Search Results for: The Atlantic

Queens of Infamy: Josephine Bonaparte, from Martinique to Merveilleuse

Illustration by Louise Pomeroy

Anne Thériault | Longreads | March 2019 | 22 minutes (5,569 words)

From the notorious to the half-forgotten, Queens of Infamy, a Longreads series by Anne Thériault, focuses on badass world-historical women of centuries past.

* * *

Looking for a Queens of Infamy t-shirt or tote bag? Choose yours here.

In 1768, a 15-year-old girl traveled to the hills near her family home in Martinique to visit a local wise woman. Desperately curious to know what her future held, the girl handed a few coins to the Afro-Caribbean obeah, Euphémie David, in exchange for a palm reading. Euphémie obligingly delivered an impressive-sounding prediction: the girl would marry twice — first, unhappily, to a family connection in France, and later to a “dark man of little fortune.” This second husband would achieve undreamed of glory and triumph, rendering her “greater than a queen.” But before the girl had time to gloat over her thrilling fate, Euphémie delivered a parting blow: in spite of her incredible success, the girl would die miserable, filled with regret, pining for the “easy, pleasant life” of her childhood. This prophecy would stay with the girl for the rest of her life, and she would think of it often — sometimes with fervent hope, sometimes with despair, always with unwavering belief that it would come true.

That girl was the future Empress Josephine Bonaparte. Everything Euphémie predicted would come to pass, but young Josephine could not have imagined the events that would propel her to her zenith: the rise through Paris society, the cataclysm of the French Revolution, the brutal imprisonment during the Reign of Terror, the transformation into an infamous Merveilleuse, the pivotal dinner at her lover’s house where she would meet her second husband.

She wouldn’t even have recognized the name Josephine — that sobriquet would be bestowed by Napoleon some 18 years hence. The wide-eyed teenager who asked Euphémie to tell her fortune still went by her childhood nickname, Yeyette.

Read more…

Of Safe Words and the Sacred

Getty / Photo illustration by Katie Kosma

Britni de la Cretaz | Longreads | March 2019 | 12 minutes (2,913 words)

Step 3: Made a decision to turn our lives and our will over to the care of God as we understood him.

In the throes of passion, it’s not unusual to cry out for the Heavenly Father. Bodily pleasure, the agonizing ecstasy of orgasm, can feel like prayer — a communication with the divine, a gift from somewhere beyond this realm. Sex is one of the most primally human experiences, but when it’s good, it can feel otherworldly.

In AA’s Big Book, they say that having a spiritual experience in recovery will rocket you into “the fourth dimension of existence.”

I thought I’d already been to that dimension: consensually tied up and flogged in a hotel room, the red splotches spreading across my ass and thighs — precursors to the bruising that would splatter my backside like a Jackson Pollock painting in the days to come. I thought I’d found heaven in the place between the agony of the whip and the ecstacy of His fingers finding my wetness. He called me demeaning names and degraded me in all the right ways; I was happy to do anything He asked.

I did not believe in God, but I believed in surrendering my body and my will to this man. Surely, He would save me.
Read more…

The Fertility Doctor’s Secret Children

Getty Images

As a fertility doctor in Indiana in the ’80s, Donald Cline helped bring many children into the world, though no one knew he was donating his own sperm to the cause. While this is clearly immoral, as Sarah Zhang reports at The Atlantic, Cline was only prosecuted for obstruction of justice — for attempting to cover up his crimes — because there is no law in Indiana or in many other states that prohibits a physician from using his own sperm in fertility treatment.

The people now sending her messages said they were Cline’s secret biological children. They said their parents had also been treated by Cline. They said that decades ago, without ever telling his patients, Cline had used his own sperm to impregnate women who came to him for artificial insemination.

According to her DNA, Woock, too, was one of his children.

In the time since Woock’s half siblings got in touch with her, they have broken the news dozens more times. The children Cline fathered with his patients now number at least 48, confirmed by DNA tests from 23andMe or Ancestry.com. (Several have a twin or other siblings who likely share the same biological father but haven’t been tested.) They keep in touch through a Facebook group. New siblings pop up in waves, timed perversely after holidays like Christmas or Mother’s Day or Father’s Day, when DNA tests are given as well-intentioned gifts.

