DIAGNOSIS

Ugly Chief // Victoria Melody

Framed as a living funeral, Ugly Chief mines what is at stake when we numbly follow mainstream social norms or accept glib representations of the truth.

The entire show is founded on the misdiagnosis of Victoria Melody’s father with a terminal illness. Although he notices his health fails to plummet, he does not confer with his doctor, as is all too typical in relationships with professionals where technical prowess subsumes empathy. In the space of ignorance, Melody plans her father’s funeral, as requested, and trains as a funeral director. When the doctor’s error comes to light, the Melodys collaborate on ‘Ugly Chief’- a title that emerges from an inaccurate meaning ascribed to their surname picked up from online ancestral research.  There are frequent prods at our tendency to infer truth from unsubstantiated sources, like her father’s apparent familiarity and connection with the culture of New Orleans. As revealed by her research trip, it turns out it's limited to the opening sequence of Live & Let Die.

Melody confronts the conventional taboo of talking about death, luridly describing funeral practices such as sewing mouths closed in an attempt to make corpses parody the living and for death to appear less distressing. She shows us a product range of coffins rising to one at £19,000 with no value to the end-user.  These shiny veneers may offer more comfort than openly discussing death when alive, but in doing so they sidestep environmental factors and we relinquish our freedom of choice. We succumb to limited and often more costly options driven by corporate agendas. 

Rather than experience emotions, we choose what psychotherapist M Scott Peck describes as 'dinner party conversations', prevalent in what he describes as pseudo community: a shallow existence. Melody moves beyond her explorations of death and goes on to break a second taboo, the public airing of familial dirty laundry as she and her father explore their fractured relationship. Experts in truth and conciliation identify this willingness to talk as a precursor to forgiveness. At the end of the show, the Melodys read eulogies for one another that are raw and touching. Although this is a performative work and we have no way knowing what is real, Melody has attuned us to this dilemma earlier by describing her dim experiences at Chelsea College of Art, which include a tutor berating her for a poor understanding of Baudrillard’s Simulacra. In the end, perhaps it is only the willingness to experience emotions, to allow discomfort and speak the unspeakable that sets us free and enables us to be real. 

- Lubna Gem Arielle

 

Links relevant to this diagnosis:

Doctor Patient Relationship - Huffington Post

A Field Guide to Lies and Statistics - Daniel Levitin

Live and Let Die (1973) - New Orleans Funeral Scene

Death Cafe

Death Doulas - Huffington Post

The Different Drum - M Scott Peck

Funerals - Ethical Consumer

The Forgiveness Project

Baudrillard's Simulacra

Sometimes I Adult // Fridge Magnet

voice

into

loop

pedal

1

2

3

4

these

lines

for

Alice

who

counts

in

fours

Sometimes I Adult is a solo show in four acts - Symptoms, Diagnosis, Recovery, Relapse - that sees Alice Sainsbury honestly and wittily divulge, tackle and stare down her ‘old man’ companion OCD. To help tell of her experiences, she arms herself with a loop pedal and a baritone ukulele with which she plays and sings songs from pop culture with re-written lyrics. The songs range from Part of Your World from The Little Mermaid to Stand By Me by Ben E King - an irreverent and joyous mix with a dual role of helping to protect the vulnerability within the work. 

More than episodic cabaret, there is a sense of Alice giving in to all the frustrations, powerlessness and fuckery of an incessantly checking brain that conjures images of destruction and hurt if lightening-quick instructions are not followed. For example, if Alice doesn’t balance a casual moment of goodbye with her mother as she runs an errand by waving, jumping, clearing her throat and saying, 'I love you’ four times, her mother’s car will catch fire and her skin will melt off. 

The capacity of a mentally distressed brain to conjure gruesome images resonates between many mental health issues. The show details their violent and graphic nature in a way that exposes the impact that this condition has on the performer and on the audiences. Audiences who will inevitably lie on a spectrum of being able to connect Alice’s experiences with their own or someone they know. 

Underlying the work are a several dichotomies that arise in OCD recovery; simultaneously being overwhelmed by intrusive thoughts but determinedly ‘staring that fucker down in the face’. The unpredictable medication side effects alongside the disorientating relapses. The knowledge of never being able to live without OCD interweaved with the hope of one day getting over it. 

