Stanley Elkin - George Mills

“Let’s see…

“For a while she was nervous about bedspreads. They gave her the creeps. So did tablecloths, folded napkins. She thought they might be hiding something that wasn’t supposed to be there. That whole business about bedspreads and tablecloths, though, that was a new one on me. Of course they’re all new ones. I mean there’s really no such thing as a classic symptom. If there were, madness would be easier to treat than it is. It’s hard to treat. Actually, in a way, the patient’s got to get tired of her disease. Well, that’s my theory anyway. A lot of psychiatrists disagree.

“The patient was institutionalized eleven years. That’s a long time. The saddest thing was this terrible fear. She was very intelligent, but because agoraphobia was another of her symptoms, she refused to go out and never quite grasped what was going on outside her window. She was afraid of weather. Autumn nearly killed her. When the leaves turned color. When they dropped off the trees, that gave her the heebie-jeebies altogether. Snow and rain, lightning and ice. You can imagine what spring did to her with its buds and green shoots and all the furry signals trees put out before they go to leaf.

“She couldn’t understand temperature swings, why her windows were open sometimes and shut at others. What am I saying? She couldn’t understand nighttime and daytime. So those were other symptoms.

“Look,” he said, “this is difficult for me. I’m not sure this is even ethical. Strictly speaking, it’s all privileged information. She asked me to tell these things. She arranged it with Bishop McKelvey. Well, they’re open secrets anyway. Most of you were her loved ones. You know this stuff. But it’s cat-out-of-the-bag, and it makes me nervous. Probably I seem ridiculous. Under the circumstances, even if I’d just been her orthopedist telling you about her broken leg or bad back, I’d still seem silly. It’s all time and place. She’s put me in a bad situation. I don’t know what she thought she was up to. I suppose that sounds dopey too. I mean I was her psychiatrist, I charted her head like the New World. I’m supposed to know. Anyway, I don’t.

“Maybe I shouldn’t be so surprised.

“A lot of you know I was retained by the family. That I was her very own bought-and-paid-for personal psychiatrist. Like some high-priced music coach or the princess’s astrologer. I lived in.

“I guess you know I wrote a book about her case. Or manuscript. It was never published. Well, that whole business was the patient’s idea. She saw herself as material, subject matter for a book. Maybe you could put that down as another symptom, but if it is, God knows it’s one the patient shared with nine out of ten people alive. I didn’t have to write it, I suppose. I was on retainer and the family paid top dollar. (This was just after I’d completed my residency. I couldn’t realistically have expected to make that much money for another five or six years at the inside.) The Claunches made it clear from the outset that I was, well, that I was the doctor. So I didn’t have to write it. I guess I went along because I didn’t have much else to do. Madness is a full-time occupation, but only for the madman. (That’s really how the cure works. My notion of it anyway, though most don’t agree with me. If the patient doesn’t do herself an injury and just lives long enough she’ll probably wear herself out.) Anyway, the patient was all the data I had. So I started to write her up about the middle of the third year.

“If you’re interested, I guess I’d have to say that the transference dates from just about this time frame.

“I had my notes. And all those tape recordings of our sessions that I’d play over and over, wearing them out practically. As if they were favorite tunes, the top of the charts, say. Or like those half-dozen old movies in the ship’s library they used to rotate and show us in the Pacific during the war. She really was all the data I had. Never mind my two lousy years’ residency at Cook County Hospital. Those folks were in a clinic, mad on the arm. (Which was how the family got me in the first place. Sure, if a psychiatrist already had a practice he couldn’t just pick up and leave people who were dependent on him. It had to be a kid.)

“My notes and hers. The tapes that we made. Her madwoman’s homework — the journals she kept, the bad dreams she wrote down.

“And access, too, to those letters she wrote other patients. Witty — wit was a symptom — funny and malicious, reminding people whose own bad dreams had just been burned out of them by shock therapy of everything they had forgotten, rubbing their noses in their past, bringing them down from the thin, comfortable air of their electric amnesia. Not making it up but piling it on, some ‘Hasty Pudding’ rendition of their loony doings. Which she never showed me, but which their psychiatrists did, outraged as schoolteachers intercepting passed notes. Of course I spoke to her about it. I asked why she wrote them. ‘Six years,’ she said, ‘I’ve been here six years. A bunch of these crazies are my best pals. I’ve made love to some of the men and a few of the women and spoken with the rest like Francis of Assisi making small talk with birds. What happens if they get well?’ ‘Don’t you want them to get well?’ ‘No.’ ‘Do you want to get well?’ ‘Craziness ain’t much of a birthright.’ ‘I have to give back the letters.’ ‘Their shrinks will destroy them. Or lock them up in the poor bastards’ files.’ ‘I have to return them.’ ‘Make copies,’ she said. ‘They’re poison pen letters,’ she said, ‘as much a record of my nuttiness as theirs. Make copies. Put them in that manuscript you’re writing about me.’

“Because she said ‘manuscript’ now, not ‘book.’ Knowing that if the letters went in, it could never in either of our lifetimes be any published book, that even if I changed their names the facts would be there, that we’d be hung up in lawsuits the rest of our lives.

“But I did what she asked. The letters became part of the record too. I copied them into what only one of us still thought of even as the manuscript. Though the patient had never even seen it. Now she asked about it every day. ‘You’re some doctor,’ she’d say. ‘Eight years in private practice and you’ve yet to cure anyone. What’s with the manuscript? How’s that going at least?’ ‘There’s a lot of material,’ I’d tell her, ‘I’m up half the night transcribing tapes. Copying those letters you write. I’m losing sleep. When I finally get to bed I toss and turn for an hour.’ ‘What’s with the big deal opus manuscript? Do I get to see it soon or do you plan to take another seven years?’ I think this obsession with the manuscript was probably one of her last symptoms.

“So I started to show her pieces of it. The character of our sessions changed. Each morning I’d read the patient part of a chapter. She was fascinated. When the hour was up she was reluctant to leave. I would read her the rest of the chapter during our afternoon session. This went on for about a year. She was very calm, calmer than I’d ever seen her. Those earlier symptoms didn’t seem to obtain any longer. The fears, I mean. She was reading newspapers now, watching TV and switching from channel to channel in the middle of shows and going on to the next show and following it to the end even if she hadn’t seen the beginning. She was getting tolerant about meaninglessness. And put bright bedspreads on her bed, flowery prints, complicated patterns. We’d been taking walks around the grounds together since the middle of winter.

“When spring came she even wanted me to drive her to town. We were with each other constantly now, though the manuscript, which was finished now, was always along. And though we’d long since finished putting it together, I started to read to her from the worst parts of her life. In canoes I would read to her from her childhood. Her symptoms and traumas. We’d go to the park and while she was setting the tablecloth out on the picnic table I’d have her listen to those cruel letters she had written the other patients.