134 RESEARCH Effects of creative and social activity on older people

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Effects of creative and social activity on the health and well- being of socially isolated older people: outcomes from a multi- method observational study

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Authors Colin J Greaves, Research Fellow in Primary Care, Peninsula Medical School, Smeall Building, St Luke’s Campus, Magdalen Road Exeter EX1 2LU Email: Colin.Greaves@ pms.ac.uk Lou Farbus, Research Fellow, Peninsula Medical School, Magdalen Road, Exeter EX1 2LU Corresponding author: Colin Greaves Received 7 November 2005, revised and accepted 27 January 2006

Key words Creative activity; mentoring; older people; social isolation; social networking

Competing interests The research was commissioned by Upstream HLC, although with the brief was to conduct an independent enquiry. Upstream staff were involved in collecting questionnaire data, but not in the interpretation of any of the outcomes data or writing the report.

JRSH Copyright © 2006 The Journal of The Royal Society for the Promotion of Health May 2006 Vol 126 No 3 ISSN 1466-4240 DOI: 10.1177/1466424006064303

INTRODUCTION The UK’s population is ageing. In the next 25 years the number of people over the age of 80 will treble, and those over 90 will double.1, 2 The expected future impact on healthcare resources has led to government policies which aim to increase ‘quality of ageing’ through joint NHS, Social Services and voluntary sector provision.1, 3

As the number of older people increases, more are living alone.4 A recent UK survey found that 12% of over 65s feel socially isolated.5 Social isolation and loneliness are consistently associated with reduced wellbeing, health and quality of life in older people.5, 6 Conversely, improved social functioning and social connectivity is associated with improved health and

wellbeing.7–9 Depression in particular is associated with social isolation5 and affects one in seven over 65s.10

EFFECTIVENESS OF SOCIAL NETWORKING INTERVENTIONS The few trials which have evaluated interventions designed to promote social participation in older people have produced mixed results.11–17 However, a careful review of this literature suggests that interventions which promote active rather than passive social contact, are more likely to impact positively on health and quality of life. Passive interventions, such as home-visiting, have been shown to have only limited effectiveness.11–13 However, ‘active’ interventions that promote the

development of meaningful social roles and active engagement in local communities have demonstrated positive impacts on older people’s quality of life and health.14–17 For example, 108 women who lived alone took part in a randomized controlled trial of small group meetings aimed at alleviating ‘emotional and social estrangement’.14 After 6 months the intervention led to an increased range of social contacts, increased self-esteem, and lower blood pressure. Another randomized controlled trial tested a Program to Encourage Active, Rewarding Lives for Seniors (PEARLS) for people aged 60 or over with depression. This communityintegrated programme consisted of problem-solving with an emphasis on

Abstract Depression and social isolation affect one in seven people over 65 and there is increasing recognition that social isolation adversely affects long-term health. Research indicates that interventions, which promote active social contact, which encourage creativity, and which use mentoring, are more likely to positively affect health and well-being. The purpose of this study was to evaluate a complex intervention for addressing social isolation in older people, embodying these principles: The Upstream Healthy Living Centre. Mentors delivered a series of individually-tailored activities, with support tailing off over time. Two hundred and twentynine participants were offered the Geriatric Depression Scale, SF12 Health Quality of Life, and Medical Outcomes Social Support scale at baseline, then 6 months and 12 months post intervention. Semi-structured interviews were conducted with 26 participants, five carers and four referring health professionals to provide a deeper understanding of outcomes. Data were available for 172 (75%) participants at baseline, 72 (53% of those eligible) at 6 months and 51 (55%) at 12 months. Baseline scores indicated social isolation and high morbidity for mental and physical health. The intervention was successful in engaging this population (80% of referrals were engaged in some form of activity). At 6 months, there were significant improvements in SF12 mental component, and depression scores, but not in perceived physical health or social support. At 12 months, there were significant improvements in depression and social support and a marginally significant improvement in SF12 physical component (p = 0.06), but the SF12 mental component change was not maintained. The qualitative data showed that the intervention was well-received by participants. The data indicated a wide range of responses (both physical and emotional), including increased alertness, social activity, self- worth, optimism about life, and positive changes in health behaviour. Stronger, ‘transformational’ changes were reported by some participants. Individual tailoring seemed to be a key mediator of outcomes, as was overcoming barriers relating to transport and venues. Key processes underlying outcomes were the development of a positive group identity, and building of confidence/self-efficacy. The Upstream model provides a practical way of engaging socially isolated elderly people and generating social networks. The data suggest a range of psychosocial and physical health benefits. Although there are limitations in attributing causality in uncontrolled studies, the data seem to indicate a reversal of the expected downward trends in some aspects of participants’ health, and suggest that this approach is worth further investigation.

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social and physical activation. After 12 months, depression had significantly reduced and health-related quality of life had significantly increased.16

A recent review of interventions to address social isolation in the elderly concludes that better evaluations are required.13 However, it also suggests that successful interventions may include elements of gate-keeping (identifying problems and connecting people with appropriate services), group support which enriches friendships and empowers participants, and other methods for active social network building.

EFFECTIVENESS OF INTERVENTIONS PROMOTING CREATIVE ACTIVITY Creativity has been described as a key factor in adaptation to ageing,18 and a number of community-based ‘art for health’ initiatives have been created recently in the UK.19 Some studies have suggested that engaging in creative activity has benefits for psychological well- being.20–22 One known mechanism is that creative interests can be used to increase and sustain social interaction among older people.22 However, creative activity is also held to be therapeutic in itself for psychological health.23–25 An association between attending cultural events (cinema, theatre, concert/live music, museums, art exhibitions and sermons) and physical health has also been reported. In a large prospective cohort study from Sweden involving 12,675 people,26 regular attendance at cultural events was independently related to mortality. In a qualitative study, Matarasso et al.24 identified 50 effects of participation in the arts, including increases in people’s confidence and sense of self-worth, increased involvement in social activity/reduced isolation, encouraging selfreliance, facilitating health education and building social capital.

The translation of such changes into health benefits has yet to be clearly demonstrated by high quality trials of specific interventions.19, 25 However, qualitative and observational evaluations of five community-based art and health projects in various parts of England25 indicate that participation in community arts projects may lead to less visits to GPs

particularly for depression, and a reduction in medication usage. In these studies, participation in art projects also helped people feel ‘part of a team’ and reduced social isolation. EFFECTIVENESS OF MENTORING APPROACHES The use of mentors has been recommended as a method for facilitating creative and social activity and to aid the promotion of psychological well-being and selfesteem.27– 29 Mentoring has also been demonstrated to be effective in facilitating behaviour change in elderly populations. A randomized controlled trial of using older people as mentors to educate and empower peers about their health found that those attending the mentor-led groups took more exercise and had better physical healthrelated quality of life than controls.30

In summary, interventions that promote active social contact, and encourage stimulating creative activity, with support and guidance from a mentor, seem to have potential for improving health outcomes in elderly, socially isolated people.

The research presented here forms part of the evaluation of the Upstream Healthy Living Centre. This is a mentored intervention for elderly socially isolated people, designed to provide individually stimulating creative activity and active (participatory and self-determined) social contact. This article focuses on the outcomes of the intervention, with the specific aims:

• to qualitatively identify the range and nature of impacts on participants; and

• to quantitatively assess the scale of likely impact in terms of participants’ physical and mental health.

METHODS

Design Qualitative research using semi-structured individual interviews and focus groups was conducted alongside an observational study with questionnaire-based health and social outcomes assessed at three time points (baseline, 6 months and 12 months).

Intervention The Upstream Healthy Living Centre is a community-based intervention operating on an outreach basis. Mentors work closely with participants, aiming to re-kindle their passion and interest in life by engaging in participant- determined programmes of creative, exercise and/or cultural activities, with an emphasis on social interaction. The intervention is individually tailored to suit each participant’s own interests and passions. Activity-based interventions are provided, with visits from mentors initially on a weekly basis, and regular telephone contact, which is gradually diminished as participants become more confident and able. A wide range of activities are provided including painting, print making, creative writing, reminiscence/living history, Tai Chi, movement/gentle exercise, computing, pottery, exploring sound and music, various craft work activities, quilting, falls awareness education, singing, hand bells, Walk and Talk groups, cookery, book clubs, and hearing school children read. Around 24% of referrals are signposted to existing community-based activities, with the remainder having activities arranged mainly by Upstream. Most participants attend group activities, although those with severe mobility problems receive intervention in their own home (around 9%). The mentors always seek to maximise opportunities for social interaction.

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The creative aspect of the intervention aims to maximize ‘stimulation’ (higher cognitive functioning). Tailoring activities to individual abilities and interests is intended to maximise the level of personal meaningfulness, thereby making activities more likely to be engaged with and sustained. There is also an explicit acknowledgement of the need to build selfefficacy (confidence about a participant’s ability to conduct activities and to maintain them as mentoring is withdrawn).

Despite differences in individual intervention pathways, the intervention is consistent in terms of the training given to mentors and the approach used. The mentors are trained in the Upstream ethos, mentoring principles and techniques (six hours over three sessions), working with elderly clients (five–six sessions with a clinical psychologist), risk management for home visiting, falls awareness and prevention, giving state benefits advice, and some basic first aid (as required). This is augmented by peer development sessions encouraging the sharing of ideas and solutions to problems. At least one mentor is in attendance at activities (usually in addition to the activity provider) to facilitate the participants’ enjoyment.

Upstream encourages participants to work towards maintaining and sustaining their own groups if they desire. This has involved help with finding venues, fundraising, setting up management committees, providing contacts for community transport schemes and for appropriate activity providers.

The evaluation focused on those receiving substantial mentoring input (excluding those who received simple signposting only).

Measures Qualitative measures Semi-structured interviews were developed through consultation with ‘key informants’ (Upstream staff, other researchers and participants from a prior pilot study).31 These were revised as needed to allow exploration of emerging themes. Relevant extracts from the topic guides are provided in Figure 1. Most were individual interviews, although some participants were interviewed with their carers, and one focus group was conducted. Data were

collected at different time-points, reflecting changes in the Upstream system over an 18-month period. Data were collected on processes as well as outcomes. However, this article is focused only on participant outcomes and factors that mediated these outcomes.

Quantitative measures Short form 12 (version 1): The SF12 is a widely used, self-administered 12-item questionnaire

with reliability and validity established in numerous studies.32, 33 It provides separate scores for physical and mental well-being. A combined (physical and mental) health utility score can also be derived for use in health economic analyses.34

Geriatric depression scale (GDS-15): The Geriatric Depression Scale is a widely used and validated 15-item measure of depression symptoms, designed for older people.35, 36 It is self-administered, and can be used as a screening tool with 92% sensitivity and 89% specificity when evaluated against diagnostic criteria.36 The scale can be used to identify mild depression (scores of 5–10) and severe depression (11–15). MOS social support survey (MOSSS): The

Medical Outcomes Study Social Support Survey (MOSSS)37 is an 18-item selfadministered questionnaire, measuring overall social support and four sub-scale concepts (emotional/informational support,

tangible support, affectionate support, positive social interaction). The MOSSS is not as widely used or wellvalidated as the SF12 or GDS-15, but has been shown to be sensitive to differences between patients with depression and with other chronic illnesses.38 Following feedback that participants found the questionnaires repetitive and somewhat tedious, it was decided to use only the three ‘positive interaction’ items, and three additional

items selected to represent aspects which we expected the Upstream intervention might affect (‘someone to do things with’; ‘someone to confide in’; and ‘someone to turn to for suggestions about personal problems’).

Demographic variables Data were collected on age, gender, perceived financial pressure, and any longstanding illnesses. Further demographic data were collected for the first 45 participants about health and social services usage, marital status, living arrangements (this was then stopped to reduce questionnaire burden).

