Michael's Reviews > Regeneration
Regeneration (Regeneration, #1)
by
by
Michael's review
bookshelves: fiction, historical-fiction, 1001-books, england, psychology, lgbt, world-war-1, mental-illness
Jul 30, 2012
bookshelves: fiction, historical-fiction, 1001-books, england, psychology, lgbt, world-war-1, mental-illness
It has been more than four years since I read this novel. Thus, I am now just contributing impressions and integrating some background on the historical characters brought to life in the book. For a fresh and rich thematic response to the book, I would I recommend highly the reviews by Steve Sckenda and James Henderson.
I appreciated the in-depth character study of William Rivers, the psychologist treating shell shock victims at Craiglockhart War Hospital. His empathy for those broken men and the efforts he took to help them “regenerate” was remarkable. The book included some on how his experience with field ethnology among the Melanesians made him sensitive to mythic and cultural themes in his patients’ disorders. The key drama in the book concerned the moral dilemmas he faced due to success in his treatments leading to his patients being shipped back to the front. Such was the case of two of his famous cases he treated, that of poet soldiers Siegfried Sassoon and Wilfred Owen. In the case of the former, he was not in treatment for shell shock but under medical review after a protest statement he published in the newspaper while home on leave in 1917:
Finished with the War: A Soldier’s Declaration
I am making this statement as an act of willful defiance of military authority, because I believe the war is being deliberately prolonged by those who have the power to end it.
I am a soldier, convinced that I am acting on behalf of soldiers. I believe that this war upon which I entered as a war of defense and liberation, has now become a war of aggression and conquest. I believe that the purposes for which I and my fellow soldiers entered upon this was should have been so clearly stated as to have made it impossible to change them, and that, had this been done, the objects which actuated us would now be attainable by negotiation. …
His friend Robert Graves had pulled strings of influence so he would get a medical review rather than a court martial. Barker does well in bringing to life a portrait of Rivers friendship with Sassoon, as well as the friendship Sassoon forged with Owen. To some extent we get a believable vision of critical encouragement that Sassoon provided to Owen over his writing. A reader’s dream of insight on their poetic vision is, as to be expected, unfulfilled.
The context of Sassoon’s case was brought out in Hochschild’s book
To End All Wars: Loyalty and Rebellion. Anti-war activists Bertrand Russell helped him draft his statement and Sylvia Pankhurst published it in her newsletter. Sassoon’s expectation was that a public court marshal would give him a platform for his message, while Russell and Pankhurst hoped that would trigger a movement of soldiers to follow the Bolshevik’s lead of laying down their weapons. Instead, the War Office a public statement proclaimed, “Sassoon has been reported by the medical board as not being responsible for his action, as he was suffering from a nervous breakdown.” Eventually, Sassoon chose to return to fighting at the front, noting in his diary that “I am only here to look after some men.” Hochschild summarizes: “It was a haunting reminder of the fierce power of group loyalty over that of political conviction—and all the more so because it came from someone who had not in the slightest changed, nor ever in his life would change, his belief that his country’s supposed war aims were fraudulent.”.
The fate of Owen is too tragic for words. Hochschild summarizes:
At only 25, Wilfred Owen had never published a book but had his notebooks the finest body of poetry about the experience of war written in the twentieth century. At noon on November 11, an hour into the celebration [of the peace accord], Owen’s mother received the black-bordered War Office telegram telling her that, a week earlier, her son had been killed in action.
The background story of W.H.R. Rivers is outlined in a great article in Wikipedia. . He was quite innovative in his approaches for treating what is now called PTSD. Barker captures how he used the “talking cure”to encourage his patients to relive and react to their experiences. Yet, he was no Freudian. Instead of seeing shell shock as relating to psychic neuroses and repressed sexual urges, he saw their trouble as simply related to the fear and trauma of their war experiences. .A quote from a professional source on his accomplishments has it that:
Rivers, by pursuing a course of humane treatment, had established two principles that would be embraced by American military psychiatrists in the next war. He had demonstrated, first, that men of unquestioned bravery could succumb to overwhelming fear and, second, that the most effective motivation to overcome that fear was something stronger than patriotism, abstract principles, or hatred of the enemy. It was the love of soldiers for one another.
The article suggests that even though both Rivers and Sassoon were gay, the propriety at the time makes it plausible that the subject would come up little in their sessions, which in fact is how Barker portrayed the issue in the book. The likelihood that Sassoon might have loved Rivers is also covered in the Wikipedia article. Barker only goes so far as to impute the basic transference effect of Rivers being seen as a father figure. He must have been a great therapist. A friend and colleague summarized the strengths in his character:
Rivers was intolerant and sympathetic. He was once compared to Moses laying down the law. The comparison was an apt one, and one side of the truth. The other side of him was his sympathy. It was a sort of power of getting into another man's life and treating it as if it were his own. And yet all the time he made you feel that your life was your own to guide, and above everything that you could if you cared make something important out of it.
