The Book as Cure: Bibliotherapy and Literary Caregiving from the First World War to the Present

Jenny Cattier
PhD student, Anglia Ruskin University

When I saw the conference programme for The Book as Cure: Bibliotherapy and Literary Caregiving from the First World War to the Present, I genuinely could not believe my luck.  As a creative writing PhD student researching bibliotherapy, there were so many compelling paper titles it was difficult to decide which panels to attend.  In fact, it was the ‘Reading and Self-improvement’ event, part of the AHRC funded ‘Reading Communities: Connecting the Past and the Present’ project (also run by The Open University) in March 2016 that inspired me to pursue both my own creative writing and this field of academic research. Since then I have been immersed in existing scholarship on bibliotherapy and have started to design my own empirical research in the area. However, as every PhD student knows too well, independent research can be isolating and lonely. There really is no substitute for a conference and the opportunity to listen to and question experts in your field.  Fortunately for me The Book as Cure appeared on my radar just as I was beginning to feel the need for peer input very keenly.

Under the aegis of the Open University’s History of Books and Reading (HOBAR) research collaboration and organised by four English and Creative Writing academics at The Open University – Shafquat Towheed, Siobhan Campbell, Sara Haslam, and Edmund King – supported by plenary speakers Dr Jane Potter (Oxford Brookes University) and Dr Peter Leese (University of Copenhagen), the event marked the centenary of the war’s end and guided attendees on a bibliotherapeutic journey from wartime to the present.

Photo: Shafquat Towheed

Dr Potter opened the sessions by describing some of the perceptions surrounding bibliotherapy during the First World War; not only in terms of its importance to traumatised and injured soldiers, but also for those left waiting at home for loved ones. Her keynote lecture: ‘The Solace of Literature: Reading and Writing in the Great War’ noted that psychiatrists, nurses and surgeons became increasingly convinced of the therapeutic benefits of reading and quoted one wartime caregiver who observed that until this point “We protected his [the soldier’s] stomach but forgot his brains.” She also highlighted the importance placed on the hospital librarian who “understood both books and men”, a highly esteemed and respected role, that was remarked upon across several of the day’s presentations.

As was acknowledged on Twitter, a number of key themes emerged early on: we repeatedly heard the terms ‘administering’, ‘prescribing’, and ‘dispensing’ used in relation to the provision of books for their curative properties. Mary Mahoney’s research suggests that the adoption of a very scientific or medical approach to bibliotherapy was particularly prevalent in America in the 1920s and 1930s. These analogies were echoed throughout the day, with references to reading acting as medicine for the troubled mind. An excellent example of this came from the journal of the writer and scientist (and MS sufferer) W.N.P. Barbellion (1889-1919), who wrote in his journal the phrase: ‘what I do is drug my mind with print’. We heard doctors of the day cautioning on reading the ‘wrong’ kind of novels, and how the consumption of these could cause ‘overdose’ and lead to ‘hysteria’.

This leads us to the books used in bibliotherapy: there have been many differing opinions over the last two centuries about what is considered suitable reading material. Should specific books be prescribed, or avoided, based on a particular illness or condition? One wartime writer noted that ‘Jane Austen has taken her fragrant way into a surprising number of dug-outs’ which stood in contrast to the advice of some medical professionals of the time, who recommended literature that promoted ‘detachment, elevation, and mental economy’.  Kipling’s ‘The Janeites’ also refers to Austen’s, perhaps unexpected, popularity with those in the trenches. On this subject, Laura Blair’s presentation: ‘Reading, Asylum Libraries, and the Asylum War Hospital Scheme’, we heard how asylums and their libraries were turned over to war hospitals and how strong concern was voiced regarding ‘appropriate’ reading material and particularly the fear of encouraging ‘addiction to novels’.  Yet, from soldiers’ diaries and hospital librarians’ records we can see that reading tastes were eclectic, with detective stories, poetry and romance very much in demand.

Portrait of Rudyard Kipling from Rudyard Kipling by John Palmer.  Used under Wikipedia:Text of Creative Commons Attribution-ShareAlike 3.0 Unported License

The subject of the detective tale used in bibliotherapy was broached several times; first in George Simmer’s paper “Kipling’s ‘Fairy-Kist’: Bibliotherapy Gone Haywire?”. Simmer reviewed what may have been Kipling’s own experience of bibliotherapy, making the case that Kipling’s childhood reading of Julia Ewing influenced the writing of his only detective story, Fairy-Kist (1928), about an ex-serviceman who hears voices, and ends up the prime suspect in a murder case. Simmer suggests that Ewing was the Jacqueline Wilson of the nineteenth century, taking difficult subjects and making them accessible, this being why she would have appealed to the troubled young Kipling.

An especially emotive case study demonstrating the efficacy of bibliotherapy for children suffering from post-traumatic stress disorder came in the final session of the day from Wendy French who read a poem from an adolescent boy. His writing expressed the depths of his self-loathing by listing all the ways ‘shit’ served more purpose in life than he did.  This particular boy related to Michael Morpurgo’s illustrated book Not Bad for a Bad Lad in his counselling sessions and this enabled an on-going and positive dialogue with French.

A particular highlight for me was the chance to hear in detail the important research being undertaken by Laura Dietz, my second supervisor at Anglia Ruskin University.  Her work into immersion and engagement with e-novels, suggests that screen reading, on devices such as Kindles and iPads, may see the reader equally immersed in the narrative as with a printed book. For many reasons, most notably their accessibility, digital books are critical to bibliotherapeutic practice. Dietz’s research used a wider range of e-book formats compared to earlier studies, which is perhaps one of the reasons her findings reveal narrative immersion to be a more nuanced or complex phenomenon than was initially believed.

