Patients First Quotes

Hide yourself in God, so when a man wants to find you he will have to go there first.

No one is born evil. As Winnicott put it, “A baby cannot hate the mother, without the mother first hating the baby.

Do not work primarily for money; do your duty to patients first and let the money follow; our life is short, we don't live twice; the whirlwind will pick up the leaves and spin them, but then it will drop them and they will form a pile.

Please-tame me!' he said. 'I want to, very much,' the little prince replied. 'But I have not much time. I have friends to discover, and a great many things to understand.' 'One only understands the things that one tames,' said the fox. 'Men have no more time to understand anything. They buy things all ready made at the shops. But there is no shop anywhere where one can buy friendship, and so men have no friends any more. If you want a friend, tame me.' 'What must I do, to tame you?' asked the little prince. 'You must be very patient,' replied the fox. 'First you will sit down at a little distance from me-like that-in the grass. I shall look at you out of the corner of my eye, and you will say nothing. Words are the source of misunderstandings. But you will sit a little closer to me, every day...

Don’t think I ever spent a minute of any day wondering why I did this work, or whether it was worth it. The call to protect life—and not merely life but another’s identity; it is perhaps not too much to say another’s soul—was obvious in its sacredness. Before operating on a patient’s brain, I realized, I must first understand his mind: his identity, his values, what makes his life worth living, and what devastation makes it reasonable to let that life end. The cost of my dedication to succeed was high, and the ineluctable failures brought me nearly unbearable guilt. Those burdens are what make medicine holy and wholly impossible: in taking up another’s cross, one must sometimes get crushed by the weight.

It wouldn't be my move," Jace agreed. " First the candy and flowers, then the apology letters, THEN the ravenous demon hordes. In that order." "He might have sent her candy and flowers," Isabelle said. "We don't know." "Isabelle," said Hodge patiently, "this is the man who rained down destruction on Idris the like of which it had never seen,who set shadowhunter against Downworlder and made the streets of the Glass City run with blood." "That's sort of hot," Isabella argued, " that evil thing.

One must learn to love.— This is what happens to us in music: first one has to learn to hear a figure and melody at all, to detect and distinguish it, to isolate it and delimit it as a separate life; then it requires some exertion and good will to tolerate it in spite of its strangeness, to be patient with its appearance and expression, and kindhearted about its oddity:—finally there comes a moment when we are used to it, when we wait for it, when we sense that we should miss it if it were missing: and now it continues to compel and enchant us relentlessly until we have become its humble and enraptured lovers who desire nothing better from the world than it and only it.— But that is what happens to us not only in music: that is how we have learned to love all things that we now love. In the end we are always rewarded for our good will, our patience, fairmindedness, and gentleness with what is strange; gradually, it sheds its veil and turns out to be a new and indescribable beauty:—that is its thanks for our hospitality. Even those who love themselves will have learned it in this way: for there is no other way. Love, too, has to be learned.

First lesson taught to doctors in medical college: "Be emotional about the disease, not the patient.

You can have everything in the world, but if you don't have love, none of it means crap," he said promptly. "Love is patient. Love is kind. Love always forgives, trusts, supports, and endures. Love never fails. When every star in the heavens grows cold, and when silence lies once more on the face of the deep, three things will endure: faith, hope, and love." And the greatest of these is love," I finished. "That's from the Bible." First Corinthians, chapter thirteen," Thomas confirmed. "I paraphrased. Father makes all of us memorize that passage. Like when parents put those green yucky-face stickers on the poisonous cleaning products under the kitchen sink.

Before operating on a patient’s brain, I realized, I must first understand his mind: his identity, his values, what makes his life worth living, and what devastation makes it reasonable to let that life end.

When we are young we do not look into mirrors. It is when we are old, concerned with our name, our legend, what our lives will mean to the future. We become vain with the names we own, our claims to have been the first eyes, the strongest army, the cleverest merchant. It is when he is old that Narcissus wants a graven image of himself.

BEFRIENDING THE BODY Trauma victims cannot recover until they become familiar with and befriend the sensations in their bodies. Being frightened means that you live in a body that is always on guard. Angry people live in angry bodies. The bodies of child-abuse victims are tense and defensive until they find a way to relax and feel safe. In order to change, people need to become aware of their sensations and the way that their bodies interact with the world around them. Physical self-awareness is the first step in releasing the tyranny of the past. In my practice I begin the process by helping my patients to first notice and then describe the feelings in their bodies—not emotions such as anger or anxiety or fear but the physical sensations beneath the emotions: pressure, heat, muscular tension, tingling, caving in, feeling hollow, and so on. I also work on identifying the sensations associated with relaxation or pleasure. I help them become aware of their breath, their gestures and movements. All too often, however, drugs such as Abilify, Zyprexa, and Seroquel, are prescribed instead of teaching people the skills to deal with such distressing physical reactions. Of course, medications only blunt sensations and do nothing to resolve them or transform them from toxic agents into allies. The mind needs to be reeducated to feel physical sensations, and the body needs to be helped to tolerate and enjoy the comforts of touch. Individuals who lack emotional awareness are able, with practice, to connect their physical sensations to psychological events. Then they can slowly reconnect with themselves.

Somewhere someone thinks they love someone else exactly like I love you. Somewhere someone shakes from the ripple of a thousand butterflies inside a single stomach. Somewhere someone is packing their bags to see the world with someone else. Somewhere someone is reaching through the most terrifying few feet of space to hold the hand of someone else. Somewhere someone is watching someone else’s chest rise and fall with the breath of slumber. Somewhere someone is pouring ink like blood onto pages fighting to say the truth that has no words. Somewhere someone is waiting patient but exhausted to just be with someone else. Somewhere someone is opening their eyes to a sunrise in someplace they have never seen. Somewhere someone is pulling out the petals twisting the apple stem picking up the heads up penny rubbing the rabbits foot knocking on wood throwing coins into fountains hunting for the only clover with only 4 leaves skipping over the cracks snapping the wishbone crossing their fingers blowing out the candles sending dandelion seeds into the air ushering eyelashes off their thumbs finding the first star and waiting for 11:11 on their clock to spend their wishes on someone else. Somewhere someone is saying goodbye but somewhere someone else is saying hello. Somewhere someone is sharing their first or their last kiss with their or no longer their someone else. Somewhere someone is wondering if how they feel is how the other they feels about them and if both theys could ever become a they together. Somewhere someone is the decoder ring to all of the great mysteries of life for someone else. Somewhere someone is the treasure map. Somewhere someone thinks they love someone else exactly like I love you. Somewhere someone is wrong.

The nurses, I have already learned, are the ones who give us the answers we’re desperate for. Unlike the doctors, who fidget like they need to be somewhere else, the nurses patiently answer us as if we are the first set of parents to ever have this kind of meeting with them, instead of the thousandth.

A writer is someone who spends years patiently trying to discover the second being inside him, and the world that makes him who he is: when I speak of writing, what comes first to my mind is not a novel, a poem, or literary tradition, it is a person who shuts himself up in a room, sits down at a table, and alone, turns inward; amid its shadows, he builds a new world with words.