Like Woock, many of her new siblings learned that they were donor-conceived from a DNA test. (Woock’s parents eventually told her they’d gone to Cline for donor insemination, but they’d had no idea he was the donor.) And in their shock, many also thought the initial messages explaining the situation were part of a scam. But eventually they found news clips laying out that, yes, this doctor deceived his patients, and yes, he used his own sperm, and yes, this is really happening.

Read the story

The Top 5 Longreads of the Week

Freddie Gray mural, Baltimore, Maryland
A mural of Freddie Gray near the location where he was arrested in Baltimore, Maryland. (Photo by Win McNamee/Getty Images)

This week, we’re sharing stories from Alec MacGillis, Chloe Cooper Jones, Adam Serwer, Emma Marris, and Mik Awake.

Sign up to receive this list free every Friday in your inbox. Read more…

Women and Pain: A Reading List

Getty Images

“But for pain words are lacking. There should be cries, cracks, fissures, whiteness passing over chintz covers, interference with the sense of time, of space; the sense also of extreme fixity in passing objects; and sounds very remote and then very close; flesh being gashed and blood spurting, a joint suddenly twisted — beneath all of which appears something very important, yet remote, to be just held in solitude.”

–Virginia Woolf, The Waves

In a recent NPR piece, “Invisibilia: For Some Teens With Debilitating Pain, The Treatment Is More Pain,” readers are introduced to Devyn, a 14-year-old who develops intense bodily pain, seemingly out of nowhere. In search of the source of the pain or a cure, Devyn’s mother Sheila takes her to doctor after doctor. Each time, medical professionals tell Devyn, “‘You are healthy. Nothing is wrong,’” until, eight months later, when Sheila finds Dr. Sherry, a man responsible for a highly controversial treatment for pain: inflicting more pain.

As reported in the NPR piece, patients of Dr. Sherry’s “do physical workouts five to six hours a day.” All medicine, “even medication for apparently unrelated problems” is taken from patients. When Devyn experiences an asthma attack on the first day of practice, she is “directed…to simply walk around the gym” rather than take her inhaler.

At the end of the piece, Devyn claims to have been cured by Dr. Sherry’s program — she “even went back to dancing.” But for many readers, the essay was infuriating, unethical even. Maya Dusenbery, author of Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick, called the piece “irresponsible” and generated a list of 12 questions that journalists should have asked experts, including “An asthma attack and a nosebleed are not pain complaints. What possible justification was there to ignore these problems in Devyn?”

Abby Norman, author of Ask Me About My Uterus: A Quest to Make Doctors Believe in Women’s Pain, tweeted that while she hadn’t been a patient of Dr. Sherry, she had tried swapping “one pain for another more intentional pain” and “just ended up with twice as much pain and a deep feeling of failure and shame that I couldn’t get ‘better’ and ‘beat it’ and ‘be normal.’” Norman is not alone in the ways she tried to ignore pain rather than accepting and learning to live with high levels of physical discomfort. Women’s symptoms — particularly pain, which is invisible — are often dismissed, disbelieved or diminished by doctors. Even when women do voice what’s happening with their bodies, they often do not receive treatment or even an acknowledgment of what’s ailing them.

Norman, in response to a series of questions I asked her about pain, wrote that she received pressure from “everywhere — doctors, friends and family, society” that “if you aren’t actively trying to get better, you’re wrong. If you aren’t making strides at getting well, you’re wrong. If you’re failing, if you stay sick, if your pain is still there, not only have you failed but you must want to be this way. Maybe you’re even faking it. Or making it worse than it really is.”

Women, in particular, are subject to this type of blame from doctors and others. As Norman notes, “on a sociocultural level, there are a lot of messages specifically undermining a woman’s interpretation of her own mind, body, and experiences. Not just in terms of physical pain, either. Where it becomes difficult (and in some cases life-threatening) is that the overarching patriarchal structures under which healthcare systems of the world operate, the very long history of misogyny in the medical profession and in our culture at large, vigorously and consistently reinforces these messages.”

Knowing this, how do we begin to change the narrative of how women’s pain is perceived, understood, and treated? How might we validate the experiences of women who have been repeatedly and systematically ignored, dismissed, and blamed by medical professionals and society at large? How do we treat pain without inflicting further physical and emotional harm?

