Reviews

A Fortunate Man: The Story of a Country Doctor by John Berger

nick_jenkins's review against another edition

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5.0

Often an author will actively choose to limit their subject in ways that they believe are mere demarcations–'I am writing about this, not that'–but these limits are not in fact specifications but rather are acts of excision and removal. What they are doing is not drawing a perimeter around a certain area, forming or following natural categorical differences, say between one country and another, or between one sex and another. They are instead cutting out part of a tissue–even if the part they have removed is relatively unlike the part that remains, the larger point surely is the former connectedness, the severed integrity.

Berger chooses to limit his subject–the life of a remarkable "country doctor"–in terms of nationality and of sex, but that is not to say that he is blind to the Englishness and the maleness of his protagonist. Those characteristics are considered at length, and with great illumination. What I mean is rather that Berger is inflexible on the question of whether his story would be further illuminated not so much by comparison but by an acknowledgment that neither maleness nor Englishness is a complete story in itself, that neither 'man' nor 'England' can be considered without distortion as a singularity.

It is strange that Berger would be so myopic about these issues because he is so lucidly dialectical about so much in this very book, particularly about the loneliness, 'backwardness', and inarticulateness, all conditions that would seem to be most naturally analyzed as disconnected states, atomistic in their self-enclosure. Yet in the book's only endnote that is not a citation, he can write, "I do not attempt in this essay to discuss the role of Sassall's wife or his children. My concern is his professional life." What a shockingly undialectical way of thinking about the private and the public, about the domestic and the professional, and–underlying both–about men and women.

I write about this (rather than try to write a simple summary of the book's content and approach) because it bothered me in a manner that I hope is productive. There is so much about this book that is perspicuous, eloquent, wise, even vital, but I am not completely sure what the thing is for which or about which the book is giving me such rare and encouraging insights.

Berger claims for Sassall an aspiration toward universality. This is meant as a study of the the 'human condition', about the very meaning of life. Yet given the book's limitations–both those which are chosen and those which are implicit but not known to the author–it cannot be 'about' that at all, even if Berger thinks that 'universality' and 'universal man' are synonymous, that 'the condition of man' and 'the human condition' are equivalent constructions.

There are some really wonderful passages about generalizations and power in the book which should apply here. Berger is exceptionally shrewd about the sources and intricacies of Sassall's power vis-à-vis his patients, but he is nowhere self-reflective about the power he had as an observer shadowing Sassall (or the power his co-author, Jean Mohr, the photographer had). There is very little of the self-reflexiveness of, say, James Agee in Let Us Know Praise Famous Men, little acknowledgment of the steeply weighted power differential that separates someone on one side of the camera or the typewriter from someone on the other.

It would be easy to think this lack of self-reflection is one which the reader can supplement with some additional sophistication, but that is a fallacy, I think. Berger wants us to believe that his subject is humanity in a fundamental sense, and that the knowledge we might take from this book is knowledge about what it means to be human, and one way out of our dilemma might be to say that if we properly take into account his specific blindnesses–the historic and social categories which shaped Berger's understanding of what 'the human' or 'the universal' is–we can salvage that aspiration of reaching toward the fundamental/universal/human. But I am uncomfortable with and unconvinced by this move, this reassurance that as long as we are aware of the specifics of identity and historicity, we can retain some claim on the universal, can discover some fundamental truths about 'the human'. Why is there no middle term, something in between the parochial and the fundamental?

That middle ground is where I think Berger is actually working–and where some other British intellectuals of his generation, such as E. P. Thompson and Raymond Williams were working–in a mode that has extremely broad applicability both across time and across innumerable cultures, but that cannot rightfully be said to be capable of producing knowledge about 'the human condition'. So powerful and empowering are the insights to be gained from the categories and insights that come from these men's writings that we are sorely tempted to hypostatize, to claim universality for what is not completely universal. What this book means to me is the necessity and fruitfulness of keeping that tension active, of maintaining some recognition that generalizations are most often operative in this middle ground, and that much can be gained precisely in that space.

rosemarykirk's review against another edition

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5.0

I’ve never read anything quite like this before; Berger’s style is simultaneously conversational and full of depth, and his essay structure is a joy. His observations are so astute and he elegantly verbalises concepts that I’ve thought about a lot but never been able to enunciate, particularly regarding the fraternal intimacy of medicine, the need to recognise patients, and the role of the doctor in suffering.

My main criticism would be of the sometimes male-centric approach and the occasional overly detailed descriptions of women’s bodies (ah the 60s).

A number of doctors have recommended this book to me, people who meet the book’s description of a “good doctor”, and like them I think it’s a book I’ll revisit a lot in my career.

bethanye92's review against another edition

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reflective sad slow-paced

3.75

jayevans's review against another edition

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challenging reflective slow-paced

5.0


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gtroom's review against another edition

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hopeful informative inspiring lighthearted reflective medium-paced

4.0

cynthiak's review against another edition

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3.0

Too much self-centric rambling and not enough about the doctor and his patients. A missed opportunity even though the photography does them some justice.

codexmendoza's review against another edition

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3.5

Almost bounced off the opening due to the way the female patients were described — couldn’t tell if it was Berger or the doctor’s view — but the majority of the book is an interesting meditation on the moral and personal politics of a country doctor’s life. 

It and the accompanying photographs are also a great document of a practice that has now long gone. 

It’s worth reading as a unique effort. 

ohnoflora's review

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5.0

A startlingly humane portrait of a doctor practising medicine in rural England in the 1960s - the type of universalist country doctor (part priest, part magician, part healer) that doesn't exist anymore.

Berger writes intelligently and empathetically about what it is to heal, what makes a good doctor (as opposed to "talented" or "clever"), and how we evaluate the worth of a human life. Jean Mohr's observant, un-intrusive photographs are just as much a part of the essay as Berger's words are.

leilaniann's review against another edition

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4.0

I thought there would be more medical stuff in it, but it was still a good read. More sociological than medical.

jguedes's review against another edition

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emotional informative inspiring reflective sad medium-paced

4.5