Searching for Medicine in Walker Percy’s <em xmlns:m="http://www.w3.org/1 xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www Moviegoer Woods Nash Literature and Medicine, Volume 31, Number 1, Spring 2013, pp. 114-141 (Article) Published by The Johns Hopkins University Press For additional information about this article http://muse.jhu.edu/journals/lm/summary/v031/31.1.nash.html Access provided by University of Tennessee @ Knoxville (21 Oct 2013 16:36 GMT) 114 Searching for Medicine in Walker Percy’s The Moviegoer Searching for Medicine in Walker Percy’s The Moviegoer Woods Nash Two decades before the publication of his first novel, The Moviegoer (1961), Walker Percy completed medical school at Columbia University and began residency in pathology at Bellevue Hospital in New York City. Within six months, he contracted tuberculosis and took to bed as a patient. Years later, Percy claimed that, at the time, he had been “the happiest man ever” to have TB “because it enabled me to get out of Bellevue and quit medicine.”1 In the short term, however, Percy could not leave the medical world. For more than three years, he oscillated between convalescence and remission, all the while reading novels and philosophy, and deciding, eventually, to try his hand at writing. By the end of 1946, he had turned thirty, married, and set himself fully to the task of learning to craft fiction.2 Fifteen years later, when The Moviegoer won the National Book Award, Percy’s long experiment had paid off. Alongside his first book, each of his five subsequent novels remains in print. Critics have often observed that Percy’s “medical background is apparent in his writing.”3 From Jamie’s terminal illness and Dr. Vaught’s prurient pursuits in The Last Gentleman (1966) to Dr. Tom More’s strange psychiatric and public health observations in The Thanatos Syndrome (1987), Percy’s novels are richly informed by his experiences as medical student, physician, and patient. In this light, The Moviegoer looks like the exception. It is the story of Binx Bolling, a New Orleans stockbroker and bachelor who, suddenly roused from his somnolent existence, has undertaken a vague, “horizontal search.”4 “What is the nature of the search?” Binx asks, and he answers: “The search is what anyone would undertake if he were not sunk in the everydayness of his own life” (13). This is the Wednesday before Mardi Gras, and the remainder of the story—apart from its epilogue—spans just a week, Literature and Medicine 31, no. 1 (Spring 2013) 114–141 © 2013 by The Johns Hopkins University Press Woods Nash 115 culminating on Ash Wednesday, Binx’s thirtieth birthday. Early in the novel, Binx promises his Aunt Emily that, on his birthday, he will tell her—as she puts it—“what he wants to do with his life” (55). Unfortunately for Binx, he has no idea. Over the next six days, he frequents movie theaters, plots to seduce his secretary, and confides in Kate Cutrer, Emily’s step-daughter and Binx’s cousin by marriage. Kate is deeply troubled. Drinking heavily and popping sedatives, she begins therapy, but her psychiatrist is little help. If there is any medical theme in the novel, it would seem to be here: What is ailing Kate, and how might she get well? But Binx, too, is sick—sick unto death with the humdrum “malaise” of his life—and, in recognition of their mutual need, he proposes marriage to Kate.5 She eventually accepts, and Binx, apparently following his aunt’s advice, says that he is willing to go to medical school. In the epilogue, we learn that Binx has completed a year of medical training, no longer seems interested in movies, and is consistent in caring for Kate, giving her courage to face each day’s simple tasks. Commentators often orient their readings of The Moviegoer around the nature of Binx’s search, which he characterizes as “horizontal” because it has something to do with the significance of encountering the local people and places that share his plane of existence: “What is important is what I shall find when I leave my room and wander in the neighborhood,” he tells us (70). Taking their cue from some early reviews and a seminal article by Lewis A. Lawson, some critics have wrangled over the extent to which Binx’s search “progresses” along Kierkegaard’s life stages—aesthetic, ethical, and religious.6 The aesthetic stage is characterized by immersion in pleasing diversions (like moviegoing and fishing). The ethical involves “discerning one’s concrete existence” and, perhaps, one’s “responsibility to laws and rules.”7 And the religious stage involves the subordination of the ethical in complete submission to God.8 In the epilogue, Binx offers something of an anti-report on the state of his search: “As for my search, I have not the inclination to say much on the subject. For one thing, I have not the authority, as the great Danish philosopher declared, to speak of such matters in any way other than the edifying. . . . Further: I am a member of my mother’s family after all and so naturally shy away from the subject of religion” (237). While Lawson argued that this passage offers “several clues” that Binx “has leaped from the aesthetic to the ethical sphere of existence,” others—perhaps following Percy’s declared intention—have read the novel’s ending as suggesting that Binx becomes a Christian.9 116 Searching for Medicine in Walker Percy’s The Moviegoer It might well be that Binx is moving along the Kierkegaardian path to God, but I want to turn in a new direction: whatever else Binx might be after, his search leads him to become a doctor. He does not know what he is searching for, as he readily confesses, but we can understand his search as leading him to a life in medical practice (14).10 Throughout the novel, Binx wields a sophisticated medical vocabulary. Like a physician, he finds it natural to characterize others anatomically. Such descriptions are often accompanied by an evaluation of health or a tentative diagnosis. These habits of assessment foreshadow the culmination of Binx’s search in medical practice. There are other clues: Binx wants to please his aunt (who encourages him to practice medicine); he longs to understand his deceased father (a surgeon); he yearns for a kind of “certification” that might be achieved as a physician, forging bonds that are suggestive of doctor-patient relationships; and he looks forward to disasters, like illness and death, that can defeat “everydayness” or “the malaise.” I argue that, by becoming a doctor, Binx will interweave these diverse threads of his horizontal search, and he will reclaim the limited success of the “vertical search” that he undertook years earlier—a search that involved his detached and anonymous pursuit of all knowledge through science (70). It is in the medical profession that Binx will achieve a personal synthesis. In this way, our attending to Binx’s decision to practice medicine—an event that many critics have treated as arbitrary or unremarkable11—can deeply enrich our understanding of the novel. The Moviegoer, like Percy’s other novels, can be seen as thoroughly invested with medical themes. Martha Montello has proposed that, “diagnostic and therapeutic, the entire enterprise of Percy’s fiction was undertaken in hope, not only for himself but also for the [medical] profession he loved.”12 That is a grand contention, and my reading of The Moviegoer supports it in this way: By following his search to medical school, Binx is following his inkling that, as a doctor, he might permanently escape a despair so deep that “it is unaware of being despair.”13 Binx’s vehicle for that escape is what I call “reciprocal certification,” the mutual, existential commitment that Binx achieves with Kate and, I expect, he might also achieve with some of his patients. By presenting this new model for the physician-patient relationship, I will show, Percy’s novel offers a profound commentary on one of the heights to which the medical profession might aspire. Binx expects a lot from doctoring. That is why Percy—who gave up medicine, but never gave up on it—would send his debut protagonist into the turbulent world of medical practice.14 Woods Nash 117 Habits of Assessment: Binx’s Medical Vocabulary and Diagnostic Disposition The novel opens with a summons. From his Aunt Emily, Binx receives a note inviting him to lunch at her well-appointed home in the Garden District. Emily is sixty-five years old and Binx’s great aunt on his father’s side. Years earlier, she married a widower, Jules Cutrer, and became step-mother to his daughter, Kate. Jules is a partner in the brokerage firm for which Binx works. Emily also cared for Binx and funded his education after his father was killed in the Second World War and his mother, a nurse, moved to Biloxi. As Binx prepares to join Emily, Jules, and Kate for lunch, he pays attention, he tells us, to “all spot announcements on the radio about mental health” and “the seven signs of cancer” (7).15 Apparently attuned to developments in healthcare, Binx also has a scientific background. When Emily