It turns out that the fictional Billy Prior is more of a main character in each of the three books more than Sassoon. He is a complex, violent, and manipulative character who also had a playful and humane side. Here in “Regeneration” we get a rendering of Rivers working with him, revealing a lot about issues of class in the war:
‘I suppose most of them turn you into Daddy, don’t they? Well, I’m a bit too old to be sitting on Daddy’s knee.’
‘Kicking him on the shins every time you meet him isn’t generally considered more mature.’
‘I see. A negative transference. Is that what you think we’ve got?’
‘I hope not.’ Rivers couldn’t altogether conceal his surprise. ‘Where did you learn that term?’
‘I can read.’
…
‘You have to win, don’t you?’
Prior stared intently at him. ‘You know, you do a wonderful imitation of a stuffed shirt. And you’re not like that at all, really, are you?’
…
‘How did you fit in?’
Prior’s face shut tight. ‘You mean, did I encounter any snobbery?’
‘Yes.’
‘Not more than I have here.’
Their eyes locked. Rivers said, ‘But you did encounter it?’
‘Yes. It’s made perfectly clear when you arrive that some people are more welcome than others. It helps if you have been to the right school. It helps if you hunt, it helps if your shirts are the right colour. Which is a deep shade of khaki, by the way.’
…’Do you know, for the first time I realized that somewhere in the back of their …tiny tiny minds they really do believe the whole thing’s going to end in one big glorious cavalry charge. “Stormed at with shot and shell,/Boldly they rode and well,/Into the jaws of death, Into the mouth of hell …” And all. That. Rubbish.’
Rivers noticed that Prior’s face lit up as he quoted the poem. ‘Is it rubbish?’
‘Yes. Oh, all right, I was in love with it once. Shall I tell you something about that charge? Just as it was about to start an officer saw three men smoking. He thought that was a bit too casual so he confiscated their sabres and sent them into the charge unarmed. Two of them were killed. The one who survived was flogged the next day. …’
Thus, you can see the book’s content does not draw the reader directly into the drama and horrors of the war. It is a more subtle, indirect take on the impact of war. It explores well the struggle of individuals messed up over the experiences to recover and the unpleasant reality of the medical professionals tasked with facilitating their transition back into harm’s way. Our twisted conceptions of courage and masculinity are elucidated with sensitivity.
W.H.R. Rivers
Lt. Siegfried Sassoon
Craiglockhart War Hospital, in Derby, U.K.
I appreciated the in-depth character study of William Rivers, the psychologist treating shell shock victims at Craiglockhart War Hospital. His empathy for those broken men and the efforts he took to help them “regenerate” was remarkable. The book included some on how his experience with field ethnology among the Melanesians made him sensitive to mythic and cultural themes in his patients’ disorders. The key drama in the book concerned the moral dilemmas he faced due to success in his treatments leading to his patients being shipped back to the front. Such was the case of two of his famous cases he treated, that of poet soldiers Siegfried Sassoon and Wilfred Owen. In the case of the former, he was not in treatment for shell shock but under medical review after a protest statement he published in the newspaper while home on leave in 1917:
Finished with the War: A Soldier’s Declaration
I am making this statement as an act of willful defiance of military authority, because I believe the war is being deliberately prolonged by those who have the power to end it.
I am a soldier, convinced that I am acting on behalf of soldiers. I believe that this war upon which I entered as a war of defense and liberation, has now become a war of aggression and conquest. I believe that the purposes for which I and my fellow soldiers entered upon this was should have been so clearly stated as to have made it impossible to change them, and that, had this been done, the objects which actuated us would now be attainable by negotiation. …
His friend Robert Graves had pulled strings of influence so he would get a medical review rather than a court martial. Barker does well in bringing to life a portrait of Rivers friendship with Sassoon, as well as the friendship Sassoon forged with Owen. To some extent we get a believable vision of critical encouragement that Sassoon provided to Owen over his writing. A reader’s dream of insight on their poetic vision is, as to be expected, unfulfilled.
