Eternal Sunshine of the Spotless Mind: 20 years on

Memory and the meaning of suffering.

Beatrice Scudeler

Beatrice writes on literature, religion, the arts, and the family. Her published work can be found here.

A coupe sit on outdoor steps against a blue sky. One holds a plate and the other looks towards them.

Carrey and Winslet as Joel and Clementine.

Michel Gondry’s Eternal Sunshine of the Spotless Mind came out in 2004. Twenty years on, its stubborn insistence that the memory of pain gives meaning to our lives is as relevant as ever.

I first watched Gondry’s cult classic earlier this year, in the midst of recovering from postnatal PTSD. When we are faced with heartbreak, it can be easy to wish that we could retreat from painful memories, hiding them away until the initial pang has seemingly died down. That was my experience, at least. But I quickly learnt that the traumatic memory of my daughter’s birth would continue to resurface until I processed it and accepted it as part of my life. Just so, Eternal Sunshine of the Spotless Mind teaches us that being vulnerable to suffering is a gift, that suffering itself is necessary to our moral growth, and that our ability to remember the past is an invaluable faculty of the human mind.

The film begins simply, with a meeting between its protagonists, Joel Barish and Clementine Kruczynski. As Joel and Clementine start making small talk, they seem immediately comfortable, almost familiar with each other, and yet the atmosphere is eerie. Soon enough, we discover that Clementine was a patient at Lacuna, a clinic which erased every memory of Joel from her mind after their two-year relationship ended in a painful breakup. When Joel finds out, he asks Dr. Howard Mierzwiak, the director of Lacuna, to do the same for him. As viewers, we now start to wonder: was that meeting we witnessed their very first, or have they met again after their memories were erased, unaware that they loved each other in a ‘past’ life?

This tone of disorientation continues throughout the film, and that’s what makes it so special. As Joel’s memories of Clementine are erased one by one, he realises that the removal of one’s painful experiences is in itself a kind of trauma; what promises to be a relief, turns out to be nothing more than loss.

We experience this sense of disorientation and loss alongside Joel as we jump through snippets of his and Clementine’s happiest and saddest moments together, trying to piece together in our minds a linear narrative of their relationship. While this is happening, the film’s subplot focuses on Stan, Patrick, and Mary, three young people working for Lacuna. As Stan and Patrick, the ‘technicians’, work on Joel’s memory removal, Mary, Lacuna’s naive receptionist, muses on the beauty of their mission. She begins quoting aloud the passage of poetry which inspires the film’s very title, taken from Alexander Pope’s verse epistle Eloisa to Abelard (1717):

How happy is the blameless vestal’s lot!

The world forgetting, by the world forgot.

Eternal sunshine of the spotless mind!

Each pray’r accepted, and each wish resign’d.

Mary has an idealistic vision of her work: she believes she is helping suffering people experience the kind of ‘eternal sunshine’ that only a ‘spotless mind’ can achieve. But the human mind is not so simple. Joel’s desire for forgetfulness quickly turns nightmarish. As he realises he has made a mistake, he starts fighting to retain the memory of his love for Clementine, but his is a hopeless quest. Dr. Mierzwiak’s intervention ensures that the procedure is completed.

Left alone without Stan and Patrick, Mary confesses to the married Dr. Mierzwiak that she is in love with him. It is at this point that her idealism crumbles down. He reveals that they’ve already had an affair in the past and that she agreed to let him erase its memory from her mind. Mary is devastated. She decides that what Lacuna is doing is unethical - even if Mierzwiak technically has the patients’ consent to the procedure - and releases the clinic’s files back to the patients. It is this decision which leads Clementine and Joel, just a few days after they ‘meet’ again, to discover that they’ve already loved each other in the past.

Accepting suffering and holding it in our hearts, not with bitterness, but rather with courage, requires endless patience and infinite hope.

Although the script of the film doesn’t spell it out, Mary’s story emphasises that the absence of painful memories is in itself experienced as a painful loss. What’s more, it shows that, without the memory of the suffering which we have inflicted on others, and which others have inflicted on us, we are incapable of moral growth. Thanks to the knowledge of the past, Mary is able, this time around, to resist having an affair with a married man. Just so, the final scene of the film, which sees Joel and Clementine vow to renew their relationship, is hopeful not in spite of the fact that they have regained the memory of the ways in which they hurt each other in the past, but precisely because of it.

Accepting suffering and holding it in our hearts, not with bitterness, but rather with courage, requires endless patience and infinite hope. But that is what we were made for. Each one of us is called to endure pain in imitation of Christ, and, out of that pain, to discover a greater capacity for sacrificial love. We make meaning out of pain: that’s what human beings do.

The very last lines of Eternal Sunshine of the Spotless Mind perfectly express the fruits of this Christ-like acceptance. As Joel reassures Clementine that he can’t see anything he doesn’t like about her, she expresses her doubts and anxieties: ‘But you will! But you will.’, she repeats, ‘You know, you will think of things. And I’ll get bored with you and feel trapped because that’s what happens with me.’ Joel and Clementine look at each other, and, after a pause, they simply say to each other: ‘Okay’. Their ‘okay’ is not an indication that they are doomed to repeat old mistakes. Rather, it signals a new choice: this time, when their relationship becomes difficult, they won’t just run away; this time, they will face discomfort, heartbreak, and disappointment, armed with the knowledge that seeking a sense of permanence by loving another person completely is an inherently valuable pursuit. In accepting the most traumatic parts of our past we grow closer to God; and in bravely deciding to look ahead to the future with hope, we catch a glimpse of the unadulterated joy which we will finally experience in God’s eternity.

Article

Care

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.