Leave the dishes. Let the celery rot in the bottom drawer of the refrigerator and an earthen scum harden on the kitchen floor. Leave the black crumbs in the bottom of the toaster. Throw the cracked bowl out and don't patch the cup. Don't patch anything. Don't mend. Buy safety pins. Don't even sew on a button. Let the wind have its way, then the earth that invades as dust and then the dead foaming up in gray rolls underneath the couch. Talk to them. Tell them they are welcome. Don't keep all the pieces of the puzzles or the doll's tiny shoes in pairs, don't worry who uses whose toothbrush or if anything matches, at all. Except one word to another. Or a thought. Pursue the authentic-decide first what is authentic, then go after it with all your heart. Your heart, that place you don't even think of cleaning out. That closet stuffed with savage mementos. Don't sort the paper clips from screws from saved baby teeth or worry if we're all eating cereal for dinner again. Don't answer the telephone, ever, or weep over anything at all that breaks. Pink molds will grow within those sealed cartons in the refrigerator. Accept new forms of life and talk to the dead who drift in though the screened windows, who collect patiently on the tops of food jars and books. Recycle the mail, don't read it, don't read anything except what destroys the insulation between yourself and your experience or what pulls down or what strikes at or what shatters this ruse you call necessity.

I’ve stopped being sorry for all my soft. I won’t apologise because I miss you, or because I said it, or because I text you first, or again. I think everyone spends too much time trying to close themselves off. I don’t want to be cool or indifferent, I want to be honest. If I love you at 5AM, I’d damn well rather that you know I felt it. If I love you two hours later, I’ll tell you then too. Listen, I won’t wait double the time it takes for you to text me back because I don’t want to. I don’t care enough to be patient with you. I’m happy, you made me feel that way, don’t you want to know? So that’s how it’s going to be. I’m going to leave myself as open as a church door. And I’m going to wake you up before the crack of dawn to tell you that I’m fucking joyful, no pretending, not from me, not ever. Would you like some coffee, would you please kiss me? Here, these are my hands, this is my mouth, it is all yours.

The dark is generous. Its first gift is concealment: our true faces lie in the dark beneath our skins, our true hearts remain shadowed deeper still. But the greatest concealment lies not in protecting our secret truths, but in hiding from the truths of others. The dark protects us from what we dare not know. Its second gift is comforting illusion: the ease of gentle dreams in night’s embrace, the beauty that imagination brings to what would repel in the day’s harsh light. But the greatest of its comforts is the illusion that dark is temporary: that every night brings a new day. Because it’s the day that is temporary. Day is the illusion. Its third gift is the light itself: as days are defined by the nights that divide them, as stars are defined by the infinite black through which they wheel, the dark embraces the light, and brings it forth from the center of its own self. With each victory of the light, it is the dark that wins. The dark is generous, and it is patient. It is the dark that seeds cruelty into justice, that drips contempt into compassion, that poisons love with grains of doubt. The dark can be patient, because the slightest drop of rain will cause those seeds to sprout. The rain will come, and the seeds will sprout, for the dark is the soil in which they grow, and it is the clouds above them, and it waits behind the star that gives them light. The dark’s patience is infinite. Eventually, even stars burn out. The dark is generous, and it is patient, and it always wins. It always wins because it is everywhere. It is in the wood that burns in your hearth, and in the kettle on the fire; it is under your chair and under your table and under the sheets on your bed. Walk in the midday sun, and the dark is with you, attached to the soles of your feet. The brightest light casts the darkest shadow. The dark is generous and it is patient and it always wins – but in the heart of its strength lies its weakness: one lone candle is enough to hold it back. Love is more than a candle. Love can ignite the stars.

The first time the extent of this problem was obvious to me was when I was hanging out with a small group of people in which one unironically said, “I would not consider dating someone who was not regularly seeing a psychologist”—and others in the group agreed with them. It was at that point I realized that some psychologists were convincing their patients that no person could be mentally healthy without regularly visiting them. They had so thoroughly incepted a dependency in their patients that they had created a cultural identity around that dependency.

But the story of leukemia--the story of cancer--isn't the story of doctors who struggle and survive, moving from institution to another. It is the story of patients who struggle and survive, moving from on embankment of illness to another. Resilience, inventiveness, and survivorship--qualities often ascribed to great physicians--are reflected qualities, emanating first from those who struggle with illness and only then mirrored by those who treat them. If the history of medicine is told through the stories of doctors, it is because their contributions stand in place of the more substantive heroism of their patients.

So you want to be a writer if it doesn’t come bursting out of you in spite of everything, don’t do it. unless it comes unasked out of your heart and your mind and your mouth and your gut, don’t do it. if you have to sit for hours staring at your computer screen or hunched over your typewriter searching for words, don’t do it. if you’re doing it for money or fame, don’t do it. if you’re doing it because you want women in your bed, don’t do it. if you have to sit there and rewrite it again and again, don’t do it. if it’s hard work just thinking about doing it, don’t do it. if you’re trying to write like somebody else, forget about it. if you have to wait for it to roar out of you, then wait patiently. if it never does roar out of you, do something else. if you first have to read it to your wife or your girlfriend or your boyfriend or your parents or to anybody at all, you’re not ready. don’t be like so many writers, don’t be like so many thousands of people who call themselves writers, don’t be dull and boring and pretentious, don’t be consumed with self- love. the libraries of the world have yawned themselves to sleep over your kind. don’t add to that. don’t do it. unless it comes out of your soul like a rocket, unless being still would drive you to madness or suicide or murder, don’t do it. unless the sun inside you is burning your gut, don’t do it. when it is truly time, and if you have been chosen, it will do it by itself and it will keep on doing it until you die or it dies in you. there is no other way. and there never was.

Secure writers don't sell first drafts. They patiently rewrite until the script is as director-ready, as actor-ready as possible. Unfinished work invites tampering, while polished, mature work seals its integrity.

There is no doubt that even the greatest musical geniuses have sometimes worked without inspiration. This guest (inspiration) does not always respond to the first invitation. We must always work, and a self-respecting artist must not fold his hands on the pretext that he is not in the mood. If we wait for the mood, without endeavouring to meet it half-way, we easily become indolent and apathetic. We must be patient, and believe that inspiration will come to those who can master their disinclination.

The first study for the man who wants to be a poet is knowledge of himself, complete: he searches for his soul, he inspects it, he puts it to the test, he learns it. As soon as he has learned it, he must cultivate it! I say that one must be a seer, make oneself a seer. The poet becomes a seer through a long, immense, and reasoned derangement of all the senses. All shapes of love suffering, madness. He searches himself, he exhausts all poisons in himself, to keep only the quintessences. Ineffable torture where he needs all his faith, all his superhuman strength, where he becomes among all men the great patient, the great criminal, the great accursed one--and the supreme Scholar! For he reaches the unknown! ....So the poet is actually a thief of Fire!

Look at your life as a patient and a doctor!

But it was a happy and beautiful bride who came down the old, homespun- carpeted stairs that September noon - the first bride of Green Gables, slender and shining-eyed, in the mist of her maiden veil, with her arms full of roses. Gilbert, waiting for her in the hall below, looked up at her with adoring eyes. She was his at last, this evasive, long-sought Anne, won after years of patient waiting. It was to him she was coming in the sweet surrender of the bride. Was he worthy of her? Could he make her as happy as he hoped? If he failed her - if he could not measure up to her standard of manhood - then, as she held out her hand, their eyes met and all doubt was swept away in a glad certainty. They belonged to each other; and, no matter what life might hold for them, it could never alter that. Their happiness was in each other’s keeping and both were unafraid.