Participants Upstream seeks participants ‘from their 50s onwards, whose lives may have changed or are about to change in some way (perhaps through retirement, moving home, age or illness), or people with time on their hands, or who might, for whatever reason, find it

Figure 1

Topic guide for participant and carer interviews (main questions with possible prompts in brackets)

What has been your experience of the Upstream Intervention? (description, evaluation, feelings)

What are the strengths and weaknesses of Upstream? (any difficulties with access, mobility, other barriers)

Have you noticed any changes in yourself since you became involved in Upstream? (physical and mental health, confidence, feelings)

Is there anything you feel you can do now that you couldn’t do before you got involved with Upstream?

(how does that make you feel) Do you think your attitude towards your health and/or happiness has changed since you became involved with Upstream? What impact, if any, has Upstream had on your social life?

(any new friendships, activities, group memberships) What are the key things that make it work/stop it working?

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difficult to keep in touch with the local community and would enjoy the opportunity to share their interests, skills and enthusiasm with others’ (from Upstream’s guidance for referral sources). Participation is restricted to people in the Mid Devon Primary Care Trust area, with no mental or physical health problems which might make them a danger to others or that require special nursing care when attending activities.

Upstream recruits participants through a community networking approach. This includes approaching health and social services staff, churches, voluntary organizations, existing local groups, and the residential care/assisted accommodation sector. Introductory leaflets and posters are also distributed through these outlets.

Participants for qualitative research Between July 2003 and December 2004, a sample39 of Upstream participants were purposively selected to maximise variation in age, gender, level of mobility and financial status. Where applicable, carers were also invited to take part. This produced individual interviews with 18 Upstream participants (11 female, seven male) five carers (three with participant present), and one focus group involving a further eight participants (all female). Four health professionals referring into Upstream were also interviewed. Participants for quantitative research All (229) of Upstream participants who took up Upstream’s offer of support, and who were not immediately ‘signposted’ to community-based activities, were invited to complete questionnaires.

Analysis Qualitative analysis The qualitative data were taped and transcribed and subjected to qualitative content analysis40, 41 by an experienced qualitative researcher (LF), who also conducted the interviews. This involved extracting concepts and broader themes from the interview transcripts and constant comparison between emerging themes and the raw data. Some theoretical sampling (selection of participants or new questions to develop emerging ideas) was used, and the data were frequently revisited to crosscheck and develop ideas. Participants’ responses were partially validated within interviews by periodically

asking them for confirmation or refutation of withininterview summaries provided by the interviewer. Participants were also asked to discuss themes that were emerging from the ongoing analysis.42 Extensive memos and a reflexive diary were kept to monitor the researcher’s thought processes and to minimize the subjectivity of the analysis. Two further qualitative researchers at the Peninsula Medical School were asked to comment on detailed draft reports and to validate the connection between the analytic themes and the quotes used to ‘ground’ these interpretations.43, 44 Any queries about interpretation were resolved by discussion, with agreement being reached in all instances.

Quantitative analysis Data were entered into SPSS V11.0. Data entry was double- checked and range and outlier analyses used to identify errors. Questionnaires were scored according to the developers’ instructions, with missing values imputed where 75% or more of other items in the scale had been completed. Mean outcome scores were compared from baseline to follow-up with separate analyses at 6 and 12 months, using two-sided related samples t-tests.

Procedure For the quantitative research, Upstream mentors invited participants to take part, and assisted completion of questionnaires if required (appropriate training was given). Follow-up measures were administered 5–6 months and 10–12 months after the first mentor visit. The Upstream administrator provided monthly reminders to trigger follow-up questionnaires. For the qualitative research, inspection of an anonymized version of the Upstream database was used to facilitate the purposive sampling. Candidates were then approached by letter with a follow-up phone call to arrange appointments. Ethical approval was provided by N&E Devon NHS Local Research Ethics Committee.

RESULTS Qualitative results The feedback from participants, carers and health professionals was generally positive, with the vast majority speaking highly of the quality and appropriateness of activities, and their enjoyment of them. A wide range

of benefits was reported, which could be broadly classed as psychological, social and physical health benefits. Only three of the 18 individually interviewed participants reported no change in their mood or health-related behaviours since they became involved with Upstream.

Psychological and social benefits Within the data, one of the strongest themes was the perception of psychological benefit, which was reported by carers and health professionals, as well as participants. This was tied up to a large extent with increased social interaction and the perceived quality of these interactions. The range of psychological and social benefits is summarized in Figure 2. The vast majority of participants reported increased confidence in engaging in new activities, and in interacting socially with others. (Key to quotes: P = Upstream participant; C = carer; HP = health professional.)

‘P2018: I’m doing something different. I’m achieving something in me old age that I didn’t think I’d be able to do.’

The sense of increased optimism, selfworth and willingness to engage in life evident in the data suggests that the intervention was particularly effective in ameliorating depressed mood and loneliness. Indeed four participants talked specifically about Upstream acting like a ‘catalyst’ that speeded their recovery from depression.

‘P3014: What Upstream has done is make me feel that I belong, whereas coming down as a stranger . . . I feel more part of [this town] now. I really do because I was dissolving into tears for my old friends, but that hasn’t happened now for 4, 5 months, which is a good thing.’

‘P3001: I really do feel I’m that lucky that, for whatever reason, the switch has turned and I’m now doing things I never dreamed I would be doing before, like working at the volunteer bureau. . . . I think it [Upstream] accelerated my recovery. . . . Having started to suddenly feel better, everything I did made me feel it all has a knock on effect.’

Psychosocial benefits were apparent in the vast majority of cases, with all but two participants voicing their enjoyment of the social interaction. Several participants reported calling each other between sessions.

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Physical health benefits Evidence of improvement in physical health was not as common, but there were indications that Upstream had encouraged a number of participants to take better care of themselves, and improvements in a range of health behaviours were reported. These included better adherence to medication/self-care regimes, better quality of sleep, reduced alcohol consumption, increases in the amount and type of exercise, and greater attention to diet.

‘P3007: Instead of only having an hour at a time like before, I’ll sleep 5 or 6 hours at a time now. I wake up feeling that much better.’

‘C001: This is a man who would only eat banana sandwiches up until last October. Now he’s cooking himself proper meals, and steaming all his vegetables.’

Four of the 18 individual interviewees provided striking testimonies of stronger, ‘transformational’ change, affecting multiple aspects of their lives. These reports typically included an increased sense of meaning in life, increased social and physical activity, and more attention to self- care.

‘P3001: I still have osteoporosis, I still have collapsed vertebrae . . . I can’t walk more than 40 yards . . . But I’m better now than I was in 1999 before I was ill . . . I don’t get agitated about things. I think I’m much more able to sort loads and loads of different things . . . Now I’ve woken up from the fog it’s like I’m really enjoying my life as though this is what I’m meant to be doing now.’

‘HP003: She said, ‘I never go out except to the shops every day because all my friends are dead. My husband’s dead, I

don’t have any children’ . . . She doesn’t read and she doesn’t have hobbies . . ., and so her life was absolutely a barren desert. So then I got Upstream involved and they did some home visits and gradually introduced her to this little art group and . . . she’s made friends and she’s a new woman. She’s not depressed and withdrawn as she was. She’s got confidence and I think that’s terrific . . . She’s cheerful, she has got a brighter step and . . . it’s just opened up new horizons for her and made her life better. It gives them confidence. It gives them value.’

Overall, the data suggest that Upstream was successful in socially re-integrating people who were previously isolated. This seemed to be facilitated by providing a non-threatening forum in which people could be offered and mutually share social support (for example, sharing transport, material, skills, encouragement, information). No significant negative outcomes were reported, although this information was actively sought.

Factors mediating the impact of Upstream

Issues of access and availability of appropriate activities were crucial prerequisites for engagement. Transport in particular was a frequently reported barrier preventing people from being able to see each other or attend activities as much as they would like. The appropriateness of the venue was also important.

Enjoyment of activities also seemed to be mediated by the extent to which mentors could tailor activities to individual abilities, preferences, health status, social skills and confidence. The issue of health/ability also mediated the amount

of mentor input needed, and those with more severe health problems/disabilities required ongoing mentor support.

‘P3002: It’s something to do, something I’m interested in. Like participating in that magazine thing was a brilliant idea. I’ve never . . . written anything or put anything in words like that in my life! I’m not very good, but I like it and that’s it . . . it’s going to become a hobby soon.’

The main factors which mediated the maintenance of activities and the derivation of benefits seemed to be building confidence/self-efficacy in the individual, and the creation of positive social dynamics. A key factor was the ability of mentors to empower participants (building confidence and selfdetermination) to (1) try out and succeed at engaging in activities, and (2) to be able to engage socially in their groups.

‘P2015: If you do something strange or new you’ve got to start at the bottom. It’s no good trying to go in half way up.’

‘P2012: The fact that somebody was going to come and see me on a regular basis because the other thing that I’ve

Figure 2

Range of benefits reported by Upstream participants

• Reductions in depression and loneliness

• Increased alertness or cognitive awareness

• Potentially reduced risk of falls (related to alertness)

• Increased well being and optimism

• Less dwelling on concerns or worries,

• Better sleep

• Increased social interaction and community involvement

• Increased quality of social interactions

• Increased sense of self-worth and willingness to engage in life

• Collateral benefits for carers and family (seeing loved ones enjoying life more, and respite opportunities)

• Increased physical activity, more energy

• Healthier diet and less heavy drinking

• Less health visits, reduced medication use

• Facilitated the rehabilitation of co-ordination /mobility post-stroke

• Increase in hobbies and activities outside of Upstream

• Increased enjoyment of life

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suffered really with is a fear of abandonment. . . . It makes you feel . . . like somebody’s bothered about you. Yes, somebody cares. I would say it’s things like that that give people a bit of purpose, a bit of encouragement. . . . Going back to [all the new things I’ve be doing], I wouldn’t have the confidence to do half those things a couple of months ago.’

Quantitative results Engagement in activities Progress was tracked over 6 months for 320 participants who had been referred to Upstream by the end of February 2005. This showed that 255 (80%) had been engaged in some kind of activity, with 62 of these being directly signposted to community-based activities. Of the 193 receiving ongoing input from Upstream, 171 (89%) were still engaged in activities after 6 months. The main reasons for nonengagement were ill-health, or participants deciding that Upstream was not suited to them.

Response rates On 30 September 2005 (the data collection cut-off date), Upstream had engaged 229 participants in activities (excluding signposting). Of these 172 (75%) provided baseline data. At this time, 136 participants were eligible for 6-month follow-up and 72 (53%) provided data (mean follow-up time 5.5 months). For 12-month follow-up, 93 participants were eligible and 51 (55%) provided data (mean follow-up time 12.0 months).

Response bias analysis There were no significant differences between responders and non-responders either at 6 months or at 12 months in terms of age, financial status, gender or baseline SF12 or social support scores. Non- responders at 6 months had more depressive symptoms at baseline than responders (MD = 1.2, t(131) = –2.17, p < 0.05), but there was no significant difference at 12 months. No significant response/dropout biases were detected between 6 months and 12 months in the 6 month SF12, GDS-15 or social support scores.

Sample characteristics Of 172 participants providing baseline data, 76% were female, and the mean age was 77 (52

to 96). The baseline health status scores are shown in Table 1. A quarter (25%) reported having some financial pressures. Participants had poor physical and psychological health at baseline, commensurate with high levels of loneliness and social isolation in that:

• 74% had at least one longstanding physical health impairment which limited activities. The most common reported problems were musculoskeletal/mobility problems, diabetes and heart disease (inc stroke), and respiratory illness.

