Tag Archives: Jean-Dominique Bauby

Week 4: A Literal Lock-In- The Body’s Entrapment of the Mind

To mark the halfway point of my mini-course, I gave the students the opportunity to provide feedback. In particular, I was curious about what they were enjoying in the course and what changes they would like to see made in the time we had remaining. Were the readings too long or too short? Did they find class discussions to be productive and thought-provoking? Was the class meeting their hopes and expectations and, if not, were there constructive ways that it could be improved?

I was pleasantly surprised to receive overwhelmingly positive feedback. Students seemed to be content with the structure of the course- the readings were manageable,  blog post assignments straightforward, class discussions  stimulating. Many found the blog posts to be a great way to kickstart our class discussions and to get them thinking about the readings. A number of students expressed their appreciation for the multiple media we explored and particularly enjoyed watching film and video clips in class.

The only concern that was voiced by one or two students was that there was unequal participation in class discussions. As with any discussion class, I’ve observed that some individuals participate more than others, but I have also been content with the fact that each individual contributes to each class session. To some extent, disparity in engagement may be inevitable, but I’m hoping to incorporate even more small group activities and more consciously make  an effort to get everyone talking.

Lesson Plan Week 4

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Filed under Grand Rounds

A Summer Reading List

A friend asked for suggestions for a booklist, so I figured I’d craft one here. This particular list focuses on historically contextualized texts and artistic representations.

Books for History of Medicine Enthusiasts:

1. The Emperor of All Maladies: A Biography of Cancer, Siddhartha Mukherjee

A comprehensive documentation of Cancer’s transformation over the years. Mukherjee skillfully weaves the narratives of patients, physicians, and researchers with the political, social, and scientific evolution of the disease.

2. The Immortal Life of Henrietta Lacks, Rebecca Skloot

A canonical work about the famous HeLa cells. Skloot digs deeper into the woman behind these immortal cervical cancer cells: Henrietta Lacks, who never knew that her cells were taken, grown, and sold without her consent. This book explores the racial inequities of health care in the US, and tells the story of the Lacks family and how they have been impacted by this experience.

3. The Spirit Catches You and You Fall Down, Anne Fadiman

Another canonical book in Medical Anthropology, one that provides a more cultural spin on health disparities. Fadiman tells the story of Lia Lee, a Hmong child in California, whose severe epilepsy illuminates the cultural clashes between her Hmong family and Western doctors.

4. Cutting for Stone, Abraham Verghese

A gripping piece of fiction that follows the story of the Stone family over the years. With a cultural backdrop of Addis Ababa, Ethiopia, and a focus on the art of surgery,the reader is immersed into a different realm of medicine. 

Books for Art of Medicine Enthusiasts:

5. Stitches, David Small

A potent graphic novel set in Detroit about how cancer physically stripped Small of his voice and its psychological effects. As a talented artist himself, Small uses imagery to fill in the spaces where language falls short.

6. The Diving Bell and the Butterfly (literature and film)

These works coupled together provide a good portrayal of Jean-Dominique Bauby’s experience with full body paralysis. I suggest reading the book before viewing the film to approach the viewing experience with a more authentic perspective.

Happy reading!

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Imagining Immobility through The Diving Bell and The Butterfly

Hearing Jean-Dominique Bauby’s thoughts as expressed through his book The Diving Bell and the Butterfly and seeing the world from his perspective in its film adaptation simulated his experience as best it could. These are the only functions that remain under his jurisdiction: the cognitive mind for thought, the left eye for sight. Unable to move or speak, Bauby has locked-in syndrome: a mysterious cerebrovascular disease.

It was this condition that intrigued me to explore these works. Entire body paralysis, affecting all voluntary muscles of the body except for the eyes, is incomprehensible to me. Despite this bodily entrapment, Bauby’s alert mind finds a voice through the only part of his body that has retained movement: his left eye. At first, his decisions are made with this movement. Blink once for yes, twice for no. These absolute decisions become a choice between letters, and Bauby blinks to indicate the letter of his choosing. What began as a simple means of communication grows and establishes itself as a platform to create awareness of what it really means to be “locked-in.”

Bauby suffers a debilitating stroke that alters life as he knows it, establishing a new home for him in a hospital room in Berck. Bauby was a successful man, the editor of Elle magazine and a father of three. Locked-in syndrome forces him to retreat to a state of infantilism; he entirely depends on the care of others in order to exercise his muscles, to communicate his thoughts, to exist. He finds escape through his memory and his imagination, reflecting on moments such as shaving his father while fantasizing about extravagant meals. He also connects more than ever with his favorite work of literature, The Count of Monte Cristo, insisting that the main character had locked-in syndrome. Bauby’s outlook transforms through the course of the novel, as his mindset evolves from questions of “Is it worth it?” to an acceptance of his “new life in bed” (4; 129). Although Bauby passed away 10 days after the book’s publication, his life experience has continued to resonate through this memoir.

Although I thought that the film overall immersed the viewer into Bauby’s body, there were a few discrepancies that left me confused. It took me a while to realize what seemed off, but I was not fond of Bauby’s audibility. I think the film would have been more powerful if it had mirrored Bauby’s thoughts, allowing them to exist solely as words in a subtitle rather than as a voice to be heard. Amplifying his stream of consciousness through audible narration deviated from the accuracy of his experience, which I felt detracted from the film. I was also confused to see that although the film was in French with English subtitles, all the words that he spelled letter by letter were spelled out in English.

While these discrepancies hindered the film’s potency, I found studying these works in conjunction to one another to provide great insight into Bauby’s life. His book creates as space for him to tell his tale as best he can, but I do think that the film created a simulation of the “locked-in” experience. That being said, I think it’s important to note that the movie was made in 2007, 10 years after Bauby’s death. The experience simulated was adapted from his textual creation, but Bauby never had the chance to see the film, confirm its accuracy, or approve of its representation.  I wonder, how would he have reacted to this window into his life?

Discussion Questions:

  1. What are the strengths and weaknesses of narrating illness through film?
  2. What elements of Frank’s illness narrative categories can be identified in Bauby’s text?
  3. How does Bauby’s unique method of communication shape his narrative?
  4. Why the diving bell? Why the butterfly?

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Filed under Film, Independent Study, Literary Narratives, Voice