When Story Is Medicine

By Susan DeFreitas  |  July 5, 2022  | 

Please welcome new Writer Unboxed contributor Susan DeFreitas to Writer Unboxed today! Susan is the IPPY-Award winning author of the novel Hot Season, the story of “an outlaw activist on the run” and most recently the editor of Dispatches from Anarres: Tales in Tribute to Ursula K. Le Guin. She is also the creator of Story Medicine—the course for writers who want to use their power as storytellers to support a more just world, and a Founding Coach for Author Accelerator. Her essays have been featured in the Writer’s Chronicle, LitHub, the Huffington Post, the Utne Reader, and elsewhere.

As an independent editor and book coach, she specializes in helping writers from historically marginalized backgrounds, and those writing socially engaged fiction, break into publishing.

You can learn more about Susan on her website, and by following her on Twitter, Instagram, and Facebook.

When Story Is Medicine

There are many different kinds of stories in this world.

Stories that stoke our curiosity with tantalizing clues and tricky plot reveals. Stories that touch our hearts with “aww, isn’t that sweet, the world isn’t a total flaming Dumpster fire” sorts of moments. Stories that linger with us for a few days, and then lift off and drift away.

There’s nothing wrong with those types of stories. But to my mind, the very best stories do more than that.

The very best stories act as medicine, delivering some emotional insight or understanding that changes who we are, on some level, and the way we operate in the world. And they stay with us much, much longer.

These types of stories often come to us at our hour of greatest need, and one came to me in 2015, when I was recovering from cancer: Elizabeth Gilbert’s The Signature of All Things.

On the surface, this novel offers a fine escape from reality: It’s a historical novel, set in the 1800s, and chronicles the life of a female botanist and her ill-fated marriage to a pious lithographer with an almost otherworldly sense of goodness about him.

For me, it was the perfect novel to read while on the mend from the surgery that, as it turned out, would save my life: immersive, transportive, funny, intellectually stimulating, and even a bit sexy at times. (It also clocks in at 500 pages, which is a great length for putting reality firmly on hold.)

But there’s a message at the heart of this novel (and my sharing this with you won’t spoil the story, because as with any story, it’s the journey, not the destination, that ultimately matters). This message is that being good, being pure of heart, being selfless and giving and kind—being all those things that women especially are taught to be—may get you into heaven but will not save you here on earth. Because here on earth, it is often the toughest that survive—the ones with the strongest will to live, the strongest love for life itself, in all its messy, earthly glory.

You can imagine how visceral this message was for me, at this time in my life. Elizabeth Gilbert gave me a great gift with that novel, and that gift was the emotional, bone-deep understanding that life is not, in fact, fair, but it is precious—and sometimes, if we want to hold onto it, we have to actually fight for it.

There’s an indigenous concept of story as medicine—the idea that the right story, at the right time, can actually heal you, in spirit and maybe even in body. For me, The Signature of All Things is such a story, and like all of the novels I’ve loved best in my life, I carry it with me, inside me, wherever I go.

As a novelist, and as a book coach specializing in socially engaged fiction, I’ve spent a lot of time studying what gives certain stories this extra dimension, and the potential to actually change lives.

Here, to my mind, are three characteristics of such novels:

They Reflect the Hard Truths of Reality

Novels that offer story medicine are not just built around car crashes and jewel heists, or fantasies of romance and happily ever after. Such novels take a clear-eye look at the hard truths of reality.

In The Signature of All Things, one of the hard truths the author grapples with might be paraphrased with the title of a Billy Joel song: “Only the Good Die Young.” The protagonist’s husband is so good, so generous and kind that he verges upon saintly, and he essentially dies because he’s too good to fight back. It’s really not fair, and that’s the point: How are we to live in a world that is inherently unfair?

This is a theme echoed by the fact that the protagonist’s work as a botanist is all but dismissed in the time she lives in, simply because she’s a woman. How is she to live in such a world? How are any of us to?

It’s only by staring down the hard truths of the world and reckoning with them that we can offer our own hard-won truths as the antidote, the cure (or at least the coping method), and offer our readers that medicine in our work.