asks Binx to consider medical school, he recalls a summer college research project. “I got interested in the role of the acid-base balance in the formation of renal calculi,” he tells us; “it’s quite an interesting problem. I had a hunch you might get pigs to form oxalate stones by manipulating the pH of the blood, and maybe even to dissolve them” (51). In context, Binx is explaining that he does not think he has a “flair for research.” Perhaps he is right, but, after nine years, he still speaks fluently in the technical language of lab science—of “acid-base balance” and “pH,” of “renal calculi” and “oxalate” instead of the quotidian “kidney stones.” Even though Binx confesses to abandoning the research, his diction shows that he still harbors a fondness for the biomedical, and he still finds the problem interesting. His observation and assessment of those around him suggest that he is even more interested in biology as it is expressed in persons. He describes others in the language of the clinician. At Emily’s house, he has a conversation with an old fraternity brother, Walter Wade, who is presently engaged to Kate. “Walter,” Binx narrates, “is a sickly-looking fellow” who “is actually quite healthy” despite his “hollow temple” and “gray sharklike skin” (33). Binx’s concise, anatomical characterization of Walter is typical of many more to come—a quick physical assessment that is paired with either a preliminary diagnosis or, as in this case, a subtly positive bill of health. Clearly, Binx has medicine on his mind and keeps its peculiar terminology ready-to-hand. As we will see, his nimble and consistent use of that vocabulary indicates that it is his own—it should not be dismissed as merely an accidental offshoot of the essence of his 118 Searching for Medicine in Walker Percy’s The Moviegoer physician-creator.16 Furthermore, because Binx is narrating in the novel’s present, his use of medical language cannot be explained as a product of his later medical training. He is already thinking like a doctor. Kate, a beautiful and brooding twenty-five-year-old, is the subject of many of Binx’s health-related observations, and the first of those occurs during lunch. He casts Kate’s ill health as the medical foil for Walter’s apparent well-being: “Kate frowns at her hands in her lap. Today Kate has her brown-eyed look. Sometimes her irises turn to discs” (31). Binx places this observation in the context of the patient’s history, explaining that, when Kate was ten years old and he was fifteen, he had tried to speak with her in his “aunt’s Socratic manner” about her unwillingness to socialize, but, as he spoke, “Kate only watched me with the same brown-eyed look, irises gone to discs” (32). Even this early, it is clear that Binx recognizes that look as a symptom, for he goes on to note that “Kate eats mechanically, gazing about the room vacantly like someone at the automat” and that her “head lowers until her brown shingled hair falls along her cheek” (32–33). He has correctly anticipated that something is amiss with Kate, for soon she “utters a clicking sound in her teeth and abruptly leaves the room” (34). Binx has also noticed his aunt look at Kate, but she “misses the storm warnings” (33). That observation is evidence that Binx possesses an important skill when encountering a sick person in the presence of her loved ones—he picks up on what those loved ones both see and fail to notice. In clinical situations, a doctor’s attempts to navigate conversations can be arduous. Fortunately, this physician-to-be is already learning to adapt to “the dry litigious way of speaking of closely knit families in times of trouble” (110–11). When Kate leaves the room, Walter follows. When he returns, Binx is “prepared to reassure him about Kate” (34). Binx describes many others foremost in terms of their anatomy. He often seems to be searching for symptoms. He observes of his secretary, Sharon Kincaid—with whom he is sexually infatuated—that “she is a good-sized girl, at least five feet six and a hundred and thirty five pounds,” “her face is a little too short and pert, . . . and her eyes a little too yellow” (65). He notices that, when Sharon raises her arm, the “soft round muscle goes slack of its own weight” (67). He also notices “the Slavic prominence under the notch of her eye and the quick tender incurve” that is a “crowding of the cheekbone into the eye socket” (67), and he observes the anatomy of her legs: “An amber droplet of Coca-Cola meanders along her thigh, touches a blond hair, distributes itself around the tiny fossa” (95). Swooning Woods Nash 119 and lust-ridden though he is, Binx remains clear-headed enough to notice her posture in anatomical terms, too. She stands “leg locked, pelvis aslant, thumb and forefinger propped along the iliac crest” (131). This clinical perspective characterizes the way Binx observes strangers, too. A man on the train to Chicago is “in ruddy good health” and “muffles a hearty belch” while “the blood of his portal vein bears away a golden harvest of nutrient globules” (188). Binx notices that the man breathes “powerfully through the stiff hairs of his nose” (189). Also on the train, Binx has a “waking wide-eyed” dream of the authors of Technique in Marriage hard at work in their sexual researches, “their heavy old freckled limbs twined about each other, hands probing skillfully for sensitive zones, pigmented areolas, outof-the-way mucous glands, dormant vascular nexuses” (190). And on the return trip aboard a bus, he speaks with a salesman who “wears black shoes and white socks for his athlete’s foot and now and then sends down a finger to appease the itching” (217).17 Furthermore, despite his detached disposition as a moviegoerspectator and his repeated references to himself as a “ghost,” Binx often turns his medical lens upon his own body.18 Regarding his medical history, he tells us that, as a soldier in Korea, he received a wound that was “decent except that the fragment nicked the apex of my pleura and got me a collapsed lung and a big roaring empyema. No permanent damage, however, except a frightening-looking scar in the hollow of my neck and in certain weather a tender joint” (126). Binx also reveals that he used to be prone to depressions “during which I lie rigid as a stick for hours staring straight up at the plaster medallion in the ceiling of my bedroom” (6). Similarly, we later find him lying “rigid as a stick under the cot, locked in a death grip with everydayness,” as he puts it (146). But Binx’s most overt health assessment is reserved for his father. When Binx was a child, he says, his father suffered from insomnia. . . . In those days it was thought that sleeping porches were healthful, so my father stuck one onto the house . . . . Here [my brother] and I slept on even the coldest nights. My father had trouble sleeping and moved out with us. He tossed like a wounded animal, or slept fitfully, his breath whistling musically through the stiff hairs of his nose—and went back inside before morning, leaving his bed tortured and sour, a smell which I believed to be caused by a nasal ailment known then as “catarrh.” (85) 120 Searching for Medicine in Walker Percy’s The Moviegoer From these observations, Binx goes on to speculate about etiology, positing that his father “made a mistake. He was trying to sleep. He thought he had to sleep a certain number of hours every night, breathe fresh air, eat a certain number of calories, evacuate his bowels regularly and have a stimulating hobby” (86). Taking issue with that standard medical advice, Binx even hints at an alternative course of therapy, one that involves trying “to fathom . . . mystery”: As for hobbies, people with stimulating hobbies suffer from the most noxious of despairs since they are tranquilized in their despair. . . . Instead of trying to sleep I try to fathom the mystery of this suburb at dawn. Why do these splendid houses look so defeated at this hour of the day. . . . What spirit takes possession of them? My poor father. I can see him . . . dragging his Saskatchewan sleeping bag like the corpse of his dead hope. (86) In these comments on his father, Binx does not merely demonstrate his medical vocabulary. He also reveals his desire both to understand and to distance himself from his father—a desire that, as we will see, plays a crucial role in Binx’s search. Reciprocal Certification: Defeating the Malaise and Putting Science in Its Place Binx identifies what he calls “the malaise” (or “everydayness”) as the antagonist of his horizontal search: “Everydayness is the enemy. No search is possible. Perhaps there was a time when everydayness was not too strong and one could break its grip by brute strength. Now nothing breaks it—but disaster. Only once in my life was the grip of everydayness broken: when I lay bleeding in a ditch” (145). That “disaster” during which Binx “lay bleeding in a ditch” occurred when, as a soldier in Korea, he was shot. When that bullet paradoxically shattered the malaise, the horizontal search first