Hugo & Nebula Awards: Best Novels discussion

Even Though I Knew the End
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Buddy Reads > 2022 Nebula for best Novella - Even Though I Knew the End

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message 1: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
Discuss the winning novella here


message 2: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
I've started it today. So far a nice mix of (urban?) fantasy and noir. When at the beginning the narrator (view spoiler)


Kalin | 1493 comments Mod
I thought this was a decent novella-length story, I wouldn't say it blew me away though. There were a couple noir-ish fantasy novellas tordotcom released last year and they kind of blend together in my memory not too long after reading them. This was the best of them though.


message 4: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
I've finished it, a nice story, if the author writes more with the same narrator I'll read. At the same time, yes, nothing mind-blowing but a fine read


message 5: by Kateblue, 2nd star to the right and straight on til morning (new) - rated it 4 stars

Kateblue | 4806 comments Mod
I will try to get to this within the month. No promises!


Kimberly (kimberlyanne) | 51 comments This was a quick enjoyable read. I thought the story was imaginative and treated character types in unexpected ways, which held my interest. I agree, it would be fun to read more from the author with these characters. I did feel like there were some repetitive parts for some reason, but I am not going back to reread and double check.

This was fun, readable, had decent character development within the construct of the short form, and gave us a different take on similar stories. I imagine that played a part in consideration from an award perspective.


message 7: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
One thing that irked me a bit is a common trope in fiction that equals electroshock therapy to tortures and fake medicine, promoted by sadists. In reality (e.g. see Wiki as a starter), it is [1] usually painless, [2] used rarely and [3] proven effective in some cases.


message 8: by Allan (new) - added it

Allan Phillips | 3682 comments Mod
Is there a link to this one?


message 9: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
Allan wrote: "Is there a link to this one?"

To the book or to my comment? or something else? :)

Book Even Though I Knew the End

Wiki on www.wikiwand.com/en/Electroconvulsive...


Kristenelle | 355 comments Oleksandr wrote: "One thing that irked me a bit is a common trope in fiction that equals electroshock therapy to tortures and fake medicine, promoted by sadists. In reality (e.g. see Wiki as a starter), it is [1] us..."

True. I know someone who finds it effective for severe depression. However, I think it is fair to say it has been abused in the past.


message 12: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
Kristenelle wrote: "However, I think it is fair to say it has been abused in the past.."

As I understand it, the procedure hasn't been broadly abused because most doctors are extremely careful not to kill their patients, and electric shock still can negatively affect the heart and it has been known from the start. So, it never was an approach 'hey, we got this new patient, let's start with shocking them!' Moreover, the true problem of e.g. US healthcare is the opioid epidemic that hurts and kills by orders of magnitude more than ECT ever did, but it hasn't been turned into a trope


Kristenelle | 355 comments I thought this novella was good, but it didn't particularly wow me. I didn't feel like there were many super stand-out novellas eligible this year though. So, I definitely feel like it was one of the better ones. I can't think of any novellas I feel strongly should have won in its stead. But like I said, I was pretty ambivalent about a lot of novellas this year. I think there were a lot of good novellas and none of them really stood out a lot as better than the rest to me.

I'm a little surprised that the Becky Chambers didn't win.


Kristenelle | 355 comments Oleksandr wrote: "Kristenelle wrote: "However, I think it is fair to say it has been abused in the past.."

As I understand it, the procedure hasn't been broadly abused because most doctors are extremely careful not..."


Yeah, I feel confident that electroshock therapy is rarely if ever abused at this point in time, but my understanding is that it was widely used and abused in the past....like fifty or more years ago. I'm just going off my impressions. I don't have evidence or cites. Do you feel that it was never abused?


message 15: by Kalin (last edited Jun 09, 2023 02:34PM) (new) - rated it 3 stars

Kalin | 1493 comments Mod
My understanding was it was widely abused in carceral psychiatric institutions throughout the first half or two thirds of the 20th century. I thought this was just common knowledge, so I don't have any citations either.


message 16: by Ed (new)

Ed Erwin | 902 comments The trope seems to have started with the book/film "One flew over the cuckoo's nest". (The "evil" nurse in that film was played by Louise Fletcher, also known from work in Star Trek, and who recently died.)

It isn't just a trope. Back in the old days, lots of people were given ECT without consent, without anesthesia, and without muscle relaxants (which reduce the likelihood of breaking bones). Things changed in the 1970's.

All that (except Louise Fletcher's death) is in the (English) Wikipedia article.

Lobotomies were also frequently forced on people with horrible results.

"..the true problem of e.g. US healthcare is the opioid epidemic .."

You should say "ONE problem". There are many!


Kristenelle | 355 comments Lol, yup, Ed. There are A LOT of problems with US healthcare. 😂 I can’t even find a primary care physician at the moment…


message 18: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
I've searched on abuse of ECT in the past and found this interesting article in the Psychitric Times: https://www.psychiatrictimes.com/view...

To quote relevant pieces:
When ECT was invented in 1938, modern anesthesia had not yet been developed; thus, ECT had to be given in unmodified form. Furthermore, because it was so effective for severe psychiatric illness, at a time when there were few other viable treatments, it was tried on patients with many different disorders. It was clearly overused-even abused.

So, yes, overused but not because of the inherent malice of medics, but because it was so effective in some cases and no viable alternatives

Why such animosity toward a medical procedure that is solely intended to provide relief to people who have severe depression? Much of the answer lies in a checkered remote history that remains alive today, largely because of the film One Flew Over the Cuckoo’s Nest. Made in 1975, it depicts a form of ECT that was already nearly 20 years obsolete in 1975. It was fiction taken literally as medical fact

As I said, fiction is taken as fact.

