Over the last two decades, the vital importance of reading to human flourishing and whole-life fulfilment has attracted strong and public notice. Reports from influential international and governmental bodies have shown recreational reading to have a more powerful effect on cognitive development, educational achievement and social mobility than socio-economic status. 1 During the same period, there has been unprecedented attention to the relationship between literary readingâspecifically the reading of literary fiction and poetryâand mental health and wellbeing. 2 The impetus for this interest has been threefold, influenced by: the increase in third sector organisations and governmental bodies promoting reading; the urgent need of health providers to find economical and humane solutions to health problems; the successful growth of the arts in health and medical humanities movements. This wide constituency of interest has led to research and practice in this area crossing diverse groups and disciplinesâreading charities and arts organisations; academic psychologists, neurologists and human scientists; literary academics, writers and philosophers; medical researchers and practitioners. Research alone embraces a wide range of approachesâtheoretical, empirical, experimentalâand while some such âappliedâ studies are specifically related to health outcomes, there is a growing body of âpureâ research with key, and as yet under-mobilised, implications for health and wellbeing.
âReading and mental healthâ is thus a recognisable and burgeoning field of enquiry. What the field currently lacks, however, is a comprehensive recognition of its findings and a core consolidation of its insights: it lacks a âcentreâ. The key priority of this book is to begin to carry out this vital task of consolidation. The volume thus brings into one place some of the best practice and best evidence currently available in the field, together with the diverse and complementary perspectives of practitioners and beneficiaries, pioneers and researchers, commissioners and policy-makers. By gathering and distilling these findings into centralised coherence, the book seeks significantly to advance knowledge of why literary reading matters for mental health. It also provides a foundational text for future practitioners and researchers and a guide to health professionals and policy-makers in relation to embedding reading practices in health care.
The book is divided into five parts. Part I, Reading and Health: Medicine to Literature; Literature to Therapy, offers an introductory awareness of the rich cross-boundary and in-between ground which the reading and health field occupies. In the first chapter of Part I, Christopher Dowrick, a professor of primary care and world-leading expert in depression, who is also a general practitioner (GP) in an inner-city surgery in the UK, argues that the general practitionerâs essential obligation to patients is the recognition of suffering and the offering of hope. Dowrick considers how GPs who are daily faced with the pressure of patient distress in their consulting rooms might gain from engagement with literature. Three writers who have mattered personally to the author, and who are themselves at the boundary of philosophy and literature and the spiritual and the sickâRobert Burton, Gerard Manley Hopkins and John Paul Sartreâprovide rich insights for the modern understanding and management of depression and the interaction of suffering and hope. As Chapter 2 is an example of a medical mind turning towards literature, so Chapters 3 and 4 are written by literature scholars crossing, quite literally in their case, over to medicine. Josie Billington and Philip Davis are co-founders of the Centre for Research into Reading, Literature and Society (CRILS), the first such centre to take academics from a School of English Literature into a Faculty of Health and Life Sciences in order to bring literary reading into closer relation with health and wellbeing. This collaborative enterprise is the inspiration for this book and, as we shall see, supplies much, though by no means all, of the material it comprises. In the second and third chapters of Part I, therefore, these literary people explore what motivated that turn towards health from within their own scholarly backgrounds: namely, the existing grounds for, and origins of, reading as âtherapyâ which are to be found within the English literary tradition. In âThe Sonnet âCureâ: Renaissance Poetics to Romantic Prosaicsâ, Grace Farrington and Philip Davis trace the therapeutic value of literature to Renaissance poetics. Samuel Danielâs Defence of Rhyme (1602) held that the poet made form out of human chaos through the creation of structured rhythmic patterns, a holdfast against disorder. George Puttenham in his Art of English Poesy (1589), drew a direct analogy between poet and physician: a poem offers, cathartically, he said, âone short sorrowingâ as âthe remedy of a long and grievous sorrowâ. These concerns were re-introduced into the modern lyric tradition, the authors suggest, through the work of Romantic poet, William Wordsworth, for whom âthe turnings intricate of verseâ effected âsorrow that is not sorrow/⊠to hear ofâ. In the final chapter of this section, âThe Victorian Novel: Laying the Foundations for Bibliotherapyâ, Farrington and Davis, together with Josie Billington, take up, historically, from the preceding chapter. Wordsworthâs Preface to Lyrical Ballads, as has long been acknowledged, offered a blueprint for the nineteenth-century novelâs principal literary achievement, realism, which committed literature to ordinary experience during an era when (with the spread of education, literacy and written material) reading itself was becoming democratised. The authorsâ contention here, however, is that Victorian realismâs mission was not simply to represent real life for its own sake, but to reach into the real life of the reader, transformatively. Literary realism, as it developed from Charles Dickens to George Eliot, it is argued, offers a model and rationale for modern-day reading therapies.
Part II, Practices, turns to contemporary reading practices and modern-day real readers who are engaging, often for the first time, with literature from earlier times. Clare Ellis and Eleanor McCann recount their experiences of taking Shakespeareâs sonnets and playsâthe Renaissance literature regarded as foundational to reading therapy in Chapter 2âinto both community and hospital contexts as part of mental health provision. Katie Clark and Charlotte Weber demonstrate the power of Wordsworthâs poetry to trigger spontaneous access to core autobiographical experience, in dementia (residential and day) care. The geographical reach of such practices is shown in Anne Line DalsgĂ„rdâs report on public librariansâ delivery of reading groups to psychologically vulnerable people in Denmark as part of a collaboration between third sector, psychiatric and municipal organisations, and by Susan McLaineâs account of a state libraryâs reading programme for older people in Victoria, Australia, in partnership with public health promotion. At such times Part II anticipates the focus on implementation of literary reading within health provision which will come in Part V, by featuring some âon-the-groundâ, practical lessons learned by pioneering practitioners and researchers. This is true, too, of Alexis McNayâs and Charles Darby Villisâs illustration of the unique challenges and rewards of setting up the protected âthinking spaceâ of reading groups in male and female prisons in the UK. Their experience is contrasted and complemented by an interview with Canadian author and journalist Ann Walmsley on her acclaimed book, The Prison Book Club, in which she compares her experience of reading groups in high and medium secure prisons in Ontario, Canada, with her continuing participation in a womenâs book club in Toronto. The Practices section concludes with Grace Farringtonâs and Kate McDonnellâs accounts of reading with people suffering from long-term and often severe health conditions (personality disorder, psychosis, chronic pain) in clinical (in-patient and out-patient) contexts. The final testimony comes from Helen Cook, an NHS service-user living with chronic pain, who recounts her journey from reading group member to reading group leader.
Many, though not all, of the practices represented in this section are based around UK charity The Reader, with whom CRILS has enjoyed a research partnership since its foundation. The Readerâs mission is to âbring about a reading revolution so that everyone can experience and enjoy great literature which we believe is a tool for helping people survive and live wellâ. 3 Its distinctive model of Shared Reading is one of the most widely used arts in health interventions in this country and internationally (there are related organisations and partnerships in Denmark, Belgium, Sweden, Norway, Germany, Australia and New Zealand), and, as this volume will show, there is now a strong body of evidence demonstrating the modelâs success in promoting mental health. Shared Reading groups are distinct from conventional book clubs. 4 The material is not read in advance nor confined to contemporary works. Nor is the m...