Ingenious Pain
Ingenious Pain book cover

Ingenious Pain

Hardcover – April 1, 1997

Price
$14.29
Format
Hardcover
Pages
352
Publisher
Harcourt
Publication Date
ISBN-13
978-0151002580
Dimensions
6.5 x 1.25 x 9.5 inches
Weight
1.4 pounds

Description

"What does the world need most--a good, ordinary man, or one who is outstanding, albeit with a heart of ice?" This is the question at the heart of Andrew Miller's first novel, Ingenious Pain , a book set during the 18th-century Age of Enlightenment. The outstanding man in question is James Dyer, an English freak of nature who, since birth, has been impervious to physical pain. Not only does he feel no pain, but he recovers from all injuries in record time. By turns a shill for a quack pain- reliever at county fairs, an object of study by a wealthy collector of human oddities, and, eventually, a surgeon, James Dyer--and through him the reader--gains exposure to a panoply of 18th-century philosophical thought, medical practice, historic events, and larger-than-life rogues and heroes, both fictional and real. As a surgeon, James Dyer excels, and his inability to feel--whether physical pain himself or empathy for others--seems only to enhance his skill with a knife. James slices and dices and cures without a scintilla of compassion while his reputation grows, until at last he arrives in Russia and the mystery of his unusual quality is resolved. Miller navigates his complicated story and exotic locales with unswerving confidence, bolstered, no doubt, by thorough research. James Dyer is not a character who invites love, but his adventures make for intelligent, deeply pleasurable reading. From Library Journal Conceived during a rape on a frozen river bank in the English west country in 1739 and raised in a small farming village, James Dyer proves to be a freak of nature, a man-boy who cannot feel pain. In spite of his affliction, or "gift," depending on how you look at it, James proves a bright fellow and, following a stint in the Royal Navy, becomes a highly successful surgeon whose skill with a knife is offset only by his coldness of emotion. Not knowing pain himself, he cannot understand it in others. Then, he encounters a witchlike woman in the forests of Eastern Europe who literally reaches inside of him and gives him knowledge of pain and suffering?and with it, joy and beauty and the understanding of what it is to be human. With its stylistic flourishes and realistic evocation of life in the 18th century, Miller's first novel bodes well for his future; readers will be entertained despite the abrupt ending. Recommended for public and larger academic libraries.?David W. Henderson, Eckerd Coll. Lib., St. Petersberg, Fla.Copyright 1997 Reed Business Information, Inc. From Booklist Novels do not typically begin with the autopsy of the main character, but Miller's first novel is not typical. Set in Great Britain and on the continent in the eighteenth century's latter half, it tells the story of James Dyer of Devon, who fails to feel pain. Fleeing his smallpox-ravaged home at an early age, Dyer is noticed by a sleazy entrepreneur who turns his peculiarity into a profitable business. Dyer is eventually rescued by a wealthy man who collects freaks but treats them kindly. Dyer meets a pair of Siamese twins and others who encourage his interests in medicine and drawing. He volunteers for the navy, becomes an efficient surgeon, journeys to St. Petersburg in the dead of winter to inoculate the empress against smallpox, meets practicing witch Mary, and has a stay--as a patient--in Bedlam. These adventures make up not only a fascinating picaresque novel but also a perceptive and, at times, highly moving bildungsroman. Miller ought to be well pleased with his book--many readers certainly will be. William Beatty From Kirkus Reviews Miller's debut, an unusual but uneven cautionary tale cloaked in a historical novel, features a cold-blooded English surgeon, literally a freak of nature, who works wonders in the mid-18th century until being spectacularly undone by his pride. Born of his mother's adultery in the midst of a moonlit midwinter skating party, James Dyer is marked by that icy violation: He utters not a sound and is completely numb to pain, whether his or anyone else's. The first condition lasts only a few years, so that he can speak by the time his family is obliterated by smallpox. He learns to feign pain from a huckster who uses the boy's lack of sensation to sell snake oil medicine to crowds thrilled by seeing James pierced with needles. Rescued from this life by a mysterious, wealthy landowner, James soon discovers that he has become part of his patron's personal collection of freaks, but endures it until he observes an amateurish, lethal operation, sickening to everyone but himself, to separate Siamese twins who were also in the menagerie. He escapes to the Royal Navy, where his aptitude for surgical technique soon has him operating coolly in the heat of battle, then leaves the sea to set up a private practice in Bath. His reputation as a surgeon becomes as huge as his notoriety for coldness and greed. He is shunned in spite of his skills when he drives his wine-addled partner to suicide. Unruffled, James joins a wild race between English physicians to minister to the Empress of Russia, but en route he meets a witch in the woods, whereupon he loses the race but gains the ability to feel--a transformation inducing madness and necessitating a long, excruciatingly painful recovery. Vivid and precise in its isolated scenes, but suffering from a loose, ineffectual narrative. The result is a mere accumulation of arresting incidents rather than the taut, haunting story it could well have been. -- Copyright ©1997, Kirkus Associates, LP. All rights reserved. Ingenious Pain reminds one at times of John Fowles's novel The French Lieutenant's Woman and the wry historical intelligence manifest in every line of that book; also, a little, in the depth and honesty with which it explores its themes, of Graham Swift's Waterland ; and, occasionally, in its fidelity to the tones and nuances of the period, of Peter Ackroyd's early flamboyant historical pastiches. But in the end the book is entirely its own creature, a mature novel of ideas soaked in the sensory detail of its turbulent times. -- The New York Times Book Review, Patrick McGrath ANDREW MILLER's first novel, Ingenious Pain, won the James Tait Black Memorial Prize and the International IMPAC Award. He was short-listed for the Booker Prize and the Whitbread Award for his novel Oxygen. He lives in Brighton, England. Read more

