Historically Speaking: Broken Hearts and How to Heal Them

Modern medicine confirms what people have known for thousands of years: heartbreak is more than a metaphor.

The Wall Street Journal

September 30, 2023

A mere generation ago, “heartbreak” was an overused literary metaphor but not an actual medical event. The first person to recognize it as a genuine condition was a Japanese cardiologist named Hikaru Sato. In 1990, Dr. Sato identified the curious case of a female patient who displayed the symptoms of a heart attack while testing negative for it. He named it “Takotsubo Syndrome” after noticing that the left ventricle of her heart changed shape during the episode to resemble a takotsubo, a traditional octopus-trap. A Japanese study in 2001 not only confirmed Sato’s identification of a sudden cardio event that mimics a heart attack but also highlighted the common factor of emotional distress in such patients. It had taken the medical profession 4,000 years to acknowledge what poets had been saying all along: Broken Heart Syndrome is real.

The heart has always been regarded as more than just a pump. The Sumerians of ancient Mesopotamia, now part of modern Iraq, understood it performed a physical function. But they also believed it was the source of all emotion, including love, happiness and despair. One of the first known references to “heartbreak” appears in a 17th century B.C. clay tablet containing a copy of “Atrahasis,” a Babylonian epic poem that parallels the Old Testament story of Noah’s Ark. The words “heart” and “break” are used to describe Atrahasis’s pain at being unable to save people from their imminent doom.

The heart also played a dual mind-body role in ancient Chinese medicine. There was a great emphasis on the importance of emotional regulation, since an enraged or greedy heart was believed to affect other organs. The philosopher Confucius used the heart as an analogy for the perfect relationship between the king and his people: Harmony in the latter and obedience from the former were both essential.

Heart surgeon Daniel Hale Williams. ILLUSTRATION BY THOMAS FUCHS

In the West, the early Catholic Church adopted a more top-down approach to the heart and its emotional problems. Submitting to Christ was the only treatment for what St. Augustine described as the discomfort of the unquiet heart. Even then, the avoidance of heart “pain” was not always possible. For the 16th-century Spanish saint Teresa of Avila, the agonizing sensation of being pierced in the heart was the necessary proof she had received God’s love.

By Shakespeare’s era, the idea of dying for love had become a cliché, but the deadly effects of heartbreak were accepted without question. Grief and anguish kill several of Shakespeare’s characters, including Lady Montague in “Romeo and Juliet,” King Lear, and Desdemona’s father in “Othello.” Shame drives Enobarbus to will his heart to stop in “Antony and Cleopatra”: “Throw my heart against the flint and hardness of my fault.”

London parish clerks continued to list grief as a cause of death until the 19th century, by which time advances in medical science had produced more mechanical explanations for life’s mysteries. In 1893, Daniel Hale Williams—founder of Provident Hospital in Chicago, the first Black-owned hospital in the U. S.—performed one of the earliest successful heart surgeries. He quite literally fixed the broken heart of a stabbing victim by sewing the pericardium or heart sac back together.

Nowadays, there are protocols for treating the coronary problem diagnosed by Dr. Sato. But although we can cure Broken Heart Syndrome, we still can’t cure a broken heart.

Historically Speaking: The Enduring Technology of the Book

Durable, stackable and skimmable, books have been the world’s favorite way to read for two millennia and counting.

The Wall Street Journal

August 3, 2023

A fragment of the world’s oldest book was discovered earlier this year. Dated to about 260 B.C., the 6-by-10-inch piece of papyrus survived thanks to ancient Egyptian embalmers who recycled it for cartonnage, a papier-mache-like material used in mummy caskets. The Graz Mummy Book, so-called because it resides in the library of Austria’s Graz University, is 400 years older than the previous record holder, a fragment of a Latin book from the 2nd century A.D.

Stitching on the papyrus shows that it was part of a book with pages rather than a scroll. Scrolls served well enough in the ancient world, when only priests and scribes used them, but as the literacy rate in the Roman Empire increased, so did the demand for a more convenient format. A durable, stackable, skimmable, stitched-leaf book made sense. Its resemblance to a block of wood inspired the Latin name caudex, “bark stem,” which evolved into codex, the word for an ancient manuscript. The 1st-century Roman poet and satirist Martial was an early adopter: A codex contained more pages than the average scroll, he told his readers, and could even be held in one hand!

Thomas Fuchs

The book developed in different forms around the world. In India and parts of southeast Asia, dried palm-leaves were sewn together like venetian blinds. The Chinese employed a similar technique using bamboo or silk until the third century A.D., when hemp paper became a reliable alternative. In South America, the Mayans made their books from fig-tree bark, which was pliable enough to be folded into leaves. Only four codices escaped the mass destruction of Mayan culture by Franciscan missionaries in the 16th century.

Gutenberg’s printing press, perfected in 1454, made that kind of annihilation impossible in Europe. By the 16th century, more than nine million books had been printed. Authorities still tried their best to exert control, however. In 1538, England’s King Henry VIII prohibited the selling of “naughty printed books” by unlicensed booksellers.

