Monthly Archives: September 2020

Jack London, “Told in the Drooling Ward”

The story is told by a man who has been living in “the drooling ward,” a mental institution in California.

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Jack London, Told in the Drooling Ward short story

Jack London, Told in the Drooling Ward short story (with highlights)

Jack London, Told in the Drooling Ward vocabulary

Vocabulary Games:

Crossword Puzzle

Word Search

Matching Columns

Questions to explore:

  • Tom describes the asylum’s inhabitants and their status according to their illness and severity of their illness. Why, do you think, he elaborates at such great lengths the diagnosis and ranking of the different types of patients? Is he a neutral observer? – How do you feel about the ways Tom describes the other patients?
  • What do you think about the Bopp family?
  • Tom has a special relationship with Albert. What do you think is the reason behind his attachment to Albert?
  • Why does Tom run away with the two epileptics and why does he take along Albert?
  • What measures is Tom taking to assert (or protect?) himself in his relationship with others? How successful is he?
  • Tom would like to marry but is not allowed, according to his doctor. Who is to decide and why, Tom or the doctor, in this matter?
  • How would you describe Tom’s relationship with his care-takers?
  • Why does Tom prefer to stay at the institution?
  • How did this story make you feel?



Gabrielle Roy, “Alicia”

A young girl tells the story of her older sister Alicia’s mental illness.

Photograph by Hari Roser

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Gabrielle Roy, Alicia short story

Gabrielle Roy, Alicia short story (with highlights)

Gabrielle Roy, Alicia vocabulary

Vocabulary Games:

Crossword Puzzle – Nouns

Word Search – Verbs

Crossword Puzzle – Adjectives

Word Scramble – Misc

Questions to explore:

  • Alicia’s family, her younger sister, mother and father, never openly discuss “what’s wrong” with Alicia, not even among themselves. Why? What is gained or lost as a result?
  • Often, people , like Alicia, with mental disability are defined or seen through the lens of what they lack (their weaknesses or character traits that set them apart from being “normal”) rather than their strengths or unique perspectives they have. Is there anything to Alicia’s character that sets her apart, that makes her unique in her environment? Can disability be an asset as well not just a loss?
  • Seeing Alicia’s illness through the lens of a child (her sister) and through shared childhood experiences, her sister provides a unique perspective on Alicia that at times sets her apart from the adults of the household. What insight if any do we gain into Alicia’s illness that is unique to the sisters’ relationship and/or a child’s perspective?
  • How is the sisters’ relationship shaped by Alicia’s mental illness? Do you see any change in this relationship over time? Why, why not?
  • Why, do you think, Alicia bites her sister?
  • The title of the short story is “Alicia” yet we learn very little about who she is and what she thinks in the story. Why is Alicia’s character left so undefined given her central role?
  • In the story it is suggested at the funeral (perhaps by the priest ) that death for Alicia was a sign of God’s mercy on her and/or the best possible outcome. Do you agree? Why or why not?
  • How do you think environmental factors (i.e., the way the family related to Alicia) impacted her illness and the outcome?

This Way Madness Lies

Is mental illness or madness at root an illness of the body, a disease of the mind, or a sickness of the soul? Should those who suffer from it be secluded from society or integrated more fully into it? This Way Madness Lies explores the meaning of mental illness through the successive incarnations of the institution that defined it: the madhouse, designed to segregate its inmates from society; the lunatic asylum, which intended to restore the reason of sufferers by humane treatment; and the mental hospital, which reduced their conditions to diseases of the brain. Moving and sometimes provocative illustrations and photographs, sourced from the Wellcome Collection’s extensive archives and the archives of mental institutions in Europe and the U.S., illuminate and reinforce the compelling narrative, while extensive gallery sections present revealing and thought-provoking artworks by asylum patients and other artists from each era of the institution and beyond.

The Magic Mountain by Thomas Mann

The literature of the sanatorium probably deserves a list of its own, but Mann’s classic is one of the first and best studies of institutional life. The reader is never entirely sure if the hero, Hans Castorp, is really ill or succumbing to the pleasures of institutionalisation. In an Alpine sanatorium for tuberculosis at the beginning of the 20th century, the rituals of mealtimes, carefully prescribed walks, rests and consultations leave the patients little to do but watch each other and try not to think about death.

The English Patient by Michael Ondaatje

Another novel set in a wartime hospital, winning the Booker the year after Regeneration. Four damaged people find themselves and each other in an Italian villa being used as a field hospital at the end of the second world war. The English patient, László Almásy – who is in fact not English – knows that he is dying. As he sinks and surfaces on morphine, he tells the story of his affair with a married Englishwoman in north Africa. There is no prospect of physical healing, for Almásy nor, by the time the atomic bombs have fallen at the end, for the world, but narrative has belated and secondary consolations of its own.

The Bell Jar by Sylvia Plath

Bible of generations of clever and misunderstood teenage girls, Plath’s coming-of-age novel seems to affirm a connection between madness and creativity. Esther Greenwood, taking an English degree at an elite women’s college not unlike Plath’s, sees a rapidly approaching choice between marriage and a literary career. Unable to commit to either, her actions become increasingly chaotic until she attempts suicide and is admitted first to a state hospital and then, following the intervention of the novelist who funds her university scholarship, to a private institution where she is kindly treated by female doctors and nurses. This hospital becomes the complement to Esther’s college education, a place where she can learn possible modes of survival for an intelligent woman in 1950s America.

Regeneration by Pat Barker

Set in Craiglockhart Hospital in Edinburgh during the first world war, Pat Barker’s Booker prize winner focuses on the work of Dr William Rivers with victims of shell-shock and trauma. The hospital is a place of healing, where there is some space for attempts to redress the damage of war, but it is in the end a military institution that exacts the final loyalty of its most ambitious employees. In a novel with few female characters, the exploration of different kinds of masculinity in a time of war is deeply engaging.