This resource is for Year 12 students studying the new text ‘Regeneration’ by Pat Barker in the VCE English Mainstream Curriculum for 2026.
Introduction
Pat Barker’s 1991 novel ‘Regeneration’ is the first in Barker’s trilogy of the same name, with subsequent novels ‘The Eye in the Door’ (1993) and ‘The Ghost Road’ (1995). Classified as a historical novel, in that it attempts to realistically depict life in 1917, when the First World War was still at its height. Not only is it full of period detail, but it also features fictional versions of real people – the psychiatrists W.H.R. Rivers and Lewis Yealland, the scientist Henry Head and the war poets Siegfried Sassoon, Wilfred Owen and Robert Graves, are all historical figures, and many scenes in the novel are based upon actual incidents recorded by them in memoirs and letters. However, it can be difficult to disentangle fact from fiction in this book as it also includes invented fictional characters such as working-class officer Billy Prior and the munitions worker Sarah Lumb, as well as figures who could be described as ‘historical extrapolations’ – mainly fictional, but with a basis in fact. These include River’s patient David Burns and Yealland’s patient Callan, both of whom appear an anonymous studies in these doctor’s published case-notes. The intersecting stories of the patients of Edinburgh’s Craiglockhart War Hospital during World War I offer insight into the breadth and complexity of mentally traumatised soldiers due to shell-shock from months and years endured fighting in the trenches of the Western Front in Belgium and France. Barker places the action in a hospital set up for the treatment of these shell-shocked officers in a compassionate yet unrelentingly direct exploration of their fraught psychological experiences following warfare.
Structure of the novel
The novel’s central figure is Captain William Halse Rivers, a Medical Officer, neurologist, and former anthropologist. The novel charts the four months from July 1917 to 26 November 1917, the dates on which Siegfried Sassoon is admitted and discharged, respectively, from Craiglockhart. The novel opens with Sassoon’s ‘A Soldier’s Declaration’ and closes with his official discharge from the hospital, his stance being a firm ‘refusal to recant’. Through her account of these four months, Barker presents an array of patients, all of whom suffer neuroses as a result of their traumatic experiences at war. In using Sassoon’s ‘Declaration’ as a dominant narrative focus, as well as imagined conversations between the two respected war poets Sassoon and Owen, Barker’s story extends their unflinching reports of the realities of war that were usually hidden from society.
The novel is divided into four parts, with each broadly covering a month of Sassoon’s stay, although Part Four includes October and November. Though initially admitted for a twelve week stay, Sassoon must stay an additional month after he ‘deliberately skipped the Board’.
Part One = After Sassoon’s ‘Declaration’ retains a tight focus on the staff and patients of Craiglockhart with particular emphasis on Captain William Halse Rivers and his dealings with his patients.
Part Two = Readers are introduced to Sarah Lumb and her friends working at a munitions factory with discussions of women’s lives changed by war. Sarah’s interaction with Billy Prior reveals the traumas of the soldiers and those people at home who are not informed of the truth about the experiences and brutalities of the war.
Part Three = Follows Rivers on his 3 weeks leave and his perspective on the war and patient treatment.
Part Four = Presents a broad consideration of societal and gendered positions on the war. Rivers leaves Craiglockhart for the Royal Flying Corp Central Hospital and explores the variance in treatment for neurological disordered in the UKI at that time.
Third-person narrative voice
Barker’s novel is presented through a third-person narrative voice, with focalisation shared between a variety of characters, predominantly Rivers, Sassoon, and Prior. This means that, as well as following a largely linear narrative structure, with momentary diversions to memories or dreams, there are multiple, concurrent narrative perspectives and timelines shared. In this way, Barker permits a variety of competing perspectives on the war, the suffering of soldiers, living standards and societal values to be revealed.
