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Alice Flaherty opens The Midnight Disease: The Drive to Write, Writer’s Block, and the Creative Brain with a quote from Roland Barthes: “A creative writer is one for whom writing is a problem.”

Problem? That word hardly does justice to the affliction. A problem is misplacing your car keys or forgetting to pay the water bill. What I have is more like a life swallowed whole, a case study in obsession so severe it borders on the pathological. Writing isn’t just a habit; it’s an all-consuming parasite, a compulsion that, in a just world, would require a 12-step program and a sponsor who confiscates my pens at night.

But since no one is shipping me off to a remote cabin with nothing but an axe and a survival manual, I’ll have to settle for less extreme interventions—like seeking solace in Flaherty’s musings on the so-called writing “problem.”

As it turns out, my affliction has a clinical name. Flaherty informs me that neurologists call this compulsion hypergraphia—the unrelenting urge to write. In their view, I suffer from an overactive communication drive, a neurochemical malfunction that ensures my brain is forever churning out words, whether the world wants them or not.

Yet Flaherty, a physician and a neuroscientist, doesn’t merely dissect the neurology; she also acknowledges the rapture, the ecstasy, the fever dream of writing. She describes the transformative power of literature, how great writers fall under its spell, ascending from the mundane to the sacred, riding some metaphorical magic carpet into the great beyond.

For me, that moment of possession came courtesy of A Confederacy of Dunces. It wasn’t enough to read the book. I had to write one like it. The indignation, the hilarity, the grotesque majesty of Ignatius J. Reilly burrowed into my psyche like a virus, convincing me I had both a moral duty and the necessary delusions of grandeur to bestow a similarly deranged masterpiece upon humanity.

And I wasn’t alone. Working at Jackson’s Wine & Spirits in Berkeley, my coworkers and I read Dunces aloud between customers, our laughter turning the store into a kind of literary revival tent. Curious shoppers asked what was so funny, we evangelized, they bought copies, and they’d return, eyes gleaming with gratitude. Ignatius, with his unhinged pontifications, made the world seem momentarily less grim. He proved that literature wasn’t just entertainment—it was an antidote to the slow suffocation of daily life.

Before Dunces, I thought books were just stories. I didn’t realize they could act as battering rams against Plato’s cave, blasting apart the shadows and flooding the place with light.

During my time at the wine store, we read voraciously: The Ginger Man, One Hundred Years of Solitude, Moravia’s Contempt, Camus’ Notebooks, Borges’ labyrinthine tales. We never said it out loud, but we all understood—life was a dense fog of absurdity and despair, and books were our MREs, the intellectual rations that kept us alive for another day in the trenches.

Books were our lifeline. They lifted our spirits, fortified our identities, and sharpened our minds like whetstones against the dull blade of existence. They turned us into a ragtag band of literary zealots, clutching our dog-eared pages like relics, singing the praises of Great Literature with the fervor of the Whos in Whoville—except instead of roasting beast, we feasted on Borges and Camus.

Which brings us to Flaherty’s lament: the Internet is muscling books out of existence, and when books go, so does a vital piece of our humanity.

What would my memories of Jackson’s be without the shared reverence for literature? It wasn’t just a passion; it was the glue that bound us to each other and to our customers. The conversations, the discoveries, the camaraderie—none of it could be replicated by an algorithm or a meme.

How can I not think of this in the context of a country still staggering through its post-pandemic hangover of rage, paranoia, and despair? Where the love of books has been trampled beneath an endless scroll of digital sludge, and where human connection has been reduced to strangers launching spiteful grenades at each other across social media—those lawless arenas ruled by soulless tech lords, their pockets fat with the profits of our collective decline?

Flaherty confesses that her need to dissect the spark of writing—the thing that makes it so irrepressibly human—was an uncontrollable urge, one that made her question whether she suffered from hypergraphia, postpartum mania, or some deeper compulsion to explore what she calls the “Kingdom of Sorrow” after the devastating loss of her prematurely born twin boys. Her search for the root of her writing obsession reminded me of Rainer Maria Rilke’s advice in Letters to a Young Poet: the only writing worth doing is that which one cannot not do.