All this looping, all this living, conjures another contradiction. Alice possesses a resilience from learning to manage her condition but alongside this, in moments when mental distress can strip the mind, this same resilience can feel like fuck all. 

a

bitter

sweet

strength

- Alexandrina Hemsley

 

Links Relevant to this Diagnosis:

Sometimes I Adult - Fridge Magnet

OCD UK

Living With OCD - Samantha Pena (TEDxYouth)

OCD Information and Support - Mind

ALTERED MINDS, ALTERED REALITIES / Augustus Stephens

ALTERED MINDS, ALTERED REALITIES / Augustus Stephens

Altered Minds, Altered Realities is a one-act, one-man play in which the playwright and actor, Augustus Stephens, depicts six characters in turn in a series of monologues, poems and songs. Each named character is living with a different serious mental illness.

SACRE BLUE / Zoe Murtagh & Tory Copeland

SACRE BLUE / Zoe Murtagh & Tory Copeland

According to the Journal of Psychopharmacology there were 8.2 million cases of anxiety in the UK in 2013. Zoe Murtagh is one of those and with Sacre Blue , her first full length solo show, she shares her experience - of trying to make anxiety a friend, of trying to conquer it, of trying to acknowledge its presence.

HAPPY YET? // Open Mind Productions

“Why can't you be happy?”
“Why can't you make something of yourself?”

Such are the questions asked of Torsten, the central character in Happy Yet?, by his bewildered family: questions for which there are no answers. Torsten has an unspecified and undiagnosed mental health condition that sometimes makes him incapable of getting out of bed and sometimes transforms him into a glitteringly energetic compulsive liar. He's already been rejected by his parents as the runt of their litter, whose only problem is a failure to “discipline” himself. When the play takes place, he is approaching 40 – but pretending to one of his many girlfriends to be nearing 30 – and living with a brother, much to the dismay of his sister-in-law, who is generally required to clear up the mess that his spurts of whirling devilry leave behind.

“Nothing he does makes any sense.”
“I don't know what he's thinking.”

The playwright, Katie Berglof, is young (she's studying at Edinburgh University), but writes from experience: her programme note mentions an uncle, “misdiagnosed and misunderstood”, who lived with her family “until his death”. It's easy to read Nina, the young girl on stage throughout Happy Yet?, as a representation of Berglof herself. Nina is the only character for whom Torsten isn't a problem: they play chess together, he helps her with her Ibsen homework, she chats with him non-judgementally. Seeing the action through Nina's innocent eyes encourages the audience to be less judgemental, too, especially when events become far-fetched (for instance, when Torsten persuades a police officer on duty to join him in getting drunk). Ibsen and his Swedish contemporary Strindberg hover in the background throughout, Berglof reaching towards them in her attempt to transmute the personal into the state-of-a-nation.

“All you do is throw pills at problems.”
“You can talk about these things in New York – not in Sweden.”

Throughout the play, Berglof makes jagged comments about (the paucity of) mental health provision in Sweden; she includes one character who works as a mental health professional, and makes her grimly unsympathetic. In Finland, alternative treatments for psychosis under the rubric Open Dialogue avoid medication and instead include family and friends in a circle of care, absorbing neurodiverse mental health into the community. By such measures, Torsten could be receiving the best care possible – except that, since the family themselves lack support, it's insufficient.

- Maddy Costa

Happy Yet? is on at 11.50 at Surgeon's Hall until August 27th. Wheelchair Access, Level Access, Wheelchair Accessible Toilets - https://tickets.edfringe.com/whats-on/happy-yet

Swedish mental health provision under attack: http://www.thelocal.se/20150818/swedish-mental-health-care-blasted-after-stabbing

Sweden's place in the global happiness index: https://www.theguardian.com/science/blog/2014/may/14/mental-illness-happiest-country-denmark

On compulsive lying disorder: http://www.compulsivelyingdisorder.com/what-is-compulsive-lying-disorder/

On bipolar disorder: https://www.rethink.org/diagnosis-treatment/conditions/bipolar-disorder

On Open Dialogue in Finland: http://www.communitycare.co.uk/2015/02/12/open-dialogue-care-model-put-mental-health-social-work-back-map/

and: http://www.mindfreedom.org/kb/mental-health-alternatives/finland-open-dialogue

Open Dialogue in London: http://opendialogueapproach.co.uk/

Madlove, artist the Vacuum Cleaner's new approach to asylum: http://madlove.org.uk/

DECLARATION / Sarah Emmott & Art With Heart

DECLARATION / Sarah Emmott & Art With Heart

Declaration draws on Sarah Emmott’s experiences and (late) diagnosis of Attention Deficit Hyperactivity Disorder (ADHD). Developed with medical professionals, ADHD and mental health support groups, the piece begins with a highly energetic and comedic tone. Emmott shares childhood stories of embracing her then-undiagnosed self-defined “weirdness” within a supportive family context.