The context of Sassoon’s case was brought out in Hochschild’s book
To End All Wars: Loyalty and Rebellion. Anti-war activists Bertrand Russell helped him draft his statement and Sylvia Pankhurst published it in her newsletter. Sassoon’s expectation was that a public court marshal would give him a platform for his message, while Russell and Pankhurst hoped that would trigger a movement of soldiers to follow the Bolshevik’s lead of laying down their weapons. Instead, the War Office a public statement proclaimed, “Sassoon has been reported by the medical board as not being responsible for his action, as he was suffering from a nervous breakdown.” Eventually, Sassoon chose to return to fighting at the front, noting in his diary that “I am only here to look after some men.” Hochschild summarizes: “It was a haunting reminder of the fierce power of group loyalty over that of political conviction—and all the more so because it came from someone who had not in the slightest changed, nor ever in his life would change, his belief that his country’s supposed war aims were fraudulent.”.
The fate of Owen is too tragic for words. Hochschild summarizes:
At only 25, Wilfred Owen had never published a book but had his notebooks the finest body of poetry about the experience of war written in the twentieth century. At noon on November 11, an hour into the celebration [of the peace accord], Owen’s mother received the black-bordered War Office telegram telling her that, a week earlier, her son had been killed in action.
The background story of W.H.R. Rivers is outlined in a great article in Wikipedia. . He was quite innovative in his approaches for treating what is now called PTSD. Barker captures how he used the “talking cure”to encourage his patients to relive and react to their experiences. Yet, he was no Freudian. Instead of seeing shell shock as relating to psychic neuroses and repressed sexual urges, he saw their trouble as simply related to the fear and trauma of their war experiences. .A quote from a professional source on his accomplishments has it that:
Rivers, by pursuing a course of humane treatment, had established two principles that would be embraced by American military psychiatrists in the next war. He had demonstrated, first, that men of unquestioned bravery could succumb to overwhelming fear and, second, that the most effective motivation to overcome that fear was something stronger than patriotism, abstract principles, or hatred of the enemy. It was the love of soldiers for one another.
The article suggests that even though both Rivers and Sassoon were gay, the propriety at the time makes it plausible that the subject would come up little in their sessions, which in fact is how Barker portrayed the issue in the book. The likelihood that Sassoon might have loved Rivers is also covered in the Wikipedia article. Barker only goes so far as to impute the basic transference effect of Rivers being seen as a father figure. He must have been a great therapist. A friend and colleague summarized the strengths in his character:
Rivers was intolerant and sympathetic. He was once compared to Moses laying down the law. The comparison was an apt one, and one side of the truth. The other side of him was his sympathy. It was a sort of power of getting into another man's life and treating it as if it were his own. And yet all the time he made you feel that your life was your own to guide, and above everything that you could if you cared make something important out of it.
It turns out that the fictional Billy Prior is more of a main character in each of the three books more than Sassoon. He is a complex, violent, and manipulative character who also had a playful and humane side. Here in “Regeneration” we get a rendering of Rivers working with him, revealing a lot about issues of class in the war:
‘I suppose most of them turn you into Daddy, don’t they? Well, I’m a bit too old to be sitting on Daddy’s knee.’
‘Kicking him on the shins every time you meet him isn’t generally considered more mature.’
‘I see. A negative transference. Is that what you think we’ve got?’
‘I hope not.’ Rivers couldn’t altogether conceal his surprise. ‘Where did you learn that term?’
‘I can read.’
…
‘You have to win, don’t you?’
Prior stared intently at him. ‘You know, you do a wonderful imitation of a stuffed shirt. And you’re not like that at all, really, are you?’
…
‘How did you fit in?’
Prior’s face shut tight. ‘You mean, did I encounter any snobbery?’
‘Yes.’
‘Not more than I have here.’
Their eyes locked. Rivers said, ‘But you did encounter it?’
‘Yes. It’s made perfectly clear when you arrive that some people are more welcome than others. It helps if you have been to the right school. It helps if you hunt, it helps if your shirts are the right colour. Which is a deep shade of khaki, by the way.’
…’Do you know, for the first time I realized that somewhere in the back of their …tiny tiny minds they really do believe the whole thing’s going to end in one big glorious cavalry charge. “Stormed at with shot and shell,/Boldly they rode and well,/Into the jaws of death, Into the mouth of hell …” And all. That. Rubbish.’
Rivers noticed that Prior’s face lit up as he quoted the poem. ‘Is it rubbish?’
‘Yes. Oh, all right, I was in love with it once. Shall I tell you something about that charge? Just as it was about to start an officer saw three men smoking. He thought that was a bit too casual so he confiscated their sabres and sent them into the charge unarmed. Two of them were killed. The one who survived was flogged the next day. …’
Thus, you can see the book’s content does not draw the reader directly into the drama and horrors of the war. It is a more subtle, indirect take on the impact of war. It explores well the struggle of individuals messed up over the experiences to recover and the unpleasant reality of the medical professionals tasked with facilitating their transition back into harm’s way. Our twisted conceptions of courage and masculinity are elucidated with sensitivity.
