Complex Sorrow

In 1988, Marianne Paget published the "Unity of Mistakes: A Phenomenological Interpretation of Medical Work" (Temple) in which she argued that error is an intrinsic feature in medicine an experimental and uncertain activity. Her subsequent research focused on medical negligence and on miscommunication and silence as a cause and product of error in medicine. While pursuing her research on negligence, she found out that she was an example of it. Chronic back pain that had been misdiagnosed as muscle spasms turned out to be a symptom of a rare and fatal cancer that claimed Paget's life in December 1989. This collection of her personal and professional writings on the phenomenon of error in medicine chronicles a young scholar's courageous struggle to make sense of a tragic coincidence. Discovering that she was living the charges and painful topic that she had studied so deeply, Paget wrote poignantly and analytically until the last week of her life about this uncanny parallel.'It is very tricky to come to terms with the reality of death without becoming trapped in that reality', wrote 'Tracy' Paget to her friends. In this book, she describes 'the odd way my life began to mirror my work'; her search for 'life rites' when face with tasks involving wills, last rites, and farewells; and, her indomitable and forthright attempt to remain intensely alive in the face of death. "A Complex Sorrow", her final project, comprises essays, letters, and a journal recording her last year. Ever critical of the distanced and dispassionate stance taken in much social analysis, Paget had experimented with performance as a form for enlivening social science research. The script for her play, "The Work of Talk," about communication problems between a physician and his cancer patient, is also included. Her compelling life-text speaks to those living with illness and those who care for and about them, as the investigation and representation of lived experience.Author note: Marianne A. Paget (1940-1989) was a Research Associate in the Department of Sociology at Brandeis University. Marjorie L. DeVault, a close friend and colleague of Paget, is Assistant Professor of Sociology at Syracuse University.