Review
Books
Culture
7 min read

Cormac McCarthy's harrowed inheritance

Written before the death of Cormac McCarthy, Austin Stevenson reviews the acclaimed author's last sibling novels, exploring the frugal conversations within them and how dialogues shape virtue.

Austin is a philosophical theologian who works at the intersection of philosophy, religion, and culture.

A diver swims above a crashed plane lying on the sea bed.
A diver investigates a crashed plane on the seabed.
Mael Balland via Unsplash.

This review was first published in March 2023, before Cormac McCarthy's death in June 2023.

When reading The Passenger, the first novel Cormac McCarthy has published since his Pulitzer Prize winning book The Road came out in 2006, I was reminded of a comment E. M. Forster jotted in his notebook about Henry James. ‘However hard you shake his sentences no banality falls out.’ McCarthy has drawn forth prodigious lyricism and acuity by some syntactical alchemy. Rarely in contemporary fiction have I drawn so much delight from just the words on the page. Much of his prose is poetry shrouded in paragraphs.  

He scanned the landscape.  

Here’s a dream. 

This man was a forger of antiquities. 

He travelled in documentation. 

In the instruments for their preparation. 

An old world figure. A dark suit, somewhat travelled in. 

A down at the heels formality 

to which yet clung the odor of the exotic. 

A spectre of saccharine sincerity haunts modern fiction, and the fear of it has all but eviscerated mainstream novels of the polyphonic ornamentation of classical literature. What McCarthy has accomplished here is to recover the elegance, musicality, and intricacy of such great works, but in the context of a spare and denuded grammatical landscape. Sentimentality could not survive for a moment in these two novels, and yet they are genuine and raw to the core.   

The Passenger follows Bobby Western, a deep-sea salvage diver who is inspecting a private jet that crashed off the Gulf Coast. He observes that, among the bodies strapped to the seats in this sunken tomb, one passenger from the manifest is missing. This kicks off the plot of the novel, wherein shadowy figures interrogate and surveil Bobby to ascertain what he knows about the missing passenger, seizing his assets and pushing him to an itinerant existence on the road. And yet, to explain the plot of The Passenger is largely to conceal what it is about, for it is primarily a book about ideas: physics, metaphysics, mathematics, and language. 

The Passenger’s sibling novel, Stella Maris, is set eight years earlier, in 1972, and follows Bobby’s younger sister, Alicia. It is named for the midwestern psychiatric institution Alicia checks herself into and consists of conversations between Alicia and her psychiatrist. Bobby and Alicia are the children of a physicist who worked on the Manhattan Project with Oppenheimer. “His father. Who had created out of the absolute dust of the earth an evil sun by whose light men saw like some hideous adumbration of their own ends through cloth and flesh the bones in one another’s bodies.” Both initially followed his footsteps into academia, but Bobby dropped out of Caltech to race cars in Europe. Alicia quit after having exhausted the intellectual grist internal to mathematics and failed to resolve the foundational questions haunting the discipline (and reality) itself. “She knew that in the end you really cant know. You cant get hold of the world. You can only draw a picture.” 

Bobby is lying in a coma in Europe for the entirety of Stella Maris after crashing in a Formula 2 race. By the time he wakes, Alicia has died by suicide. She is ever-present in The Passenger but only as a memory, and the novel is punctuated by chapters that recount her conversations with the Kid, a hallucinatory figure that has followed her since puberty. “The Thalidomide Kid and the old lady with the roadkill stole and Bathless Grogan and the dwarves and the Minstrel Show. All of them gathered at the foot of her bed.” Alicia may or may not be schizophrenic. And autistic. She is also a world-class violinist.  

The philosopher Alasdair MacIntyre has argued that it is from those who came before us that we receive the depth or poverty of our language and, to some degree, our conversational habits, and it is through the right kinds of conversations that we learn the relationship between the various goods to which we order our lives and become educated in the virtues. The poverty of conversational idioms that many of us have received does much to cut us off from participation in and pursuit of the goods that contribute to our flourishing. I wonder if literature is a possible antidote to this. Specifically, literature with rich dialogue. And this is one of McCarthy’s great strengths. 

'McCarthy is intent on exploring the nature of reality in this novel.'

In dialogue, his characters often start with the end in mind, and then find their way together. Or don’t. Their conversations are frugal, consisting primarily of three- or four-word sentences, and yet they almost always stumble onto to questions of deep significance. There are a lot of rough characters in these novels, but they share a surprising vulnerability. As always, McCarthy doesn’t use quotation marks or tell us who is speaking. When he wants us to, it is easy to follow the flow of dialogue, but occasionally he throws us off the scent. Particularly when Alicia is conversing with her hallucinations, their voices often meld together. The effect amplifies the ethereal quality of their exchanges. 

Bobby is in the habit of asking people if they believe in God—a practise he seems to have picked up from his Granellen (his grandmother).    

Do you believe in God, Bobby? 

