One thing you can say for sure about Joyce Carol Oates is that she’s both fearless and unrelenting about being gross when she wants to be. This includes posting pictures to social media, but here I am specifically talking about a story like this. The affliction of the title is a strange rash that also afflicts the young victim’s great-uncle. The doctors don’t know what it is or what to do about it, but the uncle does—it’s a matter of digging out biological “things” embedded under the skin, as he demonstrates. The highlights of the story are the descriptions of the “things”: “cobwebby strands of bloody mucus-matter, wormlike coils of puss, partly coagulated blood-clots.” Or, “The child had to be held as, with a deft hand, the uncle extracted the things, some of them no larger than a kernel of corn, some as large as a dime, throbbing with heat and of an odor of rankness, like an overripe peach. The operation took about forty minutes. The child screamed in pain and terror, thrashing in the tub.” Detailed scenes of the affliction feel like where Oates is most into it. They’re scattered all over the story. But then, as if to dignify an indulgence, the things become the source of the main character’s art. Over his lifetime—he’s in his 70s in the present time of the story—he becomes a great and renowned artist on the celebrity level, as I took it, of Picasso or Warhol. Oates is fascinated by art and the making of it, a frequent theme in her work. This story is making its metaphorical point obvious with the show of body horror: art is torn out of the artist, and it hurts. In this story art is organic in an unusually vivid way, the result of a process that doesn’t entirely involve consciousness. But it’s fair to say the story also exists to make us uncomfortable. The artist, in his 70s, is in the twilight of his career, fading. Remarkably, Oates does her horror work as a sideline project in an amazingly prolific career. This story, for any of its arguable flaws, is a prime example of one of the things she does best: shock, and more, shock with a purpose. The take on the agonies of art might be a little easy or overstated, but it’s real enough on its own terms. Art makes great demands of artists.
Joyce Carol Oates, The Collector of Hearts
Story not available online.

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