You were patient all this time. I had to find myself first; I had to remember who I was and become the person I was meant to be. You have been there for me patiently while I searched for you, even when I didn't know I was looking for you, you were there.

The word hope first appeared in English about a thousand years ago, denoting some combination of confidence and desire. But what I desired—life—was not what I was confident about—death. When I talked about hope, then, did I really mean “Leave some room for unfounded desire?” No. Medical statistics not only describe numbers such as mean survival, they measure our confidence in our numbers, with tools like confidence levels, confidence intervals, and confidence bounds. So did I mean “Leave some room for a statistically improbable but still plausible outcome—a survival just above the measured 95 percent confidence interval?” Is that what hope was? Could we divide the curve into existential sections, from “defeated” to “pessimistic” to “realistic” to “hopeful” to “delusional”? Weren’t the numbers just the numbers? Had we all just given in to the “hope” that every patient was above average? It occurred to me that my relationship with statistics changed as soon as I became one.

Tuesday, 9th Novermber 2004 Bleeped awake at 3AM from my first half hour shut-eye in three shifts to prescribe a sleeping pill to a patient whose sleep is evidently much more important than mine. My powers are greater than I realised; I arrive on the ward to find the patient is asleep.

I want to kiss her and make love to her and marry her and make her have my babies and I want it all to happen tonight . But then we'll be out of firsts, and the firsts are the best part. Good thing I'm patient.

Your mother hollers that you’re going to miss the bus. She can see it coming down the street. You don’t stop and hug her and tell her you love her. You don’t thank her for being a good, kind, patient mother. Of course not -- you vault down down the stairs and make a run for the corner. Only if it’s the last time you’ll ever see your mother, you sort of start to wish you’d stopped and did those things. Maybe even missed the bus. But the bus was barreling down our street so I ran.

Who's this?" he said, coming across a name he didn't recognize. "Lady Georgina of Sandalhurst? Why are we inviting her? I don't know her. Why are we asking people we don't know?" I know her," Pauline replied. There was a certain steeliness in her voice that Halt would have done well to recognize. "She's my aunt, Bit of an old stick, really, but I have to invite her." You've never mentioned her before," Halt challenged. True. I don't like her very much. As I said, she's a bit of an old stick." Then why are we inviting her?" We're inviting her," Lady Pauline explained, "because Aunt Georgina has spent the last twenty years bemoaning the fact that I was unmarried. 'Poor Pauline!' she'd cry to anyone who'd listen. 'She'll be a lonley old maid! Married to her job! She'll never find a husband to look after her!' It's just too good an opportunity to miss." Halt's eyebrows came together in a frown. There might be a few things that would annoy him more than someone criticizing the woman he loved, but for a moment, he couldn't think of one. Agreed," he said. "And let's sit her with the most boring people possible at the wedding feast." Good thinking," Lady Pauline said. She made a note on another sheet of paper. "I'll make her the first person on the Bores' table." The Bores' table?" Halt said. "I'm not sure I've heard that term." Every wedding has to have a Bores' table," his fiance explained patiently. "We take all the boring, annoying, bombastic people and sit them together. That way they all bore each other and they don't bother the normal people we've asked." Wouldn't it be simpler to just ask the people you like?" Halt askede. "Except Aunt Georgina, of course--there's a good reason to ask her. But why ask others?" It's a family thing," Lady Pauline said, adding a second and third name to the Bores' table as she thought of them. "You have to ask family and every family has its share of annoying bores. It's just organizing a wedding.

Maxon, I hope you find someone you can't love without. I really do. And I hope you never have to know what it's like to have to try and live without them." Maxon's face was a shallow echo of my own pain. He looked absolutely brokenhearted for me. More than that, he looked angry. "I'm sorry, America. I don't..." His face shifted a little. "Is this a good time to pat your shoulder?" His uncertainty made me smile. "Yes. Now would be a great time." He seemed as skeptically as he'd been the other day, but instead of just patting my shoulder, he leaned in and tentatively wrapped his arms around me. "I only really ever hug my mother. Is this okay?" he asked. I laughed. "It's hard to get a hug wrong." After a minute, I spoke again. "I know what you mean, though. I don't really hug anyone besides my family." I felt so drained after the long day of dressing and the Report and dinner and talking. It was nice to have Maxon just hold me, sometimes even patting my hair. He wasn't as lost as he seemed. He patiently waited for my breathing to slow, and when it did, he pulled back to look at me. "America, I promise you I'll keep you here until the last possible moment. I understand that they want me to narrow the Elite down to three and then choose. But I swear to you, I'll make it to two and keep you here until then. I won't make you leave a moment before I have to. Or the moment you're ready. Whichever comes first." I nodded. "I know we just met, but I think you're wonderful. And it bothers me to see you hurt. If he were here, I'd...I'd..." Maxon shook with frustration, then sighed. "I'm so sorry, America." He pulled me back in, and I rested my head on his broad shoulder. I knew Maxon would keep his promises. So I settled into perhaps the last place I ever thought I'd find genuine comfort.

The street to my left was backed up with traffic and I watched the people waiting patiently in the cars. There was almost always a man and a women, staring straight ahead, not talking. It was, finally, for everyone, a matter of waiting. You waited and you waited- for the hospital, the doctor, the plumber, the madhouse, the jail, papa death himself. First the signal red, then the signal was green. The citizens of the world ate food and watched t.v. and worried about their jobs or lack of the same, while they waited.

If someone slaps you on one cheek, offer the other cheek also... but of course if you were able to stand soberly after the first slap.

Analysis helps patients put their unconscious procedural memories and actions into words and into context, so they can better understand them. In the process they plastically retranscribe these procedural memories, so that they become conscious explicit memories, sometimes for the first time, and patients no longer need to "relive" or "reenact" them, especially if they were traumatic.

I'm in a weird-ass mood today, Doc. Wired up, mind all over the place, looking for answers, reasons something solid to cling to, something real, but just when I think I've got it figured out and neatly filed under fixed instead of fucked, turns out I'm still shattered, scattered, and battered. But you probably already knew that, didn't you?...You might not be able to help me. That makes me sad, but not for me. It makes me sad for you. It must be frustrating for a shrink to have a patient who's beyond fixing. That first shrink I saw when I got back to Clayton Falls told me no one is a lost cause, but I think that's bullshit. I think people can be so crushed, so broken, that they'll never be anything more than a fragment of a whole person. (129)

...Turn our thoughts, in the next place, to the characters of learned men. The priesthood have, in all ancient nations, nearly monopolized learning. Read over again all the accounts we have of Hindoos, Chaldeans, Persians, Greeks, Romans, Celts, Teutons, we shall find that priests had all the knowledge, and really governed all mankind. Examine Mahometanism, trace Christianity from its first promulgation; knowledge has been almost exclusively confined to the clergy. And, even since the Reformation, when or where has existed a Protestant or dissenting sect who would tolerate a free inquiry? The blackest billingsgate, the most ungentlemanly insolence, the most yahooish brutality is patiently endured, countenanced, propagated, and applauded. But touch a solemn truth in collision with a dogma of a sect, though capable of the clearest proof, and you will soon find you have disturbed a nest, and the hornets will swarm about your legs and hands, and fly into your face and eyes. [Letters to John Taylor, 1814, XVIII, p. 484]

There is a saying about surgeons, meant as a reproof: "Sometimes wrong; never in doubt." But this seemed to me their strength. Each day surgeons are faced with uncertainties. Information is inadequate; the science is ambiguous; one's knowledge and abilities are never perfect. Even with the simplest operation, it cannot be taken for granted that a patient will come through better off - or even alive. Standing at the table my first time, I wondered how the surgeon knew that he would do this patient good, that all the steps would go as planned, that the bleeding would be controlled and infection would not take hold and organs would not be injured. He didn't, of course. But still he cut.