occurred to him: Everything is upside down for me. . . . What are generally considered to be the best times are for me the worst times, and that worst of times was one of the best. My shoulder didn’t hurt but it was pressed hard against the ground . . . . [T]here awoke in me an immense curiosity. I was onto something. I vowed that if I ever got out of this fix, I would pursue the search. Naturally, as soon as I recovered and got home, I forgot all about it. (11) Woods Nash 121 Taken together, these two passages make it clear that, for Binx, it is disasters that, by defeating the malaise, make a horizontal search possible. But how, exactly, could a disaster like being shot offer the wounded person a victory over the malaise? To answer that question, we need a clearer conception of the malaise. Fortunately, Binx comes to our aid: “What is the malaise? you ask. The malaise is the pain of loss. The world is lost to you, the world and the people in it, and there remains only you and the world and you no more able to be in the world than Banquo’s ghost” (120). When the malaise-ridden, ghost-like Binx was shot, he was suddenly forced back into his flesh—forced to feel and to acknowledge that part of him—and, in that way, restored to “the world” that had been “lost” to him. Disaster returned Binx—though temporarily, he admits—to his own embodiment and to the physical world of which he is a part. Few critics have noticed the close relationship between the malaise and Binx’s former, vertical search.19 As we have just seen, “the world is lost” to the ghost-like malaisian. Similarly, Binx characterizes the vertical search as divorcing a person from the world in a scientific pursuit of knowledge. That divorce occurs vertically as a person is lifted from the earth, so to speak, and attains the vantage of a God’seye-view—a perspective from which one can “unify” observations and thereby “understand more and more specimens by fewer and fewer formulae” (82). During the “years” in which he conducted his vertical search, Binx tells us, he “stood outside the universe and sought to understand it,” living “as an Anyone . . . Anywhere” (70). For Binx, to live as an Anyone Anywhere is to adopt the posture of a “pure” scientist.20 The summer of his undergraduate research with pigs, Binx had a lab partner, Harry Stern, who was just such a scientist: [he] was absolutely unaffected by the singularities of time and place. His abode was anywhere. It was all the same to him whether he catheterized a pig at four o’clock in the afternoon in New Orleans or at midnight in Transylvania. He was actually like one of those scientists in the movies who don’t care about anything but the problem in their heads. . . . Yet I do not envy him. I would not change places with him if he discovered the cause and cure of cancer. For he is no more aware of the mystery which surrounds him than a fish is aware of the water it swims in. (52)21 So, just as the malaise threatens to make Binx a ghost who is divorced from the material world, the vertical search rendered him, like Harry, 122 Searching for Medicine in Walker Percy’s The Moviegoer no more than a scientific Anyone Anywhere (“outside the universe,” without “time and place”). And just as Binx resolves to vanquish the malaise—“I vow: I’m a son of a bitch if I’ll be defeated by the everydayness” (145)—he abandoned his vertical search long ago. He discovered that, in the end, that search was insufficient, failing to put him in touch with ambient “mystery” and leading to the “difficulty” that, “though the universe had been disposed of, I myself was left over. There I lay in my hotel room with my search over yet still obliged to draw one breath and then the next” (70). Binx’s experience of the failure of the vertical search, which rendered him “left over,” is suggestive of an idea that, for Percy, was not confined to his first novel. In his essays, Percy often commented on the existential inadequacy of science: “the more science progressed, and even as it benefitted man, the less it said about what it is like to be a man living in the world. Every advance in science seemed to take us further from the concrete here-and-now in which we live.”22 In other words, following Kierkegaard, Percy observed that “science teaches nothing” about living and dying as an individual but can only speak of a person as a member of a class or category of individuals among whom there are shared, general resemblances.23 Yet, might there be a way to practice medicine that could both defeat the malaise and remedy the inadequacy that Binx found in a strictly scientific stance and mode of understanding? The novel suggests that there is, and it is connected to certification—a concept that the text places in opposition to both the malaise and the vertical search. Based on the text’s use of the term, I understand “certification” as an experience of public or interpersonal recognition that confers the status of Someone Somewhere on the one who is recognized, which validates one’s existence, at least temporarily. In the story, the term appears most explicitly in relationship to moviegoing. Binx regards himself as a solitary moviegoer.24 However, during the week of action that the novel spans, at least one person accompanies Binx to each of the movies that he sees. For example, in the evening on the first day of the novel, Binx and Kate see Panic in the Streets in a theater on Tchoupitoulas Street. The movie was filmed in New Orleans, Binx tells us, and includes “a scene which shows the very neighborhood of the theater” (63). After the movie, Kate glances around that neighborhood and says, “Yes, it is certified now,” and Binx explains: Woods Nash 123 She refers to a phenomenon of moviegoing which I have called certification. Nowadays when a person lives somewhere, in a neighborhood, the place is not certified for him. More than likely he will live there sadly and the emptiness which is inside him will expand until it evacuates the entire neighborhood. But if he sees a movie which shows his very neighborhood, it becomes possible for him to live, for a time at least, as a person who is Somewhere and not Anywhere. (63) With this scene in mind, Carl Elliott has commented that “the neighborhood, simply by virtue of having appeared in the movie, has taken on a heightened reality. Its value has increased. The movie has certified it, and as a result, the people who inhabit the neighborhood are certified as well.”25 Thanks to the public recognition that the big screen confers, both the neighborhood and its residents receive a short-lived injection of significance. Along with the movie, they, too, are admired—in their imaginations, at least. Each resident, Binx says, is transformed into “a person who is Somewhere and not Anywhere”—language that opposes certification to both the malaise and the vertical search. To establish that Binx’s horizontal search involves his desire for certification, it is important to note how the passage quoted above continues. Following Kate’s remark that the neighborhood “is certified now” and Binx’s description of certification, he immediately returns to Kate: “She sounds better but she is not. She is trapping herself, this time by being my buddy, best of all buddies and most privy to my little researches. In spite of everything she finds herself, even now, playing out the role. In her long nightmare, this our old friendship now itself falls victim to the grisly transmogrification by which she unfailingly turns everything she touches to horror” (63).26 In this passage, Binx implies that Kate, by saying that the neighborhood is now certified, is drawing attention to the fact that she is “privy” to his “little researches.” As we soon learn, Binx means that he has confided in Kate about his vertical and horizontal searches.27 He is suggesting that, as Kate speaks of certification, she is also speaking of those searches. But what is the relationship between certification and those searches? My answer, once again, is that Binx’s horizontal search involves a desire for a kind of certification that, if achieved, might enable him to avoid the ghastly anonymity that accompanies both the vertical search and the malaise. As both interpersonal and enduring, such certification would also be distinct from all forms of official and impersonal validation—the superficial recognition that Binx associates 124 Searching for Medicine in Walker Percy’s The Moviegoer with, for example, “identity cards, library cards, credit cards,” and other licenses that have the power of “certifying, so to speak, one’s right to exist” (6–7).28 However, to argue for that claim, I must show that it makes sense to speak of certification that is “interpersonal.” To see that, consider the scene in which the movie actor William Holden—who “is in New Orleans shooting a few scenes in the Place d’Armes” (12)—makes a stunning, flesh-and-blood appearance on the streets of the French Quarter. Just after Binx spots Holden coming out of Pirate’s Alley half a block ahead of him, Binx sees a “boy” of “twenty” or “twenty-one” who, after glimpsing Holden, “perks up for a second, but seeing Holden doesn’t really help him.” Binx continues: “On the contrary. He can only contrast Holden’s resplendent reality with his own shadowy and precarious existence. Obviously he is more miserable than ever” (15–16). Note the parallel between this boy’s response to Holden and Kate’s response to the certified neighborhood: Just as the boy does not (yet) share Holden’s “resplendent reality,” Kate does not live in the neighborhood and is not certified along with it. That is why Kate, after observing the certified streets, “sounds better but she is not.” However, unlike Kate, the boy is certified by Holden, for the star seeks a light for his cigarette, and “the boy holds out a light, nods briefly to Holden’s thanks, then passes on without a flicker of recognition.” Binx rejoices: “The boy has done it! He has won title to his own existence, as plenary an existence now as Holden’s. . . . He is a citizen like Holden; two men of the world they are” (16). For this boy, the “antidote to [Holden’s] performance is more performance.”29 Through a deft sequence of cool and calculated gestures, the boy enters the certifying glow of Holden’s Hollywood world. At least for a few moments, he casts off “his own shadowy and precarious existence” and dwells within Holden’s “resplendent reality.” He has been fashioned, “for a time at least,” into Someone who is Somewhere. In short, this scene indicates that certification can be bestowed on a life not only by a movie but also through an encounter with another person—in this case, with a movie star, for the stars possess the “heightened reality” that the big screen can confer: “Holden has turned down Toulouse shedding light as he goes. An aura of heightened reality moves with him and all who fall within it feel it” (16). By chumming with Holden on the street, the boy partakes of the public admiration that Holden receives and, in that way, is certified. He has become Someone (Holden’s buddy) who is Somewhere (with Holden in his Hollywood world). Unlike the boy and his smooth performance, Kate is, Binx observes, a faltering actress who is “playing out the role” of his “buddy, Woods Nash 125 best of all buddies” (63). Kate is sick, he tells us. She is suffering a “long nightmare” (63). At times, however, she refuses to acknowledge her illness, claiming to be “fine” or even “wonderful” (57, 81, 115). But unlike Kate’s doctors—who are, she says, “charmed” with her (81)—Binx is unconvinced by her performance. As long as their relationship hangs on their poor acting skills, any lasting certification will continue to elude them. It is only by their mutually acknowledging Kate’s sickness, admitting their need for one another, and resolving to be together that Kate and Binx will achieve certification—an interpersonal certification that is like that of the boy with Holden, yet more enduring and void of performance. Through mutual recognition—not a wider, public admiration—Binx and Kate will confer on one another the status of Someone who is Somewhere. That is, each will become someone who is for and located with the other. To denote this particular kind of bond, I will use the phrase reciprocal certification. Its emergence in the relationship between Kate and Binx can be traced in several passages. After seeing a western on Thursday night, Binx and Kate talk outside the theater. Raising the subject of her strange experiences years ago surrounding the death of her fiancé, Lyell, Kate asks: “Have you noticed that only in time of illness or disaster or death are people real? I remember at the time of the wreck—people were so kind and helpful and solid. . . . [O]ur reality had been purchased only by Lyell’s death. In another hour or so we had all faded out again and gone our dim ways” (81). Here, as Kate speaks of the reality or solidity that people seem to gain in times “of illness or disaster or death,” she is—unintentionally, perhaps—speaking once more of certification. This solid reality is analogous to the “heightened reality” of the boy who is publicly admired alongside Holden. After Lyell’s death, Kate and the others saw and assisted one another anew, becoming—though only briefly—for and with one another. That claim is supported by Gary M. Ciuba’s commentary on this passage. Ciuba observes that Kate’s language compares the experience of the “spectators” at Lyell’s death—which included Kate—to the fleeting certification that moviegoers can experience. The car accident, Ciuba wrote, gave Kate a sense of actuality that seemed heightened. . . . Lyell earned an hour of more intense life for the spectators at the movie of his death. By shocking them out of their normal apathy, the disaster allowed sympathetic viewers to become involved with the lives of others, and in so doing they gained a sense of . . . communion. . . . But the audience soon faded out, dissolving like cinematic images into their once again ephemeral lives.30 126 Searching for Medicine in Walker Percy’s The Moviegoer Like Kate, Binx longs for disasters that would, as Ciuba puts it, allow him “to become involved with the lives of others.” The novel abounds with evidence for that claim.31 For example, early in the story Binx spies an attractive woman sitting near him on the bus and muses: “If it were a movie, I would have only to wait. The bus would get lost or the city would be bombed and she and I would tend the wounded. As it is, I may as well stop thinking about her” (13). Another example occurs on Saturday when Binx and Sharon are driving to the gulf for a swim: “Early afternoon finds us spinning along the Gulf Coast. . . . As luck would have it . . . we are involved in an accident. Fortunately it is not serious. When I say as luck would have it, I mean good luck. Yet how . . . can even a minor accident be considered good luck? Because it provides a means of winning out over the malaise, if one has the sense to take advantage of it” (120). Binx injures his shoulder in the accident, and, after Sharon tends to him, he silently celebrates, bidding the malaise “farewell forever” (127). Here, once again, the text seems to suggest that an experience of physical trauma can defeat the malaise. Unfortunately, the car accident’s anti-malaise effect soon wears off.32 But for Binx and Kate, things will be different. Binx shares Kate’s yearning for both disaster and the social connectedness that might follow. This is important because they will survive a “catastrophe” that will bring them together and because it prefigures his decision to become a doctor—a profession in which he might achieve communion with his patients by sharing their disastrous illnesses. Just as the kind of certification that is conferred by the big screen—its gift of living, “for a time at least, as a person who is Somewhere and not Anywhere”—might not endure very long, interpersonal certification might not last (63).33 As Kate says, “in another hour or so we had all faded out again and gone our dim ways” (81). In contrast, Binx is after certification that will last. After he and Kate see the western, Binx reflects that, in the theater, he experienced “a secret sense of wonder about the enduring, about all the nights . . . when the seats endured alone in the empty theater. The enduring is something that must be accounted for. One cannot simply shrug it off” (80). He desires to savor whole segments of time, he tells us, but they elude him. He cannot make them endure. In his quest for a lasting bond, Binx is not always aided by Kate. By refusing to join Binx in his recognition of her sickness, Kate resists sharing her experience of illness with him. In that way, she is denying Binx the more enduring certification that he desires, which, as we will Woods Nash 127 see, he could realize by being with and for her in her illness. Her temporary refusal is evident in their conversation on Tulane’s campus about Binx’s vertical and horizontal searches. His horizontal search has led him, he says elsewhere, to “wander seriously” (70). However, he notices that, when he speaks with Kate about his horizontal search, she fails to realize its life-or-death seriousness, so he takes “care to be no more serious than she” (82–83). They are failing to connect. But Kate does not always lack seriousness. Early in the novel, Binx says of her: “I can see why she is so serious: truthfully it seems that if she can just hit upon the right place, a shuttered place of brick and vine and flowing water, her very life can be lived” (57). Torn between her search for “the right place” and—as Binx later observes— her inability “to be an anyone who is anywhere,” Kate is adrift (190). What she needs, Binx sees, is what he needs—to be certified by being assigned a place, rendering her Somewhere. Binx acts on that knowledge late one night when Kate wanders over to his apartment. As they sit outside, he can see that “she is nowhere; she is in the realm of her idea” and that “she will not feel wonderful long” (113, 115).34 To