Youtube interview between alice hiller and Danne Jobin.
How do we see ourselves when we look in the mirrors that other people have held up to our lives, during times when we ourselves had little or no control over them? Do official records have value if they were made while we were silenced children, or discredited teenagers, and only our bodies were able to communicate that a crime was being committed against us?
These are questions I ask myself working with my historic medical notes, specifically those relating to my childhood, adolescence and early twenties. For the past decade, first as I wrote the poems of bird of winter, and now as I put together a new prose memoir of my first eighteen years, I’ve been looking at the ways these records register and reflect the sexual abuse to which I was subjected by my mother until I was thirteen, and also its long aftermath.
I initially requested my medical records from my GP following surgery for ovarian cancer, which was diagnosed in 2011 when I was forty-seven. I had no idea what my file might contain, or how far it would reach back. I had lived permanently in the UK from 1972, when I was eight, but moved around until I was seventeen, with a series of different doctors.
After the GP’s receptionist called to say my file was ready, it took me six weeks to be ready to walk the fifteen minutes from my home to the surgery to collect the photocopies. A further eighteen months were required to go through the file in depth. There were a limited number of pages, but the events they referred to were seismic for me. Reading about them remained impactful – even at a distance of decades. I had to take it slowly. I would advise anyone else with a complex history to proceed with care in investigating its official documentation, and think about how you will keep yourself safe as you do.
Some of the things I read were eye-opening. Seeing myself described by different doctors, while knowing what my mother was actually doing to me at home, I found repeated evidence of the lack of awareness of childhood sexual abuse within the medical profession during the 1960s and 1970s. Doctor after doctor clearly had never been trained to look out for how children being subjected to this crime might present when seen in their surgery.
I also discovered extensive, and often devastating, examples of how some of those doctors judged me as a child, and later a teenager, for behaviours arising as a consequence of what was being done to me by my mother, who was my abuser. To those doctors, I was clearly misbehaving, delinquent, disreputable and of less worth than a better behaved child. Others connected with me, and let it be understood through what they wrote to each other that they had concerns about how my mother was behaving towards me, as when she was pressuring them into performing an appendectomy on my for my teenage stomach aches.
What I saw were only samples of a larger body of material to which I was not able to gain access. Huge swathes of documents and correspondence had already gone missing from the photocopies I was given across the counter. The receptionist wanted to know why it had taken me to so long to come in for them. She then backed down and became more understanding when I told her.
Whether the missing documents had been lost or destroyed over the years, and during the moves from one practice to another, or simply not photocopied for me, as the file was considered too large, I will never know. This GP practice would not allow me to see the original file of my historic medical records despite my requests. The same historic file then failed to arrive at the new, much more helpful, practice I transferred to. It has since become untraceable, despite my repeated attempts.
Redacted and circumscribed though they were, the blurry photocopies I finally recovered, when I was approaching fifty, were nonetheless invaluable documentation. In them, I found concrete records of physical symptoms I remembered, tests I knew I had gone through, hard conversations that I had been part of, and a prolonged hospital stay when I was thirteen and being treated for anorexia within a psychiatric unit after the school nurse had insisted I was referred for medical attention, while all around me were busy looking away.
Reading through the pages, over and over again, I met my younger selves holding onto life – sometimes against all odds. As a child, I presented with symptoms that tried to say all was not well with my mind and my body. As a teenager I ‘acted out’ and asked questions some doctors considered inappropriate. While this was not always the case, often I was often heard and responded to with care and professionalism by the doctors who made the notes and wrote the letters – even if they did not question the root causes.
Because I eventually left my childhood home with no material objects, these medical records gave me back needed physical evidence of how my younger selves moved in the world, and who surrounded them. Confirming events I remembered with unexpectedly forensic precision, document by document, vertebra by vertebra, they grew into an invisible but strong spine of correlations — as I continued to write and heal.
The photocopied records also allowed me to hear fragments and refractions my own muted voice, under the dominant tones of my mother speaking about me to medical professionals. Through the doctors’ recorded comments in my file, and in correspondence with each other, I witnessed how my mother re-positioned the physical and psychological symptoms which her sexual abuse of me gave rise to, so that the doctors would look away from what caused them as my family members did.
