The history of bibliotherapy
Over the past weeks I’ve been looking at how reading can be a means
of pleasure, education, and self-development. But I also happen to
believe – and I’m not the only one, not by a long shot – that a
relationship with books can increase wellbeing. The right book at the
right time can be a powerful thing, not just amusing and teaching, but
also reassuring and even healing. Indeed, an ancient Greek library at
Thebes bore an inscription on the lintel naming it a “Healing-Place for the Soul.”
The term “bibliotherapy,” from the Greek biblion (books) + therapeia
(healing), was coined in 1916 by Samuel McChord Crothers (1857-1927).
Crothers, a Unitarian minister and essayist, introduced the word in an Atlantic Monthly piece called “A Literary Clinic.”
The use of books as a therapeutic tool then came to the forefront in
America during the two world wars, when librarians received training in
how to suggest helpful books to veterans recuperating in military
hospitals. Massachusetts General Hospital had founded one of the first
patients’ libraries, in 1844, and many other state institutions –
particularly mental hospitals – had followed suit by the time of the
First World War. Belief in the healing powers of reading was becoming
more widespread; whereas once it had been assumed that only religious
texts could edify, now it was clear that there could be benefits to
secular reading too.
Read this for what ails you
Clinical bibliotherapy is still a popular strategy, often used in
combination with other medical approaches to treat mental illness.
Especially in the UK, where bibliotherapy is offered through official
National Health Service (NHS)
channels, library and health services work together to give readers
access to books that may aid the healing process. Over half of England’s
public library systems offer bibliotherapy programs, with a total of
around 80 schemes documented as of 2006. NHS doctors will often write patients a ‘prescription’
for a recommended book to borrow at a local library. These books will
usually fall under the umbrella of “self-help,” with a medical or mental
health leaning: guides to overcoming depression, building
self-confidence, dealing with stress, and so on.
Books can serve as one component of cognitive behavioral therapy,
which aims to modify behavior through the identification of irrational
thoughts and emotions. Bibliotherapy has also been shown to be an
effective method of helping children and teenagers cope with problems:
everything from parents’ divorce to the difficulties of growing up and
resisting peer pressure. Overall, bibliotherapy is an appealing strategy
for medical professionals to use with patients because it is low-cost
and low-risk but disproportionately effective.
In addition to clinical bibliotherapy, libraries also support what is
known as “creative bibliotherapy” – mining fiction and poetry for their
healing powers. Library pamphlets and displays advertise their
bibliotherapy services under names such as “Read Yourself Well” or “Reading and You,”
with eclectic, unpredictable lists of those novels and poems that have
proved to be inspiring or consoling. With all of these initiatives, the
message is clear: books have the power to change lives by reminding
ordinary, fragile people that they are not alone in their struggles.
The School of Life
The School of Life is pop philosopher Alain de Botton’s
brainchild, a London hub where trendy, angsty types can come to learn
tactics for how to live well. Classes, psychotherapy sessions, secular
‘sermons,’ and a library
of recommended reading tackle subjects such as job satisfaction,
creativity, parenting, ethics, finances, and facing death with dignity.
In addition, the School offers bibliotherapy sessions (one-on-one, for adults or children, or, alternatively, for couples) that can take place in person or online.
A prospective reader fills out a reading history questionnaire before
meeting the bibliotherapist, and can expect to walk away from the
session with one instant book prescription. A full prescription of
another 5-10 books arrives within a few days.
In 2011 The Guardian
sent six of its writers on School of Life bibliotherapy sessions; their
consensus seemed to be that, although the sessions produced some
intriguing book recommendations, at £80 (or $123) each they were an
unnecessarily expensive way of deciding what to read next – especially
compared to asking a friend or skimming newspapers’ reviews of new
books. Nonetheless, it is good to see bibliotherapy being taken
seriously in a modern, non-medical context.