The title ‘Regeneration’ as a multi-layered symbol
The title functions as a central, multi-layered symbol that refers to various forms of physical, mental, and moral healing and change during WWI. The novel explores how different characters undergo “regeneration,” highlighting the tension between restoring soldiers’ health and the moral implications of sending them back to war. The symbolism of “regeneration” operates on several levels:
- Physical Healing and Nerve Regeneration: The term is first introduced in a literal, scientific context, referring to real-life experiments Dr. Rivers and his colleague Henry Head conducted on nerve regrowth (they severed and re-sutured a human nerve to study its healing). This physical process of the body healing itself serves as a metaphor for the psychological healing the shell-shocked soldiers in the novel desperately need.
- Mental and Emotional Recovery: In the context of Craiglockhart War Hospital, “regeneration” symbolizes the process of restoring the soldiers’ shattered minds and “nerves” through compassionate talk therapy and psychoanalysis. The goal is to help them overcome trauma, mutism, and amnesia by confronting their suppressed memories and emotions. This is a difficult, often painful, process that forces men to challenge traditional notions of stoic masculinity.
- Moral and Ethical Conflict: The most profound symbolic meaning involves the moral dilemma of the “regeneration” being sought: the soldiers are “healed” not for their own well-being, but so they can be sent back to the front to fight and potentially die. This forced return to combat is a form of control, which Rivers comes to question through his interactions with the pacifist Siegfried Sassoon. The process is thus presented as both a compassionate act of healing and a morally compromised act of reinforcing an unjust war machine.
- Personal Change for Dr. Rivers: Rivers himself undergoes a form of “regeneration”. Through observing his patients and engaging in conversations with Sassoon, he is forced to question his deeply held beliefs about duty, masculinity, and the societal acceptance of the war. His internal transformation parallels the physical and psychological changes in his patients, demonstrating that the process of questioning the war’s purpose affects everyone involved, not just the soldiers on the front line.
Ultimately, the symbol of “regeneration” is ambiguous, representing both the potential for positive change and growth, and the problematic, state-mandated goal of simply restoring men to functional military service, no matter the psychological or ethical cost.
Perspective of the text
Barker subverts expectations of war fiction by presenting the psychological suffering experienced as an aftermath of war, instead of from direct life on the front. In relating the brutal physical endurance and horror of trench warfare through war neuroses, Barker is able to humanise these experiences. The brutal depictions of war that Barker does include throughout the novel are mostly related through the conversations, hallucinations, memories, and dreams of the patients. Presented through this lens, Barker is able to underscore them with an authenticity and emotional resonance that only serves to make the depictions of the true human cost, despite physical survival, all the more confronting.
Central paradox of men and masculinity in war
Barker’s focus on WWI and men but also masculinity of being a man in a social and cultural construct allows her to stress a central paradox in the novel that war is meant to be the most manly of activities, but the particular conditions of the war fought in the trenches made soldiers more like women than men. For Barker, this becomes crystallised in the image of the shell-shocked soldier, who becomes so mentally traumatised with fear and horror, that he breaks down and is unable to continue to fight. Prior to WWI, hysteria was believed to be a female complaint, so when men began to suffer from it their behaviour could only be seen as ‘feminine’. However, in Craiglockhart, Barker brings the theme of masculine crisis to the forefront of her text. Consequently, the novel features male characters who feel themselves to be, one way or another, not ‘proper men’, a concern often expressed through themes of sexual inadequacy or deviation. Several of the main characters – Siegfried Sassoon, Wildred Owen, and Robert Graves – are homosexual. Only the fictional character of Billy Prior appears to be heterosexual and has relationship with a female partner, although weakened by chronic asthma and plagued by nightmares, he still believes that he has somehow failed as a man.