SPIDERS BY NIGHT // Coffee House/Stepping Out

Spiders by Night is a double bill of short monologues developed, produced and presented by two Bristol-based theatre companies which describe their work as a collaboration between community members with mental health difficulties or addiction issues and professional artists.

Both monologues are minimally staged and invite audiences to focus their attention on the writing and delivery of both pieces. 'Waiting for ISON', the first monologue begins with Simon looking into space through a telescope in his attic and frantically checking his phone. Simon is an astronomy enthusiast following the comet’s journey across space.

For a while, the monologue merely hints at Simon’s obsessive relationship to his passion, and the isolation that it led to. During that time, we could easily be led to believe that we are about to be told a science fiction story, or one of adventure - and in any case, not an exploration of the character’s mental health. While we understand that Simon may not spend much time outside of his attic or interacting with others, one (human) friend regularly visits him.

When Simon begins to develop a friendship with a family of spiders living in his attic, visits from his (human) friend become less and less frequent, until they stop entirely after Simon calls the police to report the alleged murder of one of his spider friends. This poetic monologue subtly highlights that perhaps to care best for those with mental illnesses, approaches which include supporting people in their immediate environment might be more effective. The Open Dialogue Approach for example is a system of care developed in Western Lapland which works with people traditionally thought of as ‘the patient’ as well as their families or other networks.

The second part of the double bill, 'Insider', is told by a patient-cum-spider herself as she moves around and explores a secure psychiatric ward. With two crutches as additional spider legs, the performer’s physicality compliments the text’s description of the effects of psychiatric care on the patient’s body. Both the patient herself, and an outsider observer, the spider wants to escape and is not able to. While the reason for the character’s placement in a psychiatric ward isn’t made clear, the piece could be read as an exploration of dissociative disorder, or as a comment on the lack of agency the character has over her own care. (LB)

The run of Spiders By Night: A Double Bill of Exciting New Monologues at theSpace @ Surgeon's Hall has now finished. WA, LA, WC - https://tickets.edfringe.com/whats-on/spiders-by-night-a-double-bill-of-exciting-new-monologues

Coffee House community theatre company website: http://www.coffeehousetheatrecompany.com/#!about/cfp1

Stepping Out Theatre website: http://www.steppingouttheatre.co.uk/

Further information on the Open Dialogue approach system of care developed in Western Lapland: http://opendialogueapproach.co.uk/

Information about dissociative disorders from the NHS: http://www.nhs.uk/Conditions/dissociative-disorders/Pages/Introduction.aspx

I'VE SNAPPED MY BANJO STRING, LET'S JUST TALK // Scott Agnew

Before he gets going, Scott Agnew checks that everyone in the room knows what he really means when he talks about snapping a banjo string. Because anyone who thinks they're in for an hour of innocuous anecdotes from a homespun folk player might be in for a shock. The incident during which – to use the medical term – the frenulum beneath the foreskin of his penis tore and “showered the walls with blood” is one of the more viscous but by no means most explicit of stories in this brief survey of the activities that might have led to him contracting HIV. Cantering from sauna to nightclub to drug-fuelled house parties, he admits that sometimes he wasn't in total control of his actions.

Long before his HIV diagnosis, Agnew needed another for his mental health, but the GP he saw wrote him off successively as an alcoholic, a food addict, a gambler, a sex addict and more, without recognising the symptoms of bipolar disorder. Agnew now manages both conditions, but there's an equivocal tone in his text that suggests he's still overwhelmed by this. For instance, he makes a specific point of saying that not understanding his mental health doesn't absolve his responsibility for his virus, as though HIV is a shameful thing. The words that repeat as a refrain in his show are: “It's not ideal – a downbeat phrase in search of a bright side.

