“The body provides something for the spirit to look after and use,” computing pioneer Alan Turing wrote as he contemplated the binary code of body and spirit in the spring of his twenty-first year, having just lost the love of his life to tuberculosis. Nothing garbles that code more violently than illness — from the temporary terrors of food poisoning to the existential tumult of a terminal diagnosis — our entire mental and emotional being is hijacked by the demands of a malcontented body as dis-ease, in the most literal sense, fills sinew and spirit alike. These rude reminders of our atomic fragility are perhaps the most discomfiting yet most common human experience — it is difficult, if at all possible, to find a person unaffected by illness, for we have all been or will be ill, and have all loved or will love someone afflicted by illness.

No one has articulated the peculiar vexations of illness, nor addressed the psychic transcendence accessible amid the terrors of the body, more thoughtfully than Virginia Woolf (January 25, 1882–March 28, 1941) in her 1926 essay “On Being Ill,” later included in the indispensable posthumous collection of her Selected Essays (public library).

Portrait of Virginia Woolf from Literary Witches.

Half a century before Susan Sontag’s landmark book Illness as Metaphor, Woolf writes:

Considering how common illness is, how tremendous the spiritual change that it brings, how astonishing, when the lights of health go down, the undiscovered countries that are then disclosed, what wastes and deserts of the soul a slight attack of influenza brings to view, what precipices and lawns sprinkled with bright flowers a little rise of temperature reveals, what ancient and obdurate oaks are uprooted in us by the act of sickness, how we go down into the pit of death and feel the waters of annihilation close above our heads and wake thinking to find ourselves in the presence of the angels and the harpers when we have a tooth out and come to the surface in the dentist’s arm-chair and confuse his “Rinse the mouth — rinse the mouth” with the greeting of the Deity stooping from the floor of Heaven to welcome us — when we think of this, as we are so frequently forced to think of it, it becomes strange indeed that illness has not taken its place with love and battle and jealousy among the prime themes of literature. Novels, one would have thought, would have been devoted to influenza; epic poems to typhoid; odes to pneumonia; lyrics to toothache. But no; with a few exceptions — De Quincey attempted something of the sort in The Opium Eater; there must be a volume or two about disease scattered through the pages of Proust — literature does its best to maintain that its concern is with the mind; that the body is a sheet of plain glass through which the soul looks straight and clear, and, save for one or two passions such as desire and greed, is null, and negligible and non-existent.

Five years earlier, the ailing Rilke had written in a letter to a young woman: “I am not one of those who neglect the body in order to make of it a sacrificial offering for the soul, since my soul would thoroughly dislike being served in such a fashion.” Woolf, writing in the year of Rilke’s death and well ahead of the modern scientific inquiry into how the life of the body shapes the life of the mind, rebels against the residual Cartesianism of the mind-body divide with her characteristic fusion of wisdom and wry humor, channeled in exquisite prose:

All day, all night the body intervenes; blunts or sharpens, colours or discolours, turns to wax in the warmth of June, hardens to tallow in the murk of February. The creature within can only gaze through the pane — smudged or rosy; it cannot separate off from the body like the sheath of a knife or the pod of a pea for a single instant; it must go through the whole unending procession of changes, heat and cold, comfort and discomfort, hunger and satisfaction, health and illness, until there comes the inevitable catastrophe; the body smashes itself to smithereens, and the soul (it is said) escapes. But of all this daily drama of the body there is no record. People write always of the doings of the mind; the thoughts that come to it; its noble plans; how the mind has civilised the universe. They show it ignoring the body in the philosopher’s turret; or kicking the body, like an old leather football, across leagues of snow and desert in the pursuit of conquest or discovery. Those great wars which the body wages with the mind a slave to it, in the solitude of the bedroom against the assault of fever or the oncome of melancholia, are neglected. Nor is the reason far to seek. To look these things squarely in the face would need the courage of a lion tamer; a robust philosophy; a reason rooted in the bowels of the earth. Short of these, this monster, the body, this miracle, its pain, will soon make us taper into mysticism, or rise, with rapid beats of the wings, into the raptures of transcendentalism.

Art from the vintage science primer The Human Body: What It Is and How It Works.

“Is language the adequate expression of all realities?” Nietzsche had asked when Woolf was just genetic potential in her parents’ DNA. Language, the fully formed human argues as she considers the unreality of illness, has been utterly inadequate in conferring upon this commonest experience the dignity of representation it confers upon just about every other universal human experience:

To hinder the description of illness in literature, there is the poverty of the language. English, which can express the thoughts of Hamlet and the tragedy of Lear, has no words for the shiver and the headache. It has all grown one way.

In a passage Oliver Sacks could have written, Woolf pivots to the humorous, somehow without losing the profundity of the larger point:

Yet it is not only a new language that we need, more primitive, more sensual, more obscene, but a new hierarchy of the passions; love must be deposed in favour of a temperature of 104; jealousy give place to the pangs of sciatica; sleeplessness play the part of villain, and the hero become a white liquid with a sweet taste — that mighty Prince with the moths’ eyes and the feathered feet, one of whose names is Chloral.