I don’t think there are easy answers, but we can work to support initiatives dedicated to create lasting change to correct data that demonstrates the pain of women — affected even further by factors such as race, class, and weight — is routinely disbelieved by medical professionals. We can examine the language used to express and treat women’s pain, and work to find a vocabulary that allows us to rewrite the current narrative. We can listen carefully to women with histories of pain who write or speak about their experiences and heed their calls to action.

1. The Long History of Discrimination in Pain Medicine (Sarah Zhang, February 28, 2017, The Atlantic)

“The emergence of objectivity influenced the stigma around patients who suffered from pain without visible injury—and this stigma ends up overlapping with stigma that already exist along race, gender, and class lines.”

According to bioethicist Daniel Goldberg, author of a recent paper, “Pain, objectivity and history: understanding pain stigma,” the 19th century brought new instruments like the X-ray, which allowed for an “objective” means of understanding previously unseen pain, and these developments forced a reckoning with the way doctors had previously understood patients and the body. Sandra Zhang interviews Goldberg in order to learn more about how histories of racism, sexism, and classism have influenced the way doctors treat patients today.

2. I’m a fat Black femme searching for a doctor who believes my pain (Dominique Norman, January 24, 2019, Hello Giggles)

“I’m Black, fat, and femme, living with a chronic physical illness and mental illnesses. I can tell you that self-advocacy in doctor’s offices is incredibly difficult when no one will listen to you.”

Histories of racist practices in medicine such as the Tuskegee experiment or cells taken from Henrietta Lacks without her consent have left lasting negative impacts on the way black women are treated by medical professionals today, as Dominique Norman explains in her personal essay about being disbelieved and dismissed by a variety of doctors for years on end.

3. Grand Unified Theory of Female Pain (Leslie Jamison, Spring 2014, Virginia Quarterly Review)

“The pain of women turns them into kittens and rabbits and sunsets and sordid red satin goddesses, pales them and bloodies them and starves them, delivers them to death camps and sends locks of their hair to the stars. Men put them on trains and under them. Violence turns them celestial. Age turns them old. We can’t look away. We can’t stop imagining new ways for them to hurt.”

How can we talk about women’s pain in a way that is true to their experience? What kind of pain is perceived as “real” and what kind is seen as a cry for attention? How can women write about their pain without adding to a history of narratives that have glamorized “wounded women”? By analyzing representations of women’s pain in art and literature, Leslie Jamison asks — and seeks to answer — these questions and more.

(Related: read “Writing Women’s Pain: Part Two of a Round Table, a conversation with Alethea Black, Abby Norman, Esme Weijun Wang, and more,” November 2018, 2018, Lit Hub)

4. Nothing Protects Black Women From Dying in Pregnancy and Childbirth (Nina Martin, ProPublica, and Renee Montagne, December 7, 2017, ProPublica and NPR)

Shalon Irving, who earned a dual-subject Ph.D. and worked to “eradicate disparities in health access and outcomes,” passed away at the age of 36, just three weeks after giving birth to her first child. As Nina Martin and Renee Montagne report, Irving’s death is representative of a much larger issue: black women are “243 percent more likely to die from pregnancy or childbirth-related causes.”

“Black expectant and new mothers frequently told us that doctors and nurses didn’t take their pain seriously — a phenomenon borne out by numerous studies that show pain is often undertreated in black patients for conditions from appendicitis to cancer.”

5. Pain bias: The health inequality rarely discussed (Jennifer Billock, May 22, 2018, BBC)

As happens to many women who have valid symptoms, Jennifer Billock was told by her doctor that she was “paying too much attention” to her body — he recommended she go home and relax.

“I still left his office thinking it was perhaps anxiety. And so, listening to the advice, I tried to ignore the pain.”

Billock explores the numerous ways in which women’s pain is dismissed and discredited throughout this piece, and also why.

6. It’s All In Your Head: The Dangers of Disbelieving Female Pain (Caroline Reilly, July 6, 2016, Bitch Magazine)

Caroline Reilly feels a sense of relief when she wakes from surgery and a medical professional tells her they “found a lot” of endometriosis within her. Her pain, previously disbelieved, was now validated by a name. Reilly, through research studies and personal experience, advocates for women’s pain to be legitimized.