Yet he does recognise positive aspects to his HIV diagnosis: for instance, he jokes, his medication has raised his life expectancy above the average for Glasgow, his home. And with the virus now undetectable in his blood count, he's a safer date than most – although, he points out lugubriously, “that's a hard sell on the dancefloor”. His politicking is bolder when directed outside himself: why is it, he asks, that gays on the telly have to be sexually neutered to be acceptable for a mainstream audience? Camp is fine, he argues, but there needs to be a wider spectrum of queer personality in public life. Elsewhere he gets exercised by the widespread use of date-rape drugs among gay men, who have been “hiding for so long” that they have no way of expressing their emotions. Undoubtedly the two are connected.

For all the comedic banter, it's a poignant show, one that raises a number of questions about Agnew's relationship with his diagnoses and with his Catholic family. Within those questions is a sharp impression of of how far the LGBT+ community still needs to travel towards visibility and feeling accepted within society at large. (MC)

Scott Agnew: I've Snapped My Banjo String, Let's Just Talk is at 22.00 at Gilded Balloon at the Counting House until 29 August. See venue for accessibility information - https://tickets.edfringe.com/whats-on/scott-agnew-i-ve-snapped-my-banjo-string-let-s-just-talk

On living with frenulum breve: https://www.theguardian.com/lifeandstyle/2002/feb/28/healthandwellbeing.health2

On HIV stigma and homophobia: http://www.thebody.com/content/art54913.html

A look at the language of HIV stigma: http://www.thebody.com/content/75496/when-words-work-against-us-the-language-of-hiv-sti.html

Information on bipolar disorder: http://www.mind.org.uk/information-support/types-of-mental-health-problems/bipolar-disorder/

 

FINGERING A MINOR ON THE PIANO / Adam Kay

FINGERING A MINOR ON THE PIANO / Adam Kay

Adam Kay left a career as an obstetrician six years ago. In Fingering A Minor on the Piano, he shares observations about the realities of working as a doctor, creating a picture of the conditions and pressures that sit behind strike action.

THE TALK // Mish Grigor

It's a basic fact of parenting that children grow up to do things you might personally find regrettable: contract sexual diseases, for instance, or make theatre, or worse, make theatre about contracting sexual diseases. Mish Grigor's parents have approved a version of her text for The Talk but not, she twinkles, this one. And whether or not that or anything else she says in the show is true is irrelevant; she transcends old-fashioned morals and conventional proprieties the moment she describes the size of her father's cock in a reported conversation with her mother, and just keeps travelling from there.

At the heart of The Talk is a frustration: that every one of us is alive because two people had sex, and yet culturally we're terrible at talking about it. Grigor plunges her family into discomfort when she starts interrogating them about how they fuck: no one can understand why she's doing it, but that incomprehension is part of the point. The prim silence we observe around sex allows all manner of inequalities to persist: not least, the one demonstrated within Grigor's own family, whereby her father is cheerfully being sucked off by a third wife, while her mother is single, wary of online dating, and contemplating a future in which perhaps she never has sex again.

Lack of communication also breeds misinformation and fear: the fear that Grigor confesses feeling not only for but of her brother, now living with HIV. It's left to him to explain, patiently, that modern medication makes the virus undetectable in his blood stream. No one knows what effect it will have on the body long-term, he adds, but even if it kills me, at least it will stop me killing anyone else.

In this, and throughout the show, the words of Grigor's family are spoken by members of the audience: she takes our presence in the room as consent, and in doing so glances at another critical problem caused by lack of decent conversation about sex. The show relies on general embarrassment for its humour: if everyone in the room were comfortable rather than coy in talking about their bodies and its pleasures, The Talk would lose much of its piquancy. But society as a whole might gain, Grigor argues: especially the people within it who aren't heterosexual cis-men. (MC)

The Talk is on at 16.00 at Forest Fringe (Out of the Blue Drill Hall) unitl August 20th. See venue for accessibility information - http://forestfringe.co.uk/edinburgh2016/artist/mish-grigor/

Another argument for more and better talking about sex, in the Wardrobe Ensemble show 1972: The Future of Sex: http://www.thewardrobeensemble.com/#!1972-the-future-of-sex/c13ut

On Paul Goodman, whose 1960 book Growing Up Absurd argued that the fettering of adolescent sexuality was crucial to subduing the human spirit within a capitalist system: http://www.paulgoodmanfilm.com/old/the_relevance.html

