PATHEMATA, OR, THE STORY OF MY MOUTH

A compact return to the personal by one of today’s sharpest literary minds.

Following two recent works of cultural criticism, Nelson’s new text swings and sings back to the intimate and personal. Her quest to alleviate persistent, consuming orofacial pain serves as a narrative backbone assembled from a series of treatment plans, including Botox, a tongue-tie frenectomy, and even the suggestion to tape her mouth shut while sleeping. As she collects recommendations for pain management that veer from the surgical to the “woo-woo”—each promising accurate diagnosis and permanent deliverance—Nelson drifts between the tangible sensation of her pain and the surreality of her dreams. Her search for relief swells around the puncture wound of the coronavirus, and her prose echoes the nebulous space and abrupt transitions between specifics of time, place, interrupted activity, and the singularity and absurdity of that period. Tensions and tenderness in her relationships with her partner, her son, and a dear friend on the verge of a lonely death are atomized by the pandemic, dancing in the shadows alongside twisted nightmares, reflections on her career, and visits to dentists, therapists, and other healers. While the text is short, it packs plenty of Nelson’s signature power punches of brilliance and shrewd humor, driving the reader to look between carefully constructed lines that twitch with secrets and memories held and defended. The author’s audit of her physical pain, its undulating waves, and its stubborn betrayal of and distraction to her body and mind serves as a conduit for discerning the necessity of a person’s mouth, voice, and words, cautioning against both exhausting one’s words and stifling a person’s speech, revealing both the power and burden of what is said and what is not.

Dense and striking, to be savored and reread.