I don’t know, Granellen. You asked me that before. I told you. I dont know anything. The best I can say is that I think he and I have pretty much the same opinions. On my better days anyway. 

No one has confident answers to this question, but it often serves to push the conversation along an interesting direction. “I dont know who God is or what he is. But I dont believe all this stuff got here by itself.” McCarthy is intent on exploring the nature of reality in this novel, and for him, the question of God is clearly part of that exploration, wherever it may lead. Fortunately, he is well aware that the question of God is not the same question under debate between fundamentalists and atheists.  

Do you think of yourself as an atheist?  

God no. Those were the good old days.  

In their own ways, these characters exhibit an immanence that is haunted by transcendence. This search for some kind of meaning in the everyday stuff of existence might stand behind McCarthy’s frequent use of sacramental imagery drawn from the Catholicism of his youth. Evil cannot be depicted adequately without a conception of the good of which it is a privation. One might read McCarthy as reverse-engineering this process—ascertaining goodness by staring down its absence.  

There is a tension in these novels between words and numbers. Which is more real? These questions are closely bound up with the characters’ struggles with mental illness and grief. For Alicia, “intelligence is numbers. It’s not words. Words are things we’ve made up. Mathematics is not.” She insists on the transcendent nature of mathematics and many of her conversations with her therapist centre on precisely these questions about what is real, true, stable, with frequent mention of Platonism. This brought to mind Viktor Frankl’s insistence that treating mental illness requires that we acknowledge its existential dimension. ’Man’s search for meaning is the primary motivation in his life.’ Alicia’s mental illness is bound up with her own search for meaning, and vice versa, as well as with the dark cloud that hangs over her family’s legacy. “For a long time I’ve suspected that we might be simply incapable of imagining the epochal evils of which we stand rightly accused and I thought it at least a possibility that the structure of reality itself harbors something like the forms of which our sordid history is only a pale reflection.” History falls short of the forms of the age.   

Transcendence isn’t the only spectre that haunts these pages, and there is a kind of paranoia running through the narrative that seems fitting in an era rife with conspiracy thinking. Given his father’s exploits, Bobby is not particularly surprised to discover documents missing from Granellen’s home, or his own apartment rifled through while he’s gone. As Joseph Heller wrote, 'Just because you’re paranoid doesn’t mean they’re not after you.' It’s clear that someone is after Bobby, and the entire family may or may not be subject to clandestine observation. But there is also a broader sense of powers beyond our control watching, hounding, manipulating.   

You think somebody’s after you? 

I don’t know. I just wonder if maybe lots of people dont feel that way. 

For no reason. 

Yeah. 

They have inherited a troubled legacy, but each, in their own way, has learned to talk about it, and that’s no small thing. This may be McCarthy’s most ambitious work, and you don’t need to understand it to find it extremely enjoyable.   

 

Review
Books
Care
Comment
Psychology
7 min read

We don’t have an over-diagnosis problem, we have a society problem

Suzanne O’Sullivan's question is timely
A visualised glass head shows a swirl of pink across the face.
Maxim Berg on Unsplash.

Rates of diagnoses for autism and ADHD are at an all-time high, whilst NHS funding remains in a perpetual state of squeeze. In this context, consultant neurologist Suzanne O’Sullivan, in her recent book The Age of Diagnosis, asks a timely question: can getting a diagnosis sometimes do more harm than good? Her concern is that many of these apparent “diagnoses” are not so much wrong as superfluous; in her view, they risk harming a person’s sense of wellbeing by encouraging self-imposed limitations or prompting them to pursue treatments that may not be justified. 

There are elements of O-Sullivan’s argument that I am not qualified to assess. For example, I cannot look at the research into preventative treatments for localised and non-metastatic cancers and tell you what proportion of those treatments is unnecessary. However, even from my lay-person’s perspective, it does seem that if the removal of a tumour brings peace of mind to a patient, however benign that tumour might be, then O’Sullivan may be oversimplifying the situation when she proposes that such surgery is an unnecessary medical intervention.  

But O’Sullivan devotes a large proportion of the book to the topics of autism and ADHD – and on this I am less of a lay person. She is one of many people who are proposing that these are being over diagnosed due to parental pressure and social contagion. Her particular concern is that a diagnosis might become a self-fulfilling prophecy, limiting one’s opportunities in life: “Some will take the diagnosis to mean that they can’t do certain things, so they won’t even try.” Notably, O’Sullivan persists with this argument even though the one autistic person whom she interviewed for the book actually told her the opposite: getting a diagnosis had helped her interviewee, Poppy, to re-frame a number of the difficulties that she was facing in life and realise they were not her fault.  

Poppy’s narrative is one with which we are very familiar at the Centre for Autism and Theology, where our team of neurodiverse researchers have conducted many, many interviews with people of all neurotypes across multiple research projects. Time and time again we hear the same thing: getting a diagnosis is what helps many neurodivergent people make sense of their lives and to ask for the help that they need. As theologian Grant Macaskill said in a recent podcast:  

“A label, potentially, is something that can help you to thrive rather than simply label the fact that you're not thriving in some way.” 

