of the WorldEnd over EndEven DeadlierEven Dogs in the WildEvenings at FiveEvery Visible ThingEye ContactFaking ItFalling ManFamily HistoryFascinationFat Angie Fear of the DarkFeeling Sorry for CeliaFellsideFeminist Philosophy And Science FictionFever 1793Field of BloodFinal JeopardyFlashpointFlorid StatesForgive the MoonFortunate SonFortune's RocksFour Blind MiceFour CornersFred the ClownFrom Girls to GrrlzGallatin CanyonGaudi AfternoonGenerosityGeorgia Under WaterGhost at the WindowGiftedGiganticGirl in TranslationGirl Walking BackwardsGirls Closed InGirls Like UsGod HeadGod Is DeadGod Is Not OneGods and BeastsGoldengroveGone GirlGood GriefGrace, Tamar and Laszlo the BeautifulGuises of DesireHalf In Love With DeathHappiness Sold SeparatelyHappy FamilyHappy Mutant Baby PillsHappy Now?HarleyHarry Potter and the Sorcererís StoneHeartbeatHeftHell'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 WhyHug MeI Can See YouI Don't Know How She Does ItI'd Know You AnywhereIf 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 AmericaKnockout MouseLambLast Chance SaloonLast NightLaura Numeroff's 10-Step Guide to Living with Your MonsterLawnboyLayoverLeft NeglectedLeisureLeo the Lightning BugLeslie's JournalLet Me Be Frank With YouLies My Girlfriend Told MeLife After LifeLife ClassLife Is a Strange PlaceLife of PiLike the Red PandaLike You'd Understand, AnywayLikely to DieLisa, 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 MarriedMagnificenceMaking ScenesMaliceMan and BoyMan in the WoodsManstealing for Fat GirlsMary, MaryMercy StreetMerry Christmas, Alex CrossMiddlesexMischlingMisfortuneMissing PresumedMoby DickMomma and the Meaning of LifeMonsterMonths and SeasonsMr. CommitmentMrs. DallowayMunich 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 StoriesNight FilmNina: AdolescenceNone of the AboveNorth of BeautifulNothing RightNovel About My WifeObjects of My AffectionObservatory MansionsOdd HoursOddsOld 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 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JarSourlandSpeakSpeaking With the AngelSpeed ShrinkingSquirrel Seeks ChipmunkSshhhh!Stealing TimeSteel BreezeStill AliceStill MissingStir-FryStoner & SpazStop PretendingStraight ManStrange FleshStrange Stories for Strange Kids Summer BlondeSunstrokeSupreme CourtshipSwimmerSwimming Sweet ArrowSwimming to ElbaSwimming with StrangersSworn to SilenceSylvia PlathTaking FlightTales of PsychotherapyTalking to AddisonTeaseTell the Truth, Shame the DevilTestimonyThat Old Cape MagicThe 101 Best Graphic NovelsThe 7 Deadly Sins SamplerThe Abortionist's DaughterThe Abstinence TeacherThe AccidentalThe AdultsThe AlienistThe Almost MoonThe Arctic IncidentThe 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 BramblesThe Brass VerdictThe Brimstone JournalsThe Burden of ProofThe Cake HouseThe CallingThe Castle in the ForestThe 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 DepositionThe Devotion of Suspect XThe Diary of a Teenage GirlThe Disobedience Of The Daughter Of The SunThe Diviner's TaleThe DivinersThe 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 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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 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 Philosopher's LoverThe Philosophical PractitionerThe Possession of Mr. CaveThe 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 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 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 Virgin BlueThe Virgin CureThe Water ChildrenThe WaveThe Weed That Strings the Hangman's BagThe Whole TruthThe Wide WindowThe Wild Assís SkinThe Woman and the ApeThe Woman UpstairsThe Wrong Side of GoodbyeThe Year of the FloodThe Year That FollowsTherapyThere Are No EldersThings 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 the DamUnder the HarrowUnder the InfluenceUnfitUnholy StoriesUnkemptUnlessUp in FlamesUp in the AirUpstateValenciaVenus DriveVeronika Decides to DieVery ValentineViolet & ClaireVisits from The Drowned GirlVoid MoonWaiting for SunriseWakeWastelandWatching the DarkWe Are All Completely Beside OurselvesWelding 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 We Were AnimalsWhen We Were OrphansWhere We LivedWhite HotWhy Did I EverWidowWild AwakeWild ChildWill@epicqwest.comWillful 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@example.com