This document discusses the theme of disease in modern European literature. It argues that many prominent writers, from the Romantics onward, associated artistic genius with physical or psychological illness. Writers like Dostoyevsky, Nietzsche, Rimbaud and Mann believed that disease gave artists deeper insights and that great works of art required personal suffering. The document examines how illness is portrayed in the works of Mann and others as something that sets artists apart from society but enables their creative abilities. It concludes by suggesting cancer ward captures this literary tradition of equating art with disease.
This document discusses the theme of disease in modern European literature. It argues that many prominent writers, from the Romantics onward, associated artistic genius with physical or psychological illness. Writers like Dostoyevsky, Nietzsche, Rimbaud and Mann believed that disease gave artists deeper insights and that great works of art required personal suffering. The document examines how illness is portrayed in the works of Mann and others as something that sets artists apart from society but enables their creative abilities. It concludes by suggesting cancer ward captures this literary tradition of equating art with disease.
This document discusses the theme of disease in modern European literature. It argues that many prominent writers, from the Romantics onward, associated artistic genius with physical or psychological illness. Writers like Dostoyevsky, Nietzsche, Rimbaud and Mann believed that disease gave artists deeper insights and that great works of art required personal suffering. The document examines how illness is portrayed in the works of Mann and others as something that sets artists apart from society but enables their creative abilities. It concludes by suggesting cancer ward captures this literary tradition of equating art with disease.
This document discusses the theme of disease in modern European literature. It argues that many prominent writers, from the Romantics onward, associated artistic genius with physical or psychological illness. Writers like Dostoyevsky, Nietzsche, Rimbaud and Mann believed that disease gave artists deeper insights and that great works of art required personal suffering. The document examines how illness is portrayed in the works of Mann and others as something that sets artists apart from society but enables their creative abilities. It concludes by suggesting cancer ward captures this literary tradition of equating art with disease.
Source: Twentieth Century Literature, Vol. 29, No. 1 (Spring, 1983), pp. 54-68 Published by: Hofstra University Stable URL: http://www.jstor.org/stable/441143 . Accessed: 27/09/2011 22:43 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. Hofstra University is collaborating with JSTOR to digitize, preserve and extend access to Twentieth Century Literature. http://www.jstor.org C a n c e r W a r d a n d t h e Lit e r a t ur e o f D is e a s e JEFFREY MEYERS Th e lit e r a t ur e o f d is e a s e is mo r e in t e r e s t in g t o me t h a n a ll t h e h e a lt h y bo o ks . T. E. La wr e n c e 1 D is e a s e ... Fir s t o f a ll it is a que s t io n o f wh o is s ic k, wh o is in s a n e , wh o is e pile pt ic o r pa r a lyt ic : a n a ve r a ge d o lt , wh o s e d is e a s e , o f c o ur s e , la c ks a ll in t e lle c t ua l a n d c ult ur a l a s pe c t s -o r a Nie t zs c h e , a D o s t o ye vs ky. Th o ma s Ma n n 2 Mo d e r n Eur o pe a n lit e r a t ur e o f t e n c o n c e r n s t h e a bn o r ma l a n d t h e pa t h o lo gic a l. C h a r a c t e r ize d by a ma c a br e s e n s ibilit y, a n a t t r a c t io n t o d e c a y a n d n o t h in gn e s s , a n o bs e s s io n wit h ph ys ic a l c o r r upt io n a n d d e a t h , it is d e f in e d by a mo o d o f d is s o lut io n a n d d is in t e gr a t io n , o f pa r a lyzin g a n xie t y a n d me t a ph ys ic a l d e s pa ir . Mo d e r n wr it e r s h a ve in - h e r it e d f r o m t h e Ro ma n t ic pe r io d t h e id e a t h a t t h e a r t is t is ill, a n d t h a t h is illn e s s give s h im ps yc h ic kn o wle d ge a n d s pir it ua l po we r . Th o ma s Ma n n -f o llo win g Go e t h e 's ma xim: "Th e C la s s ic a l I c a ll t h e h e a lt h y, t h e Ro ma n t ic t h e s ic k"-e qua t e s t h e la t t e r wit h pa t h o lo gy. He be lie ve s "Ro ma n t ic is m be a r s in it s h e a r t t h e ge r m o f mo r bid it y, a s t h e r o s e be a r s t h e wo r m; it s in n e r mo s t c h a r a c t e r is s e d uc t io n , s e d uc t io n t o d e a t h ." In No t e s f r o m Un d e r gr o un d , D o s t o ye vs ky in s is t s t h a t "t o o gr e a t luc id it y is a d is e a s e , a t r ue , f ull-f le d ge d d is e a s e "3 be c a us e t h is h e igh t e n e d c o n - s c io us n e s s f o r c e s o n e t o s e e t e r r ible t r ut h s a bo ut h uma n e xis t e n c e . Rimba ud c a lls f o r a r e a s o n e d d e r a n ge me n t o f a ll t h e s e n s e s t h a t wo uld 54 SOLZHENITSYN'S C ANC ER W ARD e n a ble t h e t o r me n t e d , s a c r if ic ia l, e ve n in s a n e a r t is t t o be c o me "t h e gr e a t in va lid , t h e gr e a t c r imin a l, t h e gr e a t a c c ur s e d " a n d t o plun ge in t o un kn o wn , "un h e a r d o f , un n a me a ble " vis io n s .4 An d Nie t zs c h e a s s o c ia t e s e xube r a n c e o f t h e s pir it wit h e xt r e me pa in a n d ps yc h o lo gic a l ma la is e , a n d be lie ve s t h a t a r t is t ic gr e a t n e s s is e a r n e d by ph ys ic a l s uf f e r in g: "On e pa ys d e a r ly f o r immo r t a lit y: o n e h a s t o d ie s e ve r a l t ime s wh ile s t ill a live ."5 In h is gr e a t e s s a y o n "Go e t h e a n d To ls t o y" a n d h is mo r e c a ut io us "D o s t o ye vs ky-in Mo d e r a t io n ," Ma n n pla c e s h ims e lf f ir mly in t h e Ro ma n t ic t r a d it io n by a Nie t zs c h e a n e xa lt a t io n o f t h e a e s t h e t ic a s pe c t s o f "ge n ius -be s t o win g d is e a s e ." In t h e f ir s t e s s a y h e pa r a d o xic a lly c la ims t h a t d is e a s e give s d ign it y t o ma n be c a us e it br in gs o ut h is s pir it ua l qua lit ie s : D is e a s e h a s t wo f a c e s a n d a d o uble r e la t io n t o ma n a n d h is h uma n d ign it y. On t h e o n e h a n d it is h o s t ile : by o ve r s t r e s s in g t h e ph ys ic a l, by t h r o win g ma n ba c k upo n h is bo d y, it h a s a d e h uma n izin g e f f e c t . On t h e o t h e r h a n d , it is po s s ible t o t h in k a n d f e e l a bo ut illn e s s a s a h igh ly d ign if ie d h uma n ph e n o me n o n . .... In d is e a s e , r e s id e s t h e d ign it y o f ma n ; a n d t h e ge n ius o f d is e a s e is mo r e h uma n t h a n t h e ge n ius o f h e a lt h .6 In t h e s e c o n d e s s a y Ma n n quo t e s Nie t zs c h e 's d ic t um: "Exc e pt io n a l c o n d it io n s ma ke t h e a r t is t ... c o n d it io n s t h a t a r e pr o f o un d ly r e la t e d a n d in t e r la c e d wit h mo r bid ph e n o me n a ; it s e e ms impo s s ible t o be a n a r t is t a n d n o t be s ic k." He t h e n c o n n e c t s D o s t o ye vs ky's a n d Nie t zs c h e 's ps yc h o lo gic a l in s igh t a n d a r t is t ic ge n ius wit h t h e ir d is e