Snippet
Comment
Trauma
War & peace
2 min read

Hospitals are home to the truth of war

Remembering what war really is.
A black and white photo shows solider patients and nurses in a hospital.
Christmas in a German military hospital, Word War One.
Aussie~mobs, public domain, via Wikimedia.

I’ve been re-reading Erich Maria Remarque’s All Quiet on the Western Front in the run-up to Remembrance Day. Remarque, born in Westphalia in 1898, uses his own experiences of the horrors of the Western Front to paint a gut-wrenching portrait of its futility and suffering, seen through the eyes of 20-year-old Paul Baum. 

It had been towards the end of this First World War that Hiram Johnson, Republican Senator of California, observed that ‘the first casualty when war comes is truth.’ This is precisely Paul’s experience. 

The newspapers delivered to the soldiers at the Front are hopelessly, naively, offensively optimistic. They present a painfully, laughably discordant tissue of lies that deny the most basic truths of daily experience. When Paul goes home on leave, truth is even harder to find. His remote father only wants to hear tales of glory and courage and well-fed soldiers. His blabbering former teachers - the very ones who had cajoled his whole class to sign up - are patronising, ignorant and opinionated on the best route to victory. They literally have no idea, and worse, they don’t want to know.  

It’s only when he’s taken to a Catholic Hospital after an injury that Paul stumbles on an agonising truth -  

‘A hospital alone shows what war is.’ 

Paul’s vivid description of life on the wards backs this up. He witnesses the unceasing production line of shattered bodies tumbling into every available space. He’s warned against ‘The Dying Room’ which is conveniently, practically, located next to the mortuary. He catalogues the surrounding wards - ‘abdominal and spinal cases, head wounds, double amputations, jaw wounds, gas cases, nose, ear and neck wounds … the blind … lung wounds, pelvis wounds, wounds in the testicles …’ He’s grateful for the gentle, joyful kindness of Sister Libertine, ‘who spreads good cheer through the whole wing.’ 

This hospital is more eloquent on the theme of the futility of the fighting than any newspaper article or speech, censored or otherwise. 

For much of my adult life grainy videos of precision-guided bombs and leaders pounding their fist in defiant rhetoric have been the go-to guides to tell us the truth about modern warfare. I trust these sources less than ever, as I recall my instinctive respect for the ambulance drivers, nurses and doctors on the front-line - wherever it may be - marvelling at their courage and truth-telling and even-handed humanity. 

Their voices are shamefully drowned out in the world’s conflict zones, dwarfed by propaganda as insulting and truth-lite as the newspapers that doubled as toilet paper for both sides on the Western Front. And I cringe at the thought of what Paul and his young comrades would’ve made of hospitals - those oases of truth - becoming the targets of today’s bombs, missiles and drone strikes. 

We, rightly, remember the First World War as the very epitome of futility - Paul and his generation saw this truth far more clearly than we do. But let’s not congratulate ourselves, as we prepare for Acts of Remembrance in 2024, on having made any real progress in the last 100 years - hospitals across the globe’s conflict zones still tell us what war really is, if only we could hear, if only we would listen. 

Review
Culture
Film & TV
Mental Health
Trauma
5 min read

The battle between seen and unseen pain

Jesse Eisenberg explores how the generations cope with pain.

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

Two male cousins converse across the aisle of a train.
Kieran Culkin and Jesse Eisenberg.

In today’s ultra-developed world, where technological and medical advances have reached unprecedented heights, suffering remains an unsolved problem. While the World Health Organization claims the successful prevention, elimination, or treatment of more diseases than ever before, it also highlights significant increases in anxiety, depression, and stress-related disorders worldwide. This paradox raises questions not only about the root causes of mental health suffering but also about the way we understand its current prevalence and impact. Are today’s struggles any different to those others have experienced before us? Is the pain equally real? As we approach the eightieth anniversary of Holocaust Memorial Day, can we truly equate the silent struggles of contemporary emotional health challenges with the unimaginably harrowing experiences of those who endured the worst horrors of war, violence, and genocide?  

Jesse Eisenberg dares to tackle these complex questions with his directorial debut, A Real Pain, a masterful exploration of trauma, resilience, and the search for meaning. Co-starring Kieran Culkin in a career-defining performance, the film takes viewers on a journey that is part road trip, part comedy-drama, part historical reflection, and wholly compelling. I believe it offers a timely and deeply thought-provoking challenge to consider how we recognise and process pain across generations as well as understand the way pain shapes – and reshapes – our lives.  

