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The Pain Scale

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20 pages, ebook

First published January 1, 2007

3 people are currently reading
401 people want to read

About the author

Eula Biss

16 books589 followers
Eula Biss holds a BA in nonfiction writing from Hampshire College and an MFA in nonfiction writing from the University of Iowa. She is currently an Artist in Residence at Northwestern University, where she teaches nonfiction writing, and she is a founding editor of Essay Press, a new press dedicated to innovative nonfiction. Her essays have recently appeared in The Best Creative Nonfiction and the Touchstone Anthology of Contemporary Nonfiction as well as in The Believer, Gulf Coast, Columbia, Ninth Letter, The North American Review, The Bellingham Review, the Seneca Review, and Harper’s.

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5 stars
118 (63%)
4 stars
48 (25%)
3 stars
17 (9%)
2 stars
3 (1%)
1 star
1 (<1%)
Displaying 1 - 29 of 33 reviews
Profile Image for Stephanie Tom.
Author 5 books8 followers
February 12, 2021
this was the first "long" piece assigned for reading by my Literature and Medicine professor and wowowow this tugged at my heartstrings and made my heart ache for the author and her kindred pain. I love creative nonfiction that braids together every train of thought possible at a moment to tell a story.
Profile Image for Patricia Thompson.
69 reviews5 followers
April 26, 2025
One of my favorite pieces of writing, ever.

My first exposure to the lyric essay style was when my high school English teacher had us read this. It spoke to me. It showed me that writing which is fluid and fragmentary in form can feel true and in tune with life. It showed me that writing can be playful and, in the same breath, cut deep. It mirrored my thought processes and nascent creative urges. It gave me permission to write my mind.

I come back to it whenever I need a reminder.
Profile Image for Laura julio.
19 reviews
April 26, 2021
“We have reason to believe in infinity, but everything we know ends”
Profile Image for Sachi.
474 reviews1 follower
December 19, 2024
This isn't a book so I feel silly logging it but I want it on here so I can always find it. This essay captures the experience and utter magnitude of chronic pain so well - as she says, 'precisely because it is eternal'

Also cannot stop thinking of this line: The problem of pain is that I cannot feel my father’s, and he cannot feel mine. This, I suppose, is also the essential mercy of pain.
Profile Image for Sophie &#x1f971;.
67 reviews17 followers
March 30, 2023
Rating this writing is entirely against its entire point however I need to express in some capacity the effect that reading this has just had on me so a 5 star representation will do.
Profile Image for nhi.
90 reviews
April 2, 2024
beautiful essay loved the ties between religion/suffering/pain/mathematical concepts. the kind of writing i aspire to do
Profile Image for Natasha Roy.
19 reviews5 followers
September 24, 2021
This (seminal) work completely opened my eyes to what an essay can hope to accomplish, the boundaries a "lyric essay" can traverse, etc. Formal experimentation at its best; Biss stays GOATed.
Profile Image for Lorena Cocora.
15 reviews2 followers
December 2, 2023
Loved it!

Great short piece on the ineffectiveness of rate scales and how frustrating and isolating it can be to have to rate your pain when no one can actually feel it the way you feel it.

It is a bit conflicting to give it a score on a 1 to 5 scale. So, to be more in tone with the writer this reading felt like meeting up with an old friend for a cup of coffee and finding out that you still relate to each other. It’s a bit sad but heartwarming at the same time.
Profile Image for felacko.
6 reviews
September 5, 2025
wow this was incredibly lovely- thank u misu for the recommendation! saving this as something i'll recommend and read over and over again
Profile Image for Kenzie.
40 reviews15 followers
November 27, 2022
This was a really well written essay and I picked up every point that was put down. How we rate our pain on the pain scale is only relevant to the pain one has felt in the past, and because a doctor doesn’t know the true extent of pain you have felt in the past, the scale is somewhat useless. Bliss doesn’t outright say the scale shouldn’t be used, but she supplies many points as to why it’s flawed and doesn’t work the way it’s intended. She mentions many things like how people often rate their pain as a 5 in order to appear just average on the scale, that pain is different than how we suffer from pain and they often get confused, the 0 on the pain scale practically messes up the entire scale based on the fact that no pain at all isn’t possible. I found the religious references really intriguing and they worked really well. I really enjoyed this and it definitely made me thing about pain on a deeper level
Profile Image for vique.
1 review
October 19, 2021
"The problem of pain is that I cannot feel my father's and he cannot feel mine. This, I suppose, is also the essential mercy of pain"
Reading this after watching my father slowly dying for 3 years with cancer... and his last year being so full of several pain, to the point even morphine didn't help him anymore, seeing him being swallowed by unimaginable pain and wondering how could he do that... reading this has made me cry a lot more than i thought it would. i still cannot imagine the worst pain imaginable. i will never forget these words... beautiful book.
Profile Image for Brianna.
616 reviews6 followers
September 8, 2020
This book was such an amazing read for me. I have lived with chronic pain for my whole life and I am “in remission” for the first time. Practically every line in this essay was something I related to on some level. It was a great piece of work and beautifully written. It reads like poetry. It broke my heart, but also made me feel understood.

