Skip to main content

NHBPM #13: Book Report

Book Report: At the Will of the Body: Reflections on Illness
By Arthur W. Frank


This was a book recommended to me by a good friend with a chronic illness, who is inspires me on my own journey making sense of illness. This friend is very talented, and uses her creative spirit to help get through even the toughest times including stays in the hospital. She actually has an Etsy page where she is an expert crochet craftwoman, and makes things as creative as colons to give to those suffering from ulcerative colitis. Needless to say, she is a very interesting person, so when she recommends a book, I read it! She told me to start out with an author, Arthur W. Frank, who is a Canadian professor, psychologist, and someone who has gone through serious illness. In the book, "At the Will of the Body: Reflections on Illness" he writes about his experience going through a heart attack and then cancer. The purpose of his book is not to give advice on how to cope, but rather as a narrative to open up the conversation in our society about illness in general. It is a "taboo" subject and people tend to shy away from it. Rather than do a proper book report, I'm going to list some of my favorite quotes, and I invite you to chime in if you decide to read it! 



When the body breaks down, so does the life. Even when medicine can fix the body, that doesn't always put the life back together again. 

Let your self grieve your losses and find people who will accept that grieving.  Illness can teach you that every part of life is worth experiencing, even the losses. To grieve well is to value what you have lost. When you value even the feeling of loss, you value live itself, and you begin to live again.

Every day society sends us messages that the body can and ought to be controlled.  Physicians justifiably think it is their duty to restore the control that the sick are believed to have lost. One less I have learned from illness is that giving up the idea of control, by either myself or my doctors, made me more content. What I recommend is to recognize the wonder of the body rather than trying to control it. 

Stories we tell ourselves about what is happening to us are dangerous because they are powerful.  We have to choose carefully which stories to live with, which to use to answer the question of what is happening to us. 

Although illness just happens, we can organize its experience to make our lives meaningful. We can have both a faith that allows us to accept whatever just happens and at the same time a will to bring about the change we desire. 

The responsibility of the ill, then, is not to get well, but to express their illness well. Those who express their illness live their lives fully to the end of the illness. For me this is enough- it has to be enough. If we cannot value life for itself, then we see ill persons only in terms of what they could be doing if they were well, and we see children only as what they will do when they become adults. 

When the ordinary becomes frustration, I have to remember those times when the ordinary was forbidden to me. When I was ill, all I wanted was to get back to the ordinary flux of activity. Now that I am back in the ordinary, I have to retain a sense of wonder at being here. 

Popular posts from this blog

So You Have IBD During a Pandemic

Hey! What's going on? Been pretty boring over here in Chicago. Ok I don't need to elaborate on what the hell is going on in the world. We are being bombarded with information - some accurate, a lot inaccurate - about this pandemic. It's very easy to become completely overwhelmed by it all. We've been forced, pretty damn quickly, to completely overhaul our way of life for the greater good. To reduce the strain on our healthcare system of the sick and dying. And us humans are generally bad with rapid, monumental change that we really don't have a lot of say in. Our little reptilian brains do what they're supposed to do (prime us for fight or flight or freeze) but our advanced "thinking" parts of our brain have to interject with all sorts of unhelpful thoughts, thereby sending some of us off the rails. Before we start, turn off the news. Seriously. In the days following 9-11 we found people who consumed more 24-hour news channel information were mor

Psychosocial aspects of having an ostomy

This past Saturday, Tiffany and I had the honor of speaking at the United Ostomy Associations of America's Regional Midwest conference. I was assigned the task of speaking to the patients, and Tiffany addressed the partners or caregivers. I wanted to share with you some of the highlights from my talk. I only had an hour for my session, and with about 100 people in the room, it was not nearly enough time. I love bullet points, so here you go: We are all different! Every ostomate is different and not one size fits all for the emotional/mental aspect either. Who had months to talk about an ostomy and weigh pros/cons? Who was this a more sudden decision for? Who had cancer? Who had IBD? Something else? Who had an ileostomy? colostomy? urostomy? Who has a temporary? Permanent? Multiple temporaries? What age where you when you got your ostomy? Under 20, 20s, 30s, 40s, 50s, 60+ Who was single when they got their ostomy? With a serious partner when they had it? Some find a stom

IBD & Medical Trauma

Medical trauma is such an under-recognized issue for the chronnically ill. It's a hard topic to talk about because it can seem like we are pointing fingers at healthcare workers. Maybe that's why there are only, now, 4 studies on the topic in patients with inflammatory bowel disease (IBD). If you are someone who treats people with IBD please know I am not here to demonize or criticize. I am both a patient and a GI psychologist. I know the medical system from both sides. I know how messed up and broken it is. But ignoring this or rationalizing it away as only affecting a few folks is wrong. So let's talk about it. Post-traumatic stress (PTS) is the term we use for medical trauma due to technicalities in the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) for post-traumatic stress disorder (PTSD). PTS can be less severe that full on PTSD, or it can be full on PTSD. Regardless, the symptoms are identical: Feeling hypervigilant/on-edge (increased