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Friday, 29 November 2013

HIV and AIDS in Literature: A Bibliography



A guest post by Maurice Greenham, to mark World AIDS Day 2013
When Thom asked if I would be interested in contributing an article for World AIDS day about the portrayal of HIV and AIDS in literature, I jumped at the chance. It offered me an opportunity to review and add to my considerable collection of books on the topic. Why me? I have no doubt that my living with HIV for 29 years had something to do with it. Just to put you in the picture: I was diagnosed HIV positive in 1984, when I thought I would rapidly become ill and die of AIDS. I didn’t! Instead I found I was asymptomatic, staying fit and active enough to pursue a successful career in professional theatre. That came to an end with an almighty crash in 1994 when I became seriously ill, was hospitalised with an AIDS diagnosis and given six months to live. Those six months extended to 19 years, to become the most fulfilling and productive yeats of my life. There is nothing like the imminence of death to sharpen the mind and to make one appreciate the value of life in the present moment.

1996 Demarcation Line
The portrayal of AIDS leading directly to an inevitable painful and distressing death is to be found in the works of authors such as Larry Kramer (The Normal Heart 1985), Derek Jarman (Chroma, 1993) or Edmund White (Farewell Symphony, 1997). In my view, the year 1996 serves as a rough demarcation line between a frequently pessimistic depiction of HIV and AIDS in literature that contrasts dramatically with a body of much more optimistic works afterwards, when effective anti HIV drugs became available. Highly active antiretroviral therapy, or HAART, was a game changer not only for people living with HIV, but also for the representation of HIV and AIDS in novels, short stories and plays. This duality of perspective offers the modern writer a handy tool when dealing with HIV and AIDS as a central theme or when making use of them as subsidiary threads in an intricate web of counter plots. 

Tough pictures
Kennedy’s Brain (2005) by Henning Mankell, translated from the Swedish by Laurie Thompson, falls into the latter category. Although Henrik, one of the central characters of the novel, is revealed to be HIV positive, Mankell essentially uses his status as a means to introduce old, long disproven AIDS conspiracy theories. These, along with similarly speculative intrigues about the assassination of President Kennedy, are devices employed by the author to create suspense. The lack of any precise period in the novel allows Mankell to exploit the fear associated with the pre-1996 description of HIV and AIDS. Personally, I found the book disappointing; in part on account of its unconvincing portrayal of HIV.     
  

There are no such misgivings about The Blackwater Lightship by Colm Tóibín, shortlisted for the 1999 Booker Prize. Declan, the gay brother of Helen (the pivotal figure in the story) is introduced early in the narrative; it is only later as the novel progresses that we discover he is HIV positive and becomes seriously ill with AIDS related conditions. Whilst Tóibín shows a depth of understanding about HIV and AIDS that is lacking in Kennedy’s Brain, it is not central; rather, in a more subtle manner, he uses Declan and his condition as a catalyst to reconcile the three strong female characters. Although it is Declan’s illness that dictates the pace of the drama, it is really the battle of female animosities and resentments that shape the psychological heartland of the book. Set in the early 1990’s amongst the rich traditions of rural Donegal, Tóibín creates an astonishing piece of writing. He brings together three generations: Dora Devereux, her daughter Lily and her granddaughter Helen who after years of strife reach an uneasy truce brought about by their common concern for the seriously ill Declan. Richard Canning in his review of in the Independent considered The Blackwater Lightship as a mature, philosophical work which moves stylishly between dialogue, introspection and objective narration in a manner reminiscent of Virginia Woolf

Biographies
Of the numerous biographies of people living with or directly affected by HIV, I have selected three that have personal significance. Denholm Elliott, Quest for Love (1994) is the biography of the British actor. Denholm became infected with HIV in 1987 and died of AIDS-related tuberculosis at his home on the island of Ibiza in 1992. His widow Susan, in collaboration with Barry Turner, produced a comprehensive and surprisingly frank account of Denholm’s extraordinary life. As Susan explains in the introduction Denholm urged her to write a book about their lives together; he insisted that it must be an honest book or there would be no point in doing it. 

HIV affected only the final five years of Denholm’s life; however, in this period he completed 18 films, including Indiana Jones and the Last Crusade, Return from the River Quai and Noises Off. He is the only person to win three consecutive BAFTAs for best actor in a supporting role. On stage and on screen he was notorious for stealing the scene. In his obituary in the Independent, Gabriel Byrne, who played the lead in In Defence of the Realm, amended the old actor's cliché to: 'Never work with children, animals or Denholm Elliott.'  