• SF12 health quality of life scores were

significantly lower than norms for US over-75s and the general UK population (Table 2) for both mental and physical health (one-sample t-test, p < 0.001, p < 0.01, respectively). As SF12 general population means are better in the UK for mental health (52.1 vs. 50.0 in the

USA) and similar for physical health (50.9 vs. 50.8),45 Upstream’s population

are also likely to be substantially below UK norms for over-75s.

• 53% had clinical depression based on their GDS-15 scores (45% mild; 8% severe).

Further demographic data from the first 45 participants showed high levels of

service usage in the last 3 months (73% used the NHS with a mean 2.5 GP visits; 53% used social services). Of this early sample, 64% were widowed, 73% lived alone and 93% were retired.

6-month follow up The data (Table 3) showed a statistically significant increase in SF12 mental component score (MD = 3.02, 95%CI: 1.01 to 5.04, p < 0.005). There was also a statistically significant reduction in depressive mood (MD = 0.60, 95%CI: 0.14 to 1.05, p < 0.02). However, there was no significant increase or decline in SF12 physical health, overall health utility, or

social support scores.

Individual benefits/clinical meaningfulness A clinically meaningful change for SF12 scores is considered to be 2 points,46–48 and 60% of participants experienced this level of change in mental

component score. We assumed that a six- point change in mental component score (equivalent to a 25 percentile shift in population ranking48) represented strong change, and 30% experienced this level of change. The number with clinical levels of depression fell from 32 (45%) to 25 (35%).

12-month follow up

Table 2

Mean SF12 scores for Upstream participants and population norms

SF12 Domain Upstream US over-75s UK general population

Mental health 46.8* 50.1 52.1

Physical health 36.4* 38.7 50.9

Note: *Data converted to 1998 Scoring system for comparison purposes

Table 1

Baseline health status scores

Measure Mean (SD) N

SF12 MCS 47.0 (11.1) 166

SF12 PCS 35.3 (11.2) 166

GDS-15 5.35 (3.42) 169

MOSSS (six-item) 1.79 (1.13) 164

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The 12-month data provided a slightly more mixed picture. The improvements in depression scores were maintained (MD = 0.57, 95%CI: 0.02 to 1.11. p < 0.05). The difference in SF12 physical component scores now came close to (but did not quite achieve) significance (MD = 1.57, 95%CI: – 0.08 to 3.22, p = 0.06). MOSSS scores also improved significantly (MD = 0.20, 95%CI: 0.03 to 0.37, p < 0.05). However, the improvement in SF12 mental component scores decreased and was no longer significant (Mean improvement = 0.71 points, n.s.). Overall health utility scores (combining SF12 mental and physical components) improved significantly between baseline and 12 months (MD = 0.027, 95%CI: 0.002 to 0.052, p < 0.05).

DISCUSSION Both qualitative and quantitative data indicated that the health status of elderly socially isolated people taking part in creative and social activities with individualized mentor support improved meaningfully over time. The initial benefits seemed to be primarily in psychological well-being and reduced depression, with perceived social support and overall health utility benefits emerging after 12 months. Although the improvement in depression scores was maintained at 12 months, the improvement in SF-12 mental component score was not. The qualitative feedback indicated a range of benefits, with psychosocial benefit and depressed mood being the most widely reported.

Possible explanations of the data Do these data represent improvements in health status caused by the Upstream intervention?

It is worth considering the expected trends in mental and physical health for this

population, and to ask to what extent their health might have improved in the absence of the intervention. We do not have detailed information about physical health problems in the sample at baseline, although there was a high prevalence of longstanding, non- remitting illnesses (see sample characteristics). Life expectancy at age 77 is only 5–8 years,49 and so a downward trend might be predicted. Indeed, longitudinal studies of ageing in the general UK population show a clear trend of declining physical and mental health with age, with a more dramatic decline in women.50–52

It is also worth considering the specific issue of whether depression would be expected to improve in the absence of the intervention. To address this we conducted a brief review of the literature, looking at outcomes for control groups in randomized controlled trials of treatments for depression in older populations, which used

the GDS as an outcome measure. Six such studies were identified in which the control

groups had no intervention provided (and no information about their depression status was passed to their care providers, thereby prompting treatment). These studies involved 1,027 control subjects, with follow-up times of 2 to 9 months.53–58 The weighted mean effect size (the difference in means divided by the standard deviation) was –0.002, indicating no change in depression scores.

Given the above data on normative trends, it seems possible that the reported results may tend to underestimate, rather than overestimate the benefits. The qualitative data also seem to support the hypothesis that Upstream had beneficial effects. However, without a

control group to provide data on a rigorously matched population, we must be cautious not to over-interpret the data.

No short-term changes in social support were observed, although a significant improvement emerged after 12 months. This is consistent with the idea that improvements in perceived social support which generalised beyond the context of Upstream activities (and would therefore be detected by the MOSSS scale) take longer than 6 months to develop.

The rise and then fall of SF-12 mental component scores over time requires careful consideration. One possible explanation is that any psychological wellbeing effect is only short term. However, this is not consistent with the depression scores, where benefit was maintained. A further explanation is that there may be a degree of ‘normalization’ of benefits, as a number of SF-12 items relate

Table 3

Baseline and follow-up scores for responders at 6 and 12 months

Measure Baseline N 6 months p value for mean (SD) mean (SD) t-test*

SF12 MCS 48.1 (9.94) 70 51.1 (10.8) 0.004

SF12 PCS 36.1 (10.9) 68 36.1 (11.3) 0.996

SF12 Combined (health utility)

0.627 (0.099) 68 0.643 (0.128) 0.140

GDS-15 4.46 (2.88) 69 3.86 (3.17) 0.011

MOSSS (6-item) 1.98 (1.11) 68 2.04 (1.03) 0.464

Baseline N 12 months

mean (SD) mean (SD)

SF12 MCS 47.7 (10.0) 51 48.4 (11.6) 0.654

SF12 PCS 35.6 (10.7) 50 37.1 (11.1) 0.062

SF12 Combined (health utility)

0.606 (0.089) 51 0.633 (0.117) 0.035

GDS-15 4.84 (3.05) 51 4.28 (2.74) 0.041

MOSSS (6-item) 1.88 (1.18) 50 2.08 (0.99) 0.021

Note: *All t-tests were two-sided

142 RESEARCH Effects of creative and social activity on older people

JRSH The Journal of The Royal Society for the Promotion of Health May 2006 Vol 126 No 3

current health status to the participant’s ‘usual’ state (for example, limitations are expressed in relation to regular daily activities). With no control group against which to contrast results, it is not possible to determine the true explanation. Relation to other literature The findings are consistent with the literature discussed in the Introduction. The qualitative data support the idea that mentoring is a useful technique for motivating social interaction, and health behaviours in older people. Both qualitative and quantitative data supported the idea that increasing active social participation improves psychological well- being, with possible knock-on effects for physical health in the longer term. The creative aspect provided a useful and enjoyable way to engage people, as creative activities are very amenable to tailoring to a wide range of individual abilities and interests. The qualitative data indicated that this individual-level tailoring was key to engaging people in activities, and thereby in social situations. Discussion of participants’ creative efforts and created works also provided a basis for ongoing social interaction and mutual support. Further value may derive from the sense of achievement and self-esteem imbued in successful completion of creative works.

The qualitative data suggest that the association between physical health and creative/social activity may stem from increases in mild physical activity, as well as from improvements in self-care and health behaviours following improved psychological outcomes. It is known that positive effects on health are associated with even small changes in physical activity.59–61 Encouraging social interaction and creative activity may also increase cognitive activity, and the generation of positive group identities may lead to further increases in self-esteem and self-worth.62, 63

The data seem consistent with the conclusion of a recent review of the literature that (although rigorous controlled studies are lacking) there is ‘contingent evidence that participation in leisure and social connections produce social inclusion and mental/physical health benefit’.64

Methodological strengths and weaknesses

The use of qualitative and quantitative data together was useful in that the qualitative data reinforce and add depth to the quantitative results, as well as helping to understand the processes by which benefits may accrue. The quantitative data in turn help to establish the transferability (at least within the Upstream population) of the qualitative data about outcomes. In terms of broader transferability/generalizability, it is likely that the findings would be applicable to similar interventions in a range of contexts, although some issues like transport as a barrier may apply less in more urban settings and alternative barriers may arise. The dedication and abilities of the mentors delivering the intervention is also a key contextual factor that would affect transferability.

Further limitations of this study include the lack of a control group, and the relatively low sample size at 12 months (where the power to detect differences was diminished). While some comparisons with external control groups/data sets were possible, this technique has its limitations.65

Future directions Despite the difficulty of conducting controlled trials of community-based interventions, future studies may be designed to apply the intervention techniques in a more controlled fashion. The use of a quasi-experimental design, whereby older people with similar baseline characteristics could be identified in different areas, intervened with differentially and outcomes compared may be feasible. The data from this study provide a good deal of useful background information for planning future trials of this kind of intervention.

CONCLUSION Engaging older people in creative activities, using an individualized, mentor- based approach may be one way of improving social networks, re-connecting people with their local communities, and ultimately improving their psychological and physical well-being. Although this study does not provide clear proof of this principle, the data seem to indicate a reversal of expected downward trends in some aspects of participants’ health, and are suggestive that this approach is worth further investigation.

Acknowledgements Participants. Dr Alyson Huntley who reviewed the depression literature for the Discussion. The Big Lottery for providing funding for Healthy Living Centres. All the dedicated and hard-working staff at Upstream HLC who helped to collect data. References

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One of the most interesting sequences of panels from Fun Home were on pages 9-10. In this scene, we see multiple panels showing just how meticulous, creative and careful her father is. He would always be working around the house and it was very evident he had an eye for design to the point of frustration. When he tried to restore the house, he in one of the panels said “Jesus! This must be the pattern for the original bargeboard!” He had an expertise and knew what he was doing. This particular moment, though small, showed his deep fascination with design that is so emblematic of who he is. Not only that, but he also remade the walls, front porch supports, the designs around the roof, the landscape and much more showing how creative he was. The author actually mentioned how he would perform dazzling displays of artfulness. The second most iconic scene that I think is just so emblematic of who he is was specifically on page 10 where he would be on one hand manipulating flag stones that weighed half a ton while also manipulating thin and quivering layers of gold leaf, showing just how dedicated, meticulous and driven he was to seeing his vision come true. It’s interesting how the author emphasizes these ideas and perceptions of her father by zooming out when it came to some scenes involving larger projects while zooming in when it came to the smaller tasks. She even emphasized his face stubble using the zoom in to show his commitment and passion.

Getting started with Fun Home

The following are some notes and handouts.

If you take a little bit of extra time to review them,

this should help a lot with doing the

various assignments.

We will also try to discuss many of them when we meet for ZOOM sessions!

FUN HOME: HOW DO WE READ A “PAGE”?

While reading a traditional prose text (such as a book, article, textbook, short story, report, etc…), this is usually not a complex choice:

EXAMPLE from F. Scott Fitzgerald’s The Great Gatsby:

And, after boasting this way of my tolerance, I come to the admission that it has a limit. Conduct may be founded on the hard rock or the wet marches, but after a certain point I don’t care what it’s founded on. When I came back from the East last autumn I felt that I wanted the world to be in uniform and at a sort of moral attention forever; I wanted no more riotous excursions with privileged glimpses into the human heart. Only Gatsby, the man who gives his name to this book, was exempt from my reaction—Gatsby, who represented everything for which I have unaffected scorn. (2)

It’s very obvious, right? One simply starts at the upper left-hand corner, reads the top line from left to right, and then continues down to the next line—and repeats the process, sometimes for thousands of lines! Predictable? Sure! Engaging? Maybe…

“Graphic texts” do not work in the same way . As I try to provide examples, please note a basic way to refer to specific parts of a graphic text. Besides indicating pages, I ask that you refer to “panels.” For example, if I refer to 7,2 that would mean page 7, panel 2 (the one featuring Bruce in his classroom).