Writing on consent from the Edinburgh fringe: https://katewyver.wordpress.com/2016/08/08/zero-something-important/

On the 3D model of a clitoris, to be used in French sex education: https://www.theguardian.com/education/2016/aug/15/french-schools-3d-model-clitoris-sex-education

On HIV treatment: http://www.tht.org.uk/myhiv/HIV-and-you/Your-treatment/HIV-treatment

FRONTAL LOBOTOMY / Jeu Jeu la Foille

FRONTAL LOBOTOMY / Jeu Jeu la Foille

Burlesque poet Jeu Jeu la Foille (Victoria Hancock) explores the 20th Century medical practice of frontal lobotomy in her show of the same name, drawn together with her own thoughts and experiences, and the life and music of Tom Waits.

GUERILLA ASPIES / Paul Wady

GUERILLA ASPIES / Paul Wady

Paul Wady was accidentally diagnosed with Aspergers Syndrome at the age of 41, after a run in with the police following his behaviour in a cinema. During the 12 years since, he has collected experiential anecdotes and evidence from other people with autism diagnoses and their families, helping to create a picture of what ‘Aspie normal’ is.

WHEN I FEEL LIKE CRAP I GOOGLE KIM KARDASHIAN FAT // Mighty Heart

Amid the photographs and frocks on display in the Imperial War Museum's exhibition Fashion on the Ration (in London last year, now in Manchester) was an unsettling panel equating the wearing of make-up with national morale. Women in the 1940s, it suggested, were encouraged, obliged even, to look their best at all times, regardless of shortages, fatigue, anxiety or bombs; to keep their hair neat, their lipstick bright, and present a trim figure that told the men fighting: we believe you're winning.

The two elderly women whose voices are heard in Mighty Heart Theatre's When I Feel Like Crap I Google Kim Kardashian Fat speak of the past with a glow, as a time when women felt less media and social pressure to conform to a particular look or body image. Whatever they did have to contend with, they didn't have Photoshop or Instagram, or an unregulated diet industry revelling in its ability to profit from human insecurity. But the more depressing impression to emerge from When I Feel Like Crap..., a verbatim show constructed from interviews and online surveys with “self-identifying women” of all ages (and, it's implied, backgrounds), isn't the known problem that personal appearance is a political issue, but the unknown extent to which that policing has been internalised, as one voice after another confesses to judging others as severely as herself.

More upsetting still is the extent to which these women have risked, and experienced, physical harm as a result of their obsession with body image. One woman describes her most successful diet as smoking rather than eating; two others gave birth to premature babies because they willingly malnourished themselves while pregnant; one was hospitalised with excess acid after eating only oranges and another destroyed her metabolism and ultimately developed cancer of the rectum from a lifetime of extreme dieting. When a woman listing off her approaches to weight loss says “anorexia is the only thing I've never done”, the pressing need for better education about physical and mental health couldn't be more clear.

The material is cumulatively devastating, yet Mighty Heart – researcher-performers Lisa-Marie Hoctor and Sam Edwards – leaven it with defiant humour and a buoyancy reminiscent of the Eggs Collective. Dressed in skin-tight leopard print that embraces every one of their lumps and bumps, they sing one interview in the style of a Disney princess (their gift to the woman told that she was too heavy, by a mere 2kg, to play the role of Tinkerbell in Disneyland) and transform a “Scouse beauty routine” into a cheeky game show. And there are just enough stories of women rejecting the entire premise of body image policing, whether by wearing “loads of make-up because it's always in my size” or recovering from bulimia and beginning to find genuine pleasure in the way they look, to make the note of hope at the end of the show chime real.

That hope is dependent on all bodies and shapes being accepted. It's no good celebrating the natural curves of “real women” (cf the Dove campaign) if it leaves naturally thin women feeling condemned as less than real. This is where the note of inclusion struck by the phrase “self-identifying women” is so vital. “No one aspires to be normal,” says one woman, but perhaps they might if the notion of normal were expanded beyond its narrow limit to encompass the full spectrum of humanity.