“The disbelief of female pain is well documented. “The Girl Who Cried Pain: A Bias Against Women in the Treatment of Pain,” a 2001 study in the Journal of Law, Medicine & Ethics, documents how women are given less pain medications than men for the same procedures. On the other hand, the study notes that women are more likely to be given sedatives—as women are more often perceived as anxious than in pain. Women also wait longer than men in emergency rooms.”

7. Black Health Matters (Jenna Wortham, August 27, 2016, The New York Times)

“In April, a study by researchers at the University of Virginia found that African-American patients were routinely undertreated for their pain, compared with white patients. Ultimately, black patients were conditioned to underestimate their own pain.”

Plagued by a mysterious rash and other health concerns, Jenna Wortham visits several doctors and an emergency room before her acupuncturist asks if her condition might be related to stress. Upon reflecting on the overwhelming trauma she encounters daily in her newsfeed, Wortham discovers Simone Leigh, “a renowned artist with a history of examining social movements and black subjectivities, with a focus on women,” and works to “deal with the psychological toll of racism” through practices such as yoga and acupuncture.

8. Treating Migraines: How Women are Harmed by Gendered Medical Language (Rachel Mabe, February 6, 2018, Catapult)

“So the question is: Does the stigma of migraines as a women’s disease, and the stereotypically feminine language still used to talk about them, affect patient treatment? Does it affect how much time and money are spent on studying migraines?”

Rachel Mabe seeks to answer these questions by sharing the story of Patty, a woman who experiences “twenty-two headache days a month,” analyzing words such as “oversensitive” used to describe women’s migraines, writing about her own experience with incapacitating headaches, and examining how the gender biases present within the history of language related to migraines has contributed to the way migraines remain understudied.

***

Jacqueline Alnes is working on a memoir about running and neurological illness. You can find her on Instagram and Twitter @jacquelinealnes.

‘I Cannot Name Any Emotion That Is Uniquely Human.’

Raymond Boyd/Getty Images

Hope Reese | Longreads | March 2019 | 10 minutes (2,624 words)

 

Humans are not exceptional — at least not when it comes to our status in the animal kingdom, according to primatologist Frans de Waal. De Waal has been studying primates for decades, researching their capacity for cooperation and ability to express guilt, shame, and other nuanced emotions, and has written more than a dozen books on these topics.

In his latest book, Mama’s Last Hug: Animal and Human Emotions, de Waal delivers persuasive evidence that shows exactly how animals can display deep and complex emotions — which are, it must be noted, different from feelings — and how closely connected to humans our primate siblings really are. Despite the inclination of many researchers to dismiss the concept that animals have rich emotional lives, de Waal illustrates how behavioral research provides evidence that not only do animals experience the same emotions as humans, but that there are no “uniquely human emotions.” Read more…

‘I Saw My Countrymen Marched Out of Tacoma’

Illustration by Mark Wang

Joy Lanzendorfer| Longreads | February 2019 | 12 minutes (3,300 words)

On February 6, 1885, David Kendall, a city councilman in Eureka, California, was shot. Two Chinese men, possibly from rival gangs, were firing at each other from across the street when a bullet hit Kendall and killed him. Within 20 minutes of his death, a mob of 600 white men marched into Chinatown, intending to burn it to the ground.

Disturbingly, this wasn’t unusual. Violence against Chinese people and Chinese-Americans was a regular occurrence on the West Coast. However, this event was different because of what happened next. Instead of destroying Chinatown, the city decided to order the Chinese to leave. Within 48 hours, most of the Chinese residents were forced onto boats bound for San Francisco. This “peaceful” method of expelling them from their homes was quickly imitated. Towns up and down America’s West Coast, but also as far north as Vancouver, Canada, and as far east as Augusta, Georgia, began forcing out their Chinese populations. Jean Pfaelzer, author of Driven Out: The Forgotten War against Chinese Americans, considers it ethnic cleansing.

“The intention … was to round up all the Chinese people in over 200 towns across the Pacific Northwest and drive them out so they would never come back,” she says. Read more…

You’re Just Too Good to Be True

Hulton Archive / Getty, Photo illustration by Katie Kosma

Kavita Das | Longreads | February 2019 | 27 minutes (6688 words)

New York City, 1980

Mommy and I had a deal. On our twice-a-week, 45-minute drive to speech therapy, I practiced singing South Indian Carnatic songs, the ones she grew up playing on the violin, and on the way back I was allowed to listen to anything I wanted. So, as soon as we hit the road from our house, she prompted me to begin with sa-pa-sa. Sa is the equivalent of do, the starting note in Western classical solfege, and pa the equivalent of sol, the fifth note above do. Singing these fifth intervals helped ground me in my pitch before I began any song.