Although I never got to work with Denholm, I got to know him through a mutual friend who was Stage Manager on A Life in the Theatre, Denholm’s last appearance on stage. At his home in Ibiza, he was excellent company and enjoyed sharing salacious stories about his past, until disrupted by a disapproving glance from Susan. Later after his death, I returned to visit the project set up in Denholm’s memory. Susan had set up a charity in a former hotel complex on Ibiza called Can Bufi, where people who are HIV positive could enjoy a free holiday. Sadly, Susan died in a fire at her home in London on April 12th, 2007.

Freddie Mercury and Me (1994) was written by Jim Hutton with Tim Wapshott. This is a touching account of the relationship between the rock superstar and Jim Hutton. It is perhaps Freddie’s resilience after his HIV diagnosis to keep working to ensure that ‘the show went on’ that touched me most. He was as an inspiration when I was devastated after being given my own AIDS diagnosis in 1994. Like Denholm Elliott, Freddie’s life with HIV was relatively short: he was diagnosed HIV positive in 1987 and died from AIDS related pneumonia in November 1991.
Elton John's autobiography Love is the Cure – On life, loss and the end of AIDS (2012) is significant not only because it details the story of the Foundation that bears his name, but also because if recounts the story of Ryan White, a young Indiana boy ostracised by his town and school on account of the HIV infection he had contracted from a blood transfusion. It was Ryan’s inspiring life and devastating death that led Elton to two realisations: his own life was a mess, and he had to do something to help stop the AIDS crisis. Elton’s life spans the divide of pre- and post HAART. Consequently the final tone of his autobiography paints a far more optimistic picture of HIV than any of the previously mentioned books. 

Although I have not benefitted personally from the Elton John AIDS Foundation, the National Long Term Survivors Group (HIV) of which I am a member, owes the Foundation an eternal debt of gratitude for making it financially possible for a large number of HIV positive people to profit from one of our residential Living Proof weekends who otherwise would have been unable to do so. This considerable subsidy over a three year period also helped to promote the group and to increase its membership, leaving it in a much healthier state than before. 

The book is also dedicated to overcoming the stigma and discrimination surrounding HIV and AIDS. To this end Elton includes stories of powerful allies in this fight such as friendships with Ryan White, Freddie Mercury, Elizabeth Taylor and Princess Diana. An interesting if at times emotional read. 
  
HIV Positive Authors
Given the nature and history of HIV and AIDS it is perhaps surprising to find that Larry Kramer, the writer connected with the early ‘gay plague’ years, should still be around in 2013. Larry Kramer was a founder member of GMHC (Gay Men’s Health Crises), and the catalyst for the foundation of the AIDS protest group ACT UP. When he was expelled from GMHC for being too militant, he took an extended trip to Europe visiting the Dachau concentration camp, which he was surprised to discover was set up in 1933 and neither the Germans nor any other nations had done anything to stop it. This experience spurred him to write the award winning stage play The Normal Heart (1985). Larry has adapted the play to produce a film version due to be released in 2014. The film, directed by Ryan Murphy, will star Matt Bomer, Mark Ruffalo, and Julia Roberts. In addition, his considerable output has included important serious non-fiction works such as Reports from the Holocaust: The Story of an AIDS Activist (1989) as well as many works of fiction and numerous plays for the stage and screen.

After the Supreme Court struck down the Defence of Marriage Act in June 2013, Larry Kramer decided it was time to tie the knot. At the age of 85 he married his long-term partner the architect David Webster in the intensive care unit of New York University Langone Medical Centre. Throughout his life he has been a fierce advocate for gay and lesbian rights as well as one of the world’s leading AIDS activists. He was amongst the first HIV positive people to have a liver transplant, and has led the field as an HIV positive gay writer and outspoken public speaker. Susan Sontag, writing about the New York production of Just Say No, A Play About a Farce,(1988), saidLarry Kramer is one of America's most valuable troublemakers. I hope he never lowers his voice”

David James
Although not in the same sphere as Kramer, David James' autobiography 45 Year 45 Lives (2009) has a charming honest narrative quality that makes it undemanding to read and easy to relate to the author's struggles with the departure of his father when he was an eleven year old boy and the consequences that followed. David graphically relates his travails in coping with his own sexuality and the difficulty he has in his relationship with his new stepfather. Throughout the ups and downs of a series of jobs and partners, his mother provides a pillar of strength that helps him come out as gay and, perhaps more importantly, when he is diagnosed HIV positive. After taking us across the globe to North Africa and America, the book ends with reconciliation and a serene acceptance of life with HIV. David’s story shows how fear can motivate, how tragedy can devastate, and the fundamental importance of a mother’s love. In his 45 years David has accomplished a great deal, it will be interesting to discover what he does next.