Beyond hypergraphia—an affliction rare enough to keep it from becoming a trendy self-diagnosis—Flaherty also tackles the more mundane but far more common malady of writer’s block. She attributes it to mood disorders, procrastination, repressed anxieties, and perhaps a sprinkle of nihilism. I used to wrestle with writer’s block myself, particularly between short stories, back when I entertained the delusion that I might carve out a name for myself in literary fiction. But whenever I think of writer’s block, I think of the one person I’d most like to share a meal with: Fran Lebowitz.

Lebowitz’s writer’s block has lasted for decades, so long, in fact, that she’s upgraded it to a “writer’s blockade.” If Blaise Pascal was an acid-tongued intellectual defending faith, Lebowitz is the sharp-tongued patron saint of the New York literati, delivering high-caliber cultural commentary with the precision of a diamond-tipped drill. That she doesn’t write is a cosmic joke. That people care she doesn’t write is part of her legend. That her off-the-cuff witticisms are more electrifying than most books in print makes her, without question, my literary idol.

And yet, my devotion to Lebowitz only reveals the terminal nature of my writing affliction. If a genie granted me the chance to swap lives with her—to tour the world, bask in standing ovations, and deliver effortless, unfiltered cultural critique to sold-out crowds—but on the condition that I could never write another book, I would turn it down without hesitation. This refusal confirms the depths of my sickness. In this hypothetical scenario, books themselves are mere shadows compared to the brilliance of Lebowitz’s conversation. And yet, here I am, clinging to the shadows, convinced that somewhere in those pages, I will find the thing that makes existence bearable.

Surely, no specialist can diagnose a disease like this, much less cure it.

Reading Flaherty’s sharp and introspective book, I found myself circling a familiar question: is the urge to write both a pathology and a gift? This led me straight to The Savage God, A. Alvarez’s bleak yet compelling account of depression, suicide, and literature. Across history, writers afflicted by melancholy, madness, or sheer existential despair have been cast as tragic geniuses, indulgent sinners, or misunderstood romantics, depending on the prevailing religious and literary winds.

Take Sylvia Plath, the confessional poet who sealed her fate at thirty, or John Kennedy Toole, the tortured author of A Confederacy of Dunces, who asphyxiated himself at thirty-one. Conventional wisdom holds that Toole’s despair stemmed from his inability to publish his novel, but Tom Bissell, in “The Uneasy Afterlife of A Confederacy of Dunces,” suggests a more tangled story—one of creeping paranoia and the pressures of academia, where Toole, at twenty-two, was the youngest professor in Hunter College’s history.

Like his doomed creator, Ignatius J. Reilly is possessed by the need to write. His screeds, stitched together from the wisdom of Boethius, function less as arguments and more as the existential flailings of a man convinced that writing will bring him salvation. He writes because he must, the way a fish swims—to stay alive.

Bissell’s most cutting insight isn’t about Toole’s life, but about his novel’s fundamental flaw: Dunces is riddled with indulgences—flabby with adverbs, allergic to narrative structure, and populated with characters so exaggerated they teeter on the edge of cartoonhood. He argues that Dunces is “a novel that might have been considerably more fun to write than it is to read.” This line stopped me cold.

Why? Because Dunces was my Rosetta Stone, my gateway drug to the idea of becoming a comic novelist. And yet here was the brutal truth: the very book that set me on this path was a wreck of undisciplined excess. If Dunces ruined my life, it did so not because it failed, but because I absorbed its flaws as gospel. I inhaled its bloated exuberance, its unshackled absurdity, and made it my literary template.

To undergo a religious experience from a flawed book is to risk a kind of artistic contamination—you don’t just inherit its brilliance, you inherit its sins. My writing compulsion is perhaps nothing more than Dunces’ worst tendencies metastasized in my brain.

And so, as a recovering writing addict, I am forced to sit with this painful revelation and digest it like a bad meal—one that demands an industrial-strength antacid.