- MC

When I Feel Like Crap I Google Kim Kardashian Fat is on at 16.40 at Silk Nightclub as part of PBH Free Fringe until August 27th (not Tuesdays). See venue for accessibility information - http://freefringe.org.uk/edinburgh-fringe-festival/when-i-feel-like-crap-i-google-kim-kardashian-fat/2016-08-17/

On the diet industry: https://www.theguardian.com/lifeandstyle/2013/aug/07/fat-profits-food-industry-obesity

On sugar addiction: https://www.theguardian.com/lifeandstyle/2013/aug/07/fat-profits-food-industry-obesity

On physical and psychological effects of dieting: http://eating-disorders.org.uk/information/the-psychology-of-dieting/

On anorexia and mental health: https://www.mentalhealth.org.uk/a-to-z/e/eating-disorders

On the language that surrounds gender non-conformity: http://morganpotts.com/2016/gender-discourse-an-open-letter-to-sisters-uncut/

The Eggs Collective: http://www.eggscollective.com/

Mighty Heart's site: http://mightyhearttheatre.wixsite.com/mightyhearttheatre

If you're in or near Manchester, the Fashion on the Ration exhibition is wonderful: http://www.iwm.org.uk/exhibitions/iwm-north/fashion-on-the-ration-1940s-street-style

FINDING JOY // Vamos Theatre

Without words, and with masks, Finding Joy explores the impact dementia has on both the person with the disorder, and the people around them. Joy is a widow, living independently. She's visited regularly by her daughter and grandson, who witness her gradual deterioration. It starts with Joy putting strange items in the fridge, and a mix-up between some salad cream and some milk, and ends with her retreating into the past as the present becomes too confusing.

Dementia is a progressive disorder. It affects how the brain works, and in particular the ability to remember, think and reason. According to the Alzheimer’s Society, 850,000 people in the UK suffer from dementia. Worldwide, it's estimated that 135 million people will be living with it by 2050, and there have been warnings that a 'dementia tsunami' is coming. That said, the age-specific risk is thought to be falling, for men at least. The New Scientist reported this April that incidence of dementia in men in the UK has fallen by 41 per cent; there was only a 2.5 per cent drop for women.

There's no cure for dementia, and treatment tends to focus on making people's lives as comfortable and dignified as possible. In Finding Joy, the grandson visits one day bearing the gift of a toy dog. It's a glove puppet, which he brings to comic life to the sheer delight of his grandmother. At moments it seems like Joy thinks it's real dog, at others it's clear she knows it's make believe. Either way, the dog makes her happy and eases her distress.

In the real world, some dementia patients are being treated with PARO, a robot harp seal, and the results seem positive. Researchers at the University of Brighton say PARO reduces agitation and aggression, and promotes social interaction. An article in The Guardian quotes Claire Jepson, an occupational therapist at a specialist assessment unit for dementia patients. She says the robot seal 'allows people to still feel a sense of achievement, a sense of identity. They become the carer instead of the cared for.' Put simply, the robot is enabling some patients to find joy.

- HB

Finding Joy played Assembly Hall at 16:30 until 14 August - https://tickets.edfringe.com/whats-on/finding-joy

'What is dementia?': http://www.ageuk.org.uk/health-wellbeing/conditions-illnesses/dementia/what-is-dementia/

Alzheimer's Society: https://www.alzheimers.org.uk

Alzheimer's Research UK: http://www.alzheimersresearchuk.org

Dementia was one of the challenges nominated for the 2014 Longitude Prize: https://longitudeprize.org/challenge/dementia

'Dementia incidence for over 65s has fallen drastically in UK men': https://www.newscientist.com/article/2084859-dementia-incidence-for-over-65s-has-fallen-drastically-in-uk-men/

University of Brighton's PARO Project: https://www.brighton.ac.uk/healthresearch/research-projects/the-paro-project.aspx

'How Paro the robot seal is being used to help UK dementia patients': https://www.theguardian.com/society/2014/jul/08/paro-robot-seal-dementia-patients-nhs-japan

'PARO Therapeutic Robot': http://www.parorobots.com

Magic Me, UK-based intergenerational arts organisation who run arts programmes with residential care homes, inc. people with dementia: http://magicme.co.uk

BEND IN THE RIVER // Deep Water Theatre Collective

Have you ever heard of Hansen’s disease? What about its more common name, leprosy? A disease that feels like it should belong in the history books, more than 200,000 people are still diagnosed with Hansen’s disease every year around the world, mainly in South America, Africa, India and south-east Asia. Given this distribution in the developing world, it’s easy to forget that it was a problem in the US until well into the 20th century.
 