Licensed or not, the profit margins for publishers were irresistible, especially after Jean Grolier, a 16th-century Treasurer-General of France, started the fashion for expensively decorated book covers made of leather. Bookselling became a cutthroat business. Shakespeare was an early victim of book-piracy: Shorthand stenographers would hide among the audience and surreptitiously record his plays so they could be printed and sold.

Beautiful leather-bound books never went out of fashion, but by the end of the 18th century, there was a new emphasis on cutting costs and shortening production time. Germany experimented with paperbacks in the 1840s, but these were downmarket prototypes that failed to catch on.

The paperback revolution was started in 1935 by the English publisher Allen Lane, who one day found himself stuck at a train station with nothing to read. Books were too rarefied and expensive, he decided. Facing down skeptics, Lane created Penguin and proceeded to publish 10 literary novels as paperbacks, including Ernest Hemingway’s “A Farewell to Arms.” A Penguin book had a distinctive look that signaled quality, yet it cost the same as a packet of cigarettes. The company sold a million paperbacks in its first year.

Radio was predicted to mean the downfall of books; so were television, the Internet and ebooks. For the record, Americans bought over 788.7 million physical books last year. Not bad for an invention well into its third millennium.

Historically Speaking: The Noble Elf Has a Devilish Alter-Ego

Pointy-eared magical creatures abound in folklore, but they weren’t always cute

The Wall Street Journal

September 8, 2022

“The Rings of Power” series, Amazon’s prequel to J.R.R. Tolkien’s fantasy epic, “The Lord of the Rings,” reserves a central role for heroic elves. Members of this tall, immortal race are distinguished by their beauty and wisdom and bear little resemblance to the merry, diminutive helpers in Santa’s workshop.

Yet both are called elves. One reason for the confusion is that the idea of pointy-eared magical beings has never been culturally specific. The ancient Greeks didn’t have elves per se, but their myths did include sex-mad satyrs, Dionysian half-human-half-animal nature spirits whose ears were pointed like a horse’s.

Before their conversion to Christianity, the Anglo-Saxons, like their Norse ancestors, believed in magical beings such as water spirits, elves and dragons. Later, in the epic poem Beowulf, written down around 1000, the “ylfe” is among the monsters spawned by the biblical Cain.

Benjamin Walker as Gil-galad, High King of the Elves of the West, in “The Rings of Power”
PHOTO: AMAZON STUDIOS

The best accounts of the early Norse myths come from two medieval Icelandic collections known as the Eddas, which are overlaid with Christian cosmology. The Prose Edda divided elves into the “light elves,” who are fair and wondrous, and the “dark elves,” who live underground and are interchangeable with dwarves. Both kinds appeared in medieval tales to torment or, occasionally, help humans.

When not portrayed as the cause of unexplained illnesses, elves were avatars for sexual desire. In Chaucer’s comic tale, the lusty “Wife of Bath” describes the elf queen as sex personified and then complains that the friars have chased all the fair folk away.

The popular conception of elves continued to evolve during the Renaissance under the influence of French “faerie” folklore, Celtic myths and newly available translations of Ovid’s “Metamorphoses” and Virgil’s “Georgics.” Shakespeare took something from almost every tradition in “A Midsummer Night’s Dream,” from Puck the naughty little sprite to Queen Titania, seductress of hapless humans.

But while elves were becoming smaller and cuter in English literature, in Northern Europe they retained their malevolence. Inspired by the Germanic folk tale of the Elf King who preys on little children, in 1782 Goethe composed “Der Erlkonig,” about a boy’s terror as he is chased through the forest to his death. Schubert liked the ballad so much that he set it to music.

In the 19th century, the Brothers Grimm, Jacob and Wilhelm, along with Hans Christian Andersen, brought ancient fairy tales and folk whimsy to a world eager for relief from rampant industrialization. The Grimms put a cheerful face on capitalism with the story of a cobbler and the industrious elves who work to make him wealthy. Clement Clarke Moore made elves the consumer’s friend in his night-before-Christmas poem, “A Visit From St. Nicholas,” where a “jolly old elf” stuffs every stocking with toys.

On the more serious side, the first English translation of Beowulf appeared in 1837, marking the beginning of the Victorians’ obsession with the supernatural and all things gothic. The poem’s negative connotation surrounding elves burst into the open with Richard Wagner’s Ring Cycle, based on Germanic legends, which portrayed the Elf King Alberich as an evil dwarf.

The elfin future would likely have been silly or satanic were it not for Tolkien’s restoration of the “light elf” tradition. For now, at least, the lovely royal elf Galadriel rules.

Historically Speaking: Typos Have Been Around as Long as Writing Itself

Egyptian engravers, medieval scribes and even Shakespeare’s printer made little mistakes that have endured

The Wall Street Journal

May 12, 2022

The Lincoln Memorial in Washington, D.C., is 100 years old this month. The beloved national monument is no less perfect for having one slight flaw: The word “future” in the Second Inaugural Address was mistakenly carved as “Euture.” It is believed that the artist, Ernest C. Bairstow, accidentally picked up the “e” stencil instead of the “f.” He tried to fix it by filling in the bottom line, but the smudged outline is still visible.