recover her from the dizzying heights of her fleeting elation, Binx proposes an alternative “idea”—marriage. “What do you think of this for an idea?” he asks, and goes on to tell her about his plan to open a “service station” in the lot across the street, perhaps even to run it by himself, and assures her that she “could come sit with me at night, if you liked” (115–116). For Kate, marriage with Binx would certify her by giving her a concrete place with him (Somewhere) and making her Someone special through their shared recognition of her illness. For now, Kate cannot respond to Binx’s proposal, but the passage contains two signs of progress. First, Kate wants to stop performing. She tells Binx that, earlier that day, she announced to Dr. Mink, her psychiatrist, that she would no longer strain every nerve to live up to his model of a “joyous and creative person” (115). Second, from her anonymous existence “anywhere,” Kate does, at least, return to “herself.” “‘Ooooh,’ Kate groans, Kate herself now. ‘I’m so afraid’”; she depends on Binx to guide her and to remind her that “everything is going to be all right” (116).35 At crucial times, Binx, in turn, depends on Kate. On Tuesday, when they arrive in Chicago for his business convention, he immediately discovers that his “misgivings about Chicago were justified” (201). He had been terrified of walking along “Michigan Avenue in the neighborhood of five million strangers, each shooting out his own personal ray” (99). But Kate, Binx tells us, “looks after me. She is strangely at home 128 Searching for Medicine in Walker Percy’s The Moviegoer in the city, wholly impervious to the five million personal rays” (201). She “takes charge with many a cluck and much fuss, as if she had caught sight in me of a howling void and meant to conceal it from the world” (202). Lost among strangers in the anonymous cityscape, Binx clings to Kate for a home, foreshadowing his later commitment to her and his dependence on her to certify him. It is in Chicago that Binx and Kate suffer and survive the “catastrophe” that brings them together, rendering them real or solid to one another (201). That catastrophe is their—and especially Binx’s— moral failure in Emily’s eyes: At a time when Kate was especially vulnerable, Binx forgot to tell Emily that Kate was joining him on his Chicago trip. As Ciuba comments, “When the disaster finally arrives, it hardly seems to have happened. Although Binx often longs for the Bomb to clear away the ruins caused by everydayness, nothing so spectacular culminates his hapless journey. Instead, the moviegoer simply performs a nonact, a mysterious failure that he is unable to justify. On the phone Binx cannot explain why he did not tell Emily about Kate’s trip to Chicago, yet his world has ended with that breach of her code.”36 After they return to New Orleans and Binx is both rebuked and temporarily rejected by Emily, he waits for Kate at a playground, worried that she will not show, that she has come to share Emily’s rejection of him. But Kate appears, and “the playground looks like it alone had survived the end of the world” (231). Kate, Binx says, is sitting in her car “like a bomber pilot . . . and she could be I myself, sooty eyed and nowhere (231).”37 The catastrophe has come, and they have survived. Unless they unite, however, each will remain uncertified and prone to becoming an Anyone Anywhere, as suggested above by the word “nowhere.” Kate’s arrival signals her acceptance of Binx’s marriage proposal and the beginning of their reciprocal commitment. He joins Kate in her car, and she confesses that, though she wants to marry him, she is still afraid and does not know whether she can “succeed”: “I am frightened when I am alone and I am frightened when I am with people. The only time I’m not frightened is when I’m with you. You’ll have to be with me a great deal” (233–34).38 Binx promises that he will, and Kate promises to stop performing and to acknowledge her illness: “I will be under treatment a long time,” she says, “And I’m not sure I’ll ever change. Really change” (234). After Binx reassures her that she might change, she asks him to help her get better, proposes a specific plan, and he replies, “Yes, I’ll do that” (234). Citing Percy’s suggestion that “an intersubjective discovery of alienation is already its opposite,” Woods Nash 129 Mary Deems Howland explains that such a reversal of alienation might occur because “anything that can be named and shared with another person is less fearsome than the original, unnamed anxiety.”39 The reciprocal certification that Binx and Kate experience involves the mutual naming and sharing of her suffering. For example, in the epilogue, after almost a year of marriage with Binx, Kate names her anxiety in carrying out a simple errand for him. She needs assurance, she tells him, that, as she goes to the bank, he will be thinking about her in a very specific way, and Binx says that he will. Binx promises to be with and for Kate, certifying her as someone for whom he cares and who has a place with him. Kate, in turn, certifies Binx by recognizing him as someone who knows her intimately, who will try to help her get better by telling her “the simplest things” to do, and whose place is to share her experience of illness (234). Reciprocal Certification: Modeling the Physician-Patient Relationship In an often-anthologized article, James F. Childress and Mark Siegler survey five models of the physician-patient relationship: paternalism, partnership, contract, friendship, and negotiations.40 They argue that, for the complicated world of medical practice, each of those models is, to some extent, both descriptively accurate and prescriptively acceptable. Because “there is no single physician-patient relationship,” they write, “it is probable that no single metaphor can adequately describe or direct the whole range of relationships in health care, such as open heart surgery, clinical research, and psychoanalysis.”41 Childress and Siegler’s model of negotiations is especially applicable to Binx’s preprofessional ways of relating to others. The negotiations model emphasizes discussions between “concerned parties” that occur over time, “does not necessarily presuppose a conflict of interests between the parties,” and stresses the need to reach an agreement that is “mutually acceptable.”42 In his relationships with both Kate and his half-brother, Lonnie Smith, Binx proves to be adept at health-oriented negotiations. At Emily’s house on the first day of the novel, Kate resists confiding in Binx. When he asks her, “Is it bad this time?” she replies, “Not as bad” (57). Soon, however, she confesses, “I didn’t tell you the truth. It’s bad” (61). Binx then asks whether she wants to go outside or get in touch with her psychiatrist, and Kate replies, “No. The other” (61). As Binx explains, Kate is asking for a respite or break from the pressure of living: “The ‘other’ is a way we 130 Searching for Medicine in Walker Percy’s The Moviegoer found of getting through it before. It has to do with her becoming something of a small boy and my not paying much attention to her. . . . She is not so bad. I have seen her worse” (61). By negotiating her predicament in this way—a way that, perhaps unfortunately, caters a bit to their tendency to play-act—Binx and Kate arrive at a mutually acceptable way to give Kate temporary relief. Charles B. Rodning proposes two important skills for negotiators in a healthcare context: the ability to take “an open-ended approach characterized by ‘inventing options’ and an ‘ability to perceive the situation as the other party perceives it.’”43 When Binx engages Lonnie in negotiations related to his fragile health, he displays both skills. At fourteen, Lonnie is wheelchair-bound and underweight, and Binx questions his decision to fast: “You’ve had pneumonia twice in the last year,” Binx reminds him. “It would not be good for you” (163). Lonnie has a specific, religious motivation for fasting: he wants “to conquer an habitual disposition” to envy Duval, his deceased brother (163). Binx replies from within Lonnie’s worldview to suggest that, in this case, perhaps Lonnie’s envying Duval is not a sin, for Duval is worthy of envy in that he now “sees God face to face and you don’t” (163). Then Binx narrates: “Lonnie grins at me with the liveliest sense of our complicity. . . . He knows that I have entered the argument as a game played by his rules . . . but he does not mind” (163). Continuing to play by Lonnie’s rules, Binx goes on to invent options, as Rodning put it, presenting Lonnie with an alternative to fasting: “Instead I would concentrate on the Eucharist. It seems a more positive thing to do” (164). Lonnie seems inclined to agree. Binx’s negotiations with Kate and Lonnie might indicate that, as a physician, he will be willing to see each patient individually and not merely under the categorical gaze that the vertical search encourages. As we have seen, that scientific search taught Binx to “understand more and more specimens