The Book Rest

In December 1960 the most famous writer in the world was checked into the Mayo Clinic under his own doctor's name, officially for his blood pressure, and given up to fifteen rounds of electric shock to the brain, and when he came out he could no longer write a sentence, and six months later he was dead. Ernest Hemingway was 61. He had the Nobel Prize, the Pulitzer, the houses in Cuba and Idaho, and a head that had been battered more times than anyone could count. He had been blown up by a mortar in Italy in 1918, split his skull open in a London car crash in 1944, been thrown from a motorcycle by a shell in France the same year, and walked away from two plane crashes in Africa on consecutive days in 1954, the second leaving fluid leaking from his skull. He drank enormously. By 1960 he was paranoid, convinced the FBI was following him, unable to finish the Paris memoir he had nearly completed. The Mayo psychiatrist, Howard Rome, treated it as depression and gave him the treatment of the day. Electroconvulsive therapy was the modern answer in 1960, quicker than analysis and tidier than the lobotomy it had replaced. Hemingway went home to Ketchum in January. He was worse. Asked to write a single line for a presentation volume for the new President Kennedy, he sat at his desk for a week, could not do it, and wept that it just won't come anymore. In April his wife Mary found him in a state that terrified her, and he was flown back to Rochester for another course of shocks. At the Mayo he told his friend A.E. Hotchner what the treatment had done. His memory was his capital, he said, the thing his whole trade was built on, and they had wiped it and put him out of business. "It was a brilliant cure but we lost the patient." The clinic discharged him at the end of June as improved. On the morning of 2 July 1961, at home in Ketchum, he took his own life. The psychiatrist who has studied his head injuries most closely, Andrew Farah, argues that the man in Rome's office was not simply depressed but living in a brain wrecked by a lifetime of concussions and drink, and that electricity was the last thing it needed. The FBI files released in the 1980s showed he really had been watched for years, which is a hard way to learn that a patient's paranoia was partly a report. None of that got a hearing in 1960. The diagnosis was in the textbook, the treatment was in the textbook, and the patient's complaint that it was taking his mind was in the textbook too, listed as a side effect, expected and temporary. They treated the most observant man in American letters for being wrong about what he was seeing, and the last thing he saw clearly was what they had done to him.