From the Trade Paperback edition.
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I think it's important that this book was written by an author of the same stature as famous writers who did take their lives. The difference is that Styron came out on the other side of this malady, saw it for what it was. At times he makes remarkable observations on depression, worthy of a clinician in a psychiatric hospital; for example, when he writes sentences such as, The physical symptoms of this affliction trick the mind into thinking that the situation is beyond hope.
As with many, Styron's physical predisposition to depression (a), led to (b) feelings of despair, hopelessness, and suicidal thoughts, which further fed the symptoms and perpetuated the disease.
This literary work helps dispel the idea that depression is "fashionable" and that suicide among the literati is "cool."
His "no holds barred" discussion honors those who fight this affliction.
(By the way, the title is from John Milton's epic "Paradise Lost," "darkness visible" is one of many ways Milton described the Hell into which Satan and his demons were tossed.)
In an author's note, Styron explains that this book started out as a lecture given at a symposium sponsored by the Department of Psychiatry at the Johns Hopkins University School of Medicine. The lecture was developed into a "Vanity Fair" essay before ultimately becoming this book.
Styron describes depression as "an insidious meltdown" of the mind, a "tempest in my brain." He reflects on the depression and suicide of other individuals whose lives had touched his. He describes in detail his own struggle with suicidal thoughts. Also covered are the medications he took, as well as his hospitalization and therapy.
Styron's book is both a fine piece of literature and a very informative window into a particular mental illness. Styron has been in the pit of despair, but has survived; I commend him for his courage and candor in sharing his experience in "Darkness Visible." Recommended companion text: Audre Lorde's "The Cancer Journals," about a poet's battle with breast cancer.