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Book Review: In Her Wake by Dr. Nancy Rappaport

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The psychological devastation branded forever on family members when a loved one commits suicide became increasing evident as I read In Her Wake. What I heard from its compelling pages were two words: “What if?”

What if I understood Mama Nancy differently? What if papa treated her in a different way? What if Grandma Edith supported Nancy’s wishes instead of her husband’s? What if Nancy never divorced? What if mama won the custody battle for her children instead of papa?

The author’s tale is an emotional revelation of a child psychiatrist whose mother took her own life by deliberately ingesting an overdose of barbiturates in the form of sleeping pills. Her mother, Nancy, seemed to be outgoing, popular, in control and relatively happy with an extremely busy social calendar. Yet, the one issue which deeply troubled her was this: Nancy was deeply saddened that in spite of all attempts to gain custody of her children, she could not wrest them from her divorced husband.

Throughout the book, Rappaport examines a variety of influences which may have led to her mother’s death. Early on, she wonders what damage the drowning death of Nancy’s sister had on her psychic makeup. As a therapist, Rappaport adds, “I believe that when my mother lost her sister she was forced to grieve … and never learned how to cope with overwhelming sadness.”

In fact, Rappaport’s grandmother Edith blamed her daughter, Nancy, for her sister’s death: “Why couldn’t it have been you?” Nancy was allegedly in town drinking at the time. As painful as these words seem, as a therapist, Rappaport explains that the agony brought on by an offspring’s death often causes depression in a parent, who then tries to punish herself and those around her.

In Her Wake portrays a household where the author grew up in a task-oriented, wealthy, socially active, atmosphere. If love was present, it was busily hidden. Affectionate emotions were superficial or lacking. Her parents appeared argumentative and quick to anger.

Rappaport reports that her father came home with the 1953 Jaycees’ award as Outstanding Young Man of the Year. Yet when he proudly presented it to his socialite wife, she said, “What the heck am I going to do with this? Hang it in the bathroom?”

Once again, analyst Rappaport defends her mother for not attending the awards ceremony and her demeaning attitude toward it. She claims that both parents were only in their twenties and did not yet know how to be kind and forgiving.

Eventually, the author’s mother had an affair. Divorce followed. Papa was granted custody of the children. Regardless of the scandal, Mama was convinced that if she could show a definite stability in her life, she could prove it before a judge and win back her offspring. That never happened. Nancy remarried, possibly in an attempt to show how her life had stabilized. Still, her children were the possession of her Bostonian philanthropist husband who had remarried. Just months later, his divorced wife committed suicide.

As a whole, In Her Wake is somewhat clinical, but I'm sure that's what the author intended. She cannot help put her analyst’s interpretation on events leading up to her mother’s death. She attempts to answer over and over again, the “What if?” question she can never escape because her mother is not here to explain.

She argues that if a person is in a delicate, threatening, emotional state, that person should be seen by a psychiatrist who can administer medications to chemically alter the destructive thought patterns of the brain until the dangerous mental state can be analyzed, understood, and effectively dealt with. Often, this is accomplished through cognitive therapy where clients are taught to write out deeply troubling thoughts, name them, and then rebut them.

Rappaport feels that her mother was quickly approaching such an extremely agitated psychic state after losing her final battle for her children in court. Yes, she was in therapy, but with a psychotherapist who, even if he recognized Nancy’s severe symptoms, did not have the license to prescribe helpful medications.

So, who should read In Her Wake? I think the book is an appropriate read for adults and knowledgeable adolescents who have lost a loved one. The author explains, in layman’s terms, the feelings of sorrow, hopelessness, meaninglessness, and often despair that haunts people who remain alive after someone they loved has passed on.

This book would be of particular interest to family members who have endured or witnessed a suicide. Dr. Rappaport’s words offer encouragement, enlightenment, and hope. If you are a guilt-ridden person, In Her Wake will lessen those feelings because you will never really answer the question “What if?” What you can do is move on with your life knowing others have suffered the same loss. Like her, the best thing you can do is grieve, love yourself and move on.

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About Regis Schilken

  • Louise Roberts

    I have just finished reading In Her Wake. I lost my 32 year old daughter to suicide 6 months ago leaving 4 and 5 year old little girls. There were no signs and we are devastated. Finding Nancy’s book has been a miracle for my family.Beautifully written and so truthful. The loss of a loved one to suicide is profound. It’s a book for all caring professionals.

  • nancy Rappaport

    I also wanted to let people know that my web site http://www.inherwake.com has excerpt of book and other useful information!
    Sincerely, Nancy

  • nancy Rappaport

    Thank you so much for your thoughtful analysis ! I am the author (Dr. Nancy Rappaport) of In Her Wake and I am honored you took the time to share your ideas.
    I had one important correction as the names my mother (Nancy) and my grandmother (Edith) are mixed up. So in the first part of the blog when you say” What if I understood Mama Edith differently? “you mean to refer to my mother which would mean then it would be corrected to say “What if I understood Mama Nancy differently?”In the same name confusion it is mama Nancy that is trying to wrest custody
    not Mama Edith as Edith in the story is the grandmother(and never was in a custody battle with her husband).
    The drowning death that you refer to is not Edith’s sister as it refers in the blog but Nancy’s sister. The content is terrific I just wanted to clarify the names of my family members.

    I am so grateful that you took the time to review this and found it useful for people who have lost someone to suicide, I hope also that people who are trying to understand the process of reflection and knowing their family will be interested too.

    Sincerely, Nancy Rappaport