Once that was done, Mommy picked from songs she had already taught me during previous car trips, or began a new one. She quizzed me on which raga, or key, it was in, and then we sang the scale of that raga together. Unlike Western keys, ragas might have different ascending and descending scales, which struck me as hazardous. Even if I knew my way up the mountain, taking the same path down might send me careening into a ravine of shame. Then, she began tapping out the talam, or the time signature, on the steering wheel of her deep blue Chevy Horizon hatchback, while navigating through traffic, and I followed along, tapping it out on my thigh or on the vinyl seat next to me. I began to sing. When I forgot a lyric or the melody, she piped up and sang alongside me, and then chided, “Start again and this time concentrate, and sing it correctly.”

We went from one song to the next as we made our way from our home in Bayside, Queens to Albert Einstein Medical Center in the Bronx, driving over highways, crossing bridges, stopping at lights, paying tolls. Sometimes we arrived at speech therapy mid-song, and then afterwards, when we got back in the car, instead of switching to my choice, per our deal, Mommy made me finish the song first, which meant I only got to my music when we were halfway home. So, I learned to gauge how close we were to the medical center and speed up my singing so that the end of the Carnatic song coincided with our arrival. This way, the whole car ride back was just for my music.

As soon as we were back in the car, our seat belts fastened, I popped in my favorite tape. It was “The Ultimate Engelbert Humperdinck,” one of the only non-Indian music albums my parents owned, by the first Western musician I was allowed to listen to. I loved everything about him and his music. He spoke to me, an almost-5-year-old who felt she already knew a thing or two about the world — having visited India, Japan, Hawaii, and New Jersey; not to mention endured the pain of multiple surgeries and the monotony of speech therapy for a cleft palate, and the loneliness of being an only child, who was not so much misunderstood as not understood, receiving quizzical looks whenever I spoke. He knew me and cared deeply for me — it was all there in the beautiful lyrics of his songs, and in the way he crooned them just to me. His voice oozed with feeling. It was as smooth and sweet as the caramel squares my grandfather loved so much that he asked me to climb a chair and sneak up to the candy box and fetch him some more.

My absolute favorite song off the tape was Killing Me Softly. Listening to it, I felt as if I was all grown up, sitting in the audience at a small café. I was the person he sang about, who comes undone by the lovelorn songs of a soulful troubadour. I sang out with abandon, the windows down, drowning out city noises. Strumming my pain with his fingers, singing my life with his words, killing me softly with his song, killing me softly. My mother continued to drive as I sang my little girl heart out all the way back to Queens.

I had named my dearest possession after him — my nubby pale blue woven blankie, which stayed steadfastly at my side as I played, before I carried it to bed each night, and which in turn carried me to my dreams. And when my 5th birthday rolled around, and preparations were being made for my party, I instructed my mother to invite Engelbert Humperdinck. My mother assured me that an invitation had been sent to him in England, where he lived and where my parents used to live before they migrated to the U.S. I was so excited, I ran around our basement swinging from the foundation poles, which usually served as the villains I lassoed as Wonder Woman. I could barely believe that in just a few days, Engelbert Humperdinck — I always called him by his full name — would be here in our basement. I wondered what to wear. None of my Indian stuff. Perhaps my powder blue shift and jacket, trimmed with white faux fur. It made me look like a lady, just like the long silk gowns my mother had gotten stitched for me in India. My powder blue number was a hit when I wore it in Japan — while we were snapping photos of the sights and surroundings, Japanese young women were asking my parents if they could snap photos of me in the photo-finish outfits Mommy bought, hand-stitched, or had tailored for me.

I decide that when he arrived, I would give him the frosted flowers from atop my Carvel ice cream cake, a token of my selfless love and admiration. I hoped he would sing Close to You — my second most favorite song, with perfect lyrics for celebrating me as the birthday girl. On the day that you were born the angels got together, And decided to create a dream come true, So they sprinkled moondust in your hair of gold and starlight in your eyes of blue. Well, hair of black and eyes of brown, but I still believed he meant me since Engelbert Humperdinck himself was no blonde-haired blue-eyed being.

