Little Josephine: Memory in Pieces by Valérie Villieu and Raphaël Sarfati

The book is not nearly as puckish as the cover suggests. Anyone looking for a Little Nemo-inspired imaginative adventure should look elsewhere; this is a memoir by a French visiting nurse about one particular patient of hers, an old woman with an unspecified dementia-related condition.

And this is all true, as far as I can see. This all happened, to the real Valérie Villieu, and she's telling that story to us, with the aid of artist Raphaël Sarfati. It was a little while ago - Little Josephine: Memory in Pieces covers a few years in the mid-Aughts, with the 2007 French presidential election somewhere in the middle - and the French edition came out in 2012, to be eventually translated by Nanette McGuiness for this 2020 English-language edition from Humanoids.

Josephine was a woman in her mid-eighties, living alone in a small Paris apartment, as she had for nearly sixty years. She'd recently been found wandering disoriented in the street, and, after a brief hospitalization, was back in her apartment with daily visits from caregivers and an official legal conservatorship to manage her affairs. Villieu was working as a visiting nurse, with a roster of patients like Josephine, who she would see several times a week, to evaluate and support, administering medications and keeping track of their conditions. Villieu seems to have been part of a nursing team; she uses "we" somewhat regularly to talk about the work done, and occasionally shows what I think is a colleague also visiting Josephine.

But it's mostly Villieu's personal experience: how she met this woman, how they interacted, what happened over those years, how Josephine affected Valérie.

A lot of the book is the day-to-day: complaining about the often-lackadaisical work of the caregivers, battling to get the conservator to actually do something and not just complain about how many cases he was handling, and slowly gaining Josephine's trust. Villieu writes at length about the work she does, and how she interacted with Josephine, and what Josephine was like as a person - this is a graphic novel with extensive captions, a very narrated story.

Villieu cared for Josephine for years - and I mean "cared" in both the professional and the personal sense. And she makes their relationship real here, without sugarcoating it. Josephine had a serious, unreversable, progressive mental illness, that confused her and made her forget thousands of things, that changed her moods and made her combative at times. Dementia is one of those horrible diseases we don't like to think about - for ourselves or for ones we care for - since it turns the sufferer into a different person, bit by bit stripping away important pieces of who they were and replacing those with a pseudo-childish shell, smaller and diminished and occasionally realizing that.

(I may be biased: a very close family member is going through something similar right now, so this is more real to me than another health problem would be.)

Josephine was still a quirky, interesting person: dementia had stolen a lot from her, but a lot of her was still there, the woman who had lived in that Paris apartment for decades and still had stories of the '50s and '60s to tell when she could remember them.

That's who Villieu wants to celebrate: the woman she met, behind the disease, the woman she supported and helped for a few years, giving her some more happy life at a point when she could easily have been shoved into an institution and left to decline quickly. Little Josephine is a more serious, deeper book than the cover would make a reader expect, but it's well worth the journey.