by fewer and fewer formulae” (82). Operating only under its aegis, Dr. Binx Bolling would be inclined to regard patient P simply as diagnosis D, and, knowing that treatment T has proved most effective for Ps with D, Binx would probably recommend T for P. In this case, P is seen mostly as an Anyone (i.e., as any person with D) and is treated as if P were Anywhere, at any time (e.g., “at four o’clock . . . in New Orleans,” “at midnight in Transylvania”). And in so treating P, Binx would render himself an Any-physician Anywhere—a generic doctor, removed from any specific place and time, who invests the encounter with nothing of himself (e.g., his knowledge of, and concern for, this particular patient). But that is not how Binx interacts Woods Nash 131 with Kate and Lonnie. Although he is guided by general conceptions of “illness” and “health” (e.g., he believes that fasting probably would not be good for anyone who has had Lonnie’s recent illnesses), Binx goes beyond such generalizations, devising health promotion plans and courses of treatment that depend on seeing and interacting with each patient uniquely (e.g., Lonnie’s concentrating on the Eucharist, his and Kate’s proceeding with “the other”). A question that Binx mulls over on his outing with Sharon suggests that he is already disposed to think of patient interactions in this sort of individualized way: “What if the malaise was different with every girl and needed a different cure?” (122). Practicing medicine in a way that brings him face-to-face with each patient, Binx may affirm what is good about his vertical search while avoiding the assumption that science alone can teach a person how to live and how to die. He is, after all, good at science, but, as we have seen, he has had a profound encounter with science’s existential limits. So, as a doctor who balances his scientific bent with his insight that therapy might be ineffective if it is merely generic, Binx might recapture a mostly-discarded part of his past (the vertical search) and graft it into his new life in medicine.44 Reciprocal certification might, then, serve as a new model for the physician-patient relationship. After they resolve to marry, Kate asks Binx what he plans to do. “There is only one thing I can do,” he thinks: “listen to people, see how they stick themselves into the world, hand them along a ways in their dark journey and be handed along, and for good and selfish reasons. It only remains to decide whether this vocation is best pursued in a service station or—” (233). Kate interrupts these thoughts, asking Binx whether he will go to medical school, and he replies that he is willing to—indicating that, for him, a phrase like “as a doctor” would appropriately complete the train of thought that ended “in a service station or—”. Binx might, we imagine, have opportunities to achieve reciprocal certification with patients. Indeed, Binx’s bond with Kate provides a model for how he might relate to patients.45 Just as patients might lean on Binx to share their illnesses and sufferings and become solid for them by listening to them, treating them, and handing them along a ways, Binx, in turn, might depend on them to render him Someone (one who cares and uses his knowledge and skills for them) who is Somewhere (with them in their illnesses). In that way, Binx the physician would also depend on patients to help him defeat the malaise. How so? Again, the “world is lost” to the malaisian who is divorced from his fleshly existence. Yet, an 132 Searching for Medicine in Walker Percy’s The Moviegoer experience of physical trauma can restore him to his embodiment and to the material world in which he is enmeshed. Such a “disaster,” Binx and Kate agree, conquers the malaise. By suffering with his patients and, in that way, recalling his own body, a reciprocal physician enters a prolonged experience of physical trauma. But, even while difficult, that experience might also be sustaining. Divorced from his flesh, the vertical searcher, Binx tells us, seeks an Archimedean fulcrum, or “secret leverage point,” beyond space and time—a non-place to posit his disembodied intellect (82). In contrast, the horizontal searcher can depend on the metaphorical “base” of another person to help him bear his body’s weight (74). Oriented by and around his patient, a reciprocal physician might find himself supported, in turn, by precisely such a “base.” So, even as Dr. Binx Bolling certifies his patients, he might be certified by them, reclaim some of his vertical search, and defeat the malaise. As he hands others along, he needs them, he says, to hand him along, too. Like the negotiations model of the physician-patient relationship, I suspect that reciprocal certification is, to some extent, both descriptively accurate and prescriptively acceptable for the real world of medical practice. Because such certification occurs through an enduring bond, this model seems best-suited to the long-term relationships that primary care physicians, psychiatrists, and oncologists (as well as other types of health professionals) tend to have with their patients. But whether this model could be realized in a particular doctor-patient relationship also depends on the extent to which a particular patient needs or even wants her physician to share her experience of illness. While Kate, for example, seems to depend heavily on Binx, Lonnie enjoys their friendship but seems not to need Binx as much, for Lonnie has the “gift of believing” that his sufferings serve a religious purpose (137). It is beyond the scope of this essay to provide a full defense of reciprocal certification as either descriptively or prescriptively adequate. I do observe, though, that this model is (a) suggested by the text, (b) unique, and, (c) to some extent, a realistic goal. This model strikes me as unique in that, to my knowledge, no other model of the doctorpatient relationship emphasizes ways (other than monetary) in which physicians depend on patients. Instead, models of that relationship usually emphasize either what a doctor can do for the patient (i.e., beneficence) or what both parties are allowed to do (i.e., autonomy).46 In that way, those models tend to ignore the question of what patients can do for their doctors.47 So, while there might be a variety of ways in which reciprocal certification overlaps with other models, Woods Nash 133 I suspect that it could not be subsumed under another model, for its portrayal of a physician as appropriately dependent on a patient seems to set it apart. Furthermore, reciprocal certification is, to some extent, realistic. Childress and Siegler observe that, “whether medicine is now only a series of encounters between strangers rather than intimates, medicine is increasingly regarded by patients and doctors, and by analysts of the profession . . . as if it were a practice among strangers rather than intimates.”48 Reciprocal certification is achieved in the intimate relationship between Binx and Kate and seems well-suited to the close and long-term bonds that some areas of medicine can foster. But could such certification be achieved in a medical relationship that begins as a stranger-stranger interaction? The novel suggests that it could. In Chicago, Binx is out of sorts: among five million Chicagoans, he fears remaining a stranger, becoming an Anyone Anywhere. But he offers a solution: “Every place of arrival should have a booth set up and manned by an ordinary person whose task it is to greet strangers and give them a little trophy of local space-time stuff . . . in order to insure that the stranger shall not become an Anyone” (201–02). Binx’s language in this passage (e.g., “local space-time stuff,” “shall not become an Anyone”) suggests that he is speaking of a kind of interpersonal certification—in this case, one that occurs in an encounter between “an ordinary person” and “strangers.” In the epilogue, now in medical school, Binx regards himself as “a very ordinary fellow”—a person well-disposed, perhaps, to certify a patient-stranger (237). So, if the text is correct that such certification could begin with a strangerstranger interaction, it might be achievable even within the initially anonymous structures of much of modern healthcare. As a model of the physician-patient relationship, there is much about reciprocal certification that remains to be articulated. For example, I noted that the reciprocal certification that Binx and Kate experience involves the mutual naming and sharing of her suffering. But what, exactly, is such a “mutual naming”? Montello proposes that, for Percy’s “suffering protagonist, hope lies in the words spoken between people who matter to each other.”49 Similarly, Robert Coles claims that Percy’s stories offer “the obvious, if often hard-to-secure, ‘treatment plan,’ the I-Thou of ‘existentialism,’ the commitment of one person to another.”50 These ideas might suggest that, within reciprocal certification, both patient and physician are treated through words and other deeds that, above all else, give