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How the humanities can help us process and cope
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How the humanities can help us process and cope

Severe illness is more than a condition of the body. It is an emotional and deeply human experience. The humanities provide essential tools for navigating the psychological, emotional, and existential challenges that come with illness.

When faced with a serious illness, embrace the knowledge provided by the humanities to help you process the pain, find meaning, and face the ethical dilemmas that the most serious illness brings.

Healing the body requires medicine. Healing the mind, heart, and soul requires the humanities. Where science ends, humanities begin.

Literature speaks where simple words often fail. Cancer memoir and fiction reveal not just the fight against the disease, but the humanity behind it. These works provide a vital window into mortality, resilience, pain and strength, showing the personal costs of illness in ways that science alone cannot.

Through the deeply personal stories of those facing cancer, literature illuminates the emotional and psychological complexities of the disease. These works explore shattered identities, disrupted family dynamics, and the broader human experience of dealing with mortality.

Among the most powerful works that convey the emotional, physical, and existential struggles that accompany cancer diagnosis and treatment are the following:

  • The death of Ivan Ilyich by Leo Tolstoy (1886) explores the suffering of a man facing a terminal illness. Ivan Ilyich, a high-ranking judge, is struggling with an unspecified but clearly painful condition. Tolstoy masterfully portrays Ivan’s psychological battle—denial, isolation, and eventual acceptance of death. As he faces his mortality, Ivan is forced to reflect on the choices he has made, his relationships, and what truly constitutes a meaningful life.
  • Illness as a metaphor by Susan Sontag (1978) criticizes the way society constructs metaphors around diseases such as cancer. As a cancer survivor herself, Sontag argues that metaphors like the “war on cancer” unfairly burden patients, blaming them if they “lose the fight.” She argues that these metaphors dehumanize patients, reducing them to their illness rather than recognizing their full humanity.
  • The Cancer Journals by Audre Lorde (1980) is a deeply personal account of her experience with breast cancer. Lorde reflects on how her mastectomy affected her sense of identity as a woman, lesbian and feminist. She reframes her illness not as a defeat but as a journey of resilience and self-awareness, rejecting the victim narrative often associated with cancer.
  • The autobiography of a face by Lucy Grealy (1994) recounts the author’s experience with Ewing’s sarcoma, which led to numerous surgeries and left her face disfigured. Grealy not only chronicles her battle with cancer, but describes the emotional and psychological cost of living with a visible disfigurement. She writes about the profound isolation she experienced – not only from the physical pain, but also from the loneliness of looking different.
  • The king of all diseases by Siddhartha Mukherjee (2010), a Pulitzer Prize winner, blends historical and scientific perspectives on cancer with personal stories that reveal the emotional and psychological effects of the disease. The author reveals the almost unbearable tension between the hope offered by new therapies and the stark reality that cancer is complex, unpredictable, and often unrelenting.
  • When breath becomes air by Paul Kalanithi (2016), a posthumously published memoir, tells the story of a neurosurgeon who, at age 36, is diagnosed with terminal lung cancer. As both doctor and patient, Kalanithi reflects on his changing understanding of life, death and identity. He struggles with the roles of husband, father and doctor as he struggles to find purpose in the face of terminal illness.

Two books published in 2012 offer deep reflections on cancer and mortality.

John Green’s novel The fault in our stars resist turning illness into a sentimental or heroic narrative. Instead, it treats cancer as a disease, not as a defining feature of the characters’ identities. The protagonists, Hazel and Augustus, are shaped by their passions, desires and dreams, not by their illness.

The novel does not shy away from the harsh realities of cancer, exposing the physical pain, medical interventions and emotional effects it has on patients and loved ones alike. However, the book also shows that love can be a powerful force for endurance and comfort, even when death is near. Far from being diminished by illness, relationships can become more intense and meaningful in the shadow of death.

Augustus is obsessed with leaving a legacy and being remembered, while Hazel seeks a quieter, more intimate purpose, content to be remembered by those she loves. Their choices reflect individual responses to illness and the search for meaning. Both grapple with the question of whether suffering has inherent meaning, with the novel suggesting that meaning can be created through love, relationships, and personal growth.

Christopher Hitchens published posthumously mortality offers a personal and philosophical meditation on mortality, suffering and the inevitability of death, infused with his wit, intellect and unabashed atheism.

Hitchens candidly describes the physical and psychological impact of cancer, dispelling any romantic notion of the disease. He makes it clear that cancer offers no deep revelations and no dignified ending – it’s simply a harsh reality.