In the film, Eisenberg and Culkin portray two estranged Jewish-American cousins, David and Benji, who embark on a shared mission to retrace the steps of their grandmother, a Holocaust survivor. What begins as a simple road trip to Poland quickly transforms into something much more as the brutal reality of intergenerational trauma and mental health struggles rise to the surface.  The film’s themes can be explored through three key lenses: the passing on of pain, the proximity of pain, and the problem of pain. 

The passing on of pain 

At its heart, A Real Pain is a story about legacy—the burdens and blessings passed down through generations. Though their shared grandmother is no longer alive, her story of survival, resilience, and eventual flourishing has left a profound impact on her descendants. Her story draws the cousins in, but it also draws them together and apart in different ways over the course of the trip. There is tragedy and comedy, and poignant moments of connection as well as frustration as Eisenberg explores how trauma echoes through generations, affecting different people in different ways, weighing heavily on those who did not live through the original events. This theme is handled with nuance showing both the strength and fragility that come from confronting a painful past. Ultimately it brings us to a new question – how do we honour the suffering of those who came before us while also finding our own path, or paths, to healing? 

The proximity of pain 

As the cousins delve deeper into their family’s history, the film juxtaposes the grandmother’s resilience in the face of antisemitism, war, and Holocaust with Benji’s struggles. Despite severe loss, grief and trauma, the grandmother went on to live a meaningful life. Benji on the other hand struggles to keep on top of his daily responsibilities, hold down a job, and maintain relationships. He struggles to find any meaning in his life and reveals he has attempted suicide. How, he wonders, did his grandmother find the strength to fight for her life against the backdrop of the Holocaust when he can’t even navigate the relative peace of middle-class America? This question seems to add to his despair. He seems thoroughly beaten.  

Eisenberg does not provide easy answers but instead invites viewers to wrestle with these complexities of life and death, resilience, and vulnerability. He forces us to confront our assumptions about suffering and strength. By making us reflect on which pain is more real, he seems to have found a way to challenge us both to honour the reality of past trauma and recognise the reality of the struggles faced by those around us.  He has certainly found a way to help us empathise both with the millions of people who are currently displaced and traumatised by violence, conflict, and displacement, and, equally, with the millions whose mental health is in tatters.   

The problem of pain 

At its core, A Real Pain tackles the universal question: what do we do with suffering? Do we bury it in the past? Do we pretend it does not exist? Do we insulate ourselves from the pain of others? Do we respond with frustration and anger or with patience and empathy? Do we accept pain as a tragic by-product of existence? Do we struggle under the burden of it? Do we let it defeat us? Do we find ways to learn from it? Can pain make us stronger? Can it make us better people? Does it point to something deeper within us or, indeed, something beyond us? 

Right in the middle of the film, David and Benji meet a survivor of the Rwandan genocide. who provides a stark reminder that the horrors of the Holocaust are not just consigned to history, that even today there are places where entire people groups are being targeted, destroyed, and displaced. This character has clearly found solace and meaning through his faith, in contrast to the cousins’ secular Jewish identities. The tension between belief and unbelief runs through the film and reflects the wider experience of many for whom pain has been a critical factor in their journey either to faith or away from it.  

For C.S. Lewis, the author of the Narnia chronicles who offered spiritual solace to the nation during the Second World War and who was personally familiar with suffering writes: “God whispers to us in our pleasures, speaks in our conscience, but shouts in our pains: it is His megaphone to rouse a deaf world.” Pain, for many Christians like Lewis is supposed to draw us towards faith – it is an urgent invitation to seek meaning and connection in a fractured world. Pain reminds us of our mortality and vulnerability, and our dependence not just on others, but perhaps too on an Almighty being who offers hope, healing and the promise of a life beyond this in a world where there is no more death, no more tears, no more pain.  

With A Real Pain, Jesse Eisenberg has crafted a film that will make you laugh and cry and think and discuss and reach out to others, or even to God.  This film invites you to reflect on the past, present and future, to wrestle with the pain we carry and to seek meaning beyond it. It’s a must-watch for anyone who dares to reflect on life’s most profound questions.  

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