On a personal level, one of the standout aspects of conference was the friendliness and generosity of the organisers, experts and panellists. All of the presentations I attended were insightful and persuasively communicated. I am delighted to have already exchanged emails, received papers and references for further reading that will enrich my research, which explores the place of short and fantasy fiction in bibliotherapy for women with depression.

Photo: Shafquat Towheed

In the summary session we mused over the key questions that had arisen over the course of the day: Is reading inherently good? Does the genre of the literature make a difference? Is the term ‘bibliotherapy’ itself a valid or helpful one? What does the future hold for the field and who should be advocating and delivering bibliotherapy? Is the future digital? Is the efficacy of bibliotherapy limited to specific audiences? For each of these questions the conference provided empirical indicators, anecdotal evidence and qualitative findings, all of which deserve further, deeper, and broader exploration. I, for one, hope that there is a follow up conference for The Book as Cure and I expect this sentiment is shared by the majority of attendees.

I’ll end my account with a quote from my own paper where Alan Bennett, in William Seighert’s The Poetry Pharmacy, encapsulates the essence of a good book but also that of successful bibliotherapeutic intervention:

“The best moments in reading are when you come across something – a thought, a feeling, a way of looking at things – which you had thought special and particular to you. Now here it is, set down by someone else, a person you have never met, someone even who is long dead. And it is as if a hand has come out and taken yours.”

Jenny Cattier is a PhD researcher at Anglia Ruskin University examining the therapeutic potential of short fantasy fiction for female depression. Her thesis will be fifty percent research and critical commentary, and fifty percent of her own creative writing which will take the form of a collection of short stories. 

What is literature for? – and Why do I do what I do?

Sara Haslam, Senior Lecturer in English

Soldiers reading during the First World War. Shared under the Creative Commons licence. Date:1917 Source http://www.fortepan.hu/_photo/download/fortepan_16325.jpg

We’ve been asking the first question in my title for this blog post for many years in our department. In modules such as A300 Twentieth-Century Literature: Texts and Debates our teaching materials have explored the relationships between art and politics, for example, and asked students to do the same. (My writing on Chekhov, the literary doctor, for A300 was perhaps an early sign of current interests.)

Recent research projects, though, have provided a new set of answers to both questions above, and reflecting on those answers for this post has proved a welcome activity.

Starting to read a thin and battered pamphlet in the spring of 2015 in Oxford’s Weston Library I had one of those ‘aha’ moments the researcher craves. I’d ordered it up because of a couple of key words in the title. Previous searches hadn’t unearthed it and I wasn’t sure until it was in front of me that it was going to be of much interest. But Helen Mary Gaskell’s account of the beginnings of her War Library in 1914 proved a wonderful find. Her epigraph, ‘Take choice of all my Library, and so beguile thy sorrow’ (from Titus Andronicus) had key words of its own, and what followed opened up the history, and challenged the scholarship, of reading during the First World War, particularly that of sick and wounded soldiers. It prompted me to find a name for one kind of organised charitable endeavour in war-time: ‘literary caregiving’ – a phrase I used in the key-note I was writing in 2015 and the article on Gaskell’s war library I’ve published since.

Gaskell’s idea for a library for sick and wounded soldiers, to be stocked in the main by donated books, was realised in the first weeks of the war. She had powerful and wealthy friends – one, Lady Battersea, had a mansion going spare in Marble Arch, which is where they stored the books. Aside from the speed with which the War Library was operational, the most striking aspect of the early weeks was the number of donations. One individual contributed a library of 35,000 books. Gaskell needed them all, and more too; supply rarely met demand. And yet records show that in the first half of 1917, for example, 1,125, 840 units were sent from the library’s London base to its depots around the world.

Gaskell also had a methodology – one related to her epigraph and to a democratised rather than hierarchical understanding of literature and its purpose. She prioritised what she called a ‘personal touch’, meaning that specific requests from wounded soldiers should be met if at all possible. Books, she felt, were a ‘flow of comfort’ that should not be interrupted by lack of effort. Over the course of the war, the War Library collected and distributed millions of books by writers such as O’Henry, Kipling, Marie Correlli, Dumas, Nat Gould – but if a soldier wanted a book on bee keeping, for example, every effort would be made to source that too.

This pamphlet was fascinating in its own terms. It also offered important answers to the question of what literature is for. And these answers, and the research directions they instigated have led to new networks and collaborations with colleagues departmentally, and externally too – a particularly positive outcome when we spend so much of our research time on solitary labours. Some of the results will be discussed in other posts here.

The tone and character of the book-related language used by soldiers and the volunteer librarians caring for them during the war will stay with me. Contemporary experience of a ‘book hunger’, of ‘the bitter cry for books’ led to the idea of books that might ‘heal’ – one that is explored in all kinds of ways in the papers those librarians left behind. The media, too, was fascinated by this work, which shifted the medical focus to include minds as well as bodies.

The Times, for example, told people ‘What to Read to the Wounded’ in 1915. It turns out, though, that both the wounded, and Gaskell and her colleagues, had other ideas. If one of the things that literature is for is healing, these caregivers noted, then feeling freely able to choose, and then being provided with, their own book was the best place for patients to start.