In the process, it yields the most harrowing and inventive pages Telgemeier has yet created. In short, Guts contributes to the graphic medicine movement. It also includes quite a few scenes of bathrooming, bodily embarrassment, doctor’s office visits, and therapy sessions. (Such themes are foundational to autographics as a genre, from Justin Green onward.) For a middle-grade graphic novel, Guts is, well, gutsy it includes many scenes visualizing physical and psychological discomfort, and in some cases sharp pain and outright terror. It joins the considerable body of autobiographical comics that deal with anxiety, psychological distress, and neurodivergence. Guts depicts panic attacks and (as the title hints) upset stomach, cramping, and retching, as well as social and eating-related anxieties.
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