Literature Annotations


Wexler, Alice
Mapping Fate: A Memoir of Family, Risk, and Genetic Research


Genre Memoir (337 pp.)
KeywordsAging, Body Self-Image, Caregivers, Catastrophe, Children, Communication, Death and Dying, Dementia, Depression, Disability, Disease and Health, Doctor-Patient Relationship, Empathy, Euthanasia, Family Relationships, Father-Daughter Relationship, Genetic Engineering, Grief, History of Medicine, History of Science, Human Worth, Illness and the Family, Illness Narrative/Pathography, Individuality, Loneliness, Love, Medical Advances, Medical Ethics, Medical Research, Medical Testing, Memory, Mental Illness, Mother-Daughter Relationship, Mourning, Parenthood, Patient Experience, Power Relations, Pregnancy, Scapegoating, Science, Suffering, Suicide, Survival, Time, Trauma
SummaryThis story of one exceptionally accomplished family's discovery of their past and future relationships with Huntington's Disease (HD) is also the story of how the Wexler family changed the cultural narrative of HD for other families at risk for this genetically-transmitted and currently incurable disease. The HD diagnosis of Leonore Wexler (the author's mother) inspires Milton Wexler, a psychologist, to create a major foundation for HD research, which develops critical mass and influence as Leonore Wexler's condition deteriorates, and after her death. The book interweaves the story of the Wexlers' emotional and other negotiations with HD and the story of their efforts to create an HD community comprised of those with active symptoms of HD, family members, advocates, and researchers.
Commentary

The family story and the story of the development of HD research are inextricably intertwined and equally riveting. Wexler writes as a "vulnerable observer" (anthropologist Ruth Behar's term), with the dual consciousness of a family member who is also a scholar and historian. This well-written and compelling memoir of illness and the family addresses a bounty of issues specific to HD and other conditions about which some knowledge about future risk can be acquired, but courses of action are limited: there is no cure.

The book also explores the power associated with withholding/disclosure of information; family secrets; denial; and guilt feelings (of parents who transmit risk to their offspring; of one sibling who discovers s/he does not carry the gene, while another does). It dramatizes, honestly and compassionately, a wide range of issues relevant to many experiences of illness in the family.

PublisherUniv. of California Press
Edition1996
Place PublishedBerkeley, Los Angeles, London
Annotated by Holmes, Martha Stoddard
Date of Entry 05/10/04