I had taken out the album liner notes from the plastic cassette case so often to stare at the two jacket photos of him that the case had broken. He had a head of shiny blue-black hair that cascaded in waves over his smiling face, culminating in two sturdy pillars of sideburns. It reminded me of Daddy’s hair. Unlike Daddy, though, he didn’t have a mustache, which meant he wouldn’t scratch me when he kissed me on the cheek. His nose was pointy, but not too pointy, and his honey brown eyes seemed to twinkle at me like stars from the nursery rhymes I’d learned seemingly so long ago. Now that I was a 5-year-old, I had graduated from nursery school to kindergarten, from nursery rhymes to love ballads, and from imaginary play friends to real-life music idols. I imagined us holding hands, going to the park, and, of course, singing duets together. And sheepishly I wondered if maybe, when I grew up, we could get married. When Mommy and Daddy weren’t around, I pressed my lips against his in the jacket photo, the way I had seen grownups do in TV shows. I never saw any of the Indian uncles and aunties do it, but I knew it was something other grownups — white and Black — did when they loved someone. When I closed my eyes to make a wish, I sometimes focused on a Barbie doll, but other times I hoped for the chance to kiss Engelbert Humperdinck for real.
Read more…

The Caviar Con

Wiki Commons / Thor via Flickr CC / Photo illustration by Katie Kosma

David Gauvey Herbert | Longreads | February 2019 | 15 minutes (3,739 words)

Not long ago, Mike Reynolds was working at Cody’s Bait and Tackle when two men entered the shop with a jingle. He identified them right away by their accents as Russians. The two men began rifling through fishing poles that didn’t yet have price tags. Reynolds asked them to stop. They ignored him and continued to lay rods on the floor.

Reynolds, then 57, had seen plenty of Russians come through the shop, which sits on a quiet dam access road in Warsaw, Missouri, deep in the Ozarks. He was tired of them poaching the town’s beloved paddlefish. Sick of their entitled attitude, too.

So when he asked them to leave and they did not comply, there seemed only one option left. He removed a .40-caliber pistol from under the counter, chambered a round, and placed it on the counter.

“I fear for my life,” he said in a slow, deliberate drawl. He wanted to cover his bases, legally, for whatever came next.

The two men looked up, backed out of the store, and never returned.

It was just another dustup in the long-running war between caviar-mad Russians, local fishermen, and the feds that centers on this unlikely town in the Ozarks and a very curious fish. Read more…

‘Pain is Weakness Leaving the Body’ and Other Lies I’ve Been Told: A Reading List on Mental Health and Sport

Getty Images

Over two miles into my first Division I cross country race, I felt buoyant. My legs turned over like a well-oiled machine and my chest fluttered with promise: as a freshman, I was in third place for my team. I dug the metal teeth of my spikes into dirt and focused on maintaining an even clip. Lost in the reverie of the race, I almost didn’t see my coach standing on the sideline, her blond hair pulled back, face shadowed in a hat.

“Get your shit together,” she seethed as I ran past. Focused and faster than anyone anticipated, I glanced over at her, unsure whether she was speaking to me or someone else. But I was alone. “Move your fucking ass.”

The feeling of calm in my chest dissipated with her words, as if a balloon had been pricked, all the air let loose. Rather than ruminating on the strength in my legs, the smooth swish of my uniform against inner arm, my mind reeled. What was I doing wrong? I was already on pace for a significant personal record — was I supposed to be running faster? Had I appeared unfocused as I ran past?

When I look back at that first race, I always remember those words, the way the tension crept into my limbs. And the feeling stayed throughout the season. Nothing ever seemed good enough for Coach — she’d tell us we were a fucking shit show as a team when we didn’t run as fast as anticipated or when our outfits didn’t match or when we took too long on warmup. Before a race, we could either be a fucking hero and get our shit together or not. There was no in-between. I was 17 years old at the time, adjusting to life halfway across the country from my family, new food, a new sleep schedule, higher mileage, and learning the contours of socializing with my team, but those were not factored into my performance, nor was there any acknowledgment that adjusting to college — especially as a Division I athlete — can be a difficult, and stress-inducing situation.