This reframing of the abused child’s narrative is of course the practice of many abusers. Along with the child, the abuser grooms the circle of adults around them. From relatives, to friends’ parents, to teachers, to medical professionals, all are led to look in other directions, so that the abuser can continue to perpetrate their crime without interference.
What prompted me to think about this subject more recently was a request by the poet and academic Dr Danne Jobin for an interview about using my medical notes within bird of winter, as part of the Poetology series. I wore a spring green cardigan I’d bought the day before in a charity shop for positive energy and hopefulness, and set a photo of Ithaca behind me to reflect her invisibly lying on guard at my feet. Together these magical objects worked their spells of protection. Danne and I could talk about hard things with laughter as well as anger, as our conversation opened further into how we experience and process childhood trauma, but also recover our lives beyond its harms as you’ll see if you watch the video whose link is here.
Danne and I additionally explored how creative acts of making have the power to generate autonomous objects, such as the poems in bird of winter, through which trauma can be interrogated with a measure of safety and agency. Invoking the collaborative play that arises between a recipient and an artwork, whatever the medium, this interactive process is integral to its reception.
To give readers a chance to find out for themselves how this works, and also to see how one of my medical notes became part of an artwork, I’m ending this blog with my poem ‘pistil’, along with an extract of the medical note which I built into it as an act of witness. As you decipher the looping handwriting, imagine a GP somewhere near Victoria Station. I would have been taken to visit her during the course of a trip from Paris, where my father worked as a diplomat, to London for my mother to see her family.
This doctor, who I’ll call Dr P., is named for a fruit. She has short grey curls, framing her round face. Green Virginia creeper leaves surround the window, giving the light an underwater feel. Dr P. wears a business-like white shirt, and matching grey flannel jacket and skirt, with flat black shoes. Her belly bulges a little under her skirt and her calves are wide and strong. I notice them because I’m sitting on a red and blue Turkish rug quietly taking toys out of a wicker basket, and turning them over.
Meanwhile my mother, who has been this doctor’s patient for many years, tells her with some irritation how I am Difficult with medicines. Aggressive & difficult with other children, that I bite and Scratch and that it’s difficult to get her off to sleep at night, leading the doctor to conclude ie spoiled++. All the time my mother is saying these things, she knows that back home, when no one is looking, she’s pushing her fingers into parts of my body where no parental finger should ever go.
‘pistil’ holds how I was presented by my mother, and how this was received by the doctor who wrote the note. I would continue to see her intermittently until I was a teenager. The poem also records how this exercise of power over me resonated within my own two year old body, and the stomach aches the abuse resulted in. It closes with an image of me at that age, drawn from a remembered holiday photograph taken by my father. Named for the female reproductive parts of the flower, but reflecting in the shape of the gun and bullet how historic medical practices could be weaponised to further injure an abused child, as a poem ‘pistil’ honours the girl who I was, and her role in forming the woman I am now. Together, and notwithstanding the harms that were visited upon us, we look to the future with hope.
If anything I have written about is difficult for you, the Mind website is a good place to go for further support.
For anyone in the Newcastle area, I’ll be teaching an-in person workshop on Colour as portal and energy channel: working the rainbow to amplify your poems’ impact and reach on Friday 10 May, between 1-3pm. Click the title to book.
We’ll be exploring how colour can be channelled to intensify the emotional, political and philosophical resonances of your poems. Generative practical exercises will offer fresh ways into creating – including a colour-themed guided freewrite, and a three stage writing exercise drawing together memory and association with found materials to begin new and develop new work. I’ll be supplying visual prompts and art materials. Supporting this, we will also look at colour theory and consider how colour is used by poets including Elisabeth Bishop, Gail McConnell, Airea D. Matthews, Anthony Joseph, Paul Tran, Padraig Regan and Ella Frears.
I’ll also be reading live and online with my fellow Pavilion Poet Hannah Copely between 1.30 to 2.30 pm on Saturday 11 May as part of Pavilion Poetry’s 10th birthday celebration. Hannah has recently published her wonderful second collection, Lapwing, and I’ll be reading from bird of winter.