A consoling canon
You don’t need a doctor’s or bibliotherapist’s prescription
to convince you that reading makes you feel better. It cheers you up,
makes you take yourself less seriously, and gives you a peaceful space
for thought. Even if there is no prospect of changing your situation,
getting lost in a book at least allows you to temporarily forget your
woes. In Comfort Found in Good Old Books
(1911), a touching work he began writing just 10 days after his son’s
sudden death, George Hamlin Fitch declared “it has been my constant aim
to preach the doctrine of the importance of cultivating the habit of
reading good books, as the chief resource in time of trouble and
sickness.”
Indeed, as Rick Gekoski noted last year in an article
entitled “Some of my worst friends are books,” literary types have
always turned to reading to help them through grief. He cites the
examples of Joan Didion coming to grips with her husband’s death in The Year of Magical Thinking, or John Sutherland facing up to his alcoholism in The Boy Who Loved Books.
Gekoski admits to being “struck and surprised, both envious and a
little chagrined, by how literary their frame of reference is. In the
midst of the crisis…a major reflex is to turn, for consolation and
understanding, to favorite and esteemed authors.” Literary critic Harold
Bloom confirms that books can provide comfort; in The Western Canon
he especially recommends William Wordsworth, Walt Whitman, and Emily
Dickinson as “great poets one can read when one is exhausted or even
distraught, because in the best sense they console.”
Just as in a lifetime of reading you will develop your own set of personal classics,
you are also likely to build up a canon of favorite books to consult in
a crisis – books that you turn to again and again for hope,
reassurance, or just some good laughs. For instance, in More Book Lust Nancy Pearl swears by Bill Bryson’s good-natured 1995 travel book about England, Notes from a Small Island:
“This is the single best book I know of to give someone who is
depressed, or in the hospital.” (With one caveat: beware, your
hospitalized reader may well suffer a rupture or burst stitches from
laughing.)
Just what you needed
There’s something magical about that serendipitous moment when a
reader comes across just the right book at just the right time. Charlie
D’Ambrosio confides that he approaches books with a quiet wish: “I hope
in my secret heart someone, somewhere, mysteriously influenced and
moved, has written exactly what I need” (his essay “Stray Influences” is
collected in The Most Wonderful Books).
Yet this is not the same as superstitiously expecting to open a book
and find personalized advice. Believe it or not, this has been an
accepted practice at various points in history. “Bibliomancy” means
consulting a book at random to find prophetic help – usually the Bible,
as in the case of St. Augustine and St. Francis of Assisi. St. Francis’s
first biographer, Thomas of Celano, wrote that “he humbly prayed that
he might be shown, at his first opening the book, what would be most
fitting for him to do” (in his First Life of St Francis of Assisi).
Perhaps meeting the right book is less like a logical formula and
more like falling in love. You can’t really explain how it happened, but
there’s no denying that it’s a perfect match. Nick Hornby likens this
affair of the mind to a dietary prescription – echoing that medical tone
bibliotherapy can often have: “sometimes your mind knows what it needs,
just as your body knows when it’s time for some iron, or some protein”
(in More Baths, Less Talking).
Entirely by happenstance, a book that has recently meant a lot to me is one of the six inaugural School of Life titles, How to Stay Sane
by psychotherapist Philippa Perry. Clearly and practically written,
with helpful advice on how to develop wellbeing through
self-observation, healthy relationships, optimism, and exercise, Perry’s
book turned out to offer just what I needed.
If you’re having trouble choosing your next read and would
like some help from a literary dietician or matchmaker – otherwise known
as a bibliotherapist – we’d love to hear from you on our “Help Me, Bookkaholic!”
page. Let us know what you’re looking for, and one of us amateurs will
try our hand at bibliotherapy. Or head over and try one of the books
reviewed in our “What Should I Read Next” column.
Next time: Sometimes reading really depressing books can be
good for you. From Aristotle’s classic theory of catharsis to the modern
misery memoir, I look at how encountering literary tragedy can actually
be uplifting.
[For a helpful historical survey of bibliotherapy, see the following articles: “