Here are some terms to consider and some relevant panels:

Words and pictures (obviously…) Panels and gutters [7,2 or L2,2 is a panel. The words “It was his passion” appear in the “gutter” between panels.]

Foregrounds, middle-grounds and backgrounds Symbols and texts [Take a look at 57,1 [Examples appear on almost every page. or L62,1.Bechdel directly shows readers 5,3 or L11,3 are good places to start. the exact words from the dictionary.]

Zoom in or zoom out Moving the camera

[See all of page 23 or L29. If you were filming this,

where would the “camera” be? How often would you need to move it?]

Sequences and non-sequitors Speech bubbles and text boxes

[We’ve discussed “sequence.” A non-sequitor [See 3,1 or L9,1.When she says “Uhoh!”

is a sudden and at times confusing sequence. that’s a “speech bubble.” When she

See page 105 or L109, as the scene shifts the time and place says, “In our particular reenactment…,”

very suddenly.] that’s a textbox. A “textbox” often works like “interior monologue.”]

Centers and margins Fonts and Fonts and Fonts

[Most “pages” have a top and bottom. See pages 100-01 [See 48-49 or 142-43. Gatsby

What was the first thing you read? And the features one font for the whole book.

second or third? ] Graphic texts change fonts often.]

SOME OTHER EXAMPLES TO TRY: pages 63 or 67-68, 120 or 124, 134 or 138, 140—144..

ENG 30 Notes on Chapter One of Fun Home

Please take a look these pairs of pages.

14-15 or L 20-21.

16-17 or L 22-23.

20-21 or L 26-27.

22-23 or L28-29.

Then please explain what these pages tell a reader about the relationship between Bruce (the father) and his family. Please do more than just explain the pictures. What are some significant words, phrases, and/or sentences, and why do they matter?

Remember what we just reviewed about the “page.” How does Alison Bechdel make certain choices as she arranges these pages?

ENG 30: Fun Home and the idea of a “proper burial”

A “eulogy” is generally a speech given at a memorial service. In most cases, the speaker(s) will tend to present a kind and complimentary version of someone’s life; any seriously troublesome parts of a person’s life are usually mentioned in passing (or not at all). Sometimes this requires a reliance on various family generated “fictions."

This is NOT the plan for Bechdel’s book. So let’s try to figure out a few things about Bruce—how might one write his “eulogy?”

==There is a “public” version of Bruce. What might the people in his small town know about him that might deserve some praise? Note pages and panels!

==You do not have to read far into the book to learn that Bruce is far from an ideal husband and father. What are some examples of this?

==There is a hidden version of Bruce’s life, and Alison uses quite a bit of figurative language to describe how Bruce’s life reads like “fiction.” Please note a few of these descriptions.

==At the end of the chapter, Alison responds with “sheer violence” to something that has been placed on her father’s gravesite. Find out what it was!

Please consider this question:

In what ways can an “autobiography” ( not just something biographical like a eulogy) become “fictional?” We will see the complications when Alison starts writing a very detailed and at times confusing “diary.” (You can use your answer for the paper on “A Proper Burial.”)

And consider this one as well:

Writers and artists and directors have often been fascinated by “anti-heroes.” What complications might arise if one decides to create a text about an “anti-hero” who is also one’s PARENT? (There is also a paper topic on “Anti-Heros.”)

ENG 30: Fun Home as a “House Full of Books”

We began this semester by discussing essays by Isabel Allende and President Barack Obama. Both of them found inspiration in reading, since books helped to clarify and strengthen their own identities, their family connections, and their understanding of the world.

So let’s take a close look at these pages from Fun Home. Who is reading what—and why might that matter? By the way, you might be unfamiliar with some of the texts mentioned here. Don’t let that slow you down too much. Please take a brief look at the notes I gave you about each page—and try to focus on how reading books is often a social act in which people are trying to share ideas.

74–75

82—83

164–166

198—199

204—205

I’m a Duke freshman. Here’s why I refused to read ‘Fun Home.’

It's not about being uncomfortable. It's about being asked to do something that I think is immoral.

image1.jpeg

Duke Chapel on the campus of Duke University in Durham, N.C.

By Brian Grasso August 25, 2015

1==As a Christian, I knew that my beliefs and identity would be challenged at a progressive university like Duke.

2==My first challenge came well before I arrived on campus, when I learned that all first years were assigned “Fun Home,” a graphic novel by Alison Bechdel. The book includes cartoon drawings of a woman masturbating and multiple women engaging in oral sex.

3==After researching the book’s content and reading a portion of it, I chose to opt out of the assignment. My choice had nothing to do with the ideas presented. I’m not opposed to reading memoirs written by LGBTQ individuals or stories containing suicide. I’m not even opposed to reading Freud, Marx or Darwin. I know that I’ll have to grapple with ideas I don’t agree with, even ideas that I find immoral.

4==But in the Bible, Jesus forbids his followers from exposing themselves to anything pornographic. “But I tell you that anyone who looks at a woman lustfully has already committed adultery with her in his heart,” he says in Matthew 5:28-29. “If your right eye causes you to stumble, gouge it out and throw it away.” This theme is reiterated by Paul who warns, “flee from sexual immorality.”

5==I think there is an important distinction between images and written words. If the book explored the same themes without sexual images or erotic language, I would have read it. But viewing pictures of sexual acts, regardless of the genders of the people involved, conflict with the inherent sacredness of sex. My beliefs extend to pop culture and even Renaissance art depicting sex.

6==I’m well aware that my ethics make me an anomaly on campus, in contemporary culture and even among many professing Christians. However, my principles come primarily from my understanding of the Bible, which I have read multiple times, studied weekly in community for the last seven years, and consider to be the Word of God.

7==I don’t believe my position will limit my exposure to essential lessons in history, philosophy or literature. I assume that having to view graphic images of sex for a class will be rare. If it does happen, I will avoid any titillating content and encourage like-minded students to do the same. And I believe professors should warn me about such material, not because I might consider them offensive or discomforting, but because I consider it immoral.

8==Still, if my academic experience at Duke is full of thought-provoking stimuli other than pictures of sexual acts, it’s hard for me to believe that it will be incomplete. I decided to post about my decision on the Duke Class of 2019 Facebook page to comfort those with similar beliefs. I knew that my decision wouldn’t be well-received. How could it in a country where, according to one study, more than three-quarters of American men between 18 and 24 years old have viewed pornography within the past month.

9==But though many students denounced my decision publicly, almost 20 people privately messaged me, thanking me for my post. I received many messages from Christians, but a message from a Muslim man stood out. The man, currently a sophomore at Duke, wrote, “I’ve seen a lot of people who just throw away their identity in college in the name of secularism, open-mindedness, or liberalism.” Is this really what Duke wants? Cultural pluralism will lose its value if students aren’t allowed to follow their beliefs, even if they are conservative. Without genuine diversity, intellectual dialogue and growth are stifled.

10==I recognize, of course, that Christians on campus and throughout the country have an important responsibility, too. We need to learn how to dialogue across differences. Over the past couple of days, I have received many encouraging messages from a new friend, who considers herself bisexual and a Buddhist. She and I became friends after she saw my Facebook post. Instead of criticizing me, she asked me to explain my beliefs. I, in turn, asked her to explain the Buddhist perspective on sexuality. This is how diversity is supposed to work. We each shared our perspective, and walked away from the conversation with a deeper understanding and compassion for each other. That is what college is really about.

SOME SAMPLES FOR THE TOPIC

“ADAPTATIONS”

HINT: The basic idea here is to notice how one “text” (namely a panel or sequence of panels from Fun Home) is transformed into other texts (namely, a transcript of the lyrics with visual imagery, or a song, or a stage adaptation, and so on). In a few cases, the original text is changed quite a bit. In what ways? What might be significant about these changes? Did you find that these changes provided you with any more insight into Bruce or Alison or the themes of Fun Home?

Let’s consider four songs from the musical version:

1===“Changing My Major to Joan”—based on page 80 (also see pages 50 and 81). Brian Grasso would not approve…look back at his article.

LYRICS / SONG: https://www.youtube.com/watch?v=BzLVpxt07lA

STAGE ADAPTATION: https://www.youtube.com/watch?v=tZZcpWlqeZw

2==“Days and Days”—based on pages 16-17, 32-34, 70-73, 173-74, 216-217 (and a few others). This adaptation “conflates” different parts of the book—it’s Helen’s cri du coeur (cry of the heart).

LYRICS / SONG: https://www.youtube.com/watch?v=_VSzJaa-gQ8

STAGE ADAPTATION WITH COMMENTARY:

https://www.youtube.com/watch?v=dcAqCMCohto

NOTE: The singer/actress refers to an “11:00 song.” That’s theater jargon for a song that serves as a climax of the show.

3===“Ring Of Keys”—see pages 117-119

LYRICS / SONG: https://www.youtube.com/watch?v=xHk3o_Yqzzg

STAGE ADAPTATION BY THE FUN HOME CAST: https://www.youtube.com/watch?v=pMAuesRJm1E

**A STUNNING A CAPELLA ARRANGEMENT DONE BY A HIGH SCHOOL CHORUS:

http://kitschmix.com/new-ring-keys-powerful-video-celebration-glaads-spirit-day/

4== “Telephone Wire” —based on pages 220—221:

image1.tif

LYRICS / SONG: https://www.youtube.com/watch?v=N_US4P9zPQQ

STAGE ADAPTATION:

https://search.aol.com/aol/video?q=fun+home+telephone+wire+scene&s_it=video-ans&sfVid=true&videoId

**The video quality for this is NOT very good—but if you review it, make sure to check the exchange between them starting after 3:30.

 

  Alison Bechdel's 

 

   Fun  Home  

 

fun-home-photo-sketch-660x899.jpg

          "I wanted to give my father a proper burial."

 

          --Alison Bechdel, from an interview

          with Amy Goodman and Nermeen Shaikh  

                                                         

                                                                          

"I grew up in a house full of books."

                

                                                                                       --Isabel Allende, from "Reading the History

                                                                                                                        of the World"

Chapter One: "Old Father, Old Artificer"

 

 

 

CHAPTER TITLE: "Old Father, Old Artificer"--keep this phrase in mind. You'll eventually see that it refers to a famous literary text. For now, what is an "artificer?" Also, please note that there will be a drawing above each chapter title. What do you note about this one?

 

VOCABULARY: 

[Page 4] Monomanaical (Adj.): Being very independent and focused on a goal--in a way that can become damaging.

[5] Legerdemain (Noun): A magic trick or type of deceit, especially one involving the use of one's hands to create a distraction.

[6] Alchemist (Noun): Alchemists were known for their failed efforts to change lead into gold.

[6] Savant (Noun): A genius.

[6] Daedelus (Name): See note for page 3-4*. 

[7] Labyrinth (Noun): See note for 3-4*.

[7] Libidinal (Adj.): Driven by desires, especially sexual ones.

[7] Manic (Adj.): Excited, creative, and perhaps not quite in control.

[7] Martyred (Adj.): A martyr is someone willing to die for a cause or belief. Also see the note for page 7 below.

[9] Exuberant (Adj.): Energetic, joyful. Usually not a word used to describe wood. But see the inside cover (it's orange.) These "supports" appear often in the book.

[10] Blithely (Adv.): Cheerfully, gladly. One more time, see the note for page 10. It explains what's on the TV!

[13] Still life (Adj./Noun): A painting of objects that have been carefully arranged, like a bowl of fruits.

[14] Curatorial (Adj.): A curator usually arranges exhibits in a museum, not a house.

