100 books like I Never Promised You a Rose Garden

In The Bell Jar, Sylvia Plath unscrews the top of her skull and invites us to peek inside. This is one of my favourite first-person narratives.

Considering Plath’s struggle with depression and her ultimate suicide, the book portrays the tribulations of a tortured artist in New York’s beatnik fifties. Plath’s lyrical language infuses the prose which appeals to my love of poetry.

This is a recent reissue of a book first published in 1974 and long out of print. Bette Howland gives us a vivid and honest account of her time in Ward 3 of a Chicago psychiatric hospital after a serious suicide attempt in her late twenties. I was moved by the moments of communion, camaraderie and even comedy the narrator shares with her fellow patients. Having said that, Ward 3 is a terrible place. The “treatments” are also punishments. The narrator confronts the ward’s alienation with clear, unsentimental detachment. I was absorbed by her struggle to retain an element of dignity in the face of the hospital’s fatally indifferent bureaucracy. 

Faces in the Water was first published in 1961, though it received far less attention and acclaim. The “story,” such as it is, is narrated by Istina Mavet, a shy, introverted young woman (again, based closely on the author) who, like the author, spends ten years in a New Zealand psychiatric hospital. Faces in the Water recounts long, dull years of cruelty and suffering. But don’t let this put you off—Frame’s style is marvelously poetic. The narrative is abstract in places and was at first difficult for me to get into, but once I began to see things from Istina’s perspective, the story came to life, and I found it brutally beautiful. 

This is the 75th anniversary edition of a book first published in 1946, a best-seller at the time, and the impetus for changes in the treatment of psychiatric patients. The narrator, novelist Victoria Cunningham, finds herself incarcerated in a corrupt and badly-run hospital with little memory of how she got there; I was disturbed by the way she had to navigate through an obscure, nonsensical bureaucracy that seems more insane than any of the hospital’s patients. Virginia is supported by her loving and loyal husband, but at times she loses track of her memories and forgets who he is. The book is frightening—especially given that it’s based on the author’s own experiences at Bellevue Hospital in New York—but also intimate and moving.

Carol Shields’ last novel, Unless (published after her death) follows forty-something mom Reta Winters: Reta’s three daughters are almost grown, she has decent work translating French writers, and she has a supportive husband. Then oldest daughter Norah disappears, and it turns out Norah is now living on the streets of downtown Toronto, wearing a sign around her neck that reads “goodness,” but not speaking a word. This sounds like a bleak scenario, having one’s daughter reject everything she’s grown up with and refusing to explain. But Unless is a sharp, thoughtful, and even funny novel, one that’s not like any other that I’ve read, and Norah’s disappearance leads Reta to come of age as she questions every aspect of her life. 

When a friend first handed me her copy of Esmé Weijun Wang’s book, I imagined it would sit unread on my shelf for a long time. Given how much time I spend in my professional life working with people with severe mental illness, I assumed Wang’s personal account of her struggle to find a diagnosis and effective, compassionate treatment would be redundant for me.

I was so, so, so wrong. I read nearly the entire essay collection in one sitting—it is stunning, somehow scholarly and deeply personal at the same time. The book is required reading for anyone who wants to better understand one of the least understood diagnoses in the history of psychiatry.

A man called “Pepper,” who may or may not suffer from mental illness, ends up in a locked mental ward in Queens, New York, where the entire novel takes place.

A beast, who the patients believe is the devil, comes out at night, assaulting and sometimes killing patients. Patient deaths are chalked up to suicide. The engaging, quirky characters—drugged to the gills while warehoused and essentially untreated in a public hospital—share the defining feature of being low-income and unprotected from both the supernatural and human forces that would destroy them. They must take matters into their own hands to protect themselves.

I appreciated the theme of how marginalization and isolation presented as much terror here as the supernatural. Yet, the hope and humor of the characters also kept me engaged and frequently smiling.

Long before the Victorian asylums, there was Bethlem – London’s ancient hospital for lunatics. Like Broadmoor, Bethlem also looked after high-profile criminals, but within a private and charitable institution that was mostly for the capital’s waifs and strays. Bedlam gives you a sense of how mental health developed as a concept from the medieval period to the present day.

If you need inspiration to write strange stories, then read the Brazilian Machado de Assis. In his photos he looks like a prim and proper gentleman, giving no hint he wrote some of the whackiest fiction you’ll ever encounter—for example, one story is told from the perspective of a needle. The Alienist is a favorite. Bacamarte, a man devoted to science, opens an insane asylum in the town of Itaguaí, taking in the mentally ill. But his scientific mind leads him to the inevitable conclusion that he must also include healthy people who, according to his diagnosis, are about to go crazy. Soon, his asylum, Casa Verdi, accommodates the entire town. Then, in the ending of the story… Well, you’ll have to read it yourself to find out. 

This classic account by a renowned sociologist is critical reading for those interested in the anti-psychiatry movement, a crusade that viewed psychiatry as more coercive than therapeutic and, in some cases, questioned the reality of mental illness itself. For one year, Goffman embedded himself in St. Elizabeth’s mental hospital in Washington, DC, where he ultimately concluded that the defining features of the asylum – similar to those of prisons and other “total institutions” – did more to shape the patient’s behavior than the supposed illness for which the patient had been admitted in the first place. Goffman’s observations left a significant impact on popular ideas about asylum care and helped contribute to widespread deinstitutionalization several decades later.