Dr. Haggard's Disease

by Patrick McGrath

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What is wrong with Dr Edward Haggard? Is it a passionate love for the wife of the senior pathologist or is it something simpler? Is it a broken heart or is it Spike - the steel pin that holds his fractured hip together? By the author of Spider and The Grotesque.

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7 reviews
Spoilers ahoy!

It is said that when a person dies, his life flashes before his eyes. At the end of this brilliant novel, that’s the realization that flowered inside my head; this was that flash.

Through ominous hints dropped at the ends of paragraphs, I thought I had a sense of where this was going. Dr. Haggard’s psychological unraveling came on steadily and although you know he’s an unreliable narrator, you are still surprised by how fast he came unwoven at the end.

I’m stymied in my attempt to review this book because it’s so subtle in its power. The way McGrath chooses words is masterful. To wit this description of the boarding house where Dr. Haggard lives when he first meets Fanny – “The front door, four or five steps show more up from the pavement, behind high spiked iron railings, was inset with a panel of stained glass and opened into a dark hallway dominated by a sideboard like a catafalque.” Now that’s setting the stage. Not only does he convey what the structure looks like, but the feel as well. Catafalque. That’s what does it.

Not only is it McGrath’s choice of vocabulary to establish mood and setting, but it’s his foreshadowing technique. Spike is referred to often as something that has to be appeased, quieted and dealt with. We know Dr. H now has to walk with a cane. We know Fanny is dead and the affair ended. We suspect her husband, but all this is allowed to swirl in our minds; incorporeal. It’s just one of the unknowns that so keenly provide tension and suspense. McGrath is almost without peer in this technique.

Another aspect illustrating Dr. Haggard’s growing mania his story’s sexual element. At first during his narrative he is shy and reticent, always keeping the veil in place as is proper since he’s relating this tale to her son. Over time though, the telling becomes more frantic and explicit. At times he seemed to shift and talk not to James, but to Fanny directly. It was disconcerting and made me squirm. Not in a bad way though. I love it when an author can command my response so completely.

And where would a gothic tale be without its settings? First the hospital with its rigorous routines and schedules. Dr. Haggard is bound up so thoroughly in his work and pressures from his superiors that his new-found freedom with Fanny is palpably joyous. We revel when he does. Then, when all is over, he moves to a stalwart mansion perched on a cliff-side that will surely crumble in time. This perfectly mirrors Dr. H’s state and reinforces the impending doom. The nearness of the war itself adds the final note of danger that can’t be evaded. Fighter planes, bombers, soldiers and black-out curtains are important reinforcing aspects to the situation and his psyche. The ending is surreal and literally a bombshell. Perfect.
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Psychologically gripping. That’s what comes to mind when I try to describe the feeling this story of obsessive love provokes. The beauty of this book is woven together in its gothic setting, dark mood, troubled main character, and cleverly developed plot.

Dr. Edward Haggard is a surgeon, living in England during World War II, who tells of his first his encounter and then love affair with the wife of Ratcliffe Vaughn, a pathologist at the same hospital where Dr. Haggard is employed. When the affair does not work out as planned, he finds pleasure in making the acquaintance of his former lover’s son, James Vaughn, who is then a RAF (Royal Air Force) pilot whose mission is to fight German warplanes. It is apparent that, on some level, show more Dr. Haggard is trying to assuage his emotional pain by befriending this young man.

I thought I had this book figured out, yet the story simply never went in the direction I thought it would despite events to come having been foreshadowed all along. The last paragraph blew me away. I should have seen it coming. I didn’t.

I pretty much knew that Patrick McGrath was a master of exposing a character’s mental decline from reading his previous book, Spider. I’m now transfixed with Dr. Haggard’s story. For certain, I believe that McGrath is an extremely talented writer whose name should be more widely known.
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Well, that was different, as my Mom always says when she doesn't know what to say about something.

This book was not my genre, but the writing was good enough it held my interest. But oh Lord...this Dr. Haggard is a piece of work!!!! He is a man obsessed with the wife of a pathologist he works with at the hospital. Beyond obsessed. Obsessed to the point where he really needs to start seeing a therapist.

Dude...she's just not that into you, ok? Get over her.

The book has a nice little twist near the end and it was a quick read.
Strange and twisted (in the best possible way of course) as is to be expected with McGrath. Not everyone's cup of tea, but if you love Patrick McGrath's darkly gothic twist on the psychology of human emotions you will enjoy this.
½
Like all of McGrath's writing, very psychological, and even weirder than usual. "Ick" factor present.
½
Sul retro della copertina è scritto: "Un amore feroce e claustrofobico, consumato fra stanze in penombra, strade immerse nella nebbia, teatri d'anatomia popolati dai fantasmi di un'ossessione" Ho letto questo libro dopo follia; probabilmente sono partita con troppe aspettative; cercavo una storia ossessiva e catastrofica come la precedente ma in questo libro ne ho trovati solo degli scorci (non ho trovato quasi nulla di quell'amore descritto sul retro copertina, non so se è sfuggito a me o proprio non c'era; sicuramente cercavo una storia diversa)...si riconosce comunque la scrittura dell'autore e la lettura scorre bene, tuttavia cercavo qualcos'altro, qualcosa in più...
½

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Author Information

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32+ Works 5,242 Members
Patrick McGrath was born in London in 1950 and grew up near Broadmoor Hospital where his father was the medical superintendent for many years. He attended Stonyhurst College and received his BA in English from the University of London. Among other jobs, he worked as an orderly in a mental hospital and as a teacher before becoming a writer. He is show more seen as a leader of the neo-Gothic writers; his books include Spider, The Grotesque, Port Mungo, Trauma and Asylum. His novel Martha Peake won the Premio Flaiano Prize in Italy. McGrath resides in New York City and London. (Bowker Author Biography) Patrick McGrath is the author of Asylum and The Grotesque, among other novels. He lives in New York City and London and is married to the actress Maria Aitken. (Publisher Provided) show less

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Common Knowledge

Canonical title
Dr. Haggard's Disease
Original title
Dr. Haggard's Disease
Original publication date
1994-07-12
People/Characters
Dr. Edward Haggard; Fanny Vaughan; James Vaughan; Ratcliffe Vaughan; Dr. Peter Martin
Important places
Elgin, England, UK (house name)
Epigraph
We two being one, are it.
~ JOHN DONNE
Dedication
For Maria
First words
I was in Elgin, upstairs in my study, gazing at the sea and reflecting.
Last words
(Click to show. Warning: May contain spoilers.)I press my mouth gently to yours and probe for your tongue with my own, probe with tiny darting flickers until I taste in your terrible burnt head the fresh wetness of the living tongue within -
Blurbers
Banville, John; Quinn, Anthony; Burroughs, William

Classifications

Genres
Fiction and Literature, General Fiction, Historical Fiction, Horror
DDC/MDS
813.54Literature & rhetoricAmerican literature in EnglishAmerican fiction in English1900-19991945-1999
LCC
PS3563 .C3663 .D7Language and LiteratureAmerican literatureAmerican literatureIndividual authors1961-
BISAC

Statistics

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381
Popularity
81,883
Reviews
6
Rating
½ (3.64)
Languages
6 — Dutch, English, German, Italian, Norwegian (Bokmål), Portuguese
Media
Paper, Ebook
ISBNs
13
ASINs
3