them hope. 134 Searching for Medicine in Walker Percy’s The Moviegoer Medical Practice as Binx’s Patrimony Many commentators on Binx’s search have overlooked its link to his deceased father.51 But any interpretation of his search must account for that connection, for there is a passage in which he makes it explicit, claiming that “any doings of my father, even his signature, is in the nature of a clue in my search” (71). Yet, Binx does not tell us how, exactly, understanding his father’s “doings” would aid him in his search, and he even confesses that he “can’t seem to remember” his father (56). In this final section, I follow Lawson’s suggestion that, by entering medical school, Binx will “pick up his father’s life where his father discarded it.”52 His search leads him to medicine in part because he wants to understand both why his father abandoned medical practice and how he, Binx, might avoid his father’s self-destructive fate. Binx claims that, in his romantic death, his father found a way “to please them and please himself,” both to win the admiration of his family and to do what he wanted (157). In becoming a doctor, Binx might accomplish a similar feat. He will please his Aunt Emily—who prompts him to go to medical school—but he might also please himself by being certified, reaffirming part of his vertical search, defeating the malaise, and coming to understand his vanished father while, unlike him, avoiding an early demise. At the beginning of the novel, Binx describes a photograph at which he never tires of looking and which, for ten years, he has been trying to understand. It is a picture of his father, a surgeon who withdrew from his practice and lay in bed until World War II began, when he enlisted in the RCAF and soon died “in the wine dark sea” near Crete (25). Binx observes that, in the photo, his father’s eyes are “ironical” (24–25). Binx is confident that “English romanticism . . . and 1930 science” killed his father (88). Under the spell of that romanticism, a person longs for “each experience to be a Perfect Moment, a rare event” that fulfills its “Possibility to stir emotion.”53 Dying gallantly for old England—“the culmination of that western tradition which originated in the land bounded by Homer’s ‘wine dark sea’”54—Binx’s father would have regarded his death as precisely such a “Perfect Moment.” And “1930 science” stands for the unshakeable faith that, sooner or later, some scientific discovery—or set of discoveries—will provide the key to understanding the entire universe, including ourselves.55 Binx speaks deploringly of “English romanticism . . . and 1930 science” (87–88), but, as his search follows his father’s tracks, how will he avoid falling prey to them? By ac- Woods Nash 135 cepting the limitations of his vertical search, Binx has already shunned his father’s scientism. By marrying the tumultuous Kate and suffering with his patients, thereby embracing many imperfect moments, he will avoid his father’s romanticism. Recommending that Binx enter medical school, Emily says, “You know you’ve always had it in the back of your mind” (52). Whether or not she is correct, we know there was a time when Binx considered becoming a doctor: “I am a stock and bond broker. It is true that my family was somewhat disappointed in my choice of a profession. Once I thought of going into law or medicine or even pure science. I even dreamed of doing something great. But there is much to be said for giving up such grand ambitions and living the most ordinary life imaginable, a life without the old longings” (9). Binx is non-committal about Emily’s medical school proposal. To her question, “Don’t you feel obliged to use your brain and to make a contribution?” he simply replies, “No’m” (53). He resists her certainty: “It seems so plain when I see it through her eyes. My duty in life is simple. I go to medical school. I live a long useful life serving my fellowman [sic]. What is wrong with this? All I have to do is remember it” (54). But Binx is indicating that he does not embrace his aunt’s take on his “duty.” He has already warned us of the transformative power that Emily wields over others: “All the stray bits and pieces of the past, all that is feckless and gray about people, she pulls together into an unmistakable visage of the heroic or the craven, the noble or the ignoble. So strong is she that sometimes the person and the past are in fact transfigured by her” (49). It might be easy to conclude that the decision to go to medical school is simply Binx’s attempt to regain Emily’s approval after the Chicago disaster. When Kate asks him, “Are you going to medical school?” his reply seems to lack conviction: “If [Emily] wants me to” (233). To conclude that Binx goes to medical school merely to please Emily is too simplistic. By the end of the novel, he has been transformed: in sharp contrast with the rest of the novel, the epilogue contains not a single reference to movies or moviegoing.56 That is significant because Binx’s moviegoing was closely tied to his scientifically-oriented vertical search, which invited him to adopt a transcendent perspective—to “look at the world” at a remove, as Lawson wrote, “as if it were a movie.”57 Little wonder, then, that, as Binx follows his horizontal search to a commitment to others in medical practice, he mostly renounces the detachment that was symptomatic of both his vertical search and his moviegoing.58 Furthermore, while it is far from clear that Binx has 136 Searching for Medicine in Walker Percy’s The Moviegoer come to accept Emily’s idea of his “duty in life,” he does, in fact, want to help others. That is evident from the passage quoted earlier—the one that immediately precedes his reply to Kate: “If [Emily] wants me to.” There, Binx is pondering his desire to “listen to people, see how they stick themselves into the world, hand them along a ways in their dark journey and be handed along, and for good and selfish reasons” (233).59 Because Binx has already hinted at his desire to help others by listening to them, that desire offers us another plausible way—in addition to pleasing Emily—to understand what, for Binx, would count as a “good” reason to go to medical school.60 But what are Binx’s “selfish reasons” for becoming a doctor? He wants certification, to vanquish the malaise, and to reaffirm his vertical search in a very limited way. Other reasons have to do with his father. When Binx and Sharon visit the Smiths’ fishing cabin, he asks his mother about his father: “What was wrong with him?” She replies obliquely that “he was overwrought” by “his psychological make-up,” but she hints at the nature of that “psychological make-up” when she describes his long and ponderous walks, his insomnia, his need for the diversion of books, and his periods of immobility—of lying in bed and staring at the ceiling (151–56). Substituting moviegoing for reading, that collection of symptoms must sound eerily familiar to Binx, who suffers from each of them.61 Perhaps Binx understands his father better than he realizes.62 Although similarities exist, including Binx’s decision to enter his father’s profession, Binx has reason to believe that he, unlike his father, will not abandon medicine. Because he was gripped by the romantic spirit, his father, Binx recognizes, “wasn’t really cut out to be an ordinary doctor” (154). Few and far between are the Perfect Moments in a regular doctor’s routines. But “an ordinary doctor” is exactly what Binx is willing to be. After a year of medical school, Binx thinks of himself not as “one of [Emily’s] heroes” but as “a very ordinary fellow” (237). There, in the epilogue, we find Binx speaking with the dying Lonnie at his hospital bedside and reassuring Kate that she can complete a simple errand. Those are unromantic moments, but Binx accepts them. As he follows his father into medical practice, he is likely to have many other such moments, all the while gaining a better understanding of his father, who, given his heroic bent, probably had an antipathy for the travails and failures of patient care. Binx’s father’s aspirations to heroism led him to leave ordinary medicine and to enlist as a flight surgeon soon after the outbreak of war. And Binx sees that, in doing so, “he had found a way to Woods Nash 137 do both: to please them and please himself. To leave. To do what he wanted to do and save old England doing it. And perhaps even carry off the grandest coup of all: to die. To win the big prize for them and for himself (but not even he dreamed he would succeed not only in dying but in dying in Crete in the wine dark sea)” (157). Like his father, Binx wants “to please them and please himself.” Yet, given all of the ways in which doctoring might please Binx, his search leads him to seek to avoid his father’s self-destructive fate precisely where his father could not—in an ordinary life in medicine. In that way, an affinity for irony seems to be a further aspect of his father’s “psychological make-up” that Binx has inherited. Conclusion Binx’s horizontal search can be understood in relationship to his decision to become a doctor: Whatever else Binx might be searching for, he is searching for a life in medical practice. When the reciprocal certification between Kate and Binx is seen in relation to his decision to become a doctor, The Moviegoer might be understood as offering a particular model of the physician-patient relationship. All of this raises many questions—both for Percy studies and for further reflection on medicine. For example, to what extent might this model of the doctor-patient relationship be relevant to, and appropriate within, contemporary medical practice? Furthermore, how well might Percy’s other fictional physicians approximate reciprocal certification in their patient interactions? Finally, if reciprocal certification represents an ideal to which a doctor might sometimes aspire, might other medical ideals be found in either The Moviegoer or Percy’s other works? NOTES 1. Tolson, Pilgrim in the Ruins, 163. 