Features & Highlights

  • A chronicle of life of an eighteenth-century man born without the ability to feel pain, this amazing book “offers a panoply of literary pleasures” (Washington Post Book World). Winner of Britain’s James Tait Black Memorial Prize and the 1999 IMPAC Award. “Astoundingly good” (New York Times Book Review).

Customer Reviews

Rating Breakdown

★★★★★
30%
(101)
★★★★
25%
(84)
★★★
15%
(51)
★★
7%
(24)
23%
(77)

Most Helpful Reviews

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_Ingenious Pain_ is a complex pleasure

I don't remember ever reading a first novel that captured my attention so completely while simultaneously challenging all of my standard expectations for fiction. Almost everything about this book was a pleasant surprise. Set in the Eighteenth Century, this somewhat picaresque tale follows the life of James Dyer, a man born without the ability to feel pain, from conception until his death. The book actually begins with Dyer's autopsy, a scene that is puzzling (since there is no exposition) and brutally ugly. I was tempted to put the book down, since for the first thirty or so pages scenes and characters appear with no context and I had very little idea of what anything meant. That would have been a mistake. As soon as the author leaps back to the day of Dyer's conception and the story begins to move forward I was hooked. Because James cannot feel pain he never develops empathy with others and grows to be a remarkably capable surgeon but a very cold man. The story of his awakening as a real human being, which occupies the last quarter of the novel, is very moving without the least traces of sentimentality.
The cast of characters that Andrew Miller has invented as supporting players are all interesting and complex. The stages of Dyer's life, from a childhood on a farm (where he was thought to be an idiot since he didn't speak), through a stint as a medicine show freak, then as a 'specimen' of human oddities by a wealthy collector of such, to a life at sea, the building of a successful practice as a surgeon, affairs, duels, flight, a dangerous journey to St. Petersburg and then the collapse of his sanity and his health resulting in a stint in London's notorious Bedlam hospital, are all told in a style that while borrowing from some conventions of eighteenth century writing never try to ape it. I loved the sound of Miller's words and the shape of the sentences. This is a book I could have enjoyed reading aloud.
This is a complex book on many levels, but not an inaccessable one. The story - once into it - is clear and the characters are cleanly drawn. There are enough ups and downs of fortune to keep even the most jaded fiction fan interested while at the same time the complexity of character, language and theme provide much for those who love to puzzle out the hidden meanings in literature.
This was a fascinating book and I was sorry to see it end. I really recommend it to anyone who wants something that can challenge the mind while satisfying all reader's love of a good story.
13 people found this helpful
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Don't waste your time reading this book!

A terrible read. It won an award, so I read it. Now I know you can't trust awards. This work defies genre characterization. It certainly is not a mystery (beyond why anyone would publish it). It is not a thriller. It is not a romance. If any reader can classify it, I would like to hear about it because it stumped me!
8 people found this helpful
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Beautiful and moving.

