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Disability Representation in Fiction

Author Interview
S.E. Thomson Author Interview

A Life in Too Many Margins follows a man looking back on his life from childhood to now, exploring how forced gender roles, neurodivergent masking, disability, and medical trauma have shaped him into the person he is today. Why was this an important book for you to write?

I found myself feeling sad quite often about the lack of disability representation in fiction, especially contemporary literary fiction by queer and neurodivergent folks and/or other intersectional groups. It’s gotten better in recent years as we’ve moved away from disabled characters being villains or “inspiration pornography,” but my dream world would have an entire section in every bookstore!

This story explores many kinds of labels. Which ones felt hardest to untangle?

The one I try hardest to help readers understand is the medical trauma. It’s hard to explain to anyone who isn’t trans or a woman the extent to which doctors will gaslight us when we don’t have the more obvious symptoms. The hardest emotionally was being neurodivergent. I am in my 40s and still working on unmasking behaviours.

Humor plays a central role in the book. How do you balance humor with emotional weight?

This didn’t really feel like a job or anything I had to balance, honestly. My humor is what’s gotten me through my worst times; I used it as a coping mechanism, then a grounding technique, and now it’s just a part of how I present myself and my stories.

Did writing this book feel like an act of advocacy?

Absolutely. I wanted to write about what it feels like to grow up learning how to adapt constantly, often without realizing you’re doing it. Also, because enough people told me I had to write a book, I eventually gave in. It’s almost completely a memoir, so it’s rooted in my lived experience, but it’s shaped intentionally with the occasional note of fiction. I wasn’t interested in documenting everything that happened so much as capturing how it felt. It took time to have the language and distance to write it clearly, but I always meant to share it to help others going through similar situations.

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David is dying, or maybe he isn’t. Hard to say, really, because no one ever gives you a timetable when you’re disabled, autistic, queer, and stuck improvising your way through existence. What he does know is this: if life is going to keep punching him in the gut, he might as well write it all down first.

A Life in Too Many Margins is the story of a man looking backward while time keeps nudging him forward. From childhood misunderstandings to medical disasters, David is collecting the fragments of a life shaped by truths he didn’t discover until far too late: that he’s neurodivergent, that his body will never play by the rules. That gender was never the box people insisted it had to be.

If you’ve ever felt like the world wasn’t built with you in mind, or if you just enjoy a dark laugh in the middle of disaster, David’s story will remind you that sometimes real life only happens… in the margins.

A Life in Too Many Margins

S. E. Thomson’s A Life in Too Many Margins: Laughing Through the Labels is a whip-smart and emotionally stirring memoir that opens in a hospital room, David, chronically ill and exhausted, finally believed after months of dismissal, staring at the “beige hospital blanket” and coping with gallows humor as doctors confirm an omental infarction tied to Ehlers-Danlos Syndrome. From there, the book moves through a childhood and adulthood spent ricocheting between forced gender roles, neurodivergent masking, disability and medical trauma, and the slow, hard-earned assembly of a self, one chapter at a time, like a life rebuilt from receipts and radiology reports.

I liked the voice in this book. It’s not “funny” as decoration; it’s funny as a crowbar. In the prologue alone, the humor keeps snapping the seal on the airless jar of medical neglect: the hospital gown “afraid of commitment,” the Jell-O christened Gary, the pain described as a “damp grocery bag full of bees.” That comedic metabolism doesn’t dilute the suffering; it metabolizes it, turning indignity into something you can hold up to the light without going blind. I found myself laughing, then immediately feeling implicated, because the joke keeps pointing back to the systems and people who require disabled folks to audition for basic credibility.

I also didn’t expect the book to be so precise about the small origin-moments that become a lifelong weather pattern. The early sections about gender feel like being trapped in a brightly colored room where everything is a script you didn’t agree to learn; the “pink” isn’t just décor, it’s enforcement. And when the narrative arrives at pronouns later, quietly, almost offhand, in a classroom roll call, it lands with the force of a key finally fitting a lock: “Uh, I don’t care?” becomes the hinge that swings the door open. The moment David names it, I am transgender… I am a man, it’s rendered not as a glossy reveal, but as an “ohhhhhhh” that rearranges decades of memory in one night. That ordinariness is the point. Self-recognition isn’t always fireworks; sometimes it’s just the first time someone asks the right question in a room that doesn’t punish honesty.

This is for readers who gravitate toward memoir, humor, disability, neurodiversity, LGBTQ+, and trauma recovery narratives, especially anyone who’s ever been treated like a “case” instead of a person, or who wants a story that makes space rather than demanding palatability. If you like the sharp, self-protective candor of Jenny Lawson (or the laughter-through-the-bruises essay energy of Samantha Irby), Thomson’s voice will feel familiar. And when the book closes by insisting, without sentimentality, that if your body is falling apart and no one believes you, you should write it down because it might save someone else’s life, it doesn’t read like a slogan; it reads like a field note from a survivor.

Pages: 229 | ASIN : B0FL6XG768

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