This is an ode to all of those that have never asked for one. A thank you in words to all of those that do not do what they do so well for the thanking. This is to the mothers. This is to the ones who match our first scream with their loudest scream; who harmonize in our shared pain and joy and terrified wonder when life begins. This is to the mothers. To the ones who stay up late and wake up early and always know the distance between their soft humming song and our tired ears. To the lips that find their way to our foreheads and know, somehow always know, if too much heat is living in our skin. To the hands that spread the jam on the bread and the mesmerizing patient removal of the crust we just cannot stomach. This is to the mothers. To the ones who shout the loudest and fight the hardest and sacrifice the most to keep the smiles glued to our faces and the magic spinning through our days. To the pride they have for us that cannot fit inside after all they have endured. To the leaking of it out their eyes and onto the backs of their hands, to the trails of makeup left behind as they smile through those tears and somehow always manage a laugh. This is to the patience and perseverance and unyielding promise that at any moment they would give up their lives to protect ours. This is to the mothers. To the single mom’s working four jobs to put the cheese in the mac and the apple back into the juice so their children, like birds in a nest, can find food in their mouths and pillows under their heads. To the dreams put on hold and the complete and total rearrangement of all priority. This is to the stay-at-home moms and those that find the energy to go to work every day; to the widows and the happily married. To the young mothers and those that deal with the unexpected announcement of a new arrival far later than they ever anticipated. This is to the mothers. This is to the sack lunches and sleepover parties, to the soccer games and oranges slices at halftime. This is to the hot chocolate after snowy walks and the arguing with the umpire at the little league game. To the frosting ofbirthday cakes and the candles that are always lit on time; to the Easter egg hunts, the slip-n-slides and the iced tea on summer days. This is to the ones that show us the way to finding our own way. To the cutting of the cord, quite literally the first time and even more painfully and metaphorically the second time around. To the mothers who become grandmothers and great-grandmothers and if time is gentle enough, live to see the children of their children have children of their own. To the love. My goodness to the love that never stops and comes from somewhere only mothers have seen and know the secret location of. To the love that grows stronger as their hands grow weaker and the spread of jam becomes slower and the Easter eggs get easier to find and sack lunches no longer need making. This is to the way the tears look falling from the smile lines around their eyes and the mascara that just might always be smeared with the remains of their pride for all they have created. This is to the mothers.

Since the 1980s, therapists have reported encountering clients or patients who had experienced extreme abuses featuring physical, sexual, emotional, spiritual, and cognitive aspects, along with a premeditated structure of torture-enforced lessons. The phenomena was first labeled "ritual abuse," and, later, as our understanding developed, "mind control.

One of the first things we teach medical students is to listen to the patient by taking a careful medical history. Ninety percent of the time, you can arrive at an uncannily accurate diagnosis by paying close attention, using physical examination and sophisticated lab test to confirm your hunch (and to increase the bill to the insurance company).

When you get sick you will be surprised by who steps up and who steps away. I can honestly say I did not think this would apply to me. I could not imagine that anyone in my family or circle of friends would not be there for me. Wrong!

Rick said, "Is there some place we can go and talk?" "You want to talk?," Keir raised an eyebrow. "I never thought I'd see the day." "Nah, I want to tell you this joke I heard." Keir nodded, patient. "Shoot." "Two Irish cops walk into a bar. The first cop says..." Rick's voice dropped. He said gruffly, "I love you. Come home." Keir managed to keep his voice steady. "What's the other cop say?" The sweetness of Rick's smile was like a kick in his chest. "That's what I'm here to find out, boyo.

Hello, little girl," he said, which was only his first big mistake. "I'm sure you want to know all about hedgehogs, eh?" "I did this one last year," said Tiffany. The man looked closer, and his grin faded. "Oh, yes," he said. "I remember. You asked all those... little questions." "I would like a question answered today," said Tiffany. "Provided it's not one about how you get baby hedgehogs," said the man. "No," said Tiffany patiently. "It's about zoology." "Zoology, eh? That's a big word, isn't it." "No, actually it isn't," said Tiffany. "Patronizing is a big word. Zoology is really quite small.

Who knows what indignities we suffered, what torments and abuses, in this land before memory? Our character was formed without our even knowing it. In my case, I grew up feeling edgy, afraid; anxious. This anxiety seemed to predate my existence and exist independently of me.

Still perfect,” he said. “Read to me.” “This isn’t really a poem to read aloud when you are sitting next to your sleeping mother. It has, like, sodomy and angel dust in it,” I said. “You just named two of my favorite pastimes,” he said. “Okay, read me something else then?” “Um,” I said. “I don’t have anything else?” “That’s too bad. I am so in the mood for poetry. Do you have anything memorized?” “‘Let us go then, you and I,’” I started nervously, “‘When the evening is spread out against the sky / Like a patient etherized upon a table.’” “Slower,” he said. I felt bashful, like I had when I’d first told him of An Imperial Affliction. “Um, okay. Okay. ‘Let us go, through certain half-deserted streets, / The muttering retreats / Of restless nights in one-night cheap hotels / And sawdust restaurants with oyster-shells: / Streets that follow like a tedious argument / Of insidious intent / To lead you to an overwhelming question . . . / Oh, do not ask, “What is it?” / Let us go and make our visit.’” “I’m in love with you,” he said quietly. “Augustus,” I said. “I am,” he said. He was staring at me, and I could see the corners of his eyes crinkling. “I’m in love with you, and I’m not in the business of denying myself the simple pleasure of saying true things. I’m in love with you, and I know that love is just a shout into the void, and that oblivion is inevitable, and that we’re all doomed and that there will come a day when all our labor has been returned to dust, and I know the sun will swallow the only earth we’ll ever have, and I am in love with you.” “Augustus,” I said again, not knowing what else to say. It felt like everything was rising up in me, like I was drowning in this weirdly painful joy, but I couldn’t say it back. I

Healthy people, I have concluded, including myself, do not understand how everything changes once you have been diagnosed with a fatal illness. How you cling to hope, however false, however slight, and how reluctant most doctors are to deprive patients of that fragile beam of light in so much darkness. Indeed, many people develop what psychiatrists call ‘dissociation’ and a doctor can find himself talking to two people – they know that they are dying and yet still hope that they will live. I had noticed the same phenomenon with my mother during the last few days of her life. When faced by people who are dying you are no longer dealing with the rational consumers assumed by economic model-builders, if they ever existed in the first place.

Can you tell me in one sentence what is meant by logotherapy?" he asked. "At least, what is the difference between psychoanalysis and logotherapy?" "Yes," I said, "but in the first place, can you tell me in one sentence what you think the essence of psychoanalysis is?" This was his answer: "During psychoanalysis, the patient must lie down on a couch and tell you things which sometimes are very disagreeable to tell." Whereupon I immediately retorted with the following improvisation: "Now, in logotherapy the patient may remain sitting erect but he must hear things which sometimes are very disagreeable to hear.