Edmund White
Few writers would turn down the chance of a Harvard doctorate programme to follow a lover to New York, but that is just what Edmund White did when he chose instead to work at Time Life Books and to freelance for Newsweek. He is an accomplished, erudite and prolific writer of numerous works. His fiction is confidently blatant in its explicit descriptions of gay sex. Born in 1940, Edmund White acquired HIV in 1985. 

It was one of his earliest novels A Boys Own Story (1982) that first drew him to my attention and left me enthralled by this iconic figure. The Farewell Symphony (1997) that has been described as a monumental achievement, whilst Anthony Quinn, in the Daily Telegraph, considered it to be no less than a secret history of gay sexuality from the late 1960s onwards that plays out, in the shadow of AIDS, a forlornly moving elegy to a generation. 

White’s nonfiction books include States of Desire (1980), The Burning Library: Writings on Art, Politics and Sexuality 1969-1993 (1994) and Sacred Monsters (2011) to name but a few. He has written landmark biographies of Genet (1993), Marcel Proust (1998) and Rimbaud: The Double Life of a Rebel (2008). According to Wikipedia, Edmund White is currently a professor of creative writing in Princeton University's Lewis Center for the Arts: not bad for someone who initially chose love ahead of academia.
   
Mark Ravenhill
Born in 1966, Mark Ravenhill is one of the foremost English playwrights who has produced such provocative pieces as Shopping and Fucking (1996), Some Explicit Polaroids (1999) and Pool (No Water) (2006). He writes as a gay man living with HIV who lost a partner to AIDS, so when HIV crops up in his plays, you know that he is speaking with the authority of personal experience. In 2012, this talented writer and director became the Royal Shakespeare Company's Writer in Residence.

Frederik Peeters 
I wanted to include Blue Pills (2001, English translation from the French by Anjali Singh), a positive love story about a serodiscordant couple, because of its relevance to heterosexual readers. It begins with a teenage house party where Fred (HIV negative male) meets and eventually falls in love with Kati, an HIV positive female who has a three year old son, also HIV positive. It is a touching story of how the couple negotiate each social, domestic and psychological hurdle to take care of each other and the little boy. This is a graphic novel, so you are guaranteed to find a portrayal of HIV unlike any other. As the date and the Blue Pills title indicate, Peeters wrote this refreshingly honest and revelatory account in the post HAART era; nevertheless, there are some scary moments.   
 
Conclusion
There are so many more writers that I would have liked to have discussed, but time prevents me from doing more than to mention a few names and titles that I think are worth reading. These include April Fool’s Day (1993) by the successful Australian novelist Bryce Courtenay, who writes a moving account of his younger brother Damon, a haemophiliac who contracted HIV from infected blood plasma and died from AIDS on April 1st 1991 (hence the title). It is also an indictment of the arrogance, aloofness and uncaring attitudes of health care professionals in Australia in the early years of the AIDS crisis there, but at the same time is a testament to a loving relationship that Damon was able to have with his remarkable girlfriend Benita. 

What Sounds Like Crazy on a Normal Day (1997) the debut novel by Pearl Cleage, charts the story of a black businesswoman following her HIV diagnosis. This is a gritty tale, using earthy language that portrays HIV from a black female perspective, with a strong feminist agenda.

Armistead Maupin is the well known author of the six volume chronicle about San Francisco commencing with Tales of the City (1978) and concluding with Sure of You (1989) in which his character Michael (Mouse) Tolliver is diagnosed HIV positive… leaving readers to believe that after the end of the book he will die of AIDS. However, no doubt reflecting the changing HIV landscape after 1996, Maupin ‘resurrects’ this much loved character with an amusing sequel Michael Tolliver Lives (2007).   
  
Other works well worth looking at: Angels in America (1995) Tony Kushner; The Swimming Pool Library (1988), The Line of Beauty (2004) Alan Hollinghurst; In the City of Shy Hunters (2001) Tom Spanbauer; Before Night Falls (1992) Reinaldo Arenas; The End of Innocence (1994) Simon Garfield

Happy reading!
Maurice                   
            
Find out more about World AIDS Day here                   

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