[15] Spartan / Athenian (Adj.): These terms refer to two famous Greek cities. Sparta was famous for being the military center of Greece. Athens was known for its art and culture. Also, see the note below*.

[15] Victorian (Adj.): This generally refers to British culture in the latter half of the 19th century. It is usually associated with restraint in language and art and morals. 

[15] Butch / Nelly (Adj.): Both are slang terms referring to one's public identity, especially regrading sexual orientation. "Butch" tends to refer to women who adopt more masculine choices; "nelly" refers to men who adopt more feminine choices. Both terms can be controversial--see page 118 for a crucial example.   

[15] Utilitarian / Aesthete (adj.): The first refers to someone who values usefulness, while the second refers to someone who values beauty.

[16] Embellishment (Noun): Something that is added--often in a deceitful way.

[16] Impeccable: Perfectly ordered.

[17] Simulacrum (Noun): A really complex term--think of an unreal reality, like the films The Matrix or Jim Carrey's The Truman Show.

[18] Tailspin (Noun): A sudden and negative loss of control--especially for someone flying. Think of Icarus again.

[20] Self-loathing (Noun): "Loathing" is more than feeling "bad." It means a deep disgust. 

[21] Incandescent (Adj.): Brilliant.

[23] Resonated (Verb): Became significant--and in complex ways. See her use of the word "echoing."

[23] Retroactively (Adverb): Refers to actions that happen in the present but also go back and effect the past--think of a "retroactive pay raise."

[23] Converse (Noun): This does NOT mean "to talk" in this sentence. Here it means a reversal, a contrast, an opposite. See the note below for this page. 

 

TEXTS:

 

[Pages 3-4]: Playing "airplane" is fun. "Icarian games" are more serious. The term refers to Icarus and his father Daedelus. BOTH names are significant in the book. See why: 

http://www.greekmyths-greekmythology.com/myth-of-daedalus-and-icarus/

 

Also check out: http://www.greekmyths-greekmythology.com/t/minotaur/. These references will be important later.

 

It's easy to overlook the book lying on the floor next to Bruce Bechdel. Anna Karenina is perhaps the classic 19th-century Russian novel, and many modern writers have made a point of re-considering the famous opening line of the novel: "All happy families are alike; each unhappy family is unhappy in its own way."

 

[Page 7]: Bechdel clearly hints at one more meaning of "passion"--that is, "The Passion of Christ." I suggest you just google this term to see how important it is.

 

https://alexyvergara.files.wordpress.com/2013/03/the-passion-of-the-christ.jpg

 

[Page 10]--It's A Wonderful Life (1946) is a classic movie by Frank Capra. Like Fun Home, it features a man who comes to feel isolated and desperate. The link here is to the famous closing scene of the movie in which Jimmy Stewart's character prays to "get back" to sanity and to his family and to his small community. If you watch for just a minute or two, you'll get the contrast.

https://www.youtube.com/watch?v=mrmUipa1kc4

 

[Page 15]: Bruce Bechdel is not reading pornography here. Kenneth Clark was the Director of Britain's National Gallery and author of The Nude: A Study in Ideal Form. It's actually the sort of book you'd read in an Art History course.

 

[Page 17] "An ideal husband"--keep these words in mind. They anticipate further problems that arise in Chapter Six, and they also refer to a famous play by Oscar Wilde which also becomes important in the book.

 

[Page 19]: Ruskin's The Stones of Venice is another famous art history book. It's huge, three-volume work from the 1850's and it focuses on church architecture. He was also well-known for arguing that society creates it's own problems by thinking of artists and workers as two very different kinds of people:

 

We want one man to be always thinking, and another to be always working, and we call one a gentleman, and the other an operative; whereas the workman ought often to be thinking, and the thinker often to be working, and both should be gentlemen, in the best sense. As it is, we make both ungentle, the one envying, the other despising, his brother; and the mass of society is made up of morbid thinkers and miserable workers. Now it is only by labour that thought can be made healthy, and only by thought that labour can be made happy, and the two cannot be separated with impunity.

 

In plain terms, think of Bruce, the aesthete who insists on doing all the hard labor by himself.

 

[Page 21]: The book of Just So Stories was published in 1902 by Rudyard Kipling. (He also wrote the more familiar Jungle Book.) Besides being another example of Bruce's love for all things British, the book is about how animals became the way they are--for example, how the camel got its hump. This question of how people "become" who they are is crucial.

 

[Page 23] "An amputee feels pain in a missing limb." This is a well-recognized medical condition. The Mount Sinai Hospital web site site explains, "Phantom limb syndrome is the perception of sensations, including pain, in a limb that has been amputated. People in this condition experience feelings in the limb as if it were still attached to their body." Artists and singers have often used references to this condition as a way of speaking of lost love or mourning.

 

CHAPTER TWO: "A HAPPY DEATH"

CHAPTER TITLE: As always, please note what's in the drawing above the title. The chapter will feature many images of death. You'll soon be introduced to some writings from Albert Camus, who contrasts a "happy death" with "une mort imbecile." Which words seem more fitting for Bruce's death? This chapter also introduces you to the significance of the words "Fun Home." What's "fun" or "tragic" about the Bechdel's lives at their funeral home or within their own actual home? Finally, what is an "epitaph" (see below), and what words might be "proper" to used to describe Bruce? 

VOCABULARY:  

[27]Consummate artifice (Adj./Noun): We've already encountered "artifice." Consummate means excellent, ideal, climactic.

[27] Masterstroke (Noun): Similar in meaning to "consummate." Yet a "masterstroke" is not just a job well done, but an artistic creation.

[27] Construed (Verb): Implied, understood indirectly.

[28] Consumptive (Adj.): Refers to someone with tuberculosis. 

[28] Epitaph (Noun): Words written on a tombstone or gravesite in memory of someone who has died. THIS IS A KEY IMAGE IN THE BOOK. Bechtel has said in an interview that she wanted to give her father "a proper burial." This is not just a vague phrase but an echo of Ecclesiastes 6:3: "A man may have a hundred children and live many years; yet no matter how long he lives, if he cannot enjoy his prosperity and does not receive proper burial, I say that a stillborn child is better off than he." 

[29] Aplomb (Noun): Style, confidence. Not often associated with suicide.

[29] Obelisk (Noun): See the image--and perhaps google Cleopatra's Needle (it's in Central Park).

[29] Anachronism (Noun): A surprising or confusing combination of objects or styles from different time periods. (Such as people partying to rap and rock music in the 1920's in the 2013 version of The Great Gatsby.)

[29] Ungainly (Adj.): Ugly, clumsy.

[29] Unabashedly fixated (Adv./Verb): Obsessed--and not ashamed to be obsessed.

[31] Provincial/Urbane (Adjs.): The first means someone or something that is local, too local; the second refers to people or things that are worldly, more sophisticated. See the contrast of pages 32-33. Keep in mind the contrast of Beech Creek and the Village later in the book.

[31] Unwholesome (Adj.): Unhealthy, in poor taste.

[35] Cavalier (Adj.): Casual.

[38] Ambience (Noun): feeling or sensation.

[38] Mausoleum (Noun): Not a grave--more like a home for the deceased. Some can be quite fancy.

[38] Melancholy (Adj.): Somber, serious.

[39] Taxonomic (Adj.): Usually used in more scientific contexts, this words refers to the categories used to name and categorize things. 

[42] Grimmisian (Adj.): Refers to the Brother Grimm, who wrote lots of stories--often really disturbing stories--for and about children.

[43] Inner sanctum (Adj./Noun]: This means more than a private work room. A "sanctum" is "sanctified"--that is, holy.

[44] Jarringly (Adverb): In a shocking way.

[44] Desiccated (Adj.): Dried out

[44] Inured (Adj.): Used to, almost bored. 

[45] Vicariously (Adverb): Indirectly, like a viewer watching a game.

[45] Suppressed (Verb): Kept down, hidden, buried.

[46] Dissonance: A disconnection or conflict

[47-48] Sisyphus (Proper name): See the image below.

[48] Gallic (Adj.): Generally just means "French." See the famous photo of him below.

[51] Conundrum: a puzzle or riddle

[53] Desecrated (Verb): Something sacred that has been violated

[54]: Un Mort Imbecile:

 

TEXTS:

 

[34-35] The Addams Family. I'm assuming most of you know this one. If not, here's a "family portrait" from one of the movie versions. Note the little girl on the left side of the photo.

http://cdn2.uk.mentalfloss.com/sites/mentalflossuk/files/styles/16x9_620/public/9/28//1991-the-addams-family-008.jpg?itok=4qLhnvyq

 

[47-48] Sisyphus: The gods had condemned him so spend his life pushing boulder up a steep hill, only to watch it roll away again at the top.

https://search.yahoo.com/search?ei=utf-8&fr=aaplw&p=pictures+of+sisyphus 

 

[48] A photo of Camus.

 

le-cliche-de-cartier-bresson-pris-en-1947-est-considere_392082_510x255.jpg

 

 

 

CHAPTER THREE: "That Old Catastrophe"

 

CHAPTER TITLE: "That Old Catastrophe" might make it sounds as if there were just one clearly identified catastrophe. Bechdel will directly tell you what these words refer to, but could it also refer to other events in this chapter and throughout the book? Just who is that in the drawing?

 

This chapter features one of the most significant statements from the book: "My parents are most real to me in fictional terms." Keep it in mind.

 

[57]  Queer (Noun and Verb and Adjective)***: This word has all sorts of meanings. Take close look at the dictionary citations in the background.

[57] Multivalent (Adj.): This means a LOT more than just "different." It is a chemistry term referring to compounds which have complex combinations and origins.

[57] Deviation (Noun): Again, this means more than "different." The word "deviant" often means something or someone that is different in a suspicious way, and its has been used in quite nasty ways to refer to members of the LGBT community or other groups seen as "outsiders."

[57] Qualmish (Adj.): Uneasy, even nauseous.

[57] Conspicuously (Adverb): In a very noticable or obvious way.

[57] Massive Websters (Adj./Proper noun): Just note the size of the dictionary she looks in. It has room for soooo many words--except "lesbian."

[58] Hypothesis (Noun): An idea that has yet to be tested out.

[58] Demoted (Verb): Given a lesser role

[58] Protagonist (Noun): The primary actor/actress in a narrative.

[59] Doleful (Adj.): Sad, uninspired

[60] Landed Gentry (Adj. Noun): Upper-class land-owners.

[60] Affected/Affectation (Adj./Noun): Putting on an act. Think Myrtle Wilson.

[60] Gilt (Adj.): Something that appears to be gold.

[60] Flocked (Adj.): A fabric with a velvet-like texture.

[60] Don Quixote (Proper Noun): A famous literary character, best-known for his delusions that he is actually a medieval knight.

[60] Mephistopheles (Proper Noun): Also a famous literally character. He appears in various forms, usually as a demon who tempts people to sell their souls in exchange for some earthly ambition. 

[61] Country Squire (Adj./Noun): A lot like "landed gentry." See above, page 60.

[62] Edifying (Verb): Educating or guiding.

[63] Metamorphosis (Noun): A radical change--think of a caterpillar becoming a butterfly.

[64] "The collosal vitality of his illusion" (Phrase...): A description of Jay Gatsby by the narrator, Nick Caraway. See the note below.

[64] Noblesse Oblige (French. Adj./Noun): The obligations of the nobility. 

[65] Alluring (Adj.): Attractive

[65] Inextricability (Noun): When one thing is deeply connected to another.

[66] Ensnared (Verb): Trapped 

[66] Degenerate (Adj.): Decadent, spoiled, wayward.

[66] Continental (Adj.): Here the "continent" is Europe.

[66] Trope (Noun): A well-known type of story.