Quote of the day. "Al, for want of anything better to do, is standing nodding his head. This reminds Faron of those stupid dogs that people put in their cars, that when the car moves, the dogs frantically nod their heads, like some demented, freshly graduated psychologist, with their first patients.

The first thing to do is to keep silent – to abolish audiences and learn to be your own judge. To keep a balance between active concern for the body and an attentive awareness of being alive. To abandon all claims and devote yourself to achieving two kinds of freedom: freedom from money, and freedom from your own vanity and cowardice. To have rules and stick to them. Two years is not too long to spend thinking about one single point. You must wipe out all earlier stages, and concentrate all your strength on forgetting nothing and learning patiently.

Of the thousands of patients I have seen, only two or three have ever claimed to be unhappy: all the rest have said that they were depressed. This semantic shift is deeply significant, for it implies that dissatisfaction with life is itself pathological, a medical condition, which it is the responsibility of the doctor to alleviate by medical means. Everyone has a right to health; depression is unhealthy; therefore everyone has a right to be happy (the opposite of being depressed). This idea in turn implies that one’s state of mind, or one’s mood, is or should be independent of the way that one lives one’s life, a belief that must deprive human existence of all meaning, radically disconnecting reward from conduct. A ridiculous pas de deux between doctor and patient ensues: the patient pretends to be ill, and the doctor pretends to cure him. In the process, the patient is wilfully blinded to the conduct that inevitably causes his misery in the first place.

We have achieved most as surgeons when our patients recover completely and forget us completely. All patients are immensely grateful at first after a successful operation but if the gratitude persists it usually means that they have not been cured of the underlying problem and that they fear that they may need us in the future. They feel that they must placate us, as though we were angry gods or at least the agents of an unpredictable fate.

What if, ladies and gentlemen, today I told you that anyone here who was born on a Monday, Tuesday, or Wednesday was free to leave right now? Also, they'd be given the most central parking spots in the city, and the biggest houses. They would get job interviews before others who were born later in the week, and they'd be taken first at the doctor's office, no matter how many patients were waiting in line. If you were born from Thursday to Sunday, you might try to catch up – but because you were straggling behind, the press would always point to how inefficient you are. And if you complained, you'd be dismissed for playing the birth-day card.” I shrug. “Seems silly, right? But what if on top of these arbitrary systems that inhibited your chances for success, everyone kept telling you that things were actually pretty equal?

But I liked you from the moment I first heard your voice,” he said, “when I had no idea what you looked like. I thought it delicious, the way you bargained for me, as though I were an old rug. Then I loved the way you looked at me. Then I loved the way you ordered me about. I loved your patient and impatient ways of explaining things to me. I love the sound of your voice and the way you move. I love your courage and your kindness and your generosity and your obstinacy and your passion.” He paused. “You’re the genius. What do you think that means?

On April 2, the nurses started my first round of five intravenous immunoglobulin (IVIG) infusions. The clear IV bags hung on a metal pole above my head, their liquid trickling down into my vein. Each of those ordinary-looking bags contained the healthy antibodies of over a thousand blood donors and cost upwards of $20,000 per infusion. One thousand tourniquets, one thousand nurses, one thousand veins, one thousand blood-sugar regulating cookies, all just to help one patient.

Sometimes it’s hard to grasp why it is that the answers to the present lie in the past. A simple analogy might be helpful: a leading psychiatrist in the field of sexual abuse once told me she had, in thirty years of extensive work with paedophiles, never met one who hadn’t himself been abused as a child. This doesn’t mean that all abused children go on to become abusers; but it is impossible for someone who was not abused to become an abuser. No one is born evil. As Winnicott put it: ‘A baby cannot hate the mother, without the mother first hating the baby.’ As babies, we are innocent sponges, blank slates – with only the most basic needs present: to eat, shit, love and be loved. But something goes wrong, depending on the circumstances into which we are born, and the house in which we grow up. A tormented, abused child can never take revenge in reality, as she is powerless and defenceless, but she can – and must – harbour vengeful fantasies in her imagination. Rage, like fear, is reactive in nature.

We have all heard such stories of expert intuition: the chess master who walks past a street game and announces “White mates in three” without stopping, or the physician who makes a complex diagnosis after a single glance at a patient. Expert intuition strikes us as magical, but it is not. Indeed, each of us performs feats of intuitive expertise many times each day. Most of us are pitch-perfect in detecting anger in the first word of a telephone call, recognize as we enter a room that we were the subject of the conversation, and quickly react to subtle signs that the driver of the car in the next lane is dangerous. Our everyday intuitive abilities are no less marvelous than the striking insights of an experienced firefighter or physician—only more common. The psychology of accurate intuition involves no magic. Perhaps the best short statement of it is by the great Herbert Simon, who studied chess masters and showed that after thousands of hours of practice they come to see the pieces on the board differently from the rest of us. You can feel Simon’s impatience with the mythologizing of expert intuition when he writes: “The situation has provided a cue; this cue has given the expert access to information stored in memory, and the information provides the answer. Intuition is nothing more and nothing less than recognition.

When I went on my first antidepressant it had the side effect of making me fixated on suicide (which is sort of the opposite of what you want). It’s a rare side effect so I switched to something else that did work. Lots of concerned friends and family felt that the first medication’s failure was a clear sign that drugs were not the answer; if they were I would have been fixed. Clearly I wasn’t as sick as I said I was if the medication didn’t work for me. And that sort of makes sense, because when you have cancer the doctor gives you the best medicine and if it doesn’t shrink the tumor immediately then that’s a pretty clear sign you were just faking it for attention. I mean, cancer is a serious, often fatal disease we’ve spent billions of dollars studying and treating so obviously a patient would never have to try multiple drugs, surgeries, radiation, etc., to find what will work specifically for them. And once the cancer sufferer is in remission they’re set for life because once they’ve learned how to not have cancer they should be good. And if they let themselves get cancer again they can just do whatever they did last time. Once you find the right cancer medication you’re pretty much immune from that disease forever. And if you get it again it’s probably just a reaction to too much gluten or not praying correctly. Righ

Maybe you've been in love. I man real love, the kind my grandmother used to describe by quoting the apostle Paul's First letter to the Corinthians, the love that is kind and patient, that does not envy or boast, that beareth all things and believeth all things and endureth all things. I don't like to throw the L-word around; it's too good and rare a feeling to cheapen with overuse. You can live a good life without ever knowing real love, of the Corinthians variety,..

Social scientific research is and always will be tentative and imperfect. It does not claim to transform economics, sociology, and history into exact sciences. But by patiently searching for facts and patterns and calmly analyzing the economic, social, and political mechanisms that might explain them, it can inform democratic debate and focus attention on the right questions. It can help to redefine the terms of debate, unmask certain preconceived or fraudulent notions, and subject all positions to constant critical scrutiny. In my view, this is the role that intellectuals, including social scientists, should play, as citizens like any other but with the good fortune to have more time than others to devote themselves to study (and even to be paid for it—a signal privilege).