And then, just like that, in classic Woolfian fashion, she fangs into the meat of the matter — the way we plunge into the universality of illness, so universal as to border on the banal, until we reach the rock bottom of utter existential aloneness:

That illusion of a world so shaped that it echoes every groan, of human beings so tied together by common needs and fears that a twitch at one wrist jerks another, where however strange your experience other people have had it too, where however far you travel in your own mind someone has been there before you — is all an illusion. We do not know our own souls, let alone the souls of others. Human beings do not go hand in hand the whole stretch of the way. There is a virgin forest in each; a snowfield where even the print of birds’ feet is unknown. Here we go alone, and like it better so. Always to have sympathy, always to be accompanied, always to be understood would be intolerable.

Art by Nina Cosford from the illustrated biography of Virginia Woolf

In health, Woolf argues, we maintain the illusion, both psychological and outwardly performative, of being cradled in the arms of civilization and society. Illness jolts us out of it, orphans us from belonging. But it also does something else, something beautiful and transcendent: In piercing the trance of busyness and obligation, it awakens us to the world about us, whose smallest details, neglected by our regular societal conscience, suddenly throb with aliveness and magnetic curiosity. It renders us “able, perhaps for the first time for years, to look round, to look up — to look, for example, at the sky”:

The first impression of that extraordinary spectacle is strangely overcoming. Ordinarily to look at the sky for any length of time is impossible. Pedestrians would be impeded and disconcerted by a public sky-gazer. What snatches we get of it are mutilated by chimneys and churches, serve as a background for man, signify wet weather or fine, daub windows gold, and, filling in the branches, complete the pathos of dishevelled autumnal plane trees in autumnal squares. Now, lying recumbent, staring straight up, the sky is discovered to be something so different from this that really it is a little shocking. This then has been going on all the time without our knowing it! — this incessant making up of shapes and casting them down, this buffeting of clouds together, and drawing vast trains of ships and waggons from North to South, this incessant ringing up and down of curtains of light and shade, this interminable experiment with gold shafts and blue shadows, with veiling the sun and unveiling it, with making rock ramparts and wafting them away…

But in the consolations of this transcendent communion with nature resides the most disquieting fact of existence — the awareness of an unfeeling universe, operating by impartial laws unconcerned with our individual fates:

Divinely beautiful it is also divinely heartless. Immeasurable resources are used for some purpose which has nothing to do with human pleasure or human profit.

Drawing from The Comet Book — a 16th-century pre-astronomical document of magical thinking about the laws of the universe.

It would take Woolf more than a decade to fully formulate, in a most stunning reflection, the paradoxical way in which these heartless laws are the very reason we are called to make beauty and meaning within their unfeeling parameters: “There is no Shakespeare, there is no Beethoven; certainly and emphatically there is no God; we are the words; we are the music; we are the thing itself,” she would write in 1939. Now, in her meditation on illness, she hones the anchor of these ideas:

Poets have found religion in nature; people live in the country to learn virtue from plants. It is in their indifference that they are comforting. That snowfield of the mind, where man has not trodden, is visited by the cloud, kissed by the falling petal, as, in another sphere, it is the great artists, the Miltons and the Popes, who console not by their thought of us but by their forgetfulness.

[…]

It is only the recumbent who know what, after all, Nature is at no pains to conceal — that she in the end will conquer; heat will leave the world; stiff with frost we shall cease to drag ourselves about the fields; ice will lie thick upon factory and engine; the sun will go out.

This sudden awareness of elemental truth renders the ill person a sort of seer, imbued with an almost mystical understanding of existence, beyond any intellectual interpretation. Nearly a century before Patti Smith came to contemplate how illness expands the field of poetic awareness, Woolf writes:

In illness words seem to possess a mystic quality. We grasp what is beyond their surface meaning, gather instinctively this, that, and the other — a sound, a colour, here a stress, there a pause — which the poet, knowing words to be meagre in comparison with ideas, has strewn about his page to evoke, when collected, a state of mind which neither words can express nor the reason explain. Incomprehensibility has an enormous power over us in illness, more legitimately perhaps than the upright will allow. In health meaning has encroached upon sound. Our intelligence domineers over our senses. But in illness, with the police off duty, we creep beneath some obscure poem by Mallarmé or Donne, some phrase in Latin or Greek, and the words give out their scent and distil their flavour, and then, if at last we grasp the meaning, it is all the richer for having come to us sensually first, by way of the palate and the nostrils, like some queer odour.

Complement this portion of Woolf’s thoroughly fantastic Selected Essays with Roald Dahl on how illness emboldens creativity and Alice James — Henry and William James’s brilliant sister, whom Woolf greatly admired — on how to live fully while dying, then revisit Woolf on the art of letters, the relationship between loneliness and creativity, the creative potency of the androgynous mind, and her transcendent account of a total solar eclipse.