[67] Cool aesthetic distance (Adj./Adj./Noun): Think of Nick Caraway (or another narrator) being "within and without" a scene.  

[68] Stray rents (Adj./Noun): "Rent" here is not what you pay for an apartment. A "rent" is a tear or rip in a "fabric."

[69] Mercenary (Adj.): Focused on money.

[70] Harbinger (Noun): Something that seems to predict the future--and usually in a disturbing way.

provincial convention.

[71] Dissipated (Adj.): Careless, wasted. 

ground in the very mill of the conventional--Is this a statement from James??

[72] Luminous (Adj.): Glowing like the sun.

[73] Cemented (Verb): Made final; decided upon.

[73] Abdicated (Verb): It means more than "given up"--it means giving up something very special or even royal.

[76] Fray (Noun): The "real" world, not just the "academic" version from school.

[77] Epistle (Noun): A letter, often long and often judgmental.

[79] Stupefied (Adj.): Here, both high and stupid. She's smoking pot here, by the way.

[79] Anesthetic (Noun): Something that numbs the senses--can also be as opposite of "aesthetic."

[82-83] "Complacencies of the peignoir" (Phrase): These are the opening lines of a famous--and famously difficult--poem. "Complancencies" are casual thoughts and moments, like those one might have while sitting in a "peignoir," a thin morning robe worn by women. 

[83] "The dark encroachment of that old catastrophe" (lines from Stevens' poem): An "encroachment" is the gradual approach of something that is unwanted or even threatening; "that old catastrophe" refers here to the crucifixion of Christ. See how the word "catastrophe" is used again on this page.

[83] Juxtaposition (Noun): A sharp contrast--like "complancencies" and crucifixion and "cockatoo."

[85] Disenchantment (Adj.): If you've read The Great Gatsby, you know how often Fitzgerald uses the word "enchantment." So "disenchantment" isn't just someone having a bad day--there are seeing the "magic" disappear from their life.

[86] Deranged (Adj.): Misguided, insane.

[86] Tenous (Adj.): Weak, shaky, temporary.

 

TEXTS:

 

[59] Sappho: A Greek lyric poet who lived around 600BC on the island of Lesbos (hence, "lesbian"). Little is known of her life, and most of her poems do not survive. One of her best-known poems appears below.

http://www.poemhunter.com/poem/on-what-is-best/

 

[64] The line about "the colossal vitality of his illusion" is from page 95 of The Great Gatsby. It's important because it explains how Gatsby's dream of being re-united with his true love Daisy sustained itself for the five years he had spent without seeing here.

 

[64] Zelda Fitzgerald was married to F. Scott. As the drawing of a photo indicates, her's was not a pleasant life. Although she and F. Scott led quite a glamorous life during the 1920s, there were growing problems with alcoholism and their finances, and eventually they spent a lot of time apart. She suffered a serious of breakdowns--perhaps it was schizophrenia or bipolar disorder--and she was often hospitalized. She died in a fire during one of the hospitalizations.

 

[66, 70-72] References are made to Henry James's novels Washington Square and A Portrait of a Lady. he was a very well-known and prolific writer during the period from 1880--1910, and he was equally familiar with New York City and the grand salons of Europe. Please note the lines about "living her life free from provincial convention and constraint."

 

[70] The Taming of the Shrew is a well-known (but often not well-received) play in which a domineering suitor (Petruchio) tries (and basically succeeds) in "taming" his lover Katherine. 

 

[75] William Masters and Virginia Johnson were famous for their clinical studies of sexuality. The book Homosexualties is best-known for its now discredited claim that homosexuals could be "cured" or "converted." 

 

[76] Anias Nin's Delta of Venus is a series of erotic short stories written in the 1940s but not released for publication till the 1970s. An excerpt can be found at http://revolt-rachel.livejournal.com/10844.html

 

[76] "Anita Bryant Sucks Oranges." This sticker on the door of the Gay Union refers to Anita Bryant, who was a beauty pageant queen, a pop singer, a devout Christian, a spokesperson for the orange industry--and a vocal and fervent opponent of gays and lesbians. 

 

[76] Maurice by E.M. Forster (see the pile of books...) was a novel published only after Forster's death. He was a major novelist who was gay in a time and place where that simply wasn't easily accepted (by the public and even at times by Forster himself). The book is primarily about the search for passion and privacy.

 

[77] Stabat Mater by Pergolesi (It's lying next to her on the floor). Surely NOT erotica! This is a famous hymn about Mary as she suffered the agony of knowing her son Jesus is being crucified.

 

[80] Adrienne Rich's 1977 book Dream of a Common Language is a very bold and politically-oriented series of poems about Rich's coming out as a lesbian in 1976. Powerful, no-nonsense writing!

 

[81] James and the Giant Peach is a 1961 children's book--but if you've ever seen Willie Wonka and the Chocolate Factory, you may have noted that the author Roald Dahl didn't care for innocent, naive types of children's books. 

 

[84-85] Bruce is reading Nancy Mitford's Zelda, a biography of Zelda Fitzgerald which claimed that Zelda's own status an an artist and inspiration had been overlooked. Alison is asking to buy more copies of Mad Magazine, a humorous and often subversive comics magazine. 

 

 

CHAPTER FOUR: "In the Shadow of Young Girls in Flower"

 

This title refers to a book by Marcel Proust. Bruce becomes increasingly obsessed with reading Proust. It might prove helpful to look even briefly at the link that we have provided to a famous sentence by Proust. How can ONE sentence be famous? Read it and see.

 

[88] Domestic (Adj.): Associated with home.

[88] Inclinations (Noun): An interest, a tendency.

[88] Bent (Noun): Note that this is the noun form. A "bent" is like an "inclination"--but it is also "bent," a bit twisted and broken perhaps.

[88] Redolent (Adj.): Refers to something with a strong pleasant odor, and perhaps to an odor that one associates with a powerful memory.

[88] Sissy (Noun): Slang term. Usually refers to a man acting in a "feminine" way.

[88] Ardently (Adverb): Passionately.

[88] Efflorescence (Noun): Glowing, like a bright flower.

[88] Twining (Adj.): Wrapping together like vines.

[89] Ensuing (Adj.): Following, resulting.

[89] Lethargic (Adj.): Lifeless, bored.

[89] Revery (Noun): Like a dream.

[89] Grisly (Adj.): Grim, unpleasant.

[89] Formaldehyde (Adj.): A foul-smelling chemical preservative.

[92] Tragic (Adj.): They key think here is to notice how the term "tragic" (as in "tragic hero...)...

[92] Botanical (Adj.): ...is used to refer to a species of flower.

[93] Horticultural (Adj.): Refers to gardening.

[93] Virtuosity (Noun): Doe with incredible skill.

[93] Fecundity (Noun): Growth, ripeness.

[93] Pansy (Noun/Slang): Like a "sissy."

[95] Chink (Noun): Here, a weakness. 

[95] Sinew (Noun): Muscle, strength.

[ 97] Cropped (Adj.): Don't think corn or wheat--think of a short haircut.

[ 97] Curt (Adj.): Said quickly, perhaps rudely.

[ 97] Percussive (Adj.): Like a drum.

[ 97] Onomatopeic (Adj.): Onomatopoeia is the formation of a word from a sound associated with that word: think "woof" or "splash"--or "butch."

[ 97] Tyrannical (Adj.): Cruel, over-powering.

[ 97] Antiquated (Adj.): Old-fashioned.

[97] Wale (Verb): Physically punish.

[98] Inversions (Noun): Here, when two people switch roles or identities.

[98] Escalations (Noun): An intensified conflict or fight.

[99] Demilitarized zone (Adj. Noun): An area between two armies where there is no fighting (at least for the moment...).

[100] Rooting (Verb): Means lot more than just looking or browsing--digging deep. 

[100] Ethereal (Adj.): Almost unreal, filled with light.

[100] Gilded (Verb): Covered with gold.

[100] Aureole (Like the rays around the sun.

[101] Illicit (Adj.): Unlawful, shameful. 

[101] Prestidigitation (Noun): Acts of magic, often done with tricks of the hand.

[102] Perusal (Noun): A closer look.

[102] Murky (Adj.): Unclear, dimly-lit. 

[102] Diametrically (Adverb): Completely.

[102] Bourgeois vs. aristocratic, homo vs. hetero, city vs. country, eros vs. art, private vs. public (Adjs): These words must be read as series of alternatives. The first word in each pair refer to a sense of self-expression through art and sexuality; the second term refers to more conventional and socially accepted expectations.

[103] Demiglace (Noun): A rich type of sauce or "glaze."

[104] Putrefaction (Noun): A rich and foul smell.

[104] Hallucinogenic (Adj.): Like a drug-induced trance.

[104] Throbbing (Adj.): Pulsing, excited.

[104] Welter (Noun): A chaotic crowd.

[104] Contact high (Adj./Noun): Getting "high" just by being near someone who is actually getting high--please note that she uses this term twice, and the second use has nothing to do with drugs.

[104] Stonewall (Name): VERY IMPORTANT--SEE THE FULLER NOTE BELOW.

[104] Mythologized (Here, an Adj.): To become legendary, historic.

[104] Flashpoint (Noun): A moment in which conditions lead to a "flash," a radical change, an explosion.

[104] Quantum particle (Adj./Noun): A term from physics referring to the particle that form the basis of matter--that is, the start of it all. 

[104] Humectant (Adj.) Refers to a substance which keeps things moist.

[105] Watershed (Noun): A "watershed" moment is a clear changing point--there's a real before and after effect.

[105] milieu

[105] Conflated (Verb): To combine two texts or narratives.

[106] Nostalgic (Adj.): Usually has a dual meaning. The first is the memory of the "good old days"--the second is the recognition that this is wishful thinking.

[106] Retroactive (Adj.): Applied to the past, like retroactive pay.

[106] Mortification (Noun): Here, embarrassment. But remember this is a book about a "mortician."

[106] Lexicographical (Adj.): From a dictionary.

[107] Bohemian refuge (Adj./Noun): A safe place to be free, artistic, wild, unrestricted.

[107] Mercenary (Adj.): usually means "in it for the money." Here it means "calculating."

[107] Pulp fiction (Adj./Noun): Just think "cheap" thrills---these were inexpensive, poorly-made texts about "forbidden" topics. 

[108] Eisenhower-era (Adj.): Literally, it means doing the Presidency of Dwight Eisenhower. It also refers to an era well-known for its expectations about conformity and family.

[108] Succor (Noun): Solace, friendship--and in this case, sex.

[108] Chastely (Adverb): Purely, innocently.

[109] cartilaginous (Adj.): Made of cartilage.

[109] Excruciating (Adj.): A sharp, sudden pain.

[110] Jaunt (Noun): A playful trip.

[111] "The Bullpen" (Noun): The family camp in the woods.

[111] Allegheny Plateau (Name) and Undifferentiated (Adj.): This area was very open and unpopulated at that time---just think of miles and miles of woodlands and low mountains. As you'll see next, that was changing 

[111] Gouged (Verb): Ripped open

[111] Strip mines (Adj./Noun): A type of mining which "strips" the land open and leaves a scarred and wasted landscape behind.

[112] Inexplicably (Adverb): Without an explanation.

[113] Stratagem (Noun): A subtle strategy.

[113] Precocious feat (Adj./Noun): An amazing act for a young person.

[113] Transposition (Noun): A transfer of positions , or in this case, identities. Think Jimmy Gatz becoming Jay Gatsby.

[113 ] Tidy Melding (Adj./Noun): A "meld" is a blend and/or a weld--and it's hard to make a neat and tidy one.

[114] Abashed (Adj.): Ashamed.