2. Ibid., 184–96. 3. Lacy, “Fifty Years After,” 52. 4. Percy, The Moviegoer, 70. Subsequent page references to the novel will be included in the text. 5. Lawson, “Walker Percy’s Physicians and Patients,” 236. 6. Lawson, “Walker Percy’s Indirect Communications,” 4–40. Hobbs, for one, followed Lawson by arguing that Percy presented the central conflict of each of his first four novels “in terms of the protagonist’s struggle to rise above the aesthetic to the ethical and to pass through the ethical to the religious” (“Stages,” 37). 7. Hobbs, “Stages,” 38. 138 Searching for Medicine in Walker Percy’s The Moviegoer 8. Ibid., 38–39. 9. Lawson, “Indirect Communications,” 22–23. On Percy’s wish that readers see Binx as a Christian convert, see Tolson, Pilgrim in the Ruins, 300. Quinlan’s reading leans heavily on Percy’s wish: Quinlan, Last Catholic Novelist, 88–99. Both Hobbs and Webb argue that Binx becomes a Christian: Hobbs, 47–49; Webb, “Father Abraham,” 14–23. For a refutation of the claim that Binx becomes a Christian, see Haddox, Fears and Fascinations, 153–56. 10. “Truthfully,” Binx says, “it is the fear of exposing my own ignorance which constrains me from mentioning the object of my search” (14). 11. Robert Lacy, for one, did not mention Binx’s decision to go to medical school (Lacy, “Fifty Years After,” 49–54). Furthermore, of the thirteen essays that comprise The Last Physician: Walker Percy and the Moral Life of Medicine, only two include very brief references to Binx’s intention to become a doctor. However, neither of those authors discussed Binx’s decision as significant to understanding the novel: Lantos, “Why Doctors Make Good Protagonists,” 40; Martinez, “Walker Percy and Medicine,” 94. 12. Montello, “Eye to Ear,” 56–57. 13. The Moviegoer’s epigraph is from Kierkegaard’s The Sickness unto Death: “the specific character of despair is precisely this: it is unaware of being despair.” 14. To Robert Coles, Percy once remarked, “Once a doctor, always a doctor,” and, when Coles questioned this, Percy rallied to defend “his chosen profession.” Coles, “Dr. Percy’s Hold on Medicine,” 15. 15. Credit is due to my student, Jess Bezdziecki, for calling my attention to this. 16. This point is also confirmed by the fact that no similar affinity for medical lingo is to be found in the vocabulary of Will Barrett, the non-physician protagonist of Percy’s second novel, The Last Gentleman. 17. My emphasis. 18. For example, see Percy, The Moviegoer, 86. On Binx’s detachment, Howland comments that, “for most of the novel, Binx clings to his objective-transcendent viewpoint. He assumes that he can look at his life from the outside, as if he were Descartes’s disembodied cogito, cut off from the world it would know” (Howland, Gift of the Other, 26). For an extended consideration of Binx as a Cartesian spectator, and for his references to himself and to moviegoing as ghost-like, see Nash, “The Moviegoer’s Cartesian Theater,” 153–60. 19. For a significant exception, see Tharpe, Walker Percy, 50–51. 20. “Once I thought of going into . . . pure science,” Binx says (Percy, The Moviegoer, 9). 21. My emphasis. 22. Percy, “From Facts to Fiction,” 188. 23. Percy, “The Fateful Rift,” 271. 24. Here, Binx implies that he understands himself as a solitary moviegoer: “Another evidence of my Jewishness: the other day a sociologist reported that a significantly large percentage of solitary moviegoers are Jews” (Percy, The Moviegoer, 89). 25. Elliott, Better than Well, 87. 26. My emphasis. 27. The next night, after seeing another movie, Binx and Kate walk through the Tulane campus, and Kate asks whether their stopping outside the biology lab where Binx “spent every afternoon for four years” is “part of the search”—alluding, apparently, to Binx’s horizontal search. Kate goes on to mention the “vertical search” (Percy, The Moviegoer, 81–82). Ibid., 81–82. 28. My thanks to an anonymous reviewer for bringing this to my attention. 29. Elliott, Better than Well, 91. 30. Ciuba, Books of Revelations, 80. My emphasis. 31. Ciuba discusses Binx’s need for “catastrophe above all else” (Ciuba, Books of Revelations, 58). Woods Nash 139 32. Binx says that the malaise returns early Sunday morning and again Sunday afternoon (Percy, The Moviegoer, 145–46 and 166). 33. My emphasis. 34. My emphasis. 35. My emphasis. 36. Ciuba, Books of Revelations, 86. 37. My emphasis. 38. Here, Kate echoes an earlier comment to Binx: “I am all right . . . . never too bad with you” (The Moviegoer, 192). 39. Howland, Gift of the Other, 162. Howland also commented that, with their shared experience of disaster, Binx and Kate have a “secret of loss, of shared deprivation, [which] falls into the category of the deep secret, which [Gabriel Marcel] describes as ‘a really incommunicable experience—generally a painful one—about which the initiated feel that others, who did not share it in the flesh, have no right to speak’” (Howland, Gift of the Other, 35). 40. Childress and Siegler, “Metaphors and Models,” 76–84. Childress and Siegler actually discuss six models. However, with regard to the physician-astechnician model, they conclude that “this model does not appear to be possible or even desirable” (“Metaphors and Models,” 79). 41. Ibid., 77. 42. Ibid., 81. 43. Rodning, “Patient-Physician Relationships,” 216. 44. Desmond briefly made the observation for which I have argued at length: “By the end of the novel, Binx has begun to learn to combine the vertical and horizontal searches.” (Desmond, Crossroads, 29). 45. For what appears to be a similar use of the term “recognition” in the context of the physician-patient relationship, see Berger, A Fortunate Man, 74. 46. For example, see Pellegrino and Thomasma, Virtues in Medical Practice. 47. Dr. Tom More seems to be onto the question of what patients can do for him: “A note for physicians: if you listen carefully to what patients say, they will often tell you . . . what is wrong with you” (Percy, Love in the Ruins, 39). 48. Childress and Siegler, “Metaphors and Models,” 80. 49. Montello, 55. 50. Coles, “Dr. Percy’s Hold on Medicine,” 13–14. 51. Lawson, Desmond, and Ciuba are important exceptions: Lawson, “English romanticism . . . and 1930 science,” in Following Percy, 123–134; Desmond, 24–26; Ciuba, Books of Revelations, 68–69. By showing that Binx’s search leads him to follow his father into medical practice, my argument opposes Wyatt-Brown’s claim that “the novel never connects the loss of a father to Binx’s state of mind” (122). 52. Lawson, “English Romanticism,” in Following Percy, 134. 53. Ibid., 125. 54. Ibid., 127. 55. For a similar reading, see Ibid., in Following Percy, 125–26. 56. Nash, 158. 57. Lawson, “Cinema as Cave,” 92. 58. For more on the connection between Binx’s vertical search and his moviegoing, see Nash, 153–60. There, I also discuss the likelihood that, both in medical training and as a doctor, Binx will be tempted to revert to the detached posture that is characteristic of the vertical search. 59. My emphasis. 60. For example, see Binx’s relationship with his landlady. Knowing that she is “quite lonely,” Binx invites her to see movies with him, and he listens to her “talk about her years at MacDonough No. 6 school, the happiest period of her life” (The Moviegoer, 76). 140 Searching for Medicine in Walker Percy’s The Moviegoer 61. On Binx’s walks, see The Moviegoer, 70. For insomnia, see The Moviegoer, 86 and 144–46. On his supine rigidity, see The Moviegoer, 145–46. 62. Binx later claims to have “inherited no more from my father than a good nose for merde, for every species of shit that flies” (228). BIBLIOGRAPHY Berger, John. A Fortunate Man: The Story of a Country Doctor. New York: Vintage International, 1997. Childress, James F. and Mark Siegler. “Metaphors and Models of Doctor-Patient Relationships.” In Biomedical Ethics, edited by Thomas A. Mappes and David DeGrazia, 76–84. New York: McGraw-Hill, 2006. Ciuba, Gary M. Walker Percy: Books of Revelations. Athens, GA: University of Georgia Press, 1991. 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