This is a first novel? Fantastic! The language is so rich with sensory imagery, and the rhythms of its structure so musical that it borders on poetry.
The story, too, is poetic, and one to pierce to the heart. James Dyer is born without the ability to sense pain or pleasure. As such, he is not truly human. He knows no sympathy or empathy, and therefore no love, no joy, no sadness; how could he?
When he is finally "fixed", and, as an adult, is basically re-born to natural pain and pleasure, all the accumulated experiences of his flesh, throughout his life, are still to be felt. And it drives him temporarily mad. And yet, in his agony, he still knows that he has been saved from an incomplete existence.
This is a complex and beautiful book, that illuminates the richness of ordinary human life, through its discovery by an extraordinary man.
Not for intellectual or emotional lightweights.
8 people found this helpful
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Intriguing Speculation

The main character of this book, James Dyer, was fascinating to me. I keep wondering if the author has known an individual like Dyer in his contemporary life. Dyer's abilities of not feeling pain and healing quickly take him through an early life of survival and success as a canny surgeon.
Dyer suffered an abrupt change and came to meet all his pains, and indeed suffered them all at once. The thing that I did not understand is why this happened to him. The life event which was supposed to have precipitated the change is unconvincing. There was a reference to the supernatural in this change but I had trouble telling if the supernatural element helped him into his feeling state or helped him cope with the problems of his feeling state.
I really thought the setting of the 1700s was well described. The author neither glorified nor villified the age. The description of life in a mental instutition of the time was very interesting. Did the author do research on this topic or did he make up this information? If there was research, it would be nice to see the sources. In any case, he presented a very believable situation.
This is a book that can be discussed, because questions are raised that are not easily answered.
My favorite quote refers to love:
"It is like the rain, brother. You cannot always be out of it."
4 people found this helpful
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Ingenious? Maybe. Pain? Certainly.

Perhaps it is not fair of me to review a book that I didn't finish, but I bought the book on the basis of other reviews read here. The concept of a person born with out the capacity to feel physical pain is an intriguing one indeed. Unfortunately, it is the reader that really suffers the pain of this book. The first 20 or so pages were so stuffed with descriptions of autopsy, blood lettings and other painful and disgusting practices that I finally had to put the book down in revulsion. I still cringe thinking about it. Perhaps there is an audience that would enjoy reading this book, I however, am not among them.
2 people found this helpful
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A vivid and compelling tale of the practice of surgery

The manner in which this very talented author has been able to conjure up a stark vision of the practice of Medicine in this era makes startling and compelling reading . It does not require suspension of belief in this tale of James Dyer when one considers the times and the widespread acceptance of the supernatural. Even today it is not hard to make a case for a physiological condition that renders the hero unable to experience physical pain.
The story of the rise and fall of this surgeon is graphic and entirely believable,set as it is amongst real people like the Hunter brothers, Fothergill and Smellie , not to forget the family practitioner Edmund Jenner - the conqueror of Small Pox. The style and presentation is very appealing and fits so well with the times. One of the finest stories I have ever read. I am sure it is destined as a Classic of its kind. No one can ever forget the account of the 'first' successful Caesar on the poor woman,s bed in the overheated bed room and the characters present - nurses , husband the vengeful jealous colleagues.
I myself am a retired general surgeon and how well do I empathise with this Jam es Dyer.
2 people found this helpful
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Ingenious Pain is stylish, yet unrewarding

Historical novels are fascinating to me for they evoke a feeling captured by the use of language and the various locales. Andrew Miller is remarkably talented in capturing the language and settings of the 1700's. However, there appears to be an essential piece missing from this well-crafted novel - the story of James Dyer, for lack of a better word, is boring and uninteresting. The beginnings of this story are interesting from the violent nature of his conception, to his early childhood of not speaking and to the symbolic nature of his feeling no pain, yet inflicting this attribute onto others. The story, though, begins to fold. His becoming a doctor, his going to Russia to cure Empress Catherine of smallpox and the eventual circumstances that he encounters appeared of little or no interest to this reader. I found myself enjoying the intellect of the authors writing but found myself bored with what was happening to James and the other characters. Eventually, I read the last 50 pages of this novel in a hurry to an ending which left me emotionless. I wish I would have cared for James more but I appreciate the authors intent of mood and style and only wish the story would have been more captivating.