As a staunch atheist, Hitchens rejects religious consolation. He maintains throughout his illness that there is no afterlife, divine plan, or higher power. He remains steadfast in his belief that death is final, with no spiritual journey or redemption.

Hitchens also criticizes the language surrounding the disease, particularly the idea that cancer patients are “fighters” or “warriors”. He argues that such language unfairly implies that those dying of cancer have somehow failed in their battle, when in reality survival is not a measure of strength or courage.

Reflecting on the erosion of his self over the course of his illness, Hitchens writes of the gradual loss of voice and physical deterioration as a form of loss of identity, showing how cancer can strip away a person’s defining characteristics.

After all, mortality it presents death as a final, natural process, unaccompanied by an afterlife or religious meaning. Hitchens argues that facing death honestly—without illusions or false hopes—is both more dignified and more intellectually truthful.

These works provide a deep understanding of cancer that transcends scientific accounts, revealing the emotional and existential impact of the disease on individuals and their families. They show us not only the pain and suffering, but also the resilience, courage and reflection that come with facing mortality.

By reading these narratives, we gain a richer understanding of the human experience of illness—one that is as much about identity and meaning as it is about survival. Through literature, we see that illness is not just a medical challenge, but a deeply personal journey that shapes how we live, love, and ultimately how we deal with the end.


Cancer is the most dreaded disease of all. It is frowned upon for reasons beyond its physiological impact. In part, the fear surrounding cancer is rooted in its historical stigma. Even today, it is spoken of in hushed tones due to its perceived inevitability and associations with death and suffering. His unpredictable evolution, the harshness of his treatments, and the existential threat he poses contribute to a deep sense of dread.

Cancer is also strongly associated with death and suffering. In the past, most cancers were considered death sentences, with limited or no treatments. Even today, certain types of cancer have low survival rates, reinforcing the perception of cancer as a terminal disease. The disease’s ability to spread silently before detection only adds to the fear of an early, painful death.

One of the most terrifying aspects of cancer is its unpredictability. It can strike anyone, regardless of age, background or lifestyle. While some risk factors are known, cancer can develop without warning or clear cause, contributing to widespread anxiety. The fact that cancer can progress unnoticed for years before becoming untreatable only adds to this sense of vulnerability.

Even after successful treatment, the possibility of relapse is high, keeping patients in a state of uncertainty. This constant threat creates a lingering fear that never completely goes away, leaving even survivors feeling vulnerable.

Cancer’s complexity is another reason for its fearsome reputation. Unlike many other diseases, cancer is not a singular condition—it is a collection of related diseases, each with its own behaviors and responses to treatment. This ambiguity makes it difficult to fully understand or treat, and the absence of a simple treatment reinforces its ominous nature.

The treatments themselves—chemotherapy, radiation, and surgery—are often as feared as the disease. Chemotherapy kills healthy cells along with cancerous ones, leading to severe side effects such as nausea, hair loss and fatigue. Radiation can damage surrounding healthy tissue, and surgery can be disfiguring or require long recoveries. The fear of enduring these treatments, with no guarantee of success, adds an enormous psychological burden to the physical struggle.

The nature of the disease as a “bodily betrayal” intensifies the fear. Unlike infections or injuries caused by external factors, cancer originates from the body’s own cells. This creates a sense of existential dread because the enemy is not an external force but something inherent within. Metaphors of war—where patients are “fighting” cancer and treatments are “aggressive”—further frame the disease as an unbeatable enemy, heightening anxiety.

Cancer also brings enormous financial costs. Treatments, hospitalizations and ongoing care are prohibitively expensive, even for those with insurance. This adds another layer of fear for families who have to deal with both the emotional impact of the disease and the financial strain it causes.

The emotional burden on families is profound. Watching a loved one suffer, especially through disfiguring surgery or loss of physical autonomy, can be traumatic. The impact of cancer extends beyond the patient, affecting entire social networks with pain, fear and helplessness.

Despite advances in cancer research, the elusive search for a cure continues to inspire fear. The complexity of the disease means that no universal cure has been found, even after decades of research and billions spent on treatments. While new therapies offer hope, the absence of a definitive cure reinforces the perception of cancer as invincible.

In conclusion, the fear surrounding cancer is not only a product of its physiological characteristics, but also stems from the emotional, cultural and societal responses it evokes. Cancer represents an intersection of mortality, suffering, uncertainty and vulnerability. As medical science continues to make strides in treatment, addressing the psychological and cultural fears surrounding cancer is equally essential to easing the burden of this dreaded disease.

Steven Mintz is a professor of history at the University of Texas at Austin and the author, most recently, of The learning-centered university: Making college a more evolutionary, transformative, and equitable experience.