a s e s : e pile ps y a n d s yph ilis . An d h e c o n c lud e s wit h t h e Rimba ud ia n pa r a d o x t h a t t h e h e a lt h o f h uma n it y c a n be a c h ie ve d o n ly by t h e s a c r if ic ia l s ic kn e s s o f it s a r t is t s : C e r t a in a t t a in me n t s o f t h e s o ul a n d in t e lle c t a r e impo s s ible wit h - o ut d is e a s e , wit h o ut in s a n it y, wit h o ut s pir it ua l c r ime , a n d t h e gr e a t in va lid s a r e c r uc if ie d vic t ims , s a c r if ic e d t o h uma n it y a n d it s a d va n c e me n t , t o t h e br o a d e n in g o f it s f e e lin g a n d kn o wl- e d ge -in s h o r t , t o it s mo r e s ublime h e a lt h .7 In Ma n n 's o wn wo r ks , a s Er ic h Ka h le r o bs e r ve s , t h e a r t is t is po r t r a ye d a s a n o ut c a s t wh o r e n o un c e s lif e in o r d e r t o c r e a t e a r t : c ult ur e a n d in t e lle c t a r e r e pr e s e n t e d a s d e c a d e n c e , lo ve a s s o c i- a t e d wit h d e c lin e ; t h e a r t is t is s e e n a s a pa r ia h f r o m t h e s t a r t , ir id e s c e n t wit h s us pe c t h ue s , s h a d in g in t o t h e d a e mo n , t h e in va - lid , t h e a d ve n t ur e r , t h e c r imin a l; a lr e a d y h e is s t r a n d e d in t h e ir o n ic s it ua t io n o f e xpr e s s in g a lif e h e h ims e lf is un a ble t o live .8 An d in Ed mun d W ils o n 's s ymbo lic myt h o f "t h e wo un d a n d t h e bo w," t h e e s s e n t ia l s ic kn e s s o f t h e a r t is t is r e pr e s e n t e d by t h e a r c h e r Ph ilo c - 55 TW ENTIETH C ENTURY LITERATURE t e t e s , wh o is d e gr a d e d by a ma lo d o r o us d is e a s e t h a t r e n d e r s h im a bh o r r e n t t o s o c ie t y, but "is a ls o t h e ma s t e r o f a s upe r h uma n a r t wh ic h e ve r ybo d y h a s t o r e s pe c t a n d wh ic h t h e n o r ma l ma n f in d s h e n e e d s ."9 In h e r e s s a y "On Be in g Ill" (1930), Vir gin ia W o o lf n o t e s t h e impo r t a n c e o f d is e a s e a s a me a n s o f mo r a l e xplo r a t io n a n d wo n d e r s wh y lit e r a t ur e h a s n o t s e r io us ly c o n c e r n e d it s e lf wit h t h is c r uc ia l a r e a o f h uma n e xpe r ie n c e : "C o n s id e r in g h o w c o mmo n illn e s s is , h o w t r e me n - d o us t h e s pir it ua l c h a n ge t h a t it br in gs , h o w a s t o n is h in g, wh e n t h e ligh t s o f h e a lt h go d o wn , t h e un d is c o ve r e d c o un t r ie s t h a t a r e t h e n d is c lo s e d ... it be c o me s s t r a n ge in d e e d t h a t illn e s s h a s n o t t a ke n it s pla c e wit h lo ve a n d ba t t le a n d je a lo us y a mo n g t h e pr ime t h e me s o f lit e r a t ur e ."10 But in t h e la s t c e n t ur y wr it e r s (in c lud in g a n umbe r o f d o c t o r s : An t o n C h e kh o v, W illia m C a r lo s W illia ms , Go t t f r ie d Be n n , Lo uis -Fe r d in a n d C e lin e , W a lke r Pe r c y) h a ve in c r e a s in gly t ur n e d t o t h e kin d o f c lin ic a l lit e r a t ur e wh ic h t h e ir pr e d e c e s s o r s t e n d e d t o a vo id ."1 In t h e ve r y gr e a t e s t wo r ks -To ls t o y's Th e D e a t h o f Iva n Ilyc h (c a n c e r ), Gid e 's Th e Immo r a lis t (t ube r c ulo s is ), Ma n n 's D e a t h in Ve n ic e (c h o le r a ), Th e Ma gic Mo un t a in (t ube r c ulo s is ), D o c t o r Fa us t us (s yph ilis ), Th e Bla c k Swa n (c a n c e r ), C a mus 's Th e Pla gue (bubo n ic pla gue ), A. E. Ellis ' Th e Ra c k (t ube r c ulo s is ), a n d So lzh e n it s yn 's C a n c e r W a r d -d is e a s e is bo t h t h e lit - e r a l s ubje c t o f t h e n o ve l a n d t h e s ymbo l o f mo r a l, s o c ia l, o r po lit ic a l pa t h o lo gy. W r it e r s like Ka f ka , La wr e n c e , Ma n s f ie ld , a n d Or we ll, wh o d ie d o f t ube r c ulo s is , r a r e ly wr o t e f ic t io n a bo ut t h e ir o wn d is e a s e (t h o ugh t h e r e a r e h in t s o f it in t h e h e r o e s o f La d y C h a t t e r le y's Lo ve r a n d 1984) a n d c o n f in e d t h e ir d e s c r ipt io n s t o pe r s o n a l le t t e r s . So lzh e n it s yn -wh o s uf - f e r e d f r o m c a n c e r , e n d ur e d t h e d r e a d f ul s t a ge s o f d yin g, po n d e r e d t h e n a t ur e o f lif e a n d d e a t h -wr it e s d ir e c t ly a bo ut h is o wn illn e s s . But h e wa s o n ly a ble t o t r a n s mut e h is illn e s s in t o a r t a f t e r h e wa s c ur e d a n d h a d t h e s t r e n gt h t o pe r c e ive h is d is e a s e mo r e o bje c t ive ly. In h is n o ve l c a n c e r is h o r r ible , s uf f e r in g e xt r e me , c ur e impo s s ible . Un like Ma n n , wh o o bs e r ve d illn e s s in t e lle c t ua lly, So lzh e n it s yn e a r n e d h is in s igh t t h r o ugh a c t ua l e xpe r ie n c e . He wr it e s in t h e t r a d it io n o f Rus s ia n r e a lis m, o f To ls t o y a n d C h e kh o v, a n d r e s o lut e ly r e n o un c e s t h e Ro ma n t ic a t t it ud e t o wa r d d is e a s e . He d o e s n o t be lie ve t h e a r t is t is s ic k o r t h a t d is e a s e in s pir e s c r e a t ive ge n ius , a e s t h e t ic in s igh t , s pir it ua l kn o wle d ge , o r h uma n d ign it y. An d h e c e r t a in ly d o e s n o t be lie ve t h a t t h e a r t is t mus t s t a n d o ut s id e s o c ie t y. C a n c e r W a r d (1968) r e je c t s t h e s pir it ua l s e lf -d e s t r uc t io n o f No t e s f r o m Un d e r gr o un d , in wh ic h t h e ma s o c h is t ic h e r o pr o c la ims : 56 SOLZHENITSYN'S C ANC ER W ARD "I'm a s ic k ma n ... a me a n ma n . Th e r e 's n o t h in g a t t r a c t ive a bo ut me . I t h in k t h e r e is s o me t h in g wr o n g wit h my live r .... I'm f ully a wa r e t h a t I c a n 't s pit e t h e d o c t o r s by r e f us in g t h e ir h e lp. I kn o w ve r y we ll t h a t I'm h a r min g mys e lf a n d n o o n e e ls e . But s t ill, it 's o ut o f s pit e t h a t I r e f us e t o a s k f o r t h e d o c t o r 's h e lp. So my live r h ur t s ? Go o d , le t it h ur t e ve n mo r e !"12 It a ls o r e je c t s t h e ph ys ic a l d is gus t f o r t h e h uma n bo d y po r t r a ye d in Go t t f r ie d Be n n 's h o r r if yin g "Ma n a n d W o ma n Go Th r o ugh t h e C a n c e r W a r d ": Th e ma n : He r e in t h is r o w a r e wo mbs t h a t h a ve d e c a ye d , a n d in t h is r o w a r e br e a s t s t h a t h a ve d e c a ye d . Be d be s id e s t in kin g be d . Ho ur ly t h e s is t e r s c h a n ge . C o me , quie t ly lif t up t h is c o ve r le t , Lo o k, t h is gr e a t ma s s o f f a t a n d ugly h umo ur s wa s pr e c io us t o a ma n o n c e , a n d me a n t e c s t a s y a n d h o me . C o me , n o w lo o k a t t h e s c a r s upo n t h is br e a s t . D o yo u f e e l t h e r o s a r y o f s ma ll s o f t kn o t s ? Fe e l it , n o f e a r . Th e f le s h yie ld s a n d is n umb. He r e 's o n e wh o ble e d s a s t h o ugh f r o m t h ir t y bo d ie s . No o n e h a s s o muc h blo o d . Th e y h a d t o c ut a c h ild f r o m t h is o n e , f r o m h e r c a n c e r o us wo mb.13 Th e lit e r a r y pr e c ur s o r o f C a n c e r W a r d is C h e kh o v's "W a r d 6." In t h a t bit t e r but c o mpa s s io n a t e s t o r y, t h e s a n e d o c t o r is lo c ke d up in a me n t a l wa r d by lun a t ic s wh