My coach’s words were not unfamiliar to me. As an athlete, I’d been told iterations of get your shit together my entire career. In high school, no matter what our emotional state was, we were trained to say every day is a great day! The phrase, one my coach used to yell into the sunrise while he biked next to me, is scrawled all over the margins of my training journals, even when the descriptions of my runs read “hurt a lot,” “windy,” or “bloody toe.” Shirts at cross country meets featured sayings like pain is weakness leaving the body; champions train, losers complain; and seven days without running makes one weak. These slogans, intended to be humorous in some cases, emphasized the mentality that many sports do: athletes should be tough enough to overcome anything. If you don’t, it means you’re weak.

I internalized that way of thinking while growing up. I’ve been competitive as an athlete since I was in third grade, and I learned to ignore my emotions, focusing instead on external measures of time, pace, and mileage. My strategy earned me respect from coaches as someone who would train through anything — sickness, shin splints, a bone that grew threw my big toe — and place well in races, no matter what was happening in my personal life. When I placed well, I told myself I was satisfied. And when I didn’t, my entire sense of self-worth came tumbling down. I’d vow to work harder in practice, and the whole cycle would repeat itself ad nauseam; I was always chasing an invisible goal that remained just out of reach.

Midway through my freshman year, I began experiencing neurological issues. As I’d learned to do throughout my years of training, I tried running through the symptoms. Even when this ended in me collapsing on the track, I’d try and try again. To quit seemed unthinkable, but eventually I did. I experienced an acute bout of depression. Without running, who was I? Why hadn’t I been strong enough to push through? I berated myself for being weak, for symptoms out of my control, for losing a sport that had been my entire identity.

Eight years have passed since then, and I am finally learning to run in a way that honors both my physical and emotional health. I am growing more comfortable talking about my experiences with depression, and the way that running played a role in my self-worth for such a long period of time. In speaking about it, I have also realized that I’m not alone. Many athletes struggle with mental health issues, but the culture of sport — especially at the top tiers of competition — often emphasizes physical performance over holistic wellbeing. The culture is changing in ways, yes, but the rhetoric of athlete’s “overcoming” anything is still deeply ingrained in the language of coaches, and the way athletes speak to themselves.

In the following essays, athletes testify on their experiences with mental illness, factors that exacerbate mental illness in sport, and ways that we as a culture can begin to change our language and training in an attempt to support wellness emotionally as well as physically.

1. When athletes share their battles with mental illness (Scott Gleeson and Erik Brady, August 30, 2017, USA Today)

As Scott Gleeson and Erik Brady report, nearly one in five Americans experience some form of mental illness and, for athletes, because of the stressors of the sport, experiences with injuries, and overtraining, the percentage may be even higher. Testimony from a range of athletes — Michael Phelps, Jerry West, Brandon Marshall, Allison Schmitt, among others — about their experiences with mental illness and sport are featured in this piece, all of them urging athletes to speak up about their experiences, seek professional help, and change the culture of sport for the better.

“Sometimes, I walk in a room and regret being so naked and vulnerable, but this is bigger than me,” Imani Boyette says. “I believe my purpose is to talk about the things that people are uncomfortable or afraid to talk about.”

2. Everyone Is Going Through Something (Kevin Love, March 6, 2018, The Players’ Tribune)

On November 5th, at a home basketball game against the Hawks, 29-year-old Cleveland Cavalier Kevin Love began to experience what he now knows was a panic attack. In the days and weeks that followed, after medical testing and conversations with his team, he began to see a therapist, which is something he never envisioned himself doing, particularly because of his identity as a pro basketball player.

“Nobody talked about what they were struggling with on the inside. I remember thinking, What are my problems? I’m healthy. I play basketball for a living. What do I have to worry about? I’d never heard of any pro athlete talking about mental health, and I didn’t want to be the only one. I didn’t want to look weak. Honestly, I just didn’t think I needed it. It’s like the playbook said — figure it out on your own, like everyone else around me always had.”

In this candid and moving essay, Love breaks the silence surrounding mental health, particularly in regard to sport, and, as the title of his essay makes clear, recognizes that “everyone is going through something.”

3. U.S. Athletes Need Better Mental Health Care (Martin Fritz Huber, May 16, 2018, Outside)

After DeMar DeRozan of the Toronto Raptors tweeted about his depression and Kevin Love of the Cleveland Cavaliers penned a viral essay about his experience with panic attacks, the NBA, as Martin Fritz Huber reports, created a position for a director of mental health and wellness.

