Review of December on 5C4 by Adam Strassberg
After Dinner Conversation was first introduced to Adam Strassberg when we accepted and published his wonderful piece “Apple Pi” with us a few years ago. We have stayed in touch and he recently informed us of his upcoming novella December on 5C4. We liked his short story so much, we decided to read his novella. We like his novella so much, we thought we would write up a book review. ~ After Dinner Conversation
Review of December on 5C4 by Adam Strassberg
December on 5C4 by Adam Strassberg is a remarkable novella that delves into themes of mental health, faith, and the complexities of human connection, all wrapped in a narrative that is both thought-provoking and deeply moving. Strassberg, a retired psychiatrist, masterfully weaves together elements of psychology, religion, mythology, and magical realism to explore the human condition, creating a story that resonates long after the final page.
The story centers on Josh, a man grappling with a complex mental health disorder that manifests as a "God voice" in his head. This voice, initially a source of comfort and divine connection, gradually becomes an overwhelming and contradictory presence, pushing Josh to the brink. His journey through psychiatric ward 5C4, a familiar place due to his frequent involuntary admissions, forms the backdrop for his internal and external struggles.
One of the novella's greatest strengths lies in its sensitive and nuanced portrayal of mental illness. Strassberg avoids sensationalism, instead offering a compassionate look at Josh's experiences with anosognosia, a condition where a person is unaware of their own illness. The narrative highlights the challenges of treatment, the struggle with medication adherence, and the profound impact of the "God voice" on Josh's perceptions and relationships. The detailed depiction of the ward's routine and the interactions with staff like Dr. Fischman and Ms. Longhini, his social worker, lend an authentic touch to the psychiatric setting.
The introduction of Nick, a fellow patient with delusions of being Santa Claus, injects a fascinating dynamic into the narrative. Nick, with his boisterous "Ho, ho, ho!" laugh and penchant for gift-giving, initially appears as a comedic foil to Josh's somber introspection. However, as their conversations unfold, Nick emerges as a character of surprising depth and empathy. His own struggles with addiction and grief provide a parallel, yet distinct, exploration of human suffering and the search for meaning. The contrast between Josh's spiritual quest and Nick's grounded, albeit fantastical, philanthropy creates a rich tapestry of human experience.
The novella masterfully uses religious and mythological allusions to deepen its themes. Josh's journey is heavily steeped in Jewish tradition and a reinterpretation of biblical narratives, particularly those of Jesus. His prayers, blessings, and internal monologues are infused with Hebrew phrases and scriptural references, lending a profound spiritual dimension to his struggle. The "God vision" he experiences, offering him profound insights into the lives of others, highlights the interconnectedness of humanity and the power of empathy. Nick, in turn, embodies the spirit of Santa Claus, a figure of selfless giving and joy, providing a counterbalance to Josh's more tormented spiritual path. The novella suggests that perhaps these seemingly disparate figures—Jesus and Santa—represent different facets of divine compassion and the human capacity for goodness.
The writing style is fluid and engaging, pulling the reader into Josh's internal world. Strassberg's use of sensory details, particularly the "alphabet of smells" in the ward and the tactile descriptions of Josh's environment, creates a vivid and immersive experience. The dialogue is sharp and often laced with humor, especially in Nick's playful riddles, which provide moments of levity amidst the serious subject matter.
The ending of December on 5C4 is particularly powerful, offering a sense of hope and integration rather than a simple resolution. Josh's acceptance of his medication, his reconciliation with Yehud, and his renewed commitment to building a life in the "here and now" signify a profound shift. The idea that the God voice will no longer be heard internally, but rather through the actions of others, is a beautiful and poignant message about community and shared purpose. The final encounter with Nick, now seemingly embodying the spirit of community giving, reinforces the novella's central message: that kindness, connection, and a commitment to helping others are the true pathways to a meaningful life.
Overall, December on 5C4 is a truly exceptional work. Adam Strassberg has crafted a narrative that is both deeply personal and universally resonant, exploring the complexities of mental illness, the power of faith, and the enduring human need for connection. It’s a novella that challenges perceptions, inspires empathy, and ultimately, leaves the reader with a profound sense of hope. This book is a must-read for anyone interested in stories that blend psychological depth with spiritual exploration and magical realism.