Siegfried Sassoon’s ‘Finished with the War: A Soldier’s Declaration’
Sassoon’s ‘Declaration’ is a powerful public statement of anti-war sentiment in which he denounces the continuation of WWI as unjust and a deliberate act of the government, not a necessary defence, and refuses to return to the front line as a protest on behalf of the common soldier. Issued in July 1917, Sassoon’s deliberate defiance of military authority he hoped would lead to a court-martial, thereby creating publicity for his anti-war views and turn the public against the war. The military wanted to avoid a potentially embarrassing public trial and with his friend Robert Graves, convinced them to admit Sassoon to Craiglockhart as suffering from shell-shock, thereby making him medically unfit to serve. The ‘Declaration’ in essence was Sassoon’s defiance that he considered the war had lost its moral justification and had become a senseless waste of life. He maintained that the civilian complacency and detached political establishment prolonged the war, but disregarded the true horrors and agonies faced by the soldiers.
Dr Rivers confronts the central paradox of his work
Siegfried Sassoon’s ‘Declaration’ forces Dr. Rivers to confront the central paradox of his work: his duty as a military doctor to heal soldiers in order to send them back to the senseless horrors of a war he personally comes to believe is unjust. Initially, Rivers holds a conventional view of the war, believing it is a necessary conflict that must be seen through to the end to stop German militarism. Rivers, a man with a Victorian upbringing and respect for authority, believes that putting on the uniform entails a contract of loyalty and that one cannot simply change one’s mind. His job at Craiglockhart War Hospital is to treat the mental and physical trauma of shell shock and return the men to the front as “fit for duty”. Rivers quickly determines that Sassoon is not mentally ill, but rather a rational man making a moral choice. This fact, combined with Sassoon’s articulate and passionate arguments, challenges Rivers’ professional and personal convictions. By the end of the novel, Rivers is a changed man, his view has fundamentally shifted from one of duty and resignation to a profound, if private, anti-war sentiment, directly influenced by Sassoon’s ‘Declaration’ and moral clarity.
| THEMES | ||
| War, duty, loyalty, waging war for power, war’s dehumanisation & anti-war protest | Trauma, shell-shock & mental illness of war | Masculinity & emasculation, defining manliness & male bonds & comradeship |
| Male vs female roles, experiences & expectations in war & societal constraints | Regeneration | Identity, sanity & madness |
| Alienation & belonging | Poetry as therapy & anti-war protest | Dreams |
| The role of the psychiatrist | Conscience and principle | Heterosexual and homosexual relationships, sexuality & identity |
| Father/son relationships and conflict | Nature & the outdoors | Healing and the nature of it |
| Empathy & care | Transformation | Speech and silence |
| River’s perspective & duty | Psychoanalysis, traditional medicine vs electric shock treatment | Class and gender dynamics |
| SYMBOLS & MOTIFS | ||
| Regeneration | Mutism & stammering | Physical and mental wounds |
| Trenches, mud, No Man’s Land | Horses bit | Yellow |
| Psychological treatment, impact of Freud, sanity vs insanity | Billy Prior’s asthma & inability to conform to strong man ideal | Siegfried’s German name |
| Healing & change | Emasculation | Class, snobbery, dynamics in society & in the army |
| Women at war | Speech & silence | Craiglockhart Hospital as a setting |
| Poetry & power of writing | Old men | Nurturing & care & female vs male caring |
| MAIN CHARACTERS | |
| Medical Officers at Craiglockhart | Rivers / Bryce / Ruggles / Brock / MacIntyre |
| Others in authority at Craiglockhart | Patterson – Head of Office Administration / Major Paget – external member of the Board / Major Huntley – member of the Board / Colonel Balfour Graham – succeeds Bryce as CO of Craiglockhart / Sisters Duffy & Rogers |
| Patients at Craiglockhart (main characters) | Seigfried Sassoon / David Burns / Billy Prior / Wilfred Owen |
| Other patients at Craiglockhart | Campbell / Fothersgill / Ralph Anderson / Robinson / Broadbent / Willard / Landsdowne / Pugh / Thorpe |
| Other characters | Robert Graves / Henry & Ruth Head / Charles & Bertha / Sarah Lumb / Ada Lumb / Lizzie / Madge / Betty / Old Clegg / Dr Yealland at Queen Square / Callan patient of Dr Yealland |