US company Deep Water Theatre Collective set their play, Bend in the River, in the Carville National Leprosarium in the early 1940s. Shut away from the world, the residents are stigmatised and shunned, rejected by their families and communities. They’re forced to change their names, and are tended for by Dr Guy Henry Faget and his team of dedicated nuns who act as nurses and spiritual counsellors. The exact cause of the disease is unclear – although it’s known that certain bacteria are involved – and there are no good treatments, only isolation from the world and the hope of a clean run of twelve monthly skin scrapings.
 
As Faget’s research starts to lead to new hope for a cure, resident Stanley Stein resurrects “The Star”, a newsletter describing life at Carville and raising awareness of the disease. Other residents carry on with life in the confines of their quarantine, falling in love, falling pregnant and volunteering for endless clinical trials of the latest therapy. Finally, something works. It’s a new drug called Promin, and the effects are astounding. It makes Faget’s name as a researcher and changes the lives of many Carville residents.
 
Mandatory quarantine for people with leprosy was revoked in the US in the 1950s, once it became clear that the disease wasn’t nearly as contagious as had been feared. Today Carville is a museum dedicated to Hansen’s disease, brought back to life for just one week here in Edinburgh.

- KA

 
Bend in the River has finished its run at Greenside @ Nicholson Square - https://tickets.edfringe.com/whats-on/bend-in-the-river
 
Promin – the first breakthrough drug for leprosy: https://en.wikipedia.org/wiki/Promin

The National Hansen’s Disease Museum: http://www.hrsa.gov/hansensdisease/museum/

The Carville Star: http://www.fortyandeight.org/the-star/

Previous issues held at the Louisiana Digital Library: http://www.louisianadigitallibrary.org/cdm/landingpage/collection/p15140coll52

Leprosy in Louisiana: https://en.wikipedia.org/wiki/Leprosy_in_Louisiana

Is Hansen’s disease contagious?: http://www.medicinenet.com/is_leprosy_hansens_disease_contagious/article.htm

Information about Hansen’s disease: https://www.cdc.gov/leprosy/

TEAM VIKING // James Rowland

James Rowland’s monologue, Team Viking, is a natural second act to Liz Rothschild’s Outside The Box, which I had just watched. Both shows highlight the importance and the challenges of giving a loved one the burial they want, but tackle this sensitive subject in completely different ways.
 
Drawing on a (mostly) true story, the tale starts with his father’s funeral. It’s a huge but slightly soulless affair at which Rowland has given a moving eulogy. We then flash back to the childhood origins of Team Viking – Rowland and his friends Tom and Sarah – who are bound together by their shared love of re-enacting scenes from Kirk Douglas’ 1958 film The Vikings, full of “fighting, quaffing and wenching”. They grow up and continue much along these lines, supporting each other through the ups and downs of life: Tom the fun-loving Lothario, Sarah the organised engineer and James, who plays all the other parts.
 
Suddenly everything changes when Tom is diagnosed with a rare, aggressive and totally incurable cancer. Primary cardiac angiosarcoma is cancer of the heart muscle – a condition affecting around 0.001 per cent of the population. He’s not quite one in a million, but it’s close. The disease is a death sentence, claiming Tom’s life in a matter of months, and Rowland takes us through the heart-breaking process of watching his best friend slowly fade away knowing there is nothing that can be done.
 
For his part, Tom is adamant that he wants the kind of funeral they’d play-acted as kids, cast adrift on a burning boat. He achieves it through some fairly spectacular emotional manipulation, leaving Rowland and Sarah to figure out how to actually make it happen. The technicalities of delivering Tom’s big finale are described in fraught, hilarious detail, far removed from Liz Rothschild’s calm explanations of organising a funeral of your choosing and the legal aspects of obtaining a dead body for burial. It’s not an orthodox ending, and some parts of it were technically illegal, but Team Viking is a moving story of friendship, loss, and the importance of giving someone you love the send-off they desire and deserve.