o s ymbo lize t h e h o pe le s s n e s s a n d c o r r upt io n o f Rus s ia . So lzh e n it s yn f o llo ws C h e kh o v in h is c o ur a ge o us c o n f r o n t a - t io n o f d is e a s e , h is pr o f o un d s ympa t h y, h is t r a n s f o r ma t io n o f t h e c lin i- c a l in t o t h e po e t ic a l, h is c o n c e r n wit h t h e mo r a l a s pe c t s o f illn e s s , a n d h is us e o f s ic kn e s s t o s ymbo lize s o c ia l pa t h o lo gy. Th e f a c t s e s t a blis h e d in D a vid Bur g a n d Ge o r ge Fe if e r 's bio g- r a ph y, So lzh e n it s yn (1972), ma t c h (a n d a r e pa r t ly ba s e d o n ) Ole g Ko s - t o glo t o v's a ut o bio gr a ph ic a l r e ve la t io n s in C h a pt e r 6 o f C a n c e r W a r d .'4 So lzh e n it s yn wa s a r r e s t e d by t h e KGB f o r c r it ic izin g St a lin in pe r s o n a l le t t e r s t o a c lo s e f r ie n d , wh ile f igh t in g a s a n a r t ille r y o f f ic e r in Ge r ma n t e r r it o r y in Fe br ua r y 1945. He wa s s e n t e n c e d t o e igh t ye a r s o f f o r c e d la bo r in a Sibe r ia n c o n c e n t r a t io n c a mp, d e s c r ibe d in On e D a y in t h e Lif e 57 TW ENTIETH C ENTURY LITERATURE o f Iva n D e n is o vic h . In Ekiba s t uz pr is o n (s o ut h e a s t o f Oms k) in Fe br ua r y 1952, h e wa s s t r ic ke n by a f a s t -s we llin g in t e s t in a l c a n c e r a n d wa s pr e - pa r e d f o r a pr o mpt o pe r a t io n . But be f o r e it c o uld be pe r f o r me d , t h e s ur ge o n -pr is o n e r wa s s ud d e n ly t r a n s f e r r e d t o a n o t h e r c a mp. Th e t umo r wa s e xc is e d by a s e c o n d s ur ge o n , a n d a s e c t io n o f t is s ue -wit h o ut h is n a me o r c a mp o n it -wa s s e n t n o r t h t o Oms k f o r la bo r a t o r y a n a lys is . Th e in c is io n s o o n h e a le d ; a n d t h o ugh s t ill in pa in , h e r e t ur n e d t o wo r k c a r r yin g h e a vy bo xe s o f liquid c o n c r e t e . Th e me d ic a l r e po r t , wh ic h d ia gn o s e d t h e t umo r a s r a pid ly d e ve lo pin g a n d a c ut e ly ma lign a n t c a n c e r t h a t n e e d e d imme d ia t e t r e a t me n t , wa s e ve n t ua lly s e n t ba c k t o t h e c a mp. But t h e n e glige n t o f f ic ia ls d id n o t bo t h e r t o t r a c k d o wn t h e a n o n ymo us pr is o n e r -pa t ie n t , a n d t h e d ia g- n o s is wa s n o t r e ve a le d t o h im. Th e o pe r a t io n r e t a r d e d t h e t umo r , t h e pa in s ubs id e d , a n d h e f e lt h e h a d ma d e a n a s t o n is h in g r e c o ve r y. So lzh e n it s yn , f o r bid d e n t o r e t ur n t o Eur o pe a n Rus s ia a f t e r h is r e le a s e f r o m t h e pr is o n c a mp, wa s s e n t t o "pe r pe t ua l e xile " in r e mo t e Ka za kh s t a n . In Be r lik, in t h e f a ll o f 1953, h e wa s a ga in s t r ic ke n by c a n c e r a n d f r e que n t ly f a in t e d f r o m o ve r po we r in g pa in . Un a ble a t f ir s t t o ge t pe r mis s io n f r o m t h e lo c a l po lic e t o e n t e r a h o s pit a l, h e t r a ve le d ille ga lly in t o t h e n e a r by mo un t a in s t o s e e k h e lp f r o m a n o ld ma n wh o pr a c t ic e d f o lk me d ic in e , a n d wa s t e mpo r a r ily ke pt a live by a r o o t c o n t a in in g a c o n it e . W h e n h e f in a lly a r r ive d a t t h e h o s pit a l in Ta s h ke n t , Uzbe kis t a n , in Ja n ua r y 1954, t h e d o c t o r s ga ve h im t h r e e we e ks t o live . On t h e f r o n t ie r o f d e a t h , d e pr ive d o f t h e a bilit y t o e a t a n d s le e p, a n d po is o n e d by t h e t umo r 's t o xin , h e s a id : "I wa s pr a c t ic a lly a c o r ps e . I c a me t h e r e e xpe c t in g t o d ie ."15 So lzh e n it s yn wa s t r e a t e d wit h x-r a ys a n d h o r mo n e s , t h e pa in d is - a ppe a r e d , s le e p a n d a ppe t it e e ve n t ua lly r e t ur n e d . Th r e e mo n t h s la t e r h e e me r ge d f r o m t h e h o s pit a l wit h r e n e we d e mo t io n a l s t r e n gt h a n d s pir it ua l c o n f id e n c e . He s t ill h a d t o t a ke po we r f ul me d ic in e s , but s a id t h a t t h e t umo r n o lo n ge r in t e r f e r e d wit h h is lif e . It h a d c h a n ge d it s n a t ur e a n d f o r f e it e d it s ma lign a n c y. In Ma r c h 1954 h e c o n f e s s e d : "I d id n 't d a r e a d mit e ve n t o mys e lf t h a t I wa s r e c o ve r in g. Eve n in f le e t in g d r e a ms I me a s ur e d t h e s pa n t h a t h a d be e n a d d e d t o my lif e n o t in ye a r s , but mo n t h s ."16 Th a t s pr in g wa s t h e mo s t pa in f ul a n d mo s t lo ve ly s e a s o n o f h is lif e . So lzh e n it s yn 's o bs e s s ive , e ve n f a n a t ic a l c o mmit me n t t o r e c o r d t h e t r ut h o f h is e xpe r ie n c e s , wh ic h be c a me a pa r a d igm f o r lif e in St a lin is t Rus s ia , wa s in t e n s if ie d by h is s e n s e o f lo s t lif e a n d r e n un c ia t io n o f lo ve : in t h e a r my, pr is o n , e xile , a n d h o s pit a l. In h is a ut o bio gr a ph ic a l Th e Oa k a n d t h e C a lf (1980), h e e xpla in s : 58 SOLZHENITSYN'S C ANC ER W ARD I h a d go n e o n wr it in g-a s a br ic kla ye r , in o ve r c r o wd e d pr is o n h ut s , in t r a n s it ja ils wit h o ut s o muc h a s a pe n c il, wh e n I wa s d yin g o f c a n c e r , in a n e xile 's h o ve l a f t e r a d o uble t e a c h in g s h if t . I h a d le t n o t h in g-d a n ge r s , h in d r a n c e s , t h e n e e d f o r r e s t - in t e r r upt my wr it in g.... I h a d ma d e my ye a r s o f e xile mis e r a ble -ye a r s o f f ur io us lo n gin g f o r a wo ma n -be c a us e I wa s a f r a id f o r my bo o ks , a f r a id t h a t s o me Ko ms o mo l gir l wo uld be t r a y me . Af t e r f o ur ye a r s o f wa r a n d e igh t ye a r s o f impr is o n - me n t , my f ir s t t h r e e ye a r s a s a f r e e ma n we r e ye a r s o f mis e r y, r e pr e s s io n a n d f r us t r a t io n .17 W h e n t h r e a t e n e d by c a n c e r , a f t e r s ur vivin g t h e wa r a n d pr is o n , h e f e a r e d "a ll t h a t I h a d me mo r ize d in t h e c a mps r a n t h e r is k o f e xt in c t io n t o ge t h e r wit h t h e h e a d t h a t h e ld it . Th is wa s a d r e a d f ul mo me n t in my lif e : t o d ie o n t h e t h r e s h o ld o f f r e e d o m, t o s e e a ll I h a d wr it t e n , a ll t h a t ga ve me a n in g t o my lif e t h us f a r , a bo ut t o pe r is h wit h me ."18 C a n c e r W a r d , wh o s e s ubje c t (wr it e s So lzh e n it s yn ) "is s pe c if ic a lly a n d lit e r a lly c a n c e r , a s ubje c t a vo id e d in lit e r a t ur e , but n e ve r t h e le s s a r e a lit y a s it s vic t ims kn o w o n ly t o o we ll f r o m d a ily e xpe r ie n c e ,"19 is h is t r ibut e t o h uma n d ign it y a n d ma n 's po we r o f s ur viva l. C a n c e r W a r d is t h e mo s t c o mple t e a n d a c c ur a t e f ic t io n a l a c c o un t o f t h e n a t ur e o f d is e a s e a n d it s r e la t io n t o lo ve . It d e s c r ibe s t h e c h a r a c - t e r is t ic s o f c a n c e r ; t h e ph ys ic a l, ps yc h o lo gic a l, a n d mo r a l e f f e c t s o n t h e vic t im; t h e c o n d it io n s o f t h e h o s pit a l; t h e r e la t io n s o f pa t ie n t s a n d d o c t o r s ; t h e t