W.H.R. Rivers
Lt. Siegfried Sassoon
Craiglockhart War Hospital, in Derby, U.K.
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Reading Progress
Started Reading
January 9, 2009
–
Finished Reading
July 30, 2012
– Shelved
July 31, 2012
– Shelved as:
world-war-1
July 31, 2012
– Shelved as:
lgbt
July 31, 2012
– Shelved as:
psychology
July 31, 2012
– Shelved as:
england
July 31, 2012
– Shelved as:
1001-books
July 31, 2012
– Shelved as:
historical-fiction
July 31, 2012
– Shelved as:
fiction
August 7, 2012
– Shelved as:
mental-illness
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Feb 23, 2014 09:51PM
Great review Michael. This book was very difficult to read but brilliant none the less.
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Another remarkable review on WW1, Michael.
I read the first of the trilogy when it first came out but should tackle the three when I eventually get to readcthe fiction.
I read the first of the trilogy when it first came out but should tackle the three when I eventually get to readcthe fiction.
Michael, this is fabulous.
I read all three books several years ago, probably near when they came out. I can't remember if I ever knew then something that I've learned since, and learned very well here in your review, that Rivers was a real person, as was the treatment center in the story.
Unless that was brought out somewhere in the book, or a prologue, or something like that, I probably thought it was more fiction than it is. Owen and Sassoon were the only characters that I can say for sure I knew to be actual people.
I read all three books several years ago, probably near when they came out. I can't remember if I ever knew then something that I've learned since, and learned very well here in your review, that Rivers was a real person, as was the treatment center in the story.
Unless that was brought out somewhere in the book, or a prologue, or something like that, I probably thought it was more fiction than it is. Owen and Sassoon were the only characters that I can say for sure I knew to be actual people.
Laurie wrote: "Great review Michael. This book was very difficult to read but brilliant none the less."
Thanks! Yes, there were some pretty tormented souls who were featured. Not as tough going as "All Quiet on the Western Front." My own mother was a battlefield nurse in WW2 and transferred to psych service for awhile, hoping for a bit of relief. But she found it just as tough going (she eventually got more respite working with Italian POWs).
Thanks! Yes, there were some pretty tormented souls who were featured. Not as tough going as "All Quiet on the Western Front." My own mother was a battlefield nurse in WW2 and transferred to psych service for awhile, hoping for a bit of relief. But she found it just as tough going (she eventually got more respite working with Italian POWs).
Kim wrote: "What an excellent review, Michael. I really should read this book."
I would love to get some input from your literary sensibility. There is a bit of unreality to Barker's vision of the place, safely out of the action, but still full of the war. A microscosm of threatened humanity.
I would love to get some input from your literary sensibility. There is a bit of unreality to Barker's vision of the place, safely out of the action, but still full of the war. A microscosm of threatened humanity.
Kalliope wrote: "Another remarkable review on WW1, Michael. I read the first of the trilogy when it first came out but should tackle the three when I eventually get to read the fiction."
It does help one think about the war from the point of psychic damage. But I do have some sympathy for readers who questioned the value of using real people in a fictional account. I think I got more of the psychological impact out of Wade's "Into the Silence", which does so well to capture the sense of veterans that they really couldn't feel a sense of home any more. It covers the disparate set who transmuted their helplessness into a positive brotherhood applied to attempting to climb Everest.
It does help one think about the war from the point of psychic damage. But I do have some sympathy for readers who questioned the value of using real people in a fictional account. I think I got more of the psychological impact out of Wade's "Into the Silence", which does so well to capture the sense of veterans that they really couldn't feel a sense of home any more. It covers the disparate set who transmuted their helplessness into a positive brotherhood applied to attempting to climb Everest.
Ted wrote: "Michael, this is fabulous. I read all three books several years ago, probably near when they came out. ...I learned very well here in your review, that Rivers was a real person, as was the treatment center in the story...."
You are so kind. I had gathered from the book in interest in anthropology but didn't learn until the Wikipedia article how much of a background he had in physiological psychology. His work on the stages of recovery of cutaneous sensation during the regeneration of nerves in his colleagues arm was a solid scientific advance. He showed that the more primitive "protocritic" sensations returned first followed by the more spatially sophisticated "epicritic" system. (This has special interest for me as my doctoral work in physiology concerned plasticity during regeneration of the goldfish visual system). A scientist he was, but he didn't reduce people to damaged brain circuits.