Further examples of novels that offer story medicine, to my mind, include A.S. Byatt’s The Children’s Book, which grapples with the horrors of WWI, Donna Tartt’s The Goldfinch, which wrestles against the siren song of nihilism in a universe full of random (or maybe even not so random) violence, and (lest you think these sorts of novels only come in the form of door stoppers) Stephen Chbosky’s The Perks of Being a Wallflower, which deals with the long and complicated aftermath of childhood sexual abuse.

 They Offer Real Emotional Insight

Of course, almost any garden-variety novel has some kind of trauma, violence, or injustice at its core—but these types of stories generally just describe, catalogue, or even exploit that sickness. They don’t actually attempt to offer a cure.

To do that, you have to go deeper. You have to dig into why these sorts of injustices exist in the first place, and how they’re perpetuated—the chain of events in your antagonist’s past that made them who they are, the backstory that leads your protagonist to continue making exactly the wrong choice.

Often, this means digging into the truths of your own heart, your own emotional journey as a person—the things you’ve learned through adversity, and the things you know in your own heart of hearts to be true. Because those are some of the most valuable insights you have to offer your reader, and they’re where the unexpected answers to life’s most persistent questions often lie.

They Chart a Convincing Path to Transformation

Finally, stories that act as medicine take their protagonists through a convincing arc of change—from seeing the world one way to seeing it another, and often from a place of disconnection or illusion to a place of connection or clarity.

And that part about the path being convincing is critical, because if the transformation comes across as unrealistic—meaning, if it doesn’t actually touch on the real challenges that arise for someone grappling with those hard truths, and doesn’t move in a realistic way through all of the emotional gears involved, it won’t ultimately produce a real sense of catharsis or revelation for the reader in the end.

And that, ultimately, is the goal of this type of story: To deliver real insight with the force of strong emotion—because that, in the end, is what makes them unforgettable.

What are the hard truths that your novel grapples with? What emotional insights does it offer? And what is the path your protagonist must traverse, in order to reach their point of transformation?

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16 Comments

  1. Kathryn Craft on July 5, 2022 at 7:42 am

    Hi Susan, and welcome to Writer Unboxed! I sat in on your introductory Story Medicine webinar and so much of what you say aligns with my own approach, as I seek my own healing in the stories I write and read.

    I’m writing about a woman whose life changed in numerous ways after an accident. Unaware of how the lives of her loved ones changed that fateful day as well, and believing she must now carry on alone, she tries to do “all the right things,”disconnecting from her “selfish” passions while believing acceptance is the only path forward. I hope to resurrect her in a passion-driven climactic fight.

    I look forward to your posts!



    • Susan DeFreitas on July 5, 2022 at 11:06 am

      Sounds like a great story, Kathryn! And thanks for these kind words.



  2. Susan Setteducato on July 5, 2022 at 10:04 am

    So nice to see you here, Susan! I don’t believe in coincidences, so your post today was an affirmation that I’m on the right road. Before I read it, I read this. “…the human being is an animal that must define itself or be defined by others’. The writer goes on to say that the stories we tell about ourselves and the world are critical to our evolution. The MC in my YA series grapples with a need to be accepted by others, only to discover that the gift of belonging was hers to give herself all along. She also call out the greed and stupidity she sees all around her, which marginalizes her even more. But her passion for justice drives her. In the end, she sees that she was fighting on two levels, saving her own lost child while trying to create a better world. You are so right, the stories that change us are the ones that stay with us. Truly good medicine!



  3. barryknister on July 5, 2022 at 10:27 am

    Hello Susan. Your reflections on the healing power of certain stories ends with a question: as your story unfolds, what discoveries must be made by your protagonist for transformation to be achieved at the end? This question assumes that significant change will occur in the lead character. I think of the process in different terms. Brenda Contay, the central character in my suspense series is not so much transformed as more fully revealed. Both to herself and the reader. I place her in situations in which she discovers aspects of herself that have been hidden. These aspects aren’t so much developed or formed as exposed by new circumstances. At the end of Deep North, she kills a man. Most would think he deserves to die, but technically Brenda commits murder. And her motive is not morally clear or justified. But there it is, she makes the choice to end a human life. Neither she nor the reader would have thought her capable of such an act, but the circumstances reveal this potential in her. Readers get the satisfaction of seeing a bad man die, but they aren’t given that satisfying sense of shared moral superiority or enlightenment that most novels end with. Quite the contrary. The reader must share Brenda’s sense of moral ambiguity.