e r r if yin g t r e a t me n t s ; t h e po s s ibilit y o f d e a t h . W h ile d is - c us s in g t h e c o n c e n t r a t io n c a mps , Ko s t o glo t o v r a is e s t h e c e n t r a l que s - t io n s o f t h e n o ve l, a n d c o n n e c t s t h e pa t h o lo gic a l a n d po lit ic a l t h e me s : "Ho w muc h c a n o n e pa y f o r lif e , a n d h o w muc h is t o o muc h ?" He d e c id e s t h a t "t h e be t r a ya l o r d e s t r uc t io n o f go o d a n d h e lple s s pe o ple is t o o h igh a pr ic e , t h a t o ur live s a r e n 't wo r t h it ." In t h e n o ve l c a n c e r , wh ic h in 1955 c o uld n e ve r be c o mple t e ly c ur e d , is a f r igh t e n in g d is e a s e t h a t c a us e s pr o lo n ge d s uf f e r in g. It s r a pid but h id d e n gr o wt h , un s e e n a n d un s us pe c t e d , d e ve lo ps a n in - e xo r a ble will a n d "a c quir e s r igh t s o f it s o wn ." It is us ua lly n o t d is c o v- e r e d un t il it h a s r e a c h e d a n a d va n c e d a n d o f t e n f a t a l s t a t e . Th e s pir it ua l wo un d s o f t h e e mbit t e r e d pa t ie n t a r e d e va s t a t in g. He a t t e mpt s t o f igh t s e lf -pit y wit h c o ur a ge , a n d is gr a t e f ul f o r a n y s ma ll c o mf o r t o r br ie f r e mis s io n -h o we ve r t e mpo r a r y a n d d e c e pt ive . Th e t r e a t me n t is n o t e xpla in e d t o t h e pa t ie n t , wh o mus t f a c e mo c ke r y, h umilia t io n , a n d pa in . Th e h a r d lump o f t umo r d r a gs in t h e vic t im "like a f is h o n a h o o k" a n d is o la t e s h im f r o m h is pa s t lif e . It d imin is h e s t h e will, e limin a t e s d e f e n s e s , d ign it y, in f lue n c e , s t a t us , r e put a t io n , a n d 59 TW ENTIETH C ENTURY LITERATURE h o pe . It t ur n s h im in wa r d t o wa r d h is o wn s ic kn e s s , s o t h a t Ko s t o glo t o v "le a r n e d h o w t o be ill, h e wa s a s pe c ia lis t in be in g ill, h e wa s d e vo t e d t o h is illn e s s ." Th e t o r t ur e a n d in h uma n c o n d it io n s o f t h e h o s pit a l, a n a n - t e c h a mbe r t o t h e t o mb, in t e n s if y t h e me n t a l a n d ph ys ic a l s uf f e r in g. Th e s me lly t o ile t s a n d s qua lid wa r d s r e d uc e e ve r yo n e t o t h e c o mmo n d e n o min a t o r o f illn e s s . Th e d o c t o r s -"a s s a s s in s in wh it e c o a t s "- c o n t in ua lly lie t o t h e pa t ie n t s , wh o s e e t h r o ugh t h e ir f a ls e h o o d s a n d r e s e n t t h e ir a s s ume d o mn ipo t e n c e . Th e y e mplo y r e c kle s s a n d e ve n s a va ge t r e a t me n t s t h a t a r e bo un d t o be d is c r e d it e d in t h e f ut ur e , t a ke c o n t r o l o f t h e pa t ie n t 's bo d y, d e c id e a bo ut h is lif e a n d d e a t h . Sin c e "a n y d a ma ge t o t h e bo d y wa s jus t if ie d if it s a ve d lif e ," t h e r a d ic a l t r e a t me n t o f c a n c e r -by s ur ge r y, r a d ia t io n , a n d c h e mo t h e r - a py-is o f t e n wo r s e t h a n t h e d is e a s e . D r . D o n t s o va c o n t r a c t s c a n c e r f r o m pr o lo n ge d e xpo s ur e t o r a d ium. So lzh e n it s yn 's d e s c r ipt io n o f t h e ba r ba r o us bo mba r d me n t o f x-r a ys , wh ic h pie r c e s t h r o ugh t h e la ye r s a n d o r ga n s o f t h e bo d y, s t r e a ms in t o t h e wa lls a n d f lo o r s o f t h e h o s pit a l, pe n e t r a t e s t h e s o il a n d r o c ks o f t h e e a r t h , is a ma s t e r pie c e o f ph ys io lo gic a l a n d ps yc h o lo gic a l in s igh t : Th r o ugh t h e s qua r e o f s kin t h a t h a d be e n le f t c le a r o n h is s t o ma c h , t h r o ugh t h e la ye r s o f f le s h a n d o r ga n s wh o s e n a me s t h e ir o wn e r h ims e lf d id n o t kn o w, t h r o ugh t h e ma s s o f t h e t o a d like t umo r , t h r o ugh t h e s t o ma c h a n d e n t r a ils , t h r o ugh t h e blo o d t h a t f lo we d a lo n g h is a r t e r ie s a n d ve in s , t h r o ugh lymph a n d c e lls , t h r o ugh t h e s pin e a n d le s s e r bo n e s a n d a ga in t h r o ugh mo r e la ye r s o f f le s h , ve s s e ls a n d s kin o n h is ba c k, t h e n t h r o ugh t h e h a r d wo o d e n bo a r d o f t h e c o uc h , t h r o ugh t h e f o ur -c e n t i- me t e r -t h ic k f lo o r bo a r d s , t h r o ugh t h e pr o ps , t h r o ugh t h e f illin g be n e a t h t h e bo a r d s , d o wn , d o wn , un t il t h e y d is a ppe a r e d in t o t h e ve r y s t o n e f o un d a t io n s o f t h e build in g o r in t o t h e e a r t h , po ur e d t h e h a r s h X-r a ys , t h e t r e mblin g ve c t o r s o f e le c t r ic a n d ma gn e t ic f ie ld s , un ima gin a ble t o t h e h uma n min d , o r e ls e mo r e c o m- pr e h e n s ible qua n t a t h a t like s h e lls o ut o f gun s po un d e d a n d r id d le d e ve r yt h in g in t h e ir pa t h . Like x-r a ys , c a n c e r s t r ips t h e pa t ie n t d o wn t o t h e e s s e n t ia l c o r e : be h in d As ya 's "d r e s s in g go wn t h e r e wa s n o t h in g but h e r n igh t d r e s s , h e r br e a s t s a n d h e r s o ul." On ly t h e pa s s ive Ta r t a r c a n a c c e pt t h e h e a vy bur d e n o f t r ut h . D e a t h , "wh it e a n d in d if f e r e n t -a s h e e t , bo d ile s s a n d vo id , wa lks t o wa r d h im c a r e f ully, n o is e le s s ly, o n s lippe r e d f e e t ." So l- zh e n it s yn be lie ve s t h a t "Mo d e r n ma n is h e lple s s wh e n c o n f r o n t e d wit h d e a t h , [f o r ] h e h a s n o we a po n t o me e t it wit h "-n o C h r is t ia n f a it h o r s pir it ua l s t r e n gt h t o o ppo s e ma t e r ia lis m. As Ir is Mur d o c h o bs e r ve s in 60 SOLZHENITSYN'S C ANC ER W ARD h e r pe r c e pt ive , c o mpa s s io n a t e o pe n in g o f Nun s a n d So ld ie r s , we d e f e n - s ive ly r e je c t t h e d yin g s o t h a t we will n o t be t o o h ur t by t h e ir lo s s . D e a t h d e s t r o ys o ur illus io n s a bo ut lo ve a n d s h o ws t h a t it is ult ima t e ly s e lf is h : W e d o n o t wa n t t o c a r e t o o muc h f o r wh a t we a r e lo s in g. Sur r e pt it io us ly we r e mo ve o ur s ympa t h y, a n d pr e pa r e t h e d yin g o n e f o r d e a t h , d imin is h h im, s t r ip h im o f h is la s t a t t r a c t io n s . W e a ba n d o n t h e d yin g like a s ic k be a s t le f t un d e r a h e d ge . D e a t h is s uppo s e d t o s h o w us t r ut h , but is it s o wn pla c e o f illus io n . It d e f e a t s lo ve .20 Ko s t o glo t o v's vit a l que s t io n a bo ut t h e pr ic e o f lif e , s ymbo lize d by o xyge n a n d blo o d , r e c ur s in t wo o f t h e gr e a t e s t s c e n e s o f t h e n o ve l, wh e n h e f ir s t e s t a blis h e s in t ima c y wit h t h e n ur s e Zo ya a n d t h e d o c t o r Ve r a . As Vir gin ia W o o lf o bs e r ve s : "Illn e s s o f t e n t a ke s o n t h e d is guis e o f lo ve , a n d pla ys t h e s a me o d d t r ic ks ."21 Ko s t o glo t o v, wh o s e mo r a l s t r e n gt h a t t r a c t s t h e s e wo me n , is a s s e r t ive a n d ma s c ulin e wit h Zo ya , pa s s ive a n d f e min in e wit h Ve r a . He kis s e s t h e d is t r a c t e d Zo ya wh ile s h e in f la t e s a t ume s c e n t o xyge n ba llo o n , wh ic h a lmo s t bur s t s . Sh e t h