[115] Postlapsarian (Adj.): A serious term--in Christian theology it refers to the "lapse" or failings or Adam and Eve and the time that follows ("post") as they are banished from Eden. It often refers to a loss of innocence.

melancholy

[115] Initiation rite (Adj./Noun): A "rite" is a ritual, often a sacred one; an "initiation" is an introduction and often a sort of test.

[116] Vexingly ambiguous archetype: (Adverb/Adj./Noun): An archetype is a complex term, one that generally refers to an object or symbol which is ancient, original, ever-present. "Ambiguous" means unclear, undecided, in a "gray area." "Vexingly" means that this indecision continues on and on in different ways.    

[116] Phallus (Noun): A penis-shaped object.

[116] Undifferentiation (Noun): A process in which seemingly different things cannot be easily sorted into categories. 

[116] nonduality (Noun): A similar idea--

[116] Cyclicality (Noun): Again, a similar idea as above. Consider the examples of beginning/ending, death/birth, lie/truth, man/woman, parent/child, gay/straight. Maybe they are easily seen as different--and maybe they're not.

[120] Mincing (Adj.): Dainty--or like a "pansy."

[120] Lissome (Adj.): Graceful 

 

TEXTS:

 

***[92] Bruce has started reading Proust's Remembrance of Things Past. There are numerous references to Marcel Proust in Fun Home. Reading Proust requires almost infinite patience, and many readers (like me...) enjoy his writing best in limited doses. Consider for a moment Proust's longest sentence, which begins with the words "Their honour precarious, their liberty provisional, lasting only until the discovery of their crime; their position unstable..." What might this have to do with the private and public lives of Bruce and Alison Bechdel?

 https://nathanbrixius.wordpress.com/2013/10/30/the-five-longest-proust-sentences/

 

[103] CHRISTOPHER STREET: This street was synonymous with the Village and it's liberated life-styles.

https://images.search.yahoo.com/search/images;_ylt=AwrBT6IAFz9X_yoAvzhXNyoA;_ylu=X3oDMTEyY3M1aWxwBGNvbG8DYmYxBHBvcwMxBHZ0aWQDVUkyQzJfMQRzZWMDc2M-?p=Christopher+Street+1970s&fr=aaplw

 

 

[104] Stonewall Inn. This is a truly iconic place. For some images and context, see

http://www.pbs.org/wgbh/americanexperience/features/photo-gallery/stonewall/.

 

[108] Sodome et Gomorrhe. In English, these names are written as Sodom and Gomorrah--but make sure to note that these are the names of cities, not people. In the Bible, both cities were destroyed by God because of the depraved behaviors of the people living there. From "Sodom" comes terms such "sodomy," "sodomite," and "sodomy laws." If "sodomy laws" seem to be a thing of the distant past, keep in mind that it was not until 2003 that the U.S. Supreme Court actually ruled that they were unconstitutional.

 

[ 116] The Worm Ourobodos is a strange fantasy novel (open admission here: I have not read the book and don't plan to ... this is paraphrased from Wikipedia). The relevance here is that it features an army of "Demon lords" who take on a more powerful enemy and defeat them. Having won this war, they now feel like they lack the heroic purpose that had been inspiring them. So what do they ask the gods for? To turn back time so that they can start the war all over again. 

 

[118] **Please notice that the woman who enters the luncheonette has a ring of keys. So what? Just google "ring of keys fun home at city hall." This moment becomes one of the key scenes in the musical version>> https://www.youtube.com/watch?v=wMJvLTZOhpE

 

 

CHAPTER FIVE: "The Canary-Colored Caravan of Death"

 

[124] Premonitory (Adj.): A vision of a future event.

[124] Maudlin (Adj.): Sad, in a weepy and even pathetic way.

[124] Idolatrous (Adj): Like someone worshipping an "idol."

[124] Crepuscular (Adj.): Like a sunset.

[125] Mealy-mouthed (Adj.): Mumbling--as if your mouth were filled with crackers as you spoke.

[125] Precipitate (Adj.): Sudden--and also like rain or snow.

[126] Topography (Noun:) Refers to a landscape, often mountainous.

[126] Hadrian's Wall (Proper Noun): A 70-mile wall built by the Romans about 120 BC that crosses England from West to East.

[127] Albeit (Conjunction): An older way of saying "although..."

[128] Berm (Noun): A large mound of rock and dirt.

[128] Pyrotechnics (Noun): Like fireworks.

[128] Particulates (Noun): Small particles--that usually do not belong where they are found. In other words, pollution.

[129] Picturesque (Adj.): Pretty as a postcard.

[130] Proxy (Noun): A substitute, a double.

[131] Tour de force (French. Noun/Adj.): Something powerful--even a crayon drawing can be one!

[131] Daunting (Adj.): Impressive.

[133] Rapt Immersion (Adj./Noun): An inspired meeting, one that leaves the world behind. 

[133] Sustenance (Noun): Like food and water.

[134] Compulsion (Noun): An interest or behavior that becomes obsessive.

[135] Obessive-complusive disorder (Adj./Noun): As you'll see, a condition in which someone focuses carefully--sometimes way too carefully--on organizing things.

[135] Swags (Noun): Like a curtain.

[135] Festoons (Noun): Again, like a curtain or hanging decoration.

[135] Noxious (Adj.): Foul, poisonous.

[135] Proliferated (Verb): Increased rapidly

[135] Spawned (Verb): Created

[135] Stopgap (Adj.): Desperate, last chance.

[135] Incantation (Noun): A spell or song to keep evil away.

[136] Perfunctory (Adj.): Careless, routine.

[136] Bathetic (Adj.): Really pathetic.

[136] Repressed (Adj.): Here, an emotion that is not expressed directly.

[139] Concrete (Adj.): Made real--ideas such as law enforcement are abstract, while hand cuffs are concrete.

[139] St. Vitus Dance (Adj.--also archaic): An out of date term for what we would now call Huntington's Disease, a truly terrifying neurological disorder. In its advance stages the patient will appear to be having a non-stop convulsion.

[139] Annilhilation (Noun): Complete and utter destruction.

[139/140] Autistic/artistic/autodidact/autocrat/autocide (Adj./Adj./Noun/Noun/Noun): These are listed together because Bechdel places them together--it's like an echo-chamber!

     Autistic (Adj.): A complex condition, one in which a person is often silent and seemingly withdrawn.

     Artistic (Adj.): The easy one on the list...

     Autodidact (Noun): Someone who is self-educated.     

     Autocrat (Noun): Think of Democrat--except an autocrat listens only to himself.

     Autocide (Noun): Someone who kills himself.

[140] Solipsisitic (Adj.): A difficult but key word. It refers to a statement in which someone believes in something just because he/she believes in it, without referring to any outside evidence. (EX: "I enjoy this music because it's great to dance to, and it's great to dance to it because I enjoy it.")

 [140] Propensity (Noun): This word is almost always followed by the word "to." It means that you are likely to _______, attracted to __________, etc... 

[141] Epistemological (Adj.): In plain English, how do we know what we know? 

[141] Hubristic (Adj.): Hubris general means "excessive pride." "Hubristic" actions/ideas often lead to trouble...

[141] Approximations

[142] Gossamer (Adj): Made of a thin, often see-through fabric.

[142] Sutures (Noun): Stiches used to close a wound.

[142] Gaping (Adj.): Wide.

[142] Rift (Noun): A large gap.

[142] Signifier/signified (Noun/Noun): A complicated pairing. In plain terms, a signifier is a word and/or symbol (EX: "stop sign" or veggie burger" or "rugby game") that refers to an actual idea or object or action.

[142] Preseverated (Adj.) You may know the term "persevere," which means to continue trying. In this case, perseverated means to continue an action long after one needs to--like waving goodbye to someone just walked around a corner.

[142] Onerous (Adj.): Like a heavy burden

[142] Circumflex (Noun): Juts note the symbol she draws in between and over her previous writing.                         

[142] Amulet (Noun): An object worn or shown to protect one from evil or magic.

[143] Cursory (Adj.): Written in a brief and careless way.

[143] Laden (Adj.): Loaded with heavy meanings.

[144] Primeval (Adj).: Untouched, primitive.

[144] Bumpkinish (Adj.): Like a country boy--or see the word "provincial." 

[145] Deracination (Noun): Erasure, cleansing (of her accent, in this case...).

[147] Disenchanted (Verb.): As we know, Gatsby is all about seemingly "enchanted" lives. Here, the word means "bored" or "tired." 

[150] Fuchsia and Magenta (Adj.): Similar bright red colors. Who would have known that there are actually web sites where people continue this argument!?

 

TEXTS:

 

The Wind in the Willows is a 1908 children's novel (which I often read to my kids when they were younger...). In some ways it's a nice and pleasant adventure featuring the friends Rat and Mole. Yet "Toad" is the most complex character in the book. He's rich, bored, selfish--and obsessed with driving cars quite recklessly around his small village. He also does quite well at disguising himself as a woman in order to travel freely or to escape--that is, he "passes" well. 

 

 

CHAPTER SIX: "The Ideal Husband"

 

This title refers to a well-known play by Oscar Wilde--keep in mind the idea of the "ideal husband" and note the many references to Wilde.

 

[153] Dishabille (Noun):

[153] Import (Noun): Implied significance

[153] Provincial (Adj.): Local, too local.

[153] Abject (Adj.): Sad, seeking forgiveness

[153] Mien (Noun): Facial Expression

[154] Synchronicity (Noun): This means a lot more than "simultaneous." It's a crucial term from Carl Jung and Jungian psychology.  

[153] Implausible (Adj.): Hard to imagine.

[155] Juxtaposition (Noun): An unlikely and often contrasting series of events, objects, etc....

[155] Trite (Adj.): Clichéd, tired.

[157] Libininal (Adj.): Erotic

[157] "Shuffled off this mortal coil" (Phrase): A reference to a well-known soliloquy by Hamlet, in which he questions whether suicide can be justified.

[160] Veritable Saturnalia (Adj./Noun): In plain English, a serious party. As the word "binge" suggests, it may have gotten out a bit out of control. 

[162] Faltering (Adj.): Shaky, unsure.

[162] Elliptical (Adj.): Incomplete, even evasive.

[162] Riddling (Adj.): Creating riddles.

[164] Dominatrix (Noun): Simply, she's the boss!

[165] August matron (Adj./Noun): Here, August in not a month. An "august matron" is an imposing head of a family. 

[165] Unencumbered (Adj.): Not complicated by limits.

[ 165] Matryrology (Noun): Like a "mythology"--you'll soon read more about Wilde.

[169] Vagaries (Noun): Uncertainties.

[169] Encryption (Noun): A secret code.

[170] NING'S (A completely personal idiom): Bechdel uses NING in her diary to describe certain things that she does;t want to actually describe.

[170] Indecipherability (Noun): Unable to be read clearly (or at all).

[170] Assiduous (Adj.): Steady, frequent.

[170] Surrogates (Noun): Replacements, personas.

[171] Sin of omission (Phrase): A sin of "commission" is to actively do something; a sin of "omission" is a failure or refusal to act/speak/think in the "proper" way.

[172] Lacunae (Noun): A complex word referring to a blank space (in a manuscript, piece of music, even a bone). Take a close look at the bottom of panel 1 on this page. The section about "tried to quash" refers to a famous incident in the Watergate trial, in which it was revealed that an audio tape of a crucial 18-minute conversation between Nixon and his chief advisor had been erased.

[172] Tricky Dick (Slang): A term often used by the media to describe President Nixon, whose open hatred of the media was well-known.

[172] Sanctimonious (Adj.): Having a righteous attitude, maybe too righteous.

[174] Facetious (Adj.): Openly exaggerated.

[174] Wildean (Adj.): Refers to the writer Oscar Wilde.

