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Tennis is a recurring motif throughout the book that symbolizes life itself. The title of the book reiterates this, signifying how David is Abraham’s partner not just on the court, but during a difficult period in his life, too. Both men’s approaches to tennis offer insight into their personalities and approaches to life. Abraham plays consistently, passionately, and diligently, and this is the way he approaches other aspects of his life as well, especially his work as a doctor. He reflects on and learns from his experiences. David’s on-court presence similarly mirrors how he is easily distracted by stresses and temptations. He has natural talent and potential but is not able to maximize this potential because of his Disease of Addiction.
The tennis sessions between Abraham and David also act as a barometer for their relationship. The game feels good and sessions are regular when their friendship is in a good place, and cancelations and no-shows crop up when their relationship is faltering. Abraham gets increasingly better at the game and eventually beats David in a set, symbolic of how Abraham eventually recognizes and accepts the hierarchy inherent in their relationship. As their friendship falls apart, the games turn “lifeless,” and they completely die out. As an author, Verghese also weaves tennis into the narrative framework of the book. Stand-alone chapters and anecdotes from the history of tennis foreshadow or mirror events and insights in his life off the court.
Writing and journaling are recurring motifs that appear in the book. Both Abraham and David keep journals that showcase key character traits in both men. How they function in their lives also points to their respective journeys with Navigating Loneliness and Conflict in Relationships.
Along with personal journaling, Abraham has a collection of tennis notebooks from his childhood. These contain meticulous notes and information about the game and key insights from the games he has played. These notebooks symbolize Abraham’s tendency to reflect on situations and incorporate what he learns into his life. Abraham reflects on how if had put the same effort into his marriage as he did tennis, it might not have crumbled. This shows self-awareness and an ability to take responsibility for his actions.
David, too, keeps journals, but they are a part of his recovery process. These journals house David’s innermost thoughts and desires, which he does not share with anyone. They symbolize David’s characteristic secrecy, especially surrounding his addiction; he does not let people in enough to help him. Furthermore, the explicit details in his journals hint at David’s sex addiction. Rather than introspection, the journals contain details of temptation; thus, these journals harm him rather than help him, and instigate the conflict between him and Emily.
The Prologue describes how an unnamed intern, later revealed to be David, recoils from his reflection. This is an important image that appears again in the book, symbolizing the darkness and intensity of The Disease of Addiction. When talking about using in the past, David tells Abraham why he does not like looking in the mirror: He is unable to shake a specific image of his reflection from a multi-day drug binge. David’s description of that image as “frightening” and “evil” underlines how scary addiction can feel both to those witnessing it and to the user. The last time Abraham sees David before the latter’s death, he is unsettled by what he sees, and his description echoes what David saw in the mirror: “The appearance of this beast was terrifying” (319). This description emphasizes how addiction takes over the rational brain and eradicates all impulse control.
David also reflects on how the image in the mirror felt like a stranger to him; similarly, Abraham is shocked by how unrecognizable David has become within such a short period of relapsing. Once again, these descriptions highlight how addiction can completely take over one’s consciousness and identity and make a person behave in unexpected and unpredictable ways. Addiction is not a result of a lack of willpower or a malignant desire to hurt oneself and others; rather, addiction brings these responses about in unfortunate ways.
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By Abraham Verghese