You are so kind. I had gathered from the book in interest in anthropology but didn't learn until the Wikipedia article how much of a background he had in physiological psychology. His work on the stages of recovery of cutaneous sensation during the regeneration of nerves in his colleagues arm was a solid scientific advance. He showed that the more primitive "protocritic" sensations returned first followed by the more spatially sophisticated "epicritic" system. (This has special interest for me as my doctoral work in physiology concerned plasticity during regeneration of the goldfish visual system). A scientist he was, but he didn't reduce people to damaged brain circuits.
Michael wrote: "Ted wrote: "Michael, this is fabulous. I read all three books several years ago, probably near when they came out. ...I learned very well here in your review, that Rivers was a real person, as was..."
Very very interesting, thanks Michael. This has become a review/discussion thread I don't want to lose track of.
Very very interesting, thanks Michael. This has become a review/discussion thread I don't want to lose track of.
I love this book, so thank you for recalling it for me with your review, Michael.
The movie (which I saw after reading the book) is also very good. It has a great cast. It's called "Behind the Lines" for U.S. audiences.
The movie (which I saw after reading the book) is also very good. It has a great cast. It's called "Behind the Lines" for U.S. audiences.
Excellent review Michael. I plan to read this and hope to read the trilogy.
Teresa, I didn't know about the movie. Thanks.
Teresa, I didn't know about the movie. Thanks.
Teresa wrote: "I love this book, so thank you for recalling it for me with your review, Michael. The movie (which I saw after reading the book) is also very good. It has a great cast. It's called "Behind the Lines..."
This was great news for me. Now I see Youtube has it in 9 parts:
http://www.youtube.com/watch?v=JA5l4J...
I see also from the description there is a segment where Rivers checks in with a colleague who treats his patients with an early form of shock therapy. There seems to be a bit of a point in that segment that the humane treatment at Craiglockhart was devoted to officers. The zillions of common soldiers got inept treatment or none at all. Like Robert Graves, most spent their lives trying to wall off their war experience from memory. The sad truth is that PTSD has baffled effective treatment until more recent years.
PTSD treatment has been hit or miss but has a lot of focus now on controlled re-experiencing of the trauma in a safe context to effect "cognitive reprocessing." Some researchers are using PC virtual reality in their treatment. Up to 20% of veterans from the Iraqi wars turn up with clinical PTSD. The link to vast numbers of civilians with dysfunction after trauma has raised a lot of interest, particularly since early trauma is associated with so much substance abuse and contributes to perpetrating domestic violence in adulthood. A medical doctor Fiellen has found substantial links to medical diseases and has developed a screening approach for "Adverse Childhood Experiences" to help promote effective intervention. The point is that war, like terrible events in life, plays hell with the mind and it has taken a long time to get a handle on ways to help the problem.
This was great news for me. Now I see Youtube has it in 9 parts:
http://www.youtube.com/watch?v=JA5l4J...
I see also from the description there is a segment where Rivers checks in with a colleague who treats his patients with an early form of shock therapy. There seems to be a bit of a point in that segment that the humane treatment at Craiglockhart was devoted to officers. The zillions of common soldiers got inept treatment or none at all. Like Robert Graves, most spent their lives trying to wall off their war experience from memory. The sad truth is that PTSD has baffled effective treatment until more recent years.
PTSD treatment has been hit or miss but has a lot of focus now on controlled re-experiencing of the trauma in a safe context to effect "cognitive reprocessing." Some researchers are using PC virtual reality in their treatment. Up to 20% of veterans from the Iraqi wars turn up with clinical PTSD. The link to vast numbers of civilians with dysfunction after trauma has raised a lot of interest, particularly since early trauma is associated with so much substance abuse and contributes to perpetrating domestic violence in adulthood. A medical doctor Fiellen has found substantial links to medical diseases and has developed a screening approach for "Adverse Childhood Experiences" to help promote effective intervention. The point is that war, like terrible events in life, plays hell with the mind and it has taken a long time to get a handle on ways to help the problem.
Regeneration has haunted me since I first read it years ago. Rivers' task was to heal Sassoon from his belief that the War was insane, so that Sassoon could return to the front. Yet Rivers understood the insanity of trench warfare and the questionable ethics of his task.
Barker's trilogy inspired an extended meditation on the nature of war and the question of will. Chris Hedges' book "War Is a Force That Gives Us Meaning" was especially enlightening.
Thank you for a wonderful review of a very special book , Michael.
Barker's trilogy inspired an extended meditation on the nature of war and the question of will. Chris Hedges' book "War Is a Force That Gives Us Meaning" was especially enlightening.
Thank you for a wonderful review of a very special book , Michael.