Scratching Out A Living Sparknotes
Summary: Bare Bones
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Kaysen sees the hospital as a place of both shelter andcaptivity. Confined to the ward, the girls can avoid taking responsibilityfor schoolwork, parents’ wishes, and jobs. The patients’ familiespay hefty fees for their children’s treatment. Kaysen wonders whether sheand her fellow patients are confined to the hospital in place ofall the other crazy people in their families. Torrey, a new patientfrom Mexico with an amphetamine habit, joins the ward. Torrey’sparents blame her for her addiction and the troubles in their family, includingher mother’s alcoholism. Torrey is happy to be at McLean, away fromMexico, drugs, and her abusive family. Eventually, Torrey’s parentscome to take her home, and Lisa hatches an escape plan. The girlspool their money while Lisa causes a scene to ensure that Torreywill travel to the airport with only one nurse. Torrey is uncertainand scared, despite Lisa’s assurances. But Valerie is a step aheadof Lisa and gives Torrey Thorazine, a powerful sedative, to keepher from running away. After Torrey’s departure, the girls are overcomeby boredom. They devise a plan to circulate around the ward accordingto a schedule. Kaysen becomes preoccupied with her hand and wonderswhether it has any bones in it. She begins to scratch at her hand,trying to tear off the skin to examine the inside. Georgina findsValerie, who rushes in with Thorazine. As the drug’s effects washover her, Kaysen takes comfort in the fact that she is finally demonstrablymentally ill and won’t have to leave the hospital.
Summary: Dental Health
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Kaysen is stricken with a wisdom tooth infection. Valerietakes her to the hospital dentist, who recommends surgery to treatthe abscess. Kaysen refuses, and Valerie quietly supports her bysuggesting antibiotics to the dentist. Valerie later commends Kaysenfor refusing treatment by the McLean dentist. The infection subsides witha course of penicillin, but Kaysen has an allergic reaction to the antibiotic.Valerie suggests that Kaysen visit a dentist in Boston. The girlsare excited about Kaysen’s impending trip into the city and proposeideas for what she should do while outside the hospital. After thesurgery, Kaysen demands to know how long she was unconscious. Thedoctor is confused by Kaysen’s adamant questioning. “It’s my timeand I need to know how much it was,” she shouts. Kaysen cries atthe thought that she will never know how much time she lost.
Analysis
The chapter title “Bare Bones” articulates the conflictingsensations of total helplessness and freedom that Kaysen feels asa patient at McLean. “In a strange way we were free,” she says.“We had nothing more to lose.” Stripped of self-determination, thegirls respond by embracing the slim protections offered by theirconfinement. By claiming to be “too upset,” they can avoid annoyancessuch as phone calls from parents or visits from outsiders. The girlsare able to take some ownership of their powerlessness, hiding behinddiagnoses to avoid accountability. The Torrey episode illustratesthis strange blend of captivity and freedom. Fleeing her familyas much as her drug addiction, Torrey feels liberated by her confinementto the hospital. Here, there are no readily available drugs or dysfunctionalparents to tempt or abuse her. The tenuousness of the girls’ controlover their own situations is exposed, however, when Lisa hatchesa plan to help Torrey escape from her parents, who have come toBoston to return their daughter to Mexico. Despite an impressiveperformance from Lisa, the nurses halt any escape by using theirultimate weapon: medication. The aftermath of Torrey’s aborted escapeleaves the girls in a funk, the fragility of their power exposed.The episode serves as a catalyst for Kaysen’s breakdown. In themost frank admission of mental illness in the book, Kaysen describesher psychic break with reality that leaves her raving and scared.Having yielded to her darkest impulses, she says, Kaysen feels “safe”because “nobody could take [her] out of there.” Kaysen has struggledwith a nagging question throughout her stay at McLean: is she actuallyill? An odd comfort comes of the realization that she is in factsick. Exhibiting a form of Stockholm syndrome, a phenomenon in whichhostages grow to identify with their captors, Kaysen is relievedthat she won’t have to leave the hospital anytime soon.
Kaysen’s trip to the dentist revisits one of the book’smotifs—the importance of time. Upon waking from a routine dentalprocedure, Kaysen demands to know how much time she spent underanesthesia. Having spent months in an environment in which timeis punctuated predictably by routine and nurse checks, Kaysen is hypersensitiveto time’s passing. She is acutely aware that she is living outsideof time, sidelined while the rest of the world moves on. This realizationinduces a fixation on the moment-to-moment passage of time as ameans of exerting some feeble control over it; if she can measuretime, she can track its progress.
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scratch out
scratch someone or something out
scratch out
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