Perhaps it is helpful to remember how these diagnoses come about, because neurodivergence cannot be identified by any objective means such as by a blood test or CT scan. At present the only way to get a diagnosis is to have one’s lifestyle, behaviours and preferences analysed by clinicians during an intrusive and often patronising process of self-disclosure. 

Despite the invidious nature of this diagnostic process, more and more people are willing to subject themselves to it. Philosopher Robert Chapman looks to late-stage capitalism for the explanation. Having a diagnosis means that one can take on what is known as the “sick role” in our societal structures. When one is in the “sick role” in any kind of culture, society, or organisation, one is given social permission to take less personal responsibility for one’s own well-being. For example, if I have the flu at home, then caring family members might bring me hot drinks, chicken soup or whatever else I might need, so that I don’t have to get out of bed. This makes sense when I am sick, but if I expected my family to do things like that for me all the time, then I would be called lazy and demanding! When a person is in the “sick role” to whatever degree (it doesn’t always entail being consigned to one’s bed) then the expectations on that person change accordingly.  

Chapman points out that the dynamics of late-stage capitalism have pushed more and more people into the “sick role” because our lifestyles are bad for our health in ways that are mostly out of our own control. In his 2023 book, Empire of Normality, he observes,  

“In the scientific literature more generally, for instance, modern artificial lighting has been associated with depression and other health conditions; excessive exposure to screen time has been associated with chronic overstimulation, mental health conditions, and cognitive disablement; and noise annoyance has been associated with a twofold increase in depression and anxiety, especially relating to noise pollution from aircraft, traffic, and industrial work.” 

Most of this we cannot escape, and on top of it all we live life at a frenetic pace where workers are expected to function like machines, often subordinating the needs and demands of the body. Thus, more and more people begin to experience disablement, where they simply cannot keep working, and they start to reach for medical diagnoses to explain why they cannot keep pace in an environment that is constantly thwarting their efforts to stay fit and well. From this arises the phenomenon of “shadow diagnoses” – this is where “milder” versions of existing conditions, including autism and ADHD, start to be diagnosed more commonly, because more and more people are feeling that they are unsuited to the cognitive, sensory and emotional demands of daily working life.  

When I read in O’Sullivan’s book that a lot more people are asking for diagnoses, what I hear is that a lot more people are asking for help.

O’Sullivan rightly observes that some real problems arise from this phenomenon of “shadow diagnoses”. It does create a scenario, for example, where autistic people who experience significant disability (e.g., those who have no perception of danger and therefore require 24-hour supervision to keep them safe) are in the same “queue” for support as those from whom being autistic doesn’t preclude living independently. 

But this is not a diagnosis problem so much as a society problem – health and social care resources are never limitless, and a process of prioritisation must always take place. If I cut my hand on a piece of broken glass and need to go to A&E for stiches, I might find myself in the same “queue” as a 7-year-old child who has done exactly the same thing. Like anyone, I would expect the staff to treat the child first, knowing that the same injury is likely to be causing a younger person much more distress. Autistic individuals are just as capable of recognising that others within the autism community may have needs that should take priority over their own.   

What O’Sullivan overlooks is that there are some equally big positives to “shadow diagnoses” – especially as our society runs on such strongly capitalist lines. When a large proportion of the population starts to experience the same disablement, it becomes economically worthwhile for employers or other authorities to address the problem. To put it another way: If we get a rise in “shadow diagnoses” then we also get a rise in “shadow treatments” – accommodations made in the workplace/society that mean everybody can thrive. As Macaskill puts it:  

“Accommodations then are not about accommodating something intrinsically negative; they're about accommodating something intrinsically different so that it doesn't have to be negative.” 

This can be seen already in many primary schools: where once it was the exception (and highly stigmatised) for a child to wear noise cancelling headphones, they are now routinely made available to all students, regardless of neurotype. This means not only that stigma is reduced for the one or two students who may be highly dependent on headphones, but it also means that many more children can benefit from a break from the deleterious effects of constant noise. 

When I read in O’Sullivan’s book that a lot more people are asking for diagnoses, what I hear is that a lot more people are asking for help. I suspect the rise in people identifying as neurodivergent reflects a latent cry of “Stop the world, I want to get off!” This is not to say that those coming forward are not autistic or do not have ADHD (or other neurodivergence) but simply that if our societies were gentler and more cohesive, fewer people with these conditions would need to reach for the “sick role” in order to get by.  

Perhaps counter-intuitively, if we want the number of people asking for the “sick role” to decrease, we actually need to be diagnosing more people! In this way, we push our capitalist society towards adopting “shadow-treatments” – adopting certain accommodations in our schools and workplaces as part of the norm. When this happens, there are benefits not only for neurodivergent people, but for everybody.

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