It is not for you to say - you Englishmen, who have conquered your freedom so long ago, that you have conveniently forgotten what blood you shed, and what extremities you proceeded to in the conquering - it is not for you to say how far the worst of all exasperations may, or may not, carry the maddened men of an enslaved nation. The iron that has entered into our souls has gone too deep for you to find it. Leave the refugee alone! Laugh at him, distrust him, open your eyes in wonder at the secret self which smolders in him, sometimes under the every-day respectability and tranquility of a man like me - sometimes under the grinding poverty, the fierce squalor, of men less lucky, less pliable, less patient than I am - but judge us not. In the time of your first Charles you might have done us justice - the long luxury of your freedom has made you incapable of doing us justice now.

But before I could come up with an answer, Tod appeared in the desk chair, where I'd sat minutes earlier. 'Hey. Am I interrupting something?' 'Yes,' Nash said. 'Get out.' But Tod was watching me, and I could tell from the angry line of his jaw that he'd been listening long before he showed himself. He'd heard what Avari had done to me. What Nash had let him do. 'You want me to go?' Tod asked me, his back to his brother. Nash implores me silently to say yes. Tod waited patiently. 'No,' I said, looking right at Nash. He scowled, and his shoulders sagged. 'Good.' Tod stood and kicked the rolling chair out of his way. 'I just checked on your friend in the straitjacket. But first...' The reaper swung before either of us realized what he intended to do. Tod's very sold first slammed into Nash's jaw. Nash's head snapped back. He stumbled into the wall. Tod shook his hand like it hurt. 'That's for what you let him do to Kaylee.

It is a great thing to start life with a small number of really good books which are your very own. You may not appreciate them at first. You may pine for your novel of crude and unadulterated adventure. You may, and will, give it the preference when you can. But the dull days come, and the rainy days come, and always you are driven to fill up the chinks of your reading with the worthy books which wait so patiently for your notice. And then suddenly, on a day which marks an epoch in your life, you understand the difference. You see, like a flash, how the one stands for nothing, and the other for literature. From that day onwards you may return to your crudities, but at least you do so with some standard of comparison in your mind. You can never be the same as you were before. Then gradually the good thing becomes more dear to you; it builds itself up with your growing mind; it becomes a part of your better self, and so, at last, you can look, as I do now, at the old covers and love them for all that they have meant in the past.

If a nurse declines to do these kinds of things for her patient, "because it is not her business," I should say that nursing was not her calling. I have seen surgical "sisters," women whose hands were worth to them two or three guineas a-week, down upon their knees scouring a room or hut, because they thought it otherwise not fit for their patients to go into. I am far from wishing nurses to scour. It is a waste of power. But I do say that these women had the true nurse-calling—the good of their sick first, and second only the consideration what it was their "place" to do—and that women who wait for the housemaid to do this, or for the charwoman to do that, when their patients are suffering, have not the making of a nurse in them.

it’s a terrible feeling when you first fall in love. your mind gets completely taken over, you can’t function properly anymore. the world turns into a dream place, nothing seems real. you forget your keys, no one seems to be talking English and even if they are you don’t care as you can’t hear what they’re saying anyway, and it doesn’t matter since your not really there. things you cared about before don’t seem to matter anymore and things you didn’t think you cared about suddenly do. I must become a brilliant cook, I don’t want to waste time seeing my friends when I could be with him, I feel no sympathy for all those people in India killed by an earthquake last night; what is the matter with me? It’s a kind of hell, but you feel like your in heaven. even your body goes out of control, you can’t eat, you don’t sleep properly, your legs turn to jelly as your not sure where the floor is anymore. you have butterflies permanently, not only in your tummy but all over your body - your hands, your shoulders, your chest, your eyes everything’s just a jangling mess of nerve endings tingling with fire. it makes you feel so alive. and yet its like being suffocated, you don’t seem to be able to see or hear anything real anymore, its like people are speaking to you through treacle, and so you stay in your cosy place with him, the place that only you two understand. occasionally your forced to come up for air by your biggest enemy, Real Life, so you do the minimum then head back down under your love blanket for more, knowing it’s uncomfortable but compulsory. and then, once you think you’ve got him, the panic sets in. what if he goes off me? what if I blow it, say the wrong thing? what if he meets someone better than me? Prettier, thinner, funnier, more like him? who doesn’t bite there nails? perhaps he doesn’t feel the same, maybe this is all in my head and this is just a quick fling for him. why did I tell him that stupid story about not owning up that I knew who spilt the ink on the teachers bag and so everyone was punished for it? does he think I'm a liar? what if I'm not very good at that blow job thing and he’s just being patient with me? he says he loves me; yes, well, we can all say words, can’t we? perhaps he’s just being polite. of course you do your best to keep all this to yourself, you don’t want him to think you're a neurotic nutcase, but now when he’s away doing Real Life it’s agony, your mind won’t leave you alone, it tortures you and examines your every moment spent together, pointing out how stupid you’ve been to allow yourself to get this carried away, how insane you are to imagine someone would feel like that about you. dad did his best to reassure me, but nothing he said made a difference - it was like I wanted to see Simon, but didn’t want him to see me.

What must I do, to tame you?" asked the little prince. "You must be very patient," replied the fox. "First you will sit down at a little distance from me--like that--in the grass. I shall look at you out of the corner of my eye, and you will say nothing. Words are the source of misunderstandings. But you will sit a little closer to me, every day . . ." The next day the little prince came back. "It would have been better to come back at the same hour," said the fox. "If, for example, you come at four o'clock in the afternoon, then at three o'clock I shall begin to be happy. I shall feel happier and happier as the hour advances. At four o'clock, I shall already be worrying and jumping about. I shall show you how happy I am! But if you come at just any time, I shall never know at what hour my heart is to be ready to greet you...

We lead a difficult life, not always managing to fit our actions to the vision we have of the world. (And when I think I have caught a glimpse of the color of my fate, it flees from my gaze.) We struggle and suffer to reconquer our solitude. But a day comes when the earth has its simple and primitive smile. Then, it is as if the struggles and life within us were rubbed out. Millions of eyes have looked at this landscape, and for me it is like the first smile of the world. It takes me out of myself, in the deepest meaning of the expression. It assures me that nothing matters except my love, and that even this love has no value for me unless it remains innocent and free. It denies me a personality, and deprives my suffering of its echo. The world is beautiful, and this is everything. The great truth which it patiently teaches me is that neither the mind nor even the heart has any importance. And that the stone warmed by the stone or the cypress tree swelling against the empty sky set a boundary to the only world in which "to be right" has any meaning: nature without men. This world reduces me to nothing. It carries me to the very end. Without anger, it denies that I exist. And, agreeing to my defeat, I move toward a wisdom where everything has already been conquered -- except that tears come into my eyes, and this great sob of poetry which swells my heart makes me forget the truth of the world.

SO YOU WANT TO BE A WRITER if it doesn't come bursting out of you in spite of everything, don't do it. unless it comes unasked out of your heart and your mind and your mouth and your gut, don't do it. if you have to sit for hours staring at your computer screen or hunched over your typewriter searching for words, don't do it. if you're doing it for money or fame, don't do it. if you're doing it because you want women in your bed, don't do it. if you have to sit there and rewrite it again and again, don't do it. if it's hard work just thinking about doing it, don't do it. if you're trying to write like somebody else, forget about it. if you have to wait for it to roar out of you, then wait patiently. if it never does roar out of you, do something else. if you first have to read it to your wife or your girlfriend or your boyfriend or your parents or to anybody at all, you're not ready. don't be like so many writers, don't be like so many thousands of people who call themselves writers, don't be dull and boring and pretentious, don't be consumed with self- love. the libraries of the world have yawned themselves to sleep over your kind. don't add to that. don't do it. unless it comes out of your soul like a rocket, unless being still would drive you to madness or suicide or murder, don't do it. unless the sun inside you is burning your gut, don't do it. when it is truly time, and if you have been chosen, it will do it by itself and it will keep on doing it until you die or it dies in you. there is no other way. and there never was.