  4. Ada Austen on July 5, 2022 at 10:29 am

    My characters in current novel are all artists of some type, con artists included, who grapple with their talents. When to use them, if to use them, how to use them, who to use them for and of course wondering if they even have any talent. As a creative, I’ve learned some hard truths and I’ve found my own way of surviving, so hopefully I can portray some authenticity and insight.

    I love your post. It’s already given me some insight into some editing I need to do. Thank you for breaking this down so clear and concise. This is what writing is all about, for me – Story as a healing gift.



    • Susan DeFreitas on July 5, 2022 at 11:08 am

      Glad you found this post helpful, Ada!



  5. Pamela Cable on July 5, 2022 at 10:51 am

    The Poisonwood Bible by Barbara Kingsolver and Under the Banner of Heaven by Jon Krakauer ring rather loudly for me. Having escaped an evangelical cult decades ago, I dove head first into books that spoke to my bruised and broken spirit. It wasn’t until I wrote a novel inspired by own experiences that I received closure on that painful past. It’s hard to argue with men who claim to have the ear of God. The abuse and devastation upon church congregations all over this country is incredible. So, yes, I agree. Story is medicine. It is also lifesaving.



    • Susan DeFreitas on July 5, 2022 at 11:10 am

      It is incredible, isn’t it? I just read GODSHOT by Chelsea Bieker, and wow, what a deep dive into those kinds of cults that book is. Love the ones you’ve shared as well…



  6. Barbara Linn Probst on July 5, 2022 at 11:10 am

    Lovely post! Thank you! All I might add is that sometimes a story might not “heal” (as in: make the pain and suffering go away, restore one to health and strength, as medicine does). But it can help us remember that we are not alone in what we are experiencing … that the pain is part of our humanity … and that through this, we can experience compassion and connection.



  7. Vijaya on July 5, 2022 at 11:20 am

    Stories are a balm. I write for kids because that’s where my heart is, in the innocence of children. And so much of healing is being able to return to that state after the trials of life when we can again say, I come into the Altar of the Lord, who gives joy to my youth. Thank you for this lovely essay.



  8. jay esse on July 5, 2022 at 12:38 pm

    During her acceptance speech at the 2014 award ceremony for the National Book Foundation’s medal for Distinguished Contribution to American Letters, Ursula K. Le Guin said in part, “Right now I think we need writers who know the difference between production of a market commodity and the practice of an art…”



    • Pamela Cable on July 5, 2022 at 12:46 pm

      That was in 2014. How much more does that ring true today. Thank you for reminding me of this speech.



  9. Tom Bentley on July 5, 2022 at 1:52 pm

    A lovely post, Susan, and welcome to WU. Your message here put me in mind of Marilynne Robinson’s Gilead stories, which probe so deeply into loss, simmering emotion, resignation and acceptance, but often at cost. And she doesn’t those things in such a spare form, never a shade of purple in her prose, and that seems to make the resonance louder.

    The same for the novel, Stoner, by John Williams, where the protagonist, a man of restrained integrity, suffers a series of losses both personal and professional, with stoic composure. He dies thinking he’s a failure, but the reader knows that’s not the truth. Thanks.



    • Tom Bentley on July 5, 2022 at 1:53 pm

      That’s supposed to be “does those things in such a spare form” I think my fingers need disciplining these days.



  10. Tiffany Yates Martin on July 12, 2022 at 10:20 am

    Susan, how good to see you here! And I love your approach of story as medicine. I think now is a time when that’s especially needed and welcome. Welcome to WU!



    • Susan DeFreitas on July 12, 2022 at 12:08 pm

      Agreed, Tiffany–and thank you! Great to see you here as well.