And yes, there are a lot of problems with healthcare everywhere.


Kalin | 1493 comments Mod
Oleksandr wrote: "And yes, there are a lot of problems with healthcare everywhere. "

The biggest problem with Canadian healthcare is neoliberal politicians trying to privatize it and turn it into American-style healthcare.


message 20: by Kateblue, 2nd star to the right and straight on til morning (new) - rated it 4 stars

Kateblue | 4806 comments Mod
Strange that it is the liberal politicians wanting to privatize. Seems to be the opposite in the US


message 21: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
I've studied healthcare systems a little, including a Canadian one (Ukraine made significant progress reforming our healthcare with both Canada and UK as prominent examples)


message 22: by Kateblue, 2nd star to the right and straight on til morning (new) - rated it 4 stars

Kateblue | 4806 comments Mod
Well, all I know is, ours is awful


Kristenelle | 355 comments Kalin wrote: "The biggest problem with Canadian healthcare is neoliberal politicians trying to privatize it and turn it into American-style healthcare."


Nooo, what about US healthcare could possibly be tempting?? I guess I can see the appeal to greedy psychopaths...


Kristenelle | 355 comments Kateblue wrote: "Strange that it is the liberal politicians wanting to privatize. Seems to be the opposite in the US"

Neoliberal is different from liberal. I don't totally understand the exact definitions of the terms, but neoliberal tends to be more pro-capitalism and free market and stuff. The definition actually sounds really conservative.


message 25: by Kateblue, 2nd star to the right and straight on til morning (new) - rated it 4 stars

Kateblue | 4806 comments Mod
well, I looked up definitions and am somewhat confused, but I've decided that I will do with it the same thing I (mostly) do with politics . . . ignore it as much as I can!!!


message 26: by Ed (new)

Ed Erwin | 902 comments Oleksandr wrote: "...As I said, fiction is taken as fact...."

This book takes place in the 1940s, right? The text you quoted says things started getting better about 20 years before 1975, so about 1955. There really and truly were abuses before that including lack of anesthesia and lack of consent.

Hospitals for psychiatric patients were pretty horrible even well into the early 1900s.

By random chance, I was reading about Antonin Artaud yesterday. He was given ECT in the 1940s. Wiki says 'Artaud denounced the electroshock treatments and consistently pleaded to have them suspended, while also ascribing to them "the benefit of having returned him to his name and to his self mastery".' (This was France during the occupation, not USA, but still you see the idea of patient consent wasn't treated the way it is today.)

As for ECT in the modern times... it is much less unpleasant. I know someone who suffers from severe depression. When it gets really bad she voluntarily seeks ECT and it helps her.


message 27: by MH (new) - rated it 5 stars

MH | 14 comments Kateblue wrote: "Neoliberal is different from liberal. I don't totally understand the exact definitions of the terms, but neoliberal tends to be more pro-capitalism and free market and stuff. The definition actually sounds really conservative."

It makes sense when you realise that in the US, "liberal" and "conservative" are flipped around, and mean the opposite of what they do in the rest of the world.


message 28: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
I've never dug deep into the idea of patient consent and in the case of ECT I ain't sure it is applicable in every case - it was used among other cases to treat patients who had acute bouts of bipolar disorder - in such a condition a person is sometimes delusional and at the same time 'feels' themselves fine. If after ECT they agree it was needed but not before - how this works? For some, I guess it should be a decision of the patient's caretaker but is there any explicit rule?


message 29: by Kalin (last edited Jun 12, 2023 07:34AM) (new) - rated it 3 stars

Kalin | 1493 comments Mod
There are lots of explicit rules, they differ by region, but the general foundation is that free (uncoerced), prior (retroactive consent is not a thing), and informed consent has become a core principle of healthcare--at least in my country--and this is legally enshrined. For example:

"In circumstances where it has been determined that a patient is incapable of consenting to a particular medical treatment, the question as to who is authorized to make the decision will arise...

A number of provinces have also enacted legislation for substitute decision-makers which sets out and ranks a list of individuals, usually family members, who are authorized to give or refuse consent to treatment on behalf of an incapable person... Generally speaking, substitute decision-makers must act in compliance with any prior capable wish of the patient, where possible. Consideration of such factors as the individual's current wishes and his or her known beliefs and values may also be required, depending on the jurisdiction."


https://www.cmpa-acpm.ca/en/advice-pu...

It took a lot of medical abuse and decades of doctor-centric decision-making over the 20th C for these principles to be codified.


message 30: by Oleksandr, a.k.a. Acorn (new) - rated it 4 stars

Oleksandr Zholud | 5538 comments Mod
Thanks for the info, Kalin. I guess right now we have similar rules. However, when I grew up, in the USSR there was a campaign against drinking where drunks caught in public places were forced to 'clinics', which treated them with cold showers, isolation, and some medicine (plus often unofficially beatings).


message 31: by Rebecca (last edited Jun 19, 2023 10:36AM) (new) - rated it 4 stars

Rebecca | 460 comments I agree with Ed, almost all of my understanding re ECT is from One Flew Over the Cuckoo's Nest.

Re the novella" I thought it was quite good, given the reception it received here on GR, I set high expectations, which were thankfully met! I love the atmosphere of the 20s and the magic system (though minimally built out) was intriguing. The sexual suppression and sexism was frustrating and I found it got in the way of my enjoyment of the storyline at times (but it was the reality of those times so perhaps I shouldn't complain).

This would have benefited from a bit more detail in the world building/magic system, but novellas usually leave me wanting more. Another review mentioned this is reminiscent of the A Master of Djinn world, which resonated with me. It left me with similar feelings and had that same type of fun exploration wrapped up in Great Gatsby nostalgia.


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