e n t e lls h im t h a t h e h a s be e n d e c e ive d by t h e d o c t o r s a n d h a s be e n give n h o r mo n e t h e r a py (a ls o us e d a ga in s t c a n c e r o f t h e t e s t e s ) t h a t will ma ke h im impo t e n t . An d s h e s t r o n gly ur ge s h im t o d is c o n t in ue t h e t r e a t - me n t . Th e que s t io n a r is e s f o r t h e t h ir d t ime d ur in g t h e t r a n s f us io n . As Ko s t o glo t o v be c o me s a f f e c t io n a t e wit h Ve r a t h e y a ba n d o n t h e ir pa t ie n t -d o c t o r r o le s a n d s pe a k a s e qua ls , pe r h a ps e ve n lo ve r s . Sh e is "f a it h f ul" t o a n d a lo n e wit h h im in t h e s un lit r o o m; h e s h e d s h is s us pic io n s , "give s h ims e lf t o t r us t " a n d a c c e pt s t h e f lo w o f a f e ma le 's blo o d in t o h is ve in s . By d o in g s o , h e f o r ms a s ymbo lic s e xua l un io n wit h Ve r a a n d wa n t s t o kis s h e r (h e la t e r a s ks h e r t o give h im a n o t h e r t r a n s f us io n : "I like d it t h e n . I wa n t mo r e "): "Th e blo o d in t h e bo t t le h a d a lr e a d y d r o ppe d by mo r e t h a n h a lf . It h a d o n c e f lo we d in s o me o n e e ls e 's bo d y, a bo d y wit h it s o wn pe r s o n a lit y, it s o wn id e a s , a n d n o w it wa s po ur in g in t o h im, a r e d d is h -br o wn s t r e a ml o f h e a lt h ." But Ko s t o glo t o v pr o t e s t s t h a t h e is "pa yin g t o o h igh a pr ic e " f o r h is e xis t e n c e : "Fir s t my o wn lif e wa s t a ke n f r o m me [in pr is o n ], a n d n o w I a m be in g d e pr ive d e ve n o f t h e r igh t ... t o pe r pe t ua t e mys e lf . ... If t h e o n ly e xpe c t a t io n I h a ve is be in g c o n s c io us ly a n d a r t if ic ia lly kille d -t h e n wh y bo t h e r t o s a ve [me ]?" His que s t io n le a d s t h e m t o d is c us s s o me bo o ks wr it t e n by t h e ve n e r o lo gis t D r . Fr ie d la n d , a n d r e a d by Ko s t o - glo t o v a n d Ve r a in t h e 1930s . Th e s e wo r ks pr e s e n t a pur e ly ph ys io lo gi- c a l a n d e ve n s t a t is t ic a l-r a t h e r t h a n e mo t io n a l a n d s pir it ua l-vie w o f s e x a n d lo ve . Th e ir r e je c t io n o f D r . Fr ie d la n d 's ma t e r ia lis m a llo ws 61 TW ENTIETH C ENTURY LITERATURE Ko s t o glo t o v t o h o pe t h a t h e will be a ble t o lo ve a wo ma n wit h o ut s e x o r t h e po s s ibilit y o f pr o c r e a t io n . He t h e r e f o r e a c c e pt s t h e a d vic e o f Ve r a , wh o (in c o n t r a s t t o Zo ya ) in s is t s t h a t h e c o n t in ue t h e h o r mo n e t r e a t - me n t s in o r d e r t o s a ve h is lif e . A pa r a lle l s c e n e a n d lo ve a f f a ir (Ko s t o glo t o v mo ur n s h is lo s t vir il- it y, As ya h e r lo s t f e min in it y) o c c ur s be t we e n t h e yo un g s t ud e n t D yo mka , wh o h a s c a n c e r o f t h e le g a n d is t h r e a t e n e d wit h a mput a t io n , a n d t h e h e d o n is t ic a n d lic e n t io us s c h o o lgir l, As ya . W h e n As ya - c r us h e d , t r e mblin g a n d t e a r f ul-r e ve a ls t h a t t h e d o c t o r s mus t c ut o f f h e r c a n c e r o us br e a s t a n d a s ks (like Ko s t o glo t o v) "W h a t h a ve I t o live f o r ?," D yo mka ign o r e s t h e d r e a d f ul c o n s e que n c e s a n d o f f e r s t o ma r r y h e r . Sh e t h e n e xpo s e s h e r d o o me d br e a s t a n d a s ks h im t o kis s it . D yo mka gr a t e f ully s uc kle s t h e ge n t ly c ur vin g br e a s t a n d be c o me s a b- s o r be d in it s f ie r y a ur a : "He r e t ur n e d t o it s r o s y glo w a ga in a n d a ga in , s o f t ly kis s in g t h e br e a s t . He d id wh a t h e r f ut ur e c h ild wo uld n e ve r be a ble t o d o . No o n e c a me in , a n d s o h e kis s e d a n d kis s e d t h e ma r ve l h a n gin g o ve r h im. To d a y it wa s a ma r ve l. To mo r r o w it wo uld be in t h e t r a s h bin ." D e s pit e t h e bit t e r ir o n y, So lzh e n it s yn s ugge s t s , by me r gin g t h e ma t e r n a l a n d t h e s e xua l, t h a t t h e s pir it ua l c a n s ur vive wit h o ut t h e ph ys ic a l a s pe c t s o f lo ve , a n d r e in f o r c e s t h e pr e vio us r e je c t io n o f D r . Fr ie d la n d 's ma t e r ia lis t ic vie w o f lo ve . By t h e e n d o f t h e n o ve l Ko s t o glo t o v, wh o h a d e xpe r ie n c e d a br ie f s e xua l r e s ur ge n c e be f o r e h e h a d be e n s imult a n e o us ly s a ve d a n d d e - s t r o ye d by t h e h o r mo n e t h e r a py, is c o n f r o n t e d wit h t h e r e a lit y o f h is c o n d it io n . Af t e r h is r e le a s e f r o m t h e h o s pit a l h e is in vit e d t o s pe n d t h e n igh t wit h bo t h Zo ya ("lif e ") a n d Ve r a ("f a it h "). He s e e ks o ut t h e br illia n t f lo we r in g a pr ic o t t r e e wh ic h , like t h e s ple n d id ba lle t Sle e pin g Be a ut y, s ymbo lize s h is pe r s o n a l r e s ur r e c t io n a n d pr o mis in g r e t ur n t o lif e . W h e n h e a c c id e n t a lly pr e s s e s a ga in s t a n a t t r a c t ive yo un g gir l in t h e s t r e e t c a r , h e r e a lize s t h a t h e h a s pe r ma n e n t ly lo s t h is vir ilit y ("t h e libid o r e ma in s , t h e libid o but n o t h in g e ls e "). He is f o r c e d t o a c c e pt t h e c r ue l f a c t t h a t "h is jo ur n e y t o s e e Ve r a wo uld e n d a s a t o r t ur e a n d a d e c e it . It wo uld me a n h is d e ma n d in g mo r e f r o m h e r t h a n h e c o uld a s k f r o m h ims e lf ." He n o w un d e r s t a n d s t h a t lo ve mus t be bo t h ph ys ic a l (a s wit h Zo ya ) a n d s pir it ua l (a s wit h Ve r a ), a n d r e f us e s t o s a c r if ic e Ve r a 's lo ve f o r h is o wn we ll-be in g. His e xpe r ie n c e s in t h e c a n c e r wa r d h a ve ma d e h im un f it f o r lif e a n d le d h im t o r e n o un c e lo ve . In Illn e s s a s Me t a ph o r , Sus a n So n t a g quit e mis t a ke n ly in s is t s t h a t "C a n c e r W a r d c o n t a in s vir t ua lly n o us e o f c a n c e r a s a me t a ph o r -f o r St a lin is m, o r a n yt h in g e ls e ."22 But t h e po lit ic a l a lle go r y is bo t h d is t in c t 62 SOLZHENITSYN'S C ANC ER W ARD a n d s ign if ic a n t . As So lzh e n it s yn s a ys o f h is o wn c h a r a c t e r s : "Th o s e we r e t h e wo r d s t h e y us e d , but t h e lo o ks t h e y ga ve e a c h o t h e r we r e ke e n a n d it wa s c le a r t h a t t h e y we r e r e a lly c o n c e r n e d wit h s o me t h in g quit e d if f e r e n t ." Th e n o ve l lo gic a lly f o llo ws , in it s c o n s is t e n t us e o f s ugge s t ive a n a lo gie s , t h e in e vit a ble mo d e o f pe r s o n a l c o n ve r s a t io n , pr iva t e c o r r e - s po n d e n c e a n d un d e r gr o un d lit e r a t ur e in t h e So vie t Un io n . Th e h o s pit a l r e c o r d s f ive po s s ible r e s ult s f o r e a c h c a t e go r y o f me d ic a l t r e a t me n t : "c o mple t e c ur e , impr o ve me n t , n o c h a n ge , d e t e r i- o r a t io n o r d e a t h ." Th e s e c a t e go r ie s c o r r e s po n d t o t h e f ive ph a s e s o f So lzh e n it s yn 's lif e -yo ut h , wa r , e xile , pr is o n a n d h o s pit a l-t h a t a r e c le a r ly r e f le c t e d in t h e n o ve l. Like So lzh e n it s yn , Or we ll d r a ws a d ir e c t pa r a lle l be t we e n wa r a n d d is e a s e in h is mo vin g a ut o bio gr a ph ic a l e s s a y, "Ho w t h e Po o r D ie ": "Pe o ple t a lk a bo ut t h e h o r r o r s o f wa r , but wh a t we a po n h a s ma n in ve n t e d t h a t e ve n a ppr o a c h e s in c r ue lt y s o me o f t h e c o mmo n e r d is e a s e s ? 