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN = Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

unlike, say, the sun, or the rainbow, or earthquakes, the fascinating world of the very small never came to the notice of primitive peoples. if you think about this for a minute, it's not really surprising.. they had no way of even knowing it was there, and so of course they didn't invent any myths to explain it. it wasn't until the microscope was invented in the sixteenth century that people discovered that ponds and lakes, soil and dust, even our body, teem with tiny living creatures, too small to see, yet too complicated and, in their own way, beautiful, or perhaps frightening, depending on how you think about them. the whole world is made of incredibly tiny things, much too small to be visible to the naked eye - and yet none of the myths or so-called holy books that some people, even now, think were given to us by an all knowing god, mentions them at all. in fact, when you look at those myths and stories, you can see that they don't contain any of the knowledge that science has patiently worked out. they don't tell us how big or how old the universe is; they don't tell us how to treat cancer; they don't explain gravity or the internal combustion engine; they don't tell us about germs, or nuclear fusion, or electricity, or anaesthetics. in fact, unsurprisingly, the stories in holy books don't contain any more information about the world than was known to the primitive people who first started telling them. if these 'holly books' really were written, or dictated, or inspired, by all knowing gods, don't you think it's odd that those gods said nothing about any of these important and useful things?

Dr. Bone Specialist came in, made me stand up and hobble across the room, checked my reflexes, and then made me lie down on the table. He bent my right knee this way and that, up and down, all the way out to the side and in. Then he did the same with my left leg. He ordered X rays then started to leave the room. I panicked. I MUST GET DRUGS. "What can I take for the pain?" I asked him before he got out the door. "You can take some over the counter ibuprofen," he suggested. "But I wouldn't take more than nine a day." I choked. Nine a day? I'd been popping forty. Nine a day? Like hell. I couldn't even go to the bathroom on my own, I hadn't slept in three weeks, and my normally sunny cheery disposition had turned into that of a very rabid dog. If I didn't get good drugs and get them now, it was straight to Shooter's World and then Walgreens pharmacy for me. "I don't think you understand," I explained. "I can't go to work. I have spent the last four days with my mother who is addicted to QVC, watching jewelry shows, doll shows and make-up shows. I almost ordered a beef-jerky maker! Give me something, or I'm going to use your calf muscles to make the first batch!" Without further ado, he hastily scribbled out a prescription for some codeine and was gone. I was happy. My mother, however, had lost the ability to speak.

...never [enter] into dispute or argument with another. I never saw an instance of one of two disputants convincing the other by argument. I have seen many, on their getting warm, becoming rude, & shooting one another. ... When I hear another express an opinion which is not mine, I say to myself, he has a right to his opinion, as I to mine; why should I question it? His error does me no injury, and shall I become a Don Quixote, to bring all men by force of argument to one opinion? ... There are two classes of disputants most frequently to be met with among us. The first is of young students, just entered the threshold of science, with a first view of its outlines, not yet filled up with the details & modifications which a further progress would bring to their knoledge. The other consists of the ill-tempered & rude men in society, who have taken up a passion for politics. ... Consider yourself, when with them, as among the patients of Bedlam, needing medical more than moral counsel. Be a listener only, keep within yourself, and endeavor to establish with yourself the habit of silence, especially on politics. In the fevered state of our country, no good can ever result from any attempt to set one of these fiery zealots to rights, either in fact or principle. They are determined as to the facts they will believe, and the opinions on which they will act. Get by them, therefore, as you would by an angry bull; it is not for a man of sense to dispute the road with such an animal.

I don't think he was used to patients who were already aware of what their real problem was. He was also a bit of a pill-pusher. I balked at trying antidepressants, I just couldn't see myself taking pills to try to be less of a fraud. I said that even if they worked, how would I know if it was me or the pills? By that time I already knew I was a fraud. I knew what my problem was, I just couldn't seem to stop. I remember I spent maybe the first twenty times or so in analysis acting all open and candid but in reality sort of fencing with him or leading him around by the nose, basically showing him that I wasn't just another one of those patients who stumbled in with no clue what their real problem was or who were totally out of touch with the truth themselves.

This love meditation is adapted from the Visuddhimagga by Buddhaghosa, a 5th century C.E. systematization of the Buddha's teaching. We begin by practicing the love meditation on ourselves ("May I"). Until we are able to love and take care of ourselves, we cannot be much help to others. After that, we practice them on others ("May he/she/they") - first on someone we like, then on someone neutral to us, and finally on someone who makes us suffer. May I be peaceful, happy, and light in body and spirit. May I be safe and free from injury. May I be free from anger, afflictions, fear and anxiety. May I learn to look at myself with the eyes of of understanding and love. May I be able to recognize and touch the seeds of joy and happiness in myself. May I learn to identify and see the sources of anger, craving, and delusion in myself. May I know how to nourish the seeds of joy in myself every day. May I be able to live fresh, solid, and free. May I be free from attachment and aversion, but not indifferent. Love is not just the intention to love, but the capacity to reduce suffering, and offer peace and happiness. The practice of love increases our forbearance, our capacity to be patient and embrace difficulties and pain. Forbearance does mean that we try to suppress pain.

I remember going to the British Museum one day to read up the treatment for some slight ailment of which I had a touch – hay fever, I fancy it was. I got down the book, and read all I came to read; and then, in an unthinking moment, I idly turned the leaves, and began to indolently study diseases, generally. I forget which was the first distemper I plunged into – some fearful, devastating scourge, I know – and, before I had glanced half down the list of “premonitory symptoms,” it was borne in upon me that I had fairly got it. I sat for awhile, frozen with horror; and then, in the listlessness of despair, I again turned over the pages. I came to typhoid fever – read the symptoms – discovered that I had typhoid fever, must have had it for months without knowing it – wondered what else I had got; turned up St. Vitus’s Dance – found, as I expected, that I had that too, – began to get interested in my case, and determined to sift it to the bottom, and so started alphabetically – read up ague, and learnt that I was sickening for it, and that the acute stage would commence in about another fortnight. Bright’s disease, I was relieved to find, I had only in a modified form, and, so far as that was concerned, I might live for years. Cholera I had, with severe complications; and diphtheria I seemed to have been born with. I plodded conscientiously through the twenty-six letters, and the only malady I could conclude I had not got was housemaid’s knee. ... I had walked into that reading-room a happy, healthy man. I crawled out a decrepit wreck. I went to my medical man. He is an old chum of mine, and feels my pulse, and looks at my tongue, and talks about the weather, all for nothing, when I fancy I’m ill; so I thought I would do him a good turn by going to him now. “What a doctor wants,” I said, “is practice. He shall have me. He will get more practice out of me than out of seventeen hundred of your ordinary, commonplace patients, with only one or two diseases each.” So I went straight up and saw him, and he said: “Well, what’s the matter with you?” I said: “I will not take up your time, dear boy, with telling you what is the matter with me. Life is brief, and you might pass away before I had finished. But I will tell you what is NOT the matter with me. I have not got housemaid’s knee. Why I have not got housemaid’s knee, I cannot tell you; but the fact remains that I have not got it. Everything else, however, I HAVE got.” And I told him how I came to discover it all. Then he opened me and looked down me, and clutched hold of my wrist, and then he hit me over the chest when I wasn’t expecting it – a cowardly thing to do, I call it – and immediately afterwards butted me with the side of his head. After that, he sat down and wrote out a prescription, and folded it up and gave it me, and I put it in my pocket and went out. I did not open it. I took it to the nearest chemist’s, and handed it in. The man read it, and then handed it back. He said he didn’t keep it. I said: “You are a chemist?” He said: “I am a chemist. If I was a co-operative stores and family hotel combined, I might be able to oblige you. Being only a chemist hampers me.” I read the prescription. It ran: “1 lb. beefsteak, with 1 pt. bitter beer every 6 hours. 1 ten-mile walk every morning. 1 bed at 11 sharp every night. And don’t stuff up your head with things you don’t understand.” I followed the directions, with the happy result – speaking for myself – that my life was preserved, and is still going on.

