A dazzling memoir of chronic illness that explores the fraught intersection between pain, language, and gender, by a debut author.

Emily Wells spent her childhood dancing through intense pain she assumed was normal for a ballerina pushing her body to its limits. For years, no doctor could tell Wells what was wrong with her, or they told her it was all in her head.

In A Matter of Appearance, Wells traces her journey as she tries to understand and define the chronic pain she has lived with all her life. She draws on the critical works of Freud, Sontag, and others to explore the intersection between gender, pain, and language, and she traces a direct line from the “hysteria patients” at the Salpêtrière Hospital in nineteenth-century Paris to the contemporary New Age healers in Los Angeles, her stomping ground. At the crux of Wells’ literary project is the dilemma of how to diagnose an experience that is both private and public, subjective and quantifiable, and how to express all this in words.

“Gorgeously written and brilliantly argued, A Matter of Appearance uses chronic illness as a lever to investigate the life of a body. It’s complex, inconclusive, and incredibly clear-eyed. Moving fluidly between histories of psychoanalysis, desire, ambition, pathology, Wells reminds us of the liminal state we all live in between sickness and health.”
—Chris Kraus, author of Aliens & Anorexia and Summer of Hate