'Na t ur a l' d e a t h , a lmo s t by d e f in it io n , me a n s s o me t h in g s lo w, s me lly a n d pa in f ul."23 In C a n c e r W a r d , So lzh e n it s yn d r a ws o n h is milit a r y e xpe r ie n c e a s a me t a ph o r f o r bo t h t h e in va s io n o f t h e h o s t ile d is e a s e a n d t h e vic t im's d e s pe r a t e ba t t le a ga in s t it . So lit a r y, d e s t r uc t ive c e lls s t e a l "t h r o ugh t h e d a r kn e s s like la n d in g c r a f t "; s pr e a d in g c a n c e r s t e a r "d e f e n s e s t o pie c e s like t a n ks "; vic t ims a r e "wo un d e d " a n d s o o n f a ll; s ur vivo r s a r e h e r o e s "f r o m t h e h o s pit a l f r o n t lin e ." D r . D o n t s o va , wh o f o r c e s t h e s ke pt ic a l Ko s t o glo t o v t o a c c e pt h is t r e a t me n t , e xpla in s : "t h e r e wa s a ba t t le , but h e wa s d e f e a t e d a n d h e s ur r e n d e r e d ." Th e x-r a y's "blin d a r t ille r y c ut s d o wn it s o wn me n wit h t h e s a me ple a s ur e a s it d o e s t h e e n e my's ." Th e t umo r is d r ive n ba c k: "It 's o n t h e d e f e n s ive ." Ko s t o glo t o v's ye a r s a s a pr is o n e r , like h is e xpe r ie n c e a s a s o ld ie r , a r e a ls o a n a lo go us t o h is t r e a t me n t in t h e c o n f in e d a n d c r o wd e d h o s - pit a l. Th e pr is o n c e ll is like t h e c a n c e r c e ll: "f ir s t I live d un d e r gua r d , t h e n I live d in pa in ." In pr is o n h e is t o r n f r o m h is f a mily, ba n is h e d f r o m t h e wo r ld a n d put be h in d ba r be d wir e . But t h a t is n o "e a s ie r t o t a ke t h a n a t umo r ," wh ic h a ls o d e n ie s h im t h e r igh t s o f a f r e e a n d h e a lt h y ma n . Th e pa t ie n t -pr is o n e r is po we r le s s , wa t c h f ul a n d s us pi- c io us . He is e n c lo s e d f o r a n in d e f in it e pe r io d o f t ime , in t e r r o ga t e d by d o c t o r s , a n d o n c e a ga in be c o me s "a gr a in o f s a n d , jus t a s [h e ] wa s in t h e c a mp." A c o n f e s s io n o f illn e s s is like a c o n f e s s io n o f c r ime . In t h e h o s pit a l, "t h e r o o ms a r e f ull o f bun ks , c o mple t e wit h be d d in g, a n d o n e a c h bun k lie s a lit t le ma n t e r r if ie d o ut o f h is wit s ." A f e w me n ma n a ge t o s ur vive t h e c a n c e r wa r d jus t a s t h e y s ur vive d t h e c a mp. But Ko s t o glo t o v be lie ve s : "I pr o ba bly wo n 't be d is c h a r ge d t ill I'm c r a wlin g o n a ll f o ur s ." W h e n a d e lud e d pa t ie n t le a ve s t h e h o s pit a l, 63 TW ENTIETH C ENTURY LITERATURE Ko s t o glo t o v is r e min d e d o f "t h o s e r a r e o c c a s io n s wh e n t h e y s a w o f f a pr is o n e r wh o h a d be e n r e le a s e d . W a s h e t o t e ll h im t h a t h e 'd be a r r e s t e d a ga in a s s o o n a s h e s e t f o o t o ut s id e t h e ga t e s ?" Bo t h c a mp a n d wa r d a r e pla c e s "wh e r e n in e t y-n in e we e p but [o n ly] o n e la ugh s ." Ko s t o glo t o v is n o t t h e o n ly o n e in t h is mic r o c o s mic s o c ie t y wh o h a s be e n in t h e c a mps . Jus t a s t h e Ta r t a r s "h a d n o d if f ic ult y in r e c o gn izin g t h e ir o wn pe o ple in t h e c lin ic , [n e it h e r ] d id t h o s e wh o o n c e live d in t h e s h a d o w o f ba r be d -wir e ." Le v Le o n id o vic h h a s wo r ke d a s a f r e e d o c t o r in t h e pr is o n c a mps . Th e Ta r t a r Ah ma d ja n , o n e o f t h e ve r y f e w pa t ie n t s wh o is o s t e n s ibly c ur e d , h a s be e n a c o n c e n t r a t io n c a mp gua r d . Th e br ut a l Po d d uye v, wh o s e mo r a l lif e is r a t h e r impr o ba bly t r a n s f o r me d by s t ud yin g To ls t o y's W h a t Me n Live By, h a s s upe r vis e d c o n vic t la bo r . An d t h e in t e llige n t o r d e r ly Eliza ve t a An a t o lye vn a , wh o r e a d s Fr e n c h n o ve ls , h a s be e n in n o c e n t ly impr is o n e d wit h h e r h us - ba n d . Th e pa s t o f t h e s e c h a r a c t e r s t igh t e n s t h e lin ks be t we e n pr is o n a n d h o s pit a l. Th e y d r a w Ko s t o glo t o v ba c k-t h r o ugh me mo r ie s , a s s o c i- a t io n s a n d c o n ve r s a t io n s -t o t h e wo r ld h e is t r yin g t o e s c a pe . Th e KGB ma n Rus a n o v, t h e o n e -d ime n s io n a l villa in o f t h e n o ve l, br in gs t h e pr is o n wo r ld in t o t h e h o s pit a l by h is pr a c t ic a l s uppo r t a n d id e o lo gic a l jus t if ic a t io n o f St a lin is m. He n a me d h is s o n a f t e r Be r ia ; lo ve s t h e Pe o ple but c a n n o t t o le r a t e a c t ua l h uma n be in gs ; be t r a ye d h is f r ie n d Ro d ic h e v in o r d e r t o ge t t h e o t h e r h a lf o f t h e ir c o mmun a l a pa r t me n t ; c a r r ie d o ut h is "s imple d ut y a s a c it ize n " by d is mis s in g a n d e limin a t in g ma n y o t h e r s ; a n d s t o ut ly d e f e n d s St a lin 's pur ge t r ia ls , wh ic h h e us e d t o build h is c a r e e r a t t h e e xpe n s e o f me n like Ko s t o - glo t o v: "In t h a t e xc e lle n t a n d h o n o r a ble t ime , t h e ye a r s 1937 a n d 1938, t h e s o c ia l a t mo s ph e r e wa s n o t ic e a bly c le a n s e d a n d it be c a me e a s ie r t o br e a t h e ." As c a n c e r s pr e a d s s e c r e t ly t h r o ugh h is bo d y, Rus a n o v's c yn ic a l, a r r ivis t e d a ugh t e r Avie t t e a n n o un c e s t h a t St a lin 's c ult o f pe r s o n a lit y h a s c o me un d e r a t t a c k. Mo s c o w h a s in it ia t e d a ma s s ive r e vie w o f le ga l pr o c e e d in gs ("It 's like a n e pid e mic "), a n d be t r a ye r s a r e n o w f o r c e d t o c o n f r o n t t h e ir vic t ims . Rus a n o v's f e a r f ul r e s po n s e is a n a t t a c k o n t h is pa in f ul pr o c e s s : "It 's c r ue l t o t h e e xile s t h e ms e lve s . So me o f t h e m a r e d e a d -wh y d is t ur b t h e ir gh o s t s ? W h y r a is e gr o un d le s s h o pe s a mo n g t h e ir r e la t ive s a n d pe r h a ps a d e s ir e f o r r e ve n ge ? Aga in , wh a t d o e s r e h a bilit a t e d a c t ua lly me a n ? It c a n 't me a n t h e ma n wa s c o mple t e ly in n o c e n t ! He mus t h a ve d o n e s o me t h in g, h o we ve r t r ivia l." As t h e n o ve l, a n d e s pe c ia lly t h e pa r t o n Rus a n o v pr o gr e s s e s , t h e a lle go r ic a l implic a t io n s o f a r my a n d pr is o n s pr e a d (like t h e d is e a s e ) t o in c lud e a ll o f St a lin is t Rus s ia : "A ma n d ie s f r o m a t umo r , s o h o w c a n a 64 SOLZHENITSYN'S C ANC ER W ARD c o un t r y s ur vive wit h gr o wt h s like la bo r c a mps a n d e xile s ?" In t h e h o s pit a l, a s in t o t a lit a r ia n Rus s ia , n o o n e is a llo we d t o s pe a k t h e t r ut h . Tumo r s a r e a "s t a t e s e c r e t ." D e s pit e t h e c o n f e s s io