I know it is a little weird to rate this book after the topics covered, but I couldn’t help myself.
Profile Image for ⟡ brittney ⟡.
127 reviews
November 18, 2023
As someone that suffers from intense pain from different health issues, this was incredibly impactful to read. It put so much of my own experience with pain into words and focus in a way I’ve never been able to before, but also really expanded on the lived experiences of chronic pain in thoughtful and beautiful ways while not straying away from the suffering that comes with it. It’s an amazing essay, definitely recommend.
209 reviews4 followers
November 18, 2023
“When I cry from it, I cry over the idea of it lasting forever, not over the pain itself. The psychologist, in her rational way, suggests that I do not let myself imagine it lasting forever. “Choose an amount of time that you know you can endure,” she suggests, “and then challenge yourself only to make it through that time.” I make it through the night, and then sob through half the morning.”
Profile Image for Tara ☆ Tarasbookshelf.
242 reviews67 followers
September 29, 2025
Beautiful, lyrical, nonfiction braided essay that weaves together deftly researched, wide ranging topics such as the Beaufort wind scale, Dante’s Inferno, the concept of zero, memories of her father who was a doctor, and the author’s experience of chronic pain and the pain scale.
Profile Image for Karen.
59 reviews1 follower
Read
September 29, 2020
I'd like an update... did she ever solve the cause and get it to stop hurting?
Profile Image for ash.
522 reviews18 followers
January 19, 2021
it was decent. read it for my advanced creative nonfiction class. i bookmarked a lot of quotes. pretty profound stuff.
Profile Image for Zoe Lubetkin.
123 reviews1 follower
October 5, 2022
I liked the hypotheticals and short paragraphs; feel like Sierra would like this. I wasn't obsessed with the format but I think because I'm reading 15 years later the form doesn't feel as new
Profile Image for Janvi Chhabra.
31 reviews2 followers
January 26, 2023
“But I am comforted, oddly, by the possibility that you cannot compare my pain to yours. And, for that reason, cannot prove it insignificant.”
Profile Image for Emily Morgan.
154 reviews56 followers
April 30, 2023
"Although the distance between one and two is finite, it contains infinite fractions. This could also be said of the distance between my mind and my body. My one and my two. My whole and its parts."
Profile Image for Amelia McIntosh.
19 reviews1 follower
June 2, 2023
I read this essay in 2014, and it has since shaped how I write. Still holds up.
Profile Image for Incandescent Dust Mote .
116 reviews
June 24, 2023
Profound .... People have reason to believe in forever even though everything in their lives comes to an end... Also is there no 10 th circle in Dante 's hell?
Profile Image for tortoise .
24 reviews
August 16, 2023
“When I cry from the pain, I cry over the idea of it lasting forever, not over the pain itself.”
Profile Image for azul.
45 reviews1 follower
Read
April 23, 2024
si me vieron llorando en la samuel ramos no u didn’t
Profile Image for Rachel Means.
137 reviews
February 13, 2025
4.75, rounded up. I had to read this for a class, and I was surprised by how much it touched me. As someone with chronic pain, this essay really made me feel seen.
Displaying 1 - 29 of 33 reviews

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