Bairstow was by no means the first engraver to rely on the power of fillers. It wasn’t uncommon for ancient Egyptian carvers—most of whom were illiterate—to botch their inscriptions. The seated Pharaoh statue at the Penn Museum in Philadelphia depicts Rameses II, third Pharaoh of the 19th dynasty, who lived during the 13th century BC. Part of the inscription ended up being carved backward, which the artist tried to hide with a bit of filler and paint. But time and wear have made the mistake, well, unmistakable.

ILLUSTRATION: THOMAS FUCHS

Medieval scribes were notorious for botching their illuminated manuscripts, using all kinds of paint tricks to hide their errors. But for big mistakes—for example, when an entire line was dropped—the monks could get quite inventive. In a 13th-century Book of Hours at the Walters Museum in Baltimore, an English monk solved the problem of a missing sentence by writing it at the bottom of the page and drawing a ladder with man on it, pulling the sentence by a rope, to where it was meant to be.

The phrase “the devil is in the details” may have been inspired by Titivillus, the medieval demon of typos. Monks were warned that Titivillus ensured that every scribal mistake was collected and logged, so that it could be held against the offender at Judgment Day.

The warning seems to have had only limited effect. The English poet Geoffrey Chaucer was so enraged by his copyist Adam Pinkhurst that he attacked him in verse, complaining he had “to rub and scrape: and all is through thy negligence and rape.”

The move to print failed to solve the problem of typos. When Shakespeare’s Cymbeline was first committed to text, the name of the heroine was accidentally changed from Innogen to Imogen, which is how she is known today. Little typos could have big consequences, such as the so-called Wicked Bible of 1631, whose printers managed to leave out the “not” in the seventh commandment, thereby telling Christians that “thou shalt commit adultery.”

The rise of the newspaper deadline in the 19th century inevitably led to typos big and small, as well as those unfortunate and unlikely. In 1838, British readers of the Manchester Guardian were informed that “writers” rather than “rioters” had caused extensive property damage during a protest meeting in Yorkshire.

In the age of computers, a single typo can have catastrophic consequences. On July 22, 1962, NASA’s Mariner 1 probe to Venus exploded just 293 seconds after launching. The failure was traced to an inputting error. A single hyphen was inadvertently left off one of the codes.

WSJ Historically Speaking: In Praise of the Humble, Sometimes Bawdy Limerick

ILLUSTRATION: THOMAS FUCHS

It’s National Poetry Month, so let us praise the humble limerick, in spite of (or perhaps because of) its bawdy, silly rhymes. After all, it’s the only literary form to encompass the poetic genius of both St. Thomas Aquinas and Krusty the Clown from “The Simpsons,” who starts but never finishes the ditty, “There once was a man named Enis…”

Most people know the limerick’s rigid meter and rhyme scheme—the first, second and fifth lines should rhyme with each other, as should the shorter third and fourth lines. But no one really knows where the limerick began or why it’s named for a small Irish city rather than for Peru or Tobago, home to many an Old Man and Young Lady featured in said poems. Continue reading…

WSJ Historically Speaking: The More-Bitter-Than-Sweet History of Sugar

‘If sack [wine] and sugar be a fault, God help the wicked,” says the rollicking Sir John Falstaff in Shakespeare’s “Henry IV, Part 1.” That was a more innocent time. Nowadays, books such as Gary Taubes’s “The Case Against Sugar” have linked it to many of the world’s health crises, including diabetes, obesity and high blood pressure. Continue reading…

WSJ Historically Speaking: As You Dislike It: The Anti-Shakespeare Club

Why people still brush up on their Shakespeare. PHOTO: HULTON ARCHIVE/GETTY IMAGES

Why people still brush up on their Shakespeare. PHOTO: HULTON ARCHIVE/GETTY IMAGES

In David Lodge’s 1975 novel “Changing Places,” a group of university professors play a party game called Humiliation, competing to see who has read the fewest great works of literature. A professor of English literature is in the lead, having declared his ignorance of Longfellow’s “Song of Hiawatha,” when Harold Ringbaum, a man with “a pathological urge to succeed,” declares that he’s never read “Hamlet.” The more he insists, the more the others scoff—until Ringbaum angrily swears a solemn oath to the fact, by which time everyone is stone cold sober with embarrassment.

Ringbaum’s faux pas neatly sums up Shakespeare’s towering presence in modern culture—underlined by the tempest of celebrations marking the 400th anniversary of the Bard’s death, which falls on Saturday. His reputation exists on a plane separate from other writers. With apologies to a speech from “Richard II,” Shakespeare himself has become a precious stone set in a silver sea of words.

Yet over the centuries, a surprising roster of famous writers and celebrated personages has picked quarrels with the Man from Stratford. Though complaints about the Bard have run the gamut from the moral to the artistic, one type is almost unique to him. I call it WAMS, or the What-About-Me Syndrome.

Among the first to suffer its ravages was Shakespeare’s friend, fellow dramatist and eventual British poet laureate Continue reading…