n a l mo d e o f t h e n o ve l, "wh e n it c a me t o id e o lo gy it wa s be t t e r t o ke e p yo ur t r a p s h ut ." Of f ic ia l n e ws pa pe r s , d is t r ibut e d in t h e wa r d s , a r e "wr it t e n in f a c t in c o d e ," t h o ugh s killf ul pa r t y f un c t io n a r ie s s o o n le a r n t o in t e r pr e t t h e m. Rus a n o v s us pe c t s t h e d o c t o r s o f a plo t t o po is o n h im; a n d d o c t o r s a r e a c t ua lly put o n t r ia l in t h e h o s pit a l jus t a s t h e y we r e wh e n St a lin a c c us e d t h e m o f plo t t in g a ga in s t h im. Rus a n o v be lie ve s t h a t public e xe c ut io n s (like le t h a l x-r a ys ) "wo uld s pe e d ily br in g c o mple t e h e a lt h t o o ur s o c ie t y." D o c t o r s , like KGB me n , e n jo y a bs o lut e a ut h o r it y o ve r t h e live s o f t h e ir d e h uma n ize d pa t ie n t s . Th e y c a r r y o ut "s e n s e le s s , po in t le s s in - s t r uc t io n s wh ic h t h e y c a n 't ign o r e o n pa in o f lo s in g t h e ir jo bs ." Th e y "be lie ve un que s t io n in gly in t h e ir e s t a blis h e d me t h o d s a n d t r e a t me n t s ." X-r a ys a r e us e d a s in d is c r imin a t e ly a s po lic e a r r e s t s . D o c t o r s d o n o t kn o w "wh a t pe r c e n t a ge o f h e a lt h y c e lls [o r in n o c e n t pe o ple ] a s c o m- pa r e d t o t h e d is e a s e d o n e s wo uld be d e s t r o ye d ." Th e r e mis s io n o f Ko s t o glo t o v's d is e a s e in t h e s pr in g o f 1955 c o in - c id e s wit h t h e po lit ic a l t h a w t h a t be ga n t o t a ke pla c e t wo ye a r s a f t e r t h e d e a t h o f St a lin . He e xpr e s s e s t h e f e e lin gs o f t h e o ppr e s s e d by public ly c o n d e mn in g St a lin 's c r ime s in h is a r gume n t wit h Sh ulubin . In c o n t r a s t t o Ko s t o glo t o v, Sh ulubin h a s s o ld o ut t o po lit ic a l pr e s s ur e , c o n f e s s e d "mis t a ke s " h e n e ve r ma d e , be e n r e d uc e d f r o m a pr o f e s s o r in Mo s c o w t o a pr o vin c ia l libr a r ia n , pa r t ic ipa t e d in bo o k bur n in g-a n d h a s s a ve d h is lif e a t t h e e xpe n s e o f h is s o ul. D ur in g t h e pur ge t r ia ls , in t e llige n t pe o ple like Sh ulubin , wh o wa n t e d o n ly t o live , we r e f o r c e d t o be lie ve t h a t "Millio n s o f Rus s ia n s o ld ie r s . . . be t r a ye d t h e ir c o un t r y." Ko s t o - glo t o v t h in ks "t h e t r a it o r s we r e t h o s e [like Rus a n o v] wh o wr o t e d e n un c i- a t io n s o r s t o o d up a s wit n e s s e s ." Eve n Le n in 's wid o w Kr ups ka ya f a ile d t o un d e r s t a n d wh a t wa s a c t ua lly h a ppe n in g o r la c ke d t h e c o ur a ge t o pr o t e s t a ga in s t t h e s e c r ime s . Ot h e r le a d e r s pr e f e r r e d t o d ie in mys t e r i- o us c ir c ums t a n c e s o r t o c o mmit s uic id e r a t h e r t h a n c o n f e s s t o f a ls e c r ime s . Th e t h a w s ugge s t s t h e c ur e . Th e e n t ir e Supr e me C o ur t o f t h e So vie t Un io n , wh ic h a d min is t e r e d "jus t ic e " f o r a qua r t e r o f a c e n t ur y, is s ud d e n ly d is mis s e d . Ma le n ko v is r e lie ve d o f h is d ut ie s ; Be r ia is o ve r - t h r o wn , "f a llin g wit h a t in n y c la n g." St a lin is o pe n ly a t t a c ke d . Rumo r s c ir c ula t e t h a t e xile s a r e go in g t o be r e le a s e d . An d Ko s t o glo t o v is t r e a t e d wit h e xt r a o r d in a r y c o ur t e s y by t h e po lic e Ko mma n d a n t in Ta s h ke n t . Th e mo r a lly c h a n ge d Po d d uye v e xpr e s s e s a ma jo r t h e me in t h e n o ve l 65 TW ENTIETH C ENTURY LITERATURE wh e n h e s a ys t h a t if t h e t umo r (o f St a lin is m) is t o be c ur e d , "s ud d e n ly d r a in a wa y, d r y up a n d d ie by it s e lf ... I s uppo s e f o r t h a t yo u n e e d t o h a ve ... a c le a r c o n s c ie n c e ." Po lit ic a l c h a n ge mus t r e f le c t mo r a l c h a n ge in bo t h t h e pe o ple a n d t h e ir le a d e r s . At t h e e n d o f t h e n o ve l Ko s t o glo t o v-wh o a s a pa t ie n t wa s t r e a t e d a s a zo o lo gic a l s pe c ime n -is r e le a s e d f r o m t h e h o s pit a l, impr o ve d but impo t e n t . Be f o r e d e c id in g wh e t h e r it migh t be po s s ible t o s h a r e h is lif e wit h Ve r a -wh o f e e ls e t e r n a lly bo un d t o t h e pa s t by t h e pr o mis e t o h e r d e a d lo ve r jus t a s h e is bo un d t o t h e a r my, pr is o n a n d h o s pit a l-h e vis it s a s e r ie s o f s ymbo lic a n ima ls in t h e Ta s h ke n t zo o . He t h e n d e c id e s t o r e t ur n t o e xile in Ka za kh s t a n a n d t o h is h uma n e f r ie n d s , t h e Ka d - min s . Like Ve r a 's f r ie n d D r . Or e s h c h e n ko v, wh o a ls o lo ve s a n ima ls , t h e y a r e t h e mo r a l t o uc h s t o n e s o f t h e n o ve l. Th e f ir s t a n ima l Ko s t o glo t o v s e e s is a d ign if ie d a n d r e f le c t ive s pir a l-h o r n e d mo un t a in go a t , wh o s t a n d s o n a s t e e p pr e c ipic e a n d r e pr e s e n t s "t h e s o r t o f c h a r a c t e r a ma n [like Ko s t o glo t o v] n e e d e d t o ge t t h r o ugh lif e ." By c o n t r a s t t h e s quir r e l, like t h e o ppr e s s e d pr o le t a r ia t , r e vo lve s in h is c a ge a t a f ur io us pa c e , it s h e a r t n e a r ly bur s t in g. It c a n n o t un d e r s t a n d t h a t " 'It 's a ll in va in !' No , t h e r e wa s c le a r ly o n ly o n e in e vit a ble wa y o ut , t h e s quir r e l's d e a t h ." Th e Rh e s us mo n ke y (e xpe r ime n t s o n wh ic h le d t o t h e me d ic a l d is c o ve r y o f t h e Rh f a c t o r in h uma n blo o d ) s t a n d s f o r t h e t h ir d t ype o f ma n : t h e h e lple s s a n d t o r me n t e d po lit ic a l pr is o n e r . A c r ud e ly pa in t e d s ign e xpla in s h is e mpt y c a ge : "Th e lit t le mo n ke y t h a t us e d t o live h e r e wa s blin d e d be c a us e o f t h e s e n s e le s s c r ue lt y o f o n e o f t h e vis it o r s . An e vil ma n t h r e w t o ba c c o in t o t h e Ma c a que Rh e s us 's e ye s ." So lzh e n it s yn s t a t e s in a n Appe n d ix t o t h e n o ve l t h a t t h e pe r pe t r a t o r o f t h is gr a t ui- t o us c r ue lt y-wh o is d ia me t r ic a lly o ppo s e d t o t h e vie ws e xpr e s s e d in To ls t o y's W h a t Me n Live By-"is me a n t t o r e pr e s e n t St a lin s pe c if i- c a lly."24 Fin a lly, Ko s t o glo t o v s t a r e s wit h h a t r e d a t a r a pa c io us t ige r wit h ye llo w e ye s , wh o m h e a ls o a s s o c ia t e s (t h r o ugh h is pr e -Re vo lut io n a r y pla c e o f e xile ) wit h St a lin . Th e pe r s o n a l a n d po lit ic a l s ign if ic a n c e o f t h is vis it is in t e n s if ie d by it s mo r a l s implic it y, by it s c h a r a c t e r is t ic c o mbin a t io n o f t h e o bvio us a n d t h e s ubt le . So lzh e n it s yn a r gue d , wh e n a t t e mpt in g t o jus t if y t h e "pr o - gr e s s ive " a s pe c t s o f h is n o ve l t o t h e Se c r e t a r ia t o f So vie t W r it e r s in 1967, t h a t h is t h e me is ult ima t e ly a f f ir ma t ive : "lif e c o n que r s d e a t h , t h e pa s t is c o n que r e d by t h e f ut ur e ," a n d bo t