[175] Dared not speak its name (phrase): This is an allusion to a famous phrase often associated with Oscar Wilde. The phrase originally appeared in a poem by Lord Alfred Douglas, Wilde's lover. It was used as evidence against Wilde in his trial.

[175] Rough trade (Adj./Noun): Here, engaging in gay sex. The term can also imply sex with someone underage.

[180] David and Jonathan (Biblical allusion): Wilde is comparing his love for Lord Alfred Douglas to the Biblical narrative of David and Jonathan (whose love is generally seen as Platonic...). 

[180] Reading Gaol (Proper Noun): Wilde was sentenced to jail, where he wrote with great empathy of his fellow prisoners. Wilde's grave stone reads:

 

And alien tears will fill for him, Pity's long-broken urn, For his mourners will be outcast men, And outcasts always mourn.

 

[181] Abhorrent (Adj.): Disgusting, offensive.

[184] Forced nonchalance (Adj./Noun): "Nonchalance" means boredom or lack of interest--"forcing" this means one is just pretending to seem that way.

[184] Self-repudiation (Noun): Denying or rejection one's self.

[186] Implicit lie of the blank page (phrase): Bechdel her is equating silence with lying--keep that in mind. 

 

TEXTS:

Oscar Wilde was never shy, never hesitant to speak boldly. Here is one of many well-known photos of him:

http://media.photobucket.com/user/Sectorv85/media/OscarWIlde.jpg.html?filters[term]=oscar%20wilde&filters[primary]=images&filters[secondary]=videos&sort=1&o=0

 

Here's a link to a modren production of the book you can see buried under others in the closing panel of this chapter. It may look like just a bunch of silly and frilly Brits posing and saying snide things--and there's some truth to that. Yet this play is really about "passing"--and for Wilde, "passing" became literally a life or death matter. 

https://www.youtube.com/watch?v=rNCliKCN9gY

 

 

CHAPTER SEVEN: "The Antihero's Journey"

 

CHAPTER TITLE: We've all heard and used some version of the words "hero/heroine"--and even these seemingly familiar words can soon get complicated. (But that's story for another time.) What then might be an "anti-hero?" Let's start with something very basic. An anti-hero is NOT just someone who is against the the hero/heroine. We would describe such a person/character as the antagtogonist or more simply, the "villain." Please recall our discussions of Jay Gatsby or Breaking Bad.

 

[189] The Bicentiennal: the obvious meaning is the celebration of the birth of our nation. See later when it is also described as "the greatest party ever known" on page 195.

[190] Arresting (Adj.): Here it means compelling, attractive. Yet the implication of "illegal" acts is also hinted at. See the sequence on pages 192 and 193.

[190 and 191]: See the notes below about Baryshnikov and A Chorus Line.

[195] Epidemiologists (Noun): Scientists who study epidemics, in this case AIDS.

[196] Posthumously (Adverb): After someone's death.

[196] Expendable (Adj.): Something you throw away casually.

[196] Homophobia (Noun): A "phobia" is a fear.

[197] Cul de sac (French/Phrase): A dead end.

[197] Archaic (Adj.): Very old.

[197] Begetting (That's the "participle" mentioned after "archaic"): Fathering.

197] Tautology (Noun): A definition that seems repetitive or obvious. (EX: Saying that "religious" means "interested in religion.")

[197] Lowering (Adj.): Like clouds before a storm.

[197] Malevolent (Adj.): Likely to become violent, even evil.

[197] Pall (Noun): A deathly chill.

[199] Cognitive dissonance (Adj./Noun): The ability (or the problem) of being able to believe in two contradictory ideas at the same time.  

[200] Currency (Noun): An exchange of something valuable.

[200] Archetypal (Adj.): Another version of the word "archetype" that we've seen earlier.

[200] Contorted (Adj.): Twisted into a distorted form.

[200] Exasperated (Adj.): Frustrated, losing patience.

[201] Roman a clef (Noun; French):: A novel with close parallel's to the author's own life.

[201] Vicarious (Adj.): Someone experiencing something indirectly.

[202] Blissfully (Adverb): Joyously.

[202] Recant (verb): To take back a statement or testimony.

[202] Meager (Adj.): Limited

[202] Hobson's choice (Phrase): In plain terms, a "choice" that isn't quite choice. That is, "take it leave it."

[203] Embarked (Verb): Started out, as is sailing in a boat.

[203] Odyssey (Noun): An epic journey--and the title of the book in the foreground.

[203] Episodic (Adj.): In a series of episodes or quick stories      

[203] Inevitable (Adj.): Bound to happen, fated.

[203] Convergence (Noun): A coming together or comparison

[203] Abstracted (Adj.): Seen as somewhat unreal or symbolic.

[204] Elated (Adj.): Thrilled.

[204] Helen of Troy and Paris (Names): Maybe you've heard the line about "the face that launched a thousand ships." That was Helen, daughter of Zeus and Lela, who was abducted by Paris, and the thousand ships was the navy sent to rescue her.

[205] Inciting (Verb): Starting--as in "inciting a riot."

[205] Epiphany (Noun): A really complex term. In plain terms, a revelation or insight.

[206] Nestor (Name): He counsels Telemachus, who is looking for Odysseus, his father. Nestor likes the sound of his own voice.

[207] Megalomania (Noun): Excessive belief in one's one worth or power.

[207] Nausicaa (Name): A local goddess?? who saves Odysseus's life.

[208] Anaphrodisiac (adj.): An "aphrodisiac" is a substance or experience that heightens sensual responses--this does the opposite. 

[208] Voluptuous (Adj.): Having a strong sensual appeal. Not a likely word to be used in association with a suicide.

[209] Catechism (Noun): An explanation of religious doctrine.

[209] Lotus-eaters (Name): In general, this term refers to any group who becomes so pleasantly addicted to something that they lose their way.

[210] Amazons (Name): In art and literature and mythology, a race of woman warriors.

[210] Benign (Adj.): Harmless.

[210] Underworld/Hades: Similar in meaning, but Hades is far more scary.

[210] Trepidation (Noun): Fear

[211] Unmoored/Broadside/Swamped (Adj./Noun/Swamped): Think of boat that has been cut loose from its anchor and then hit on the side by a huge wave that flips it over.

[212] Reciprocal (Adj.): See the sentence for context--it refers to what one person thinks another person thinks about them.

[213] Scylla and Charybdis (Names): In The Odyssey, Scylla is a monster who eats sailors and Charybdis is a monster who creates whirlpools that sink entire fleets. Odysseus must try to sail through the narrow gap strait between them 

[215] Cyclops and Polyphemus (Name): Two names for the same one-eyed, man-eating creature who enjoys eating several members of Odysseus's crew. 

[216] Penelope (Name): In The Odyssey, she is the patient and faithful wife who waits twenty years for the return of her husband.

[217] Tinderbox (Noun): A place that is ready to explode.

[217] Sirens (Noun): NOT like a firetruck siren. In The Odyssey, the "sirens" are beautiful female creatures that lure men with their songs--and then destroy them.

[219] Derision (Noun): An insulting tone--just think "Snort!"

[221] Odysseus and Telemachus (Names): Father and son in The Odyssey. Please note the reference to this in the Obama essay!

[222] Predilection (Noun): An interest, often a hidden one. 

[222] Ithaca (Proper Noun, here an Adj.): The home of Odysseus.

[223] Obtunding (Adj.): See the words before it--this is the opposite of stimulating.

[223] Mortified (Adj.): Scared to death--remember he's a "mortician."

[224] Trojan Horse (Adj./Noun): A gift that is actually more of a weapon.

[224] Limbo (Noun): A complex (and discredited) theological term. Here it means stuck between two bad options.

 

 

[225] Unnatural / Unusual (Adj.): Familiar words, right? Then why does he apologize for one of them?

[226] "They have no mercy on that" (Phrase): I know you know these simple words. What they mean here is that "suicide" is considered the ultimate sin.

[226] Resilient (Adj): Able to "resist" difficulties. 

[228] Imputes (Verb): Gives, associates.

[228] Beseeching (Adj.): Yearning, pleading.  

[228] Libidinal (Adj.): We saw this before on page 7.

[228] Cumulative (Adj.): Building up gradually (like "accumulate").

[228] Renunciatory (Adj.): To "renounce" means to give up something--and it often has a spiritual meaning.

[230] Inverted Oedipus complex (Adj./Adj./Noun): In Freud's Oedipus Complex, a father unconsciously wants to "keep" his daughter--here, Alison wants to "keep" her father.

[231] Consubstantial (Adj.): Made of the same substance or essence.

[232] Hurtle (Verb): To fall uncontrollably.

[232] Impels (Verb): Drives, pushes.

 

 

TEXTS:

 

[190] Mikhail Baryshnikov was an incredible dancer. Many people assumed he was gay--he says otherwise. The key thing then--and now--was that he spoke out very openly in defense of gay rights. For some recent comments, see:

http://www.rferl.org/content/baryshnikov-lgbt-russia/25139467.html

If you were a fan of Sex in the City, you've seen him before.

 

[191] A Chorus Line was a long-running Broadway musical (later a movie) about the many, many singers and dancers who are NOT the stars of the show, and it features numerous monologues in which characters speak very candidly of their joys and despairs as young artists. This attachment leads to the monologue that Bechdel is watching.

http://www.angelfire.com/musicals/acl/fromtheshow/monologues.html

 

[192--193] In 1970s New York, few places were more different than the West Side Piers and the Frick.

 When you think New York piers in the 1970s, don't think of the 2016 Chelsea Piers, the High Line, the pricey boutiques, and all that. See>>

http://gothamist.com/2012/02/16/flashback_cruising_the_west_side_pi.php

 The Frick: Actually, it's the Frick Museum, but few New Yorkers call it that. Find more at http://www.frick.org

 

[195] The Band Played On is a powerful film about the fear, bravery, hesitation, and desperate choices of people during the first years of the AIDS crisis. 

https://vimeo.com/85778803 

 

[202] JAMES JOYCE: A famous, and famously difficult, Irish writer.

You can start with the excerpt from the famous closing scene of John Huston's movie The Dead.

https://www.youtube.com/watch?v=z6FGIaWaQxA

 

The last chapter has numerous references to Joyce and to Molly Bloom--and to a love letter written by Bruce Bechdel to his wife. The speech by Molly Bloom is both incredible and really difficult to read, primarily because it's roughly 30--35 pages (depending on the edition) and there is NO PUNCTUATION. This site has the full version AND a film version of the last page of it (the one that Bruce quotes so fervently).

https://poetrydispatch.wordpress.com/2008/06/16/james-joyce-molly-blooms-soliloquy/

 

Links to the musical:

There are 27 songs in the soundtrack. If you want to hear an anguished song from Helen Bechdel's perspective, try:

https://www.youtube.com/watch?v=SLyQxfG9ktQ

JOURANAL ARTICLE 2

Reference (APA style):

Citation (APA style):

1. What is the Research Question? What interesting and/or important sociological issue is this study trying to solve?

2. What type of Background Information is provided (this will usually appear in the Introduction or Literature Review)? You can simply list the major topics that are discussed as part of the background for this study.

3. What is the research Methodology? How were the data collected? If appropriate, include a description of the subjects, location/setting, procedures, and a description of any instruments (such as a questionnaire) that were used. Also, discuss any potential limitations to this study (there are generally two types of limitations: some related to the validity of the study (that is, are the researchers able to collect accurate data? Are they measuring what they need to in order to answer the research question? Are there any threats to the accuracy of the study?) and some are related to the ability of the research to be generalized to other settings (that is, if the study was conducted in New York City, are the results likely to be applicable to Los Angeles? Denver? Fresno?).

4. What are the most important findings/Results?

5. What are the most important Conclusions? What did the authors learn?

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