“I think that’s the biggest burden on American sport culture,” says Brent Walker, an executive board member with the Association for Applied Sport Psychology. “I’ve heard repeatedly from professional and elite athletes how they don’t want to admit having to having a weakness—mental [illness] being one of those.”

Huber breaks down how other countries approach mental health in relation to sport, and asks what it might take to adjust the current system in the U.S. so that athletes are supported.

4. No, Running Isn’t Always the Best Therapy (Erin Kelly, July 23, 2018, Runner’s World)

“Phrases like ‘Running is cheaper than therapy!’ and ‘I run because punching people is frowned upon,’ are routinely splashed on running-themed bumper stickers, social memes, and apparel, and reinforce the idea that running offers a healthy mental outlet.”

Though studies show that running has positive benefits on wellbeing and mood, Erin Kelly, in this well-researched personal essay, pushes back against the notion that running can cure everything. Instead, she advocates that athletes reflect on why they’re participating in sport, and seek therapy when needed in addition to logging miles.

Related Read: When a Stress Expert Battles Mental Illness (Brad Stulberg, March 7, 2018, Outside)

5. The WNBA Needs Liz Cambage, but She May Not Need It (Lindsay Gibbs, August 20, 2018, The Ringer)

As Lindsay Gibbs reports, toxic effects of systemic racism, unequal pay in the WNBA, and a string of losses left Australian Liz Cambage, who plays for the WNBA’s Dallas Wings, depressed.

“When she returned to Melbourne, Cambage ghosted almost everyone in her life and retreated into a world of depression and anxiety. She said she heavily self-medicated with prescription pills and alcohol. She said that she isn’t surprised by her on-court success this season.”

Cambage credits honesty — with herself and others — as the reason she’s emerged from the dark place where she was.

6. Split Image (Kate Fagan, May 7, 2015, ESPN)

Social media allows us to curate images that tell a certain narrative — one that’s not always the most honest. As Kate Fagan reports, Madison Holleran, formerly a runner at Penn, seemed like she had the perfect life based on her Instagram and texts.

“But she was also a perfectionist who struggled when she performed poorly. She was a deep thinker, someone who was aware of the image she presented to the world, and someone who often struggled with what that image conveyed about her, with how people superficially read who she was, what her life was like.”

After Madison committed suicide, her family and friends scoured old posts and texts for clues about what was wrong and the warning signs they missed. Ultimately, this piece asks us to consider what lurks beneath the surface of social media’s veneer.

Related read: Are Female Long-Distance Runners More Prone to Suicidal Depression? (Emily De La Bruyere, February 3, 2014, The Daily Beast)

7. Talent. A Football Scholarship. Then Crushing Depression. (Kurt Streeter, November 15, 2018, The New York Times)

“What experts know is this: Recent studies place suicide as the third leading cause of death for college athletes, behind motor vehicle accidents and medical issues.

And nearly 25 percent of college athletes who participated in a widely touted 2016 study led by researchers at Drexel University displayed signs of depressive symptoms.”

In this profile of Isaiah Renfro, a top freshman wide receiver at the University of Washington who attempted suicide, Kurt Streeter writes about the pressures placed on NCAA athletes, what it means to quit sport after building an identity as a high-performing athlete, the important role that coaches play in supporting athletes off the field and on, and the hope that Renfro now feels for his life after seeking treatment.

8. Sports Stats May Be an Ideal Measure of Mental Health (B. David Zarley, October 17, 2016, The Atlantic)

At the University of Michigan’s School of Public Health, associate professor Daniel Eisenberg is leading a team of researchers at Athletes Connected in order to help athletes understand mental-health problems and track concrete data on the subject. As B. David Zarley reports, Eisenberg and other researchers collect weekly mental-health surveys which focus on academic and athletic performances and levels of anxiety and depression in order to pinpoint connections between the two.

“I think sports and celebrity are two places where we can begin to lift the mental-health stigma, by showing that real people who perform, and who are well valued by society through their athletic contributions, do also suffer from symptoms of ill mental health,” says Chris Gibbons, a post-doctoral fellow and the director of health assessment and innovation at the University of Cambridge’s Psychometrics Centre.”

***

Jacqueline Alnes is working on a memoir about neurological illness and running. You can find her on Instagram and Twitter @jacquelinealnes.