h "t r iumph o ve r s pir it ua l s o r r o w."25 But h is f o r t un a t e c ur e , ma r r ia ge a n d c h ild r e n , h is c o ur a - ge o us t r a n s f o r ma t io n o f d is e a s e a n d d e a t h in t o gr e a t a r t , h is "s e e d o f 66 SOLZHENITSYN'S C ANC ER W ARD h o pe o n t h e ve r y br in k o f t h e gr a ve ,"26 mus t n o t blin d us t o h is h e r o 's t r a gic f a t e . Ko s t o glo t o v's lif e s h o ws t h a t d ic t a t o r s , pa r t y o f f ic ia ls , po lic e , gua r d s a n d pr is o n e r s a r e a ll t r a ppe d in t h e va s t pr is o n o f Rus s ia . Th e r e is n o e s c a pe f r o m c a n c e r , d e s pit e pe r io d s o f r e mis s io n , jus t a s t h e r e is n o e s c a pe f r o m t h e le ga c y o f St a lin is m, d e s pit e t h e a ppa r e n t po lit ic a l t h a w. Ko s t o glo t o v h a s be e n r e le a s e d by a n d d e s t r o ye d by bo t h pr is o n a n d h o s pit a l. He s ur vive d h is o r d e a l by c a n c e r a n d is "f r e e " t o r e t ur n t o h is pla c e o f e xile . But h e is n o lo n ge r f it f o r s e xua l lif e , a n d mus t r e n o un c e lo ve a n d t h e po s s ibilit y o f h uma n h a ppin e s s . C a n c e r W a r d (like r e c e n t Rus s ia n h is t o r y) is pe r h a ps le s s lif e -a f f ir min g t h a n So l- zh e n it s yn wo uld h a ve us be lie ve , f o r it e xpr e s s e s a t e r r ible t r ut h : "Th e c e lls o f t h e h e a r t wh ic h n a t ur e built f o r jo y d ie t h r o ugh d is us e . Th e s ma ll pla c e in t h e br e a s t wh ic h is f a it h 's c r a mpe d qua r t e r s r e ma in s un t e n a n t e d f o r ye a r s a n d d e c a ys ."27 1 Quo t e d in B. H. Lid d e ll Ha r t , T. E. La wr e n c e : In Ar a bia a n d Af t e r (Lo n - d o n : Jo n a t h a n C a pe , 1934), p. 442. 2 Th o ma s Ma n n , "D o s t o ye vs ky-in Mo d e r a t io n ," in Th e Sh o r t No ve ls o f D o s t o ye vs ky (Ne w Yo r k: D ia l Pr e s s , 1945), p. xiv. 3 Fyo d o r D o s t o ye vs ky, No t e s f r o m Un d e r gr o un d , t r a n s . An d r e w Ma c An d r e w (Ne w Yo r k: Sign e t , 1961), p. 93. 4 Ar t h ur Rimba ud , le t t e r o f 15 Ma y 1871, in C o mple t e W o r ks , t r a n s . Pa ul Sc h mid t (Ne w Yo r k: Ha r pe r a n d Ro w, 1975), pp. 102-03. 5 Fr ie d r ic h Nie t zs c h e , Ec c e Ho mo , t r a n s . W a lt e r Ka uf ma n n (Ne w Yo r k: Vin t a ge Bo o ks , 1967), p. 303. 6 Th o ma s Ma n n , "Go e t h e a n d To ls t o y," Th r e e Es s a ys , t r a n s . H. T. Lo we - Po r t e r (Ne w Yo r k: Kn o pf , 1929), pp. 29-30. 7 Ma n n , "D o s t o ye vs ky-in Mo d e r a t io n ," pp. xii, xv. Er ic h Ka h le r , Th e Or bit o f Th o ma s Ma n n , t r a n s . Fr a n c is Go lf f in g (Pr in c e t o n : Pr in c e t o n Un iv. Pr e s s , 1969), p. 27. 9 Ed mun d W ils o n , Th e W o un d a n d t h e Bo w (Ne w Yo r k, 1965), p. 240. 10 Vir gin ia W o o lf , "On Be in g IIl" (1930), C o lle c t e d Es s a ys , e d . Le o n a r d W o o lf (Lo n d o n : Ho ga r t h Pr e s s , 1967), p. 193. " Th e r e h a ve be e n r e a lis t ic wo r ks (Ko pit 's W in gs a n d C o o k's C o ma ), n o ve ls a bo ut d o c t o r s (Ar r o ws mit h a n d D o c t o r Zh iva go ), s a t ir e s o n me d ic in e (Le wis ' Ro t t in g Hill a n d Nic h o ls ' Na t io n a l He a lt h ), n o ve ls o f ma d n e s s (Mr s . D a llo wa y a n d Te n d e r is t h e Nigh t ), d is e a s e d h e r o e s (O'Ne ill's Lo n g D a y's Jo ur n e y in t o Nigh t a n d Pr o ws e 's A Gif t o f t h e D us k), gr im d e a t h s c e n e s (Ma s t r o -d o n Ge s ua ld o a n d Of Time a n d t h e Rive r ), n o ve ls a bo ut d yin g a n d d e a t h (Th e Le o pa r d a n d A D e a t h in t h e Fa mily). 67 TW ENTIETH C ENTURY LITERATURE 12 D o s t o ye vs ky, No t e s f r o m Un d e r gr o un d , pp. 90-91. 13 Go t t f r ie d Be n n , Pr ima l Vis io n , t r a n s . Ba be t t e D e ut s c h (Ne w Yo r k, [1960]), p. 217. 14 Se e Zh o r e s Me d ve d e v, "Ge t t in g So lzh e n it s yn St r a igh t ," Ne w Yo r k Re vie w o f Bo o ks , 17 Ma y 1973, pp. 32-34; a n d t h e Fe if e r -Me d ve d e v c o r r e s po n d e n c e , 19 July 1973, pp. 30-31. 15 Ale xa n d e r So lzh e n it s yn , "Th e Righ t Ha n d ," St o r ie s a n d Pr o s e Po e ms , t r a n s . Mic h a e l Gle n n y (Ne w Yo r k: Ba n t a m, 1972), p. 122. 16 Quo t e d in D a vid Bur g a n d Ge o r ge Fe if e r , So lzh e n it s yn (Ne w Yo r k, 1972), p. 124. 17 Ale xa n d e r So lzh e n it s yn , Th e Oa k a n d t h e C a lf , t r a n s . Ha r r y W ille t t s (Ne w Yo r k: Ha r pe r a n d Ro w, 1980), pp. 341, 362. 18 Ibid ., p. 3. 19 Ale xa n d e r So lzh e n it s yn , "Appe n d ix" t o C a n c e r W a r d , t r a n s . Nic h o la s Be t h e ll a n d D a vid Bur g (Ne w Yo r k: Ba n t a m, 1969), p. 554. 20 Ir is Mur d o c h , Nun s a n d So ld ie r s (Ne w Yo r k, 1980), p. 1. 21 Vir gin ia W o o lf , "On Be in g Il1," p. 194. 22 Sus a n So n t a g, Illn e s s a s Me t a ph o r (Ne w Yo r k: Fa r r a r , St r a us , a n d Gir o ux, 1979), p. 80. 23 Ge o r ge Or we ll, "Ho w t h e Po o r D ie " (1945), D e c lin e o f t h e En glis h Mur d e r (Ha r mo n d s wo r t h : Pe n guin , 1965), p. 38. 24 So lzh e n it s yn , "Appe n d ix" t o C a n c e r W a r d , p. 555. 25Ibid ., p. 554. 26 Th o ma s Ma n n , "C h e kh o v," La s t Es s a ys , t r a n s . Ta n ia a n d Ja me s St e r n (Ne w Yo r k: Kn o pf , 1959), p. 201. 27 It is in t e r e s t in g t o o bs e r ve t h e gr e a t ly o ve r r a t e d Hun ga r ia n Ma r xis t c r it ic Ge o r g Luka c s , in So lzh e n it s yn (C a mbr id ge , Ma s s ., 1971), t wis t h ims e lf in t o id e o lo gic a l kn o t s t o a vo id f a c in g t h e po lit ic a l s ign if ic a n c e o f C a n c e r W a r d . He e uph e mis t ic a lly wr it e s o f t h e Rus s ia t h a t c r e a t e d Gula g: "t h e e xt e r n a l o r d e r is go ve r n e d by a bur e a uc r a t ic is m t h a t c a n ve r y e a s ily ma n if e s t it s e lf a s in h uma n - it y" (p. 67); h e c a s uis t ic a lly limit s t h e "t o t a l h o pe le s s n e s s " t o "t h e la s t f e w ye a r s o f St a lin 's lif e " (p. 71); a n d , a s t o n is h in gly, c a lls t h is t e r r ible t ime "a n h is t o r ic a lly e xt r e me ly impo r t a n t t r a n s it io n a l pe r io d in h uma n it y's pa t h t o s o - c ia lis m" (p. 76). He le n Muc h n ic 's us e f ul e s s a y, "C a n c e r W a r d : Of Fa t e a n d Guilt ," in Ale xa n d r So lzh e n it s yn : C r it ic a l Es s a ys a n d D o c ume n t a r y Ma t e r ia ls , e d . Jo h n D un lo p, Ric h a r d Ha ugh , a n d Ale xis Klimo f f (Be lmo n t , Ma s s ., 1973), mo r e r e a lis t ic a lly e mph a s ize s "a ll t h e gla r in g d is c r e pa n c ie s be t we e n t h e t h e o r y o f t h e So vie t St a t e a n d t h e r e a lit ie s o f So vie t lif e " (p. 290). Th o mps o n Br a d le y's a r t ic le , "Ale xa n d r So lzh e n it s yn 's C a n c e r W a r d : Th e Fa ilur e o f D e f ia n t St o ic is m," in t h e s a me vo lume , e f f e c t ive ly o ppo s e s Luka c s ' vie w o f "t h e in n e r c o lla ps e " o f Ko s t o glo t o v by e mph a s izin g h is mo d e r n St o ic is m a n d t h e h o pe e xpr e s s e d in t h e yo un ge r ge n e r a t io n o f c h a r a c t e r s (pp. 297, 299). 68