Saturday, April 3, 2010

Review Sparks Discussion about Mental Illness

A letter to the editor of Pittsburgh’s Jewish Chronicle by Dr. Emil Trellis one week after the review appeared takes issue with the reviewer’s description of Morton and explains how Morton’s mental illness, undiagnosed at the time, was the reason for the behavior.  Following is the letter from Dr. Trellis to Pittsburgh's Jewish Chronicle:

Mental illness overlooked

Your March 25 review of “The Unveiling” is much appreciated. Your comments about the struggles of a Jewish family in pre-World War I Ukraine along with the adjustment difficulties after arriving in America should certainly stimulate potential readers. Likewise, Ettie’s mothering success, for practical purposes as a single mother, is well noted.

It is from a retired psychiatrist’s perspective that I feel that there was too little emphasis of Morton’s mental illness and its devastating influence on the family. I didn’t feel that he was so much an “unreliable born loser” but rather his consistent self-defeating behavior, depicted rather early after his appearance in the novel, was more an early manifestation of his paranoid schizophrenia.

Subsequently his emotional deterioration with his ultimate lifelong confinement to Mayview resulted in much family hardship including profound shame, particularly on the part of Ettie and David. Ettie lived life posing as a widow. David, after learning he had a father who was mentally ill, shared in the shame and also supported strongly the family “secret.” It was through the shiva, initially opposed by Ettie, that she and David were able to resolve this psychic pain.

It is my opinion that there is still much lack of understanding and stigma regarding serious mental illness in our society today. The term “schizophrenia” is lightly frequently used to depict a situation with diametrically opposite views. This undercuts the severity of the illness. The individual patient and the involved family deeply suffer. Sadly, there is often no significant cure. I feel that with appropriate counseling, at least the stigma, as well as other issues, could be better resolved by all. Conceivably, this might be of interest and benefit to some readers.

Dr. Emil Trellis
Squirrel Hill

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