Lady Gaga's Illness Is Not a Metaphor

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A new film details the reason the star postponed her recent tour—and will test cultural attitudes about gender, pain, and pop.

“Pain without a cause is pain we can’t trust,” the author Leslie Jamison wrote in 2014. “We assume it’s been chosen or fabricated.”

Jamison’s essay “Grand Unified Theory of Female Pain” unpacked the suffering-woman archetype, which encompasses literature’s broken hearts (Anna Karenina, Miss Havisham) and society’s sad girls—the depressed, the anorexic, and in the 19th century, the tubercular. Wariness about being defined by suffering, she argued, had led many modern women to adopt a new pose. She wrote, “The post- wounded woman conducts herself as if preempting certain accusations: Don’t cry too loud; don’t play victim.” Jamison questioned whether this was an overcorrection. “The possibility of fetishizing pain is no reason to stop representing it,” she wrote. “Pain that gets performed is still pain.”

Jamison’s work might come to mind when watching Lady Gaga’s new documentary, Gaga: Five Foot Two, or when reading about the singer postponing her European tour. The pop star this month informed the world that she suffers from fibromyalgia, which causes chronic muscle pain. In the documentary, she visits the doctor, she curls up on a couch, she cries in agony. On Instagram, she prays while holding a rosary. The caption is a lengthy apology to her fans for having to postpone upcoming performances due to her condition.

While forthright, Gaga’s statements about her struggle have been somewhat couched in embarrassment—and the public has responded with both sympathy and skepticism. “I use the word ‘suffer’ not for pity, or attention, and have been disappointed to see people online suggest that I’m being dramatic, making this up, or playing the victim to get out of touring,” she wrote. It’s not the first time she’s been doubted or criticized about something that her body has gone through. When hip surgery made her cancel her 2013 tour, some folks accused her of faking her injury because of underwhelming ticket sales.

In many ways, this skepticism is deeply familiar. It is a documented fact thatwomen tend to report more pain than men—but also that their pain is seen as less credible, with women less likely to be given strong pain relievers, facinginordinately long wait times to be treated, and likely to be told that their problems are mental or emotional rather than physical. It’s not hard to draw a line from the presumptions underlying that inequality to the gendered way that literature and music about suffering is often classified. It’s also easy to see how such attitudes give rise to the “post-wounded” affect Jamison writes about.