- KA


 
Team Viking is on at 14:55 at Just The Tonic at the Community Project until August 28th (not 15th). Wheelchair Access, Level Access, Relaxed Performance - https://tickets.edfringe.com/whats-on/team-viking

Dead right – who does a body belong to?: http://www.goodfuneralguide.co.uk/2009/07/dead-right/

Cardiac sarcoma: http://emedicine.medscape.com/article/277297-overview

Macmillan cancer support - at the end of life: http://www.macmillan.org.uk/information-and-support/coping/at-the-end-of-life

Diagnosis of Liz Rothschild’s Fringe show Outside the Box: http://thesickofthefringe.com/week-two/outside-the-box

Death on the Fringe: https://deathonthefringe.wordpress.com/

TRACING GRACE // OffTheWallTheatreCo

Sixteen people are diagnosed with encephalitis – severe brain inflammation – every day in the UK, yet most of the public have never heard of it. Based on the real life experiences of writer and director Annie Eves, whose sister Grace was diagnosed with the condition at just three weeks old, Tracing Grace aims to open our eyes to the existence of encephalitis and the challenges of living with its long-term impact.
 
Making such a personal piece about such a serious but poorly-understood condition is a brave move, and the production has benefited from the input of Dr Ava Easton, CEO of the Encephalitis Society. As explained at the beginning of the show, the cause of encephalitis is unknown, although it’s related to infection in the body. Its effects are equally mysterious and unpredictable. In the case of Grace, who we follow from childhood through to her current age of 18, it’s described as a “headache that never stops”, punctuated by distressing fits and angry, screaming outbursts. Her family – mum, dad and Annie, portrayed both as a child and an adult – bear it all with loving fortitude, even when things turn ugly and violent.
 
We witness Grace’s towering fury at not having exactly the right sandwich filling (Laughing Cow cheese spread and jam), and her frustration at being unable to understand why she isn’t like other kids. We also meet Annie’s well-meaning but daffy social worker, nicknamed Mental Gentle, highlighting how support for families can fall woefully short in the face of such difficult circumstances. Yet despite the life-threatening fits and the increasing challenges of caring for Grace as she grows into adulthood, the play ends with a family decision to keep her at home rather than sending her into residential care. I cannot help but wish them all well for the future, whatever that looks like.

- KA

The current run of Tracing Grace at Paradise in the Vault has now finished.  https://tickets.edfringe.com/whats-on/tracing-grace
 
More information and support is available from the Encephalitis Society: http://www.encephalitis.info/

Q &A with writer and director Annie Eves: http://www.encephalitis.info/awareness/tracinggrace/

Brain on Fire – a Naked Scientists podcast focusing on brain inflammation: http://www.thenakedscientists.com/HTML/podcasts/show/20150324/

TUMOUR HAS IT // Karen Hobbs

They say write what you know (except when they say not to), so if a performer is diagnosed with a serious illness, they will inevitably consider using it as the basis of a show. For Karen Hobbs, her experience of cervical cancer became her “usp” (unique selling point) and she has created Tumour Has It to tell the full story.

Cancer comes with a ready-made narrative structure. There's the back-story (life before cancer), an inciting incident (diagnosis), challenges and solutions (testing and treatment), a clear hero (the performer), an even clearer antagonist (the cancer, which Hobbs named Svetlana), an inner struggle - literally - where the stakes couldn't be higher, and some degree of resolution at the end. So the question is not what story to tell but how to tell it: which metaphors to invest in, and which to reject. At one point, Hobbs appears as a boxer, complete with audio of sports channel-style commentators - but the fight against cancer never starts because there is nothing there for her to punch.

Through the show, Hobbs regularly says “Thank you for coming” to the audience. It seems to reflect the changes she went through, as if each step generated a slightly different Karen Hobbs who must introduce herself anew. There are obvious physical changes by the end of the story, due to the surgery to remove the tumour, but her attitude and mindset have changed as well. Telling this story isn't just about raising awareness or encouraging people to go for a smear test when invited, although this is clearly an important part of her motivation for doing it; telling this story also helps Hobbs reassert control after both body and mind have been hijacked by cancer.

- MR

Tumour Has It is on at 14.50 at Underbelly Med Quad until August 29th (not 17th). Wheelchair Access, Wheelchair Accessible Toilets - https://tickets.edfringe.com/whats-on/karen-hobbs-tumour-has-it

Karen Hobbs’s blog: https://quarterlifecancer.com/

A Cancer Research UK blogpost on how metaphors for cancer that involve fighting or war can be motivational but also harmful: http://scienceblog.cancerresearchuk.org/2015/09/28/may-i-take-your-metaphor-how-we-talk-about-cancer/

The Eve Appeal supports awareness of and research into gynaecological cancers: https://eveappeal.org.uk/