Rafael Yglesias - Dr. Neruda's Cure for Evil

“They put her out, right?”

“Of course! This is one of the most expensive and advanced psychiatric hospitals in the country.”

“I know. It’s wonderful of you, Bernie—”

“I’m not looking for thanks, that’s not what I mean. I mean they know what they’re doing. They use anesthesia and the voltage is set lower … Anyway, she won’t know a thing about it. He said it lifts them out of the severe depression so they can begin treatment. You can’t deal with her the way she is now. How can Dr. Halston talk to her? She’s unreachable.”

“I pray it works, that’s all.”

“Look. Anything is better than how she is now. It’s a living death. It’s worse than death.”

“Shh!” Sadie was in pain. “Don’t say that.”

“It’s the truth, God damn it.”

“No, it’s not. There’s always hope.”

I did not understand the implications of their conversation. Since I intend this to be read by a lay audience I should state what is obvious to any professional: although electroshock therapy is advocated today as an effective symptomatic treatment to major depression and is in use on roughly twenty percent of its sufferers, nevertheless, no one, including its admirers, considers it to be appropriate in a case of paranoid psychosis or posttraumatic stress, the two indicated diagnoses of my mother’s condition. [Readers of my book The Soft-Headed Animal know that I do not believe in the use of the electroshock under any circumstances, including major depression. Evidence that prolonged use of electroshock therapy causes permanent brain damage is plentiful and there is no scientific proof that it cures depression itself. However, as stated above, even ECT’s advocates would not recommend its use on a patient with my mother’s problems.]

My mother received the wrong treatment. Nine-year-old Rafe did not know that. He did not know that keeping his mother’s secret was doing her harm. Nor is the mature Rafe confident that had I been less skillful at deception, had I been found out and forced to confess that my mother wasn’t really withdrawn — that she spoke to me and said she was deliberately fooling her doctors — I am not confident that I would have been believed. I hope I am not overstating Dr. Halston’s error. All doctors make honest mistakes, especially when a clever patient is deliberately deceptive. But I am sure that, having made his diagnosis, Dr. Halston would not have been quick to overrule himself because of the account of a child, a child who could easily have made it up out of his own fantasies. Moreover, I understood my mother’s motive and I respected it. What is madness to a normal adult made sense to me as a traumatized child: my mother, acting out of her paranoia, meant to be loving by her injunction that I should keep silent and not identify myself with her and her “cause.” That would only have landed me in the care of the same monsters who tormented her. It is hard to understand, but Ruth’s actions, which seem heartless and unconscionable to a normal person, were, by her lights, the actions of a loving mother.

I found Hamlet in one of the red leather-bound volumes in Uncle Bernie’s study. I had permission to take any of those books. I was a precocious reader and I enjoyed being one. My father encouraged and praised such behavior and Uncle Bernie was in awe of it. The desire to please my absent father and to dazzle my prideful uncle got me to open the classics, but the power of their narratives kept me going. (With apologies to Alice Miller, I’m not sure anyone would develop a taste for culture without what she characterizes as abusive parental behavior, namely the narcissistic parent who demands precocity as a precondition for love. She’s right, it isn’t a recipe for happiness; but without it, Mozart wouldn’t have existed.) I had already read Plutarch’s Lives and a volume of The Decline and Fall of the Roman Empire out of Uncle’s library. I had avoided Shakespeare because verse, much less verse in the form of dialogue, was discouraging. That same afternoon, after my tennis lesson, dressed in sweaty shorts, I pulled the second of the two-volume set of Shakespeare down from its high shelf and propped the book on my naked thighs. I remember the leather sticking to my skin. It took a while but I found the speech Ruth had quoted. Along the way there were other lines that lured me into reading scenes out of order. (To this day I have never read a Shakespeare play from beginning to end, but always out of sequence, as if I were assembling a jigsaw puzzle.) I was struck by lines that still resonate with meaning for me. “There is nothing either good or bad, but thinking makes it so” might well be on every psychiatrist’s wall, for whether it is good philosophy or no, it is a necessary premise of the therapeutic process.

I loved the play. How could I not? Indeed, it is an indication of my mother’s intelligence that she knew provoking me to read it would continue and extend her influence despite being held prisoner in the sanitarium. Think of it from her paranoid point of view: Hamlet has been separated from his noble father — a warrior king — by an evil and powerful uncle who has robbed Hamlet of his mother’s love, his father’s life, and his own claim to the throne of Denmark. There is, additionally, especially when read during the Freudian literary atmosphere of the early sixties, the incestuousness of Hamlet’s relationship to his mother combined with a political rebel’s philosophy, born of alienation. Hamlet is keenly aware of the world’s hypocrisies and corruption: he is the disenfranchised child of a social system in the hands of the cowardly and murderous uncle. And this analogous predicament is delivered with poetic genius, its despair and rage sung so beautifully that the most painful moments also inspire delight in the sheer elegance of Hamlet’s mind. Indeed, I found the Prince’s situation — including his death — enviable. What to the normal adult mind is a tragedy seemed almost a triumph to nine-year-old Rafe.

My love affair with Hamlet caused trouble for me with Uncle Bernie’s son, Aaron. It happened during a family brunch held shortly after his graduation from college, about a month after my visit to the sanitarium. Sadie’s and Harry’s clans were all there. It was a bon voyage meal: Aaron would be living on a kibbutz for the summer. After he returned, it would be decided whether he would go for his MBA, as his father wished, or try his hand as a painter, as he wanted. (I doubt my uncle believed there was anything to settle. But Aunt Charlotte, who was on the board of two museums, who frequented art galleries and bought Impressionist paintings, was a wavering ally for her son’s artistic ambition.) His sister, Helen, was upstairs, supposedly suffering from a stomach virus, one of the convenient illnesses she contracted to avoid family occasions. My near calamity developed when Uncle bragged one time too many about me, in particular when he bragged about my reading Hamlet. He knew I had because the same day I visited my mother at Hillside, I asked permission to take the two-volume Shakespeare set into my room. I made the request both to read Hamlet and to make the point that I was doing so. (My pleasure in the play was real; so was my vanity.) So far, Aaron had suffered silently through itemizations of my brilliance on his visits home. He had already been tortured last night with my various school accomplishments. When Uncle remarked over brunch that I knew Hamlet so well I could quote long passages from memory, Aaron gave up his stoicism.

“So what?” Aaron snorted. “He’s nine.”

“That’s what makes it remarkable!” Uncle dropped his forkful of Nova, en route to a bagel. The heavy silver tines struck the equally heavy silver serving dish and resulted in a vibrating chord that harmonized with his remark.