When I encountered "The Lady of Shallot" (to take a "for instance" allusion from the many in the book, this one from the "Etiology" section) it was still considered a "great poem." What does that poem - or rather a particular presentation of that poem (hey, admire this!) - do to a young woman?

The failure of protection, the importance of recognizing the ways in which we influence (and infect) each other - the fact that being an "individual" can't protect you - these are issues I've been thinking about for a while.

The boundary between expert and amateur was an imposed social-cultural "protection" which actually exposed a number of women to a fatal disease, because decaying matter, as the fireman said of fire (cited in the book's final piece, "Torch Song") "ain't got no rules on it."

Miss Havisham is a glitch in the smooth functioning of the Patriarchy, enforcing awareness of a moment of social disaster and personal shame, something it seems she would want us to forget (but no one would forget). (Maybe an interesting "discussion question" for readers of Complicated Grief might be, "What do Terry Barton and Miss Havisham have in common?"?)

I can tell that I shaped the book very deliberately, after a great deal of thought, and that I insisted this piece function as a prologue, but I find the word "intention," confusing ("trust the art," as D.H. Lawrence said, "not the artist"). These speculations are perhaps better responded to by text and reader, rather than author.

Maybe one way to think about it would be in the context of the historical development of germ theory. The problem of childbed fever was not significant until the development of a male-dominated medical establishment made possible the situation in which a professional might move from touching a corpse (for the purposes of study) to putting his unwashed hands up against, or into, a woman in labor.

In Frankenstein there is a transfer first of life into death (in the creation and animation of the monster), and then of death into life, as the monster takes his revenge on the father who gave him life but withheld recognition.