Damn,” I said softly to myself. I had been fighting it for some time. Even before this ridiculous marriage, I had been more than conscious of his attraction. It had happened before, as it doubtless happens to almost everyone. A sudden sensitivity to the presence, the appearance, of a particular man—or woman, I suppose. The urge to follow him with my eyes, to arrange for small “inadvertent” meetings, to watch him unawares as he went about his work, an exquisite sensitivity to the small details of his body—the shoulder-blades beneath the cloth of his shirt, the lumpy bones of his wrists, the soft place underneath his jaw, where the first prickles of his beard begin to show. Infatuation. It was common, among the nurses and the doctors, the nurses and the patients, among any gathering of people thrown for long periods into one another’s company. Some acted on it, and brief, intense affairs were frequent. If they were lucky, the affair flamed out within a few months and nothing resulted from it. If they were not … well. Pregnancy, divorce, here and there the odd case of venereal disease. Dangerous thing, infatuation.

No,” said a third student. “Novartis is a public company. It’s not the boss or the board who decides. It’s the shareholders. If the board changes its priorities the shareholders will just elect a new board.” “That’s right,” I said. “It’s the shareholders who want this company to spend their money on researching rich people’s illnesses. That’s how they get a good return on their shares.” So there’s nothing wrong with the employees, the boss, or the board, then. “Now, the question is”—I looked at the student who had first suggested the face punching—“who owns the shares in these big pharmaceutical companies?” “Well, it’s the rich.” He shrugged. “No. It’s actually interesting because pharmaceutical shares are very stable. When the stock market goes up and down, or oil prices go up and down, pharma shares keep giving a pretty steady return. Many other kinds of companies’ shares follow the economy—they do better or worse as people go on spending sprees or cut back—but the cancer patients always need treatment. So who owns the shares in these stable companies?” My young audience looked back at me, their faces like one big question mark. “It’s retirement funds.” Silence. “So maybe I don’t have to do any punching, because I will not meet the shareholders. But you will. This weekend, go visit your grandma and punch her in the face. If you feel you need someone to blame and punish, it’s the seniors and their greedy need for stable stocks.

For by giving it some hard thought, by considering the whole thing calmly, I could see that the trouble with the guillotine was that you had no chance at all, absolutely none. The fact was that it had been decided once and for all that the patient was to die. It was an open-and-shut case, a fixed arrangement, a tacit agreement that there was no question of going back on. If by some extraordinary chance the blade failed, they would just start over. So the thing that bothered me most was that the condemned man had to hope the machine would work the first time. And I say that's wrong. And in a way I was right. But in another way I was forced to admit that that was the whole secret of good organization. In other words, the condemned man was forced into a kind of moral collaboration. It was in his interest that everything go off without a hitch.

Is the mask magic?" he demanded with sudden, passionate interest. "Yes." I bowed my head, so that our eyes no longer met. "I made it magic to keep you safe. The mask is your friend, Erik. As long as you wear it, no mirror can ever show you the face again." He was silent then and when I showed him the new mask he accepted it without question and put it on hastily with his clumsy, bandaged fingers. But when I stood up to go, he reacted with panic and clutched at my grown. "Don't go! Don't leave me here in the dark." "You are not in the dark," I said patiently. "Look, I have left the candle ..." But I knew, as I looked at him, that it would have made no difference if I had left him fifty candles. The darkness he feared was in his own mind and there was no light in the universe powerful enough to take that darkness from him. With a sigh of resignation I sat back on the bed and began to sing softly; and before I had finished the first verse, he was asleep. The bandages on his hands and wrists showed white and eerie in the candle-light, as I eased my skirts from his grasp. I knew that Marie was right. Physically and mentally, I had scarred him for life.

Then Wang Lung turned to the woman and looked at her for the first time. She had a square, honest face, a short, broad nose with large black nostrils, and her mouth was wide as a gash in her face. Her eyes were small and of a dull black in color, and were filled with some sadness that was not clearly expressed. It was a face that seemed habitually silent and unspeaking, as though it could not speak if it would. She bore patiently Wang Lung’s look, without embarrassment or response, simply waiting until he had seen her. He saw that it was true there was not beauty of any kind in her face—a brown, common, patient face. But there were no pock-marks on her dark skin, nor was her lip split. In her ears he saw his rings hanging, the gold-washed rings he had bought, and on her hands were the rings he had given her. He turned away with secret exultation. Well, he had his woman!

I hadn't realized how supremely shit-housed I was until we stumbled into our room at the Embassy Suites. You ever been so drunk you forgot that you have to shit until the last minute? Well I was at that stage. I nearly had my pants completely off when SlingBlade snaked past me and got into the toilet first. Fine, I go get out of my bar clothes and change into a t-shirt and pink Gap boxers to sleep in. I wait patiently for about three minutes, then I start pounding on the door, screaming at him that I am going to shit on his bed if he doesn't get out of there. A short time later he opens the door laughing his ass off, and says, "That was perhaps the most prodigious shit ever. I just put that toilet into therapy." I take a gander into the bathroom. It looks like Revelations. The toilet is overflowing, brown shit water is spilling out all over the bathroom floor, and the tank is making demonic gurgling noises. THE MOTHERFUCKER CLOGGED UP A HOTEL TOILET! Hotel toilets are industrial size; they are designed to be able to accommodate repeated elephant-sized shits, and their ram-jet engine flushes generate enough force to suck down a human infant, yet skinny ass 170-pound SlingBlade completely killed ours.

....the Crocodiles say they can't even begin to say how many new guys they've seen Come In and then get sucked back Out There, Come In to AA for a while and Hang In and put together a little sober time and have things start to get better, head-wise and life-quality-wise, and after a while the new guys get cocky, they decide they've gotten `Well,' and they get really busy at the new job sobriety's allowed them to get, or maybe they buy season Celtics tickets, or they rediscover pussy and start chasing pussy (these withered gnarled toothless totally post-sexual old fuckers actually say pussy), but one way or another these poor cocky clueless new bastards start gradually drifting away from rabid Activity In The Group, and then away from their Group itself, and then little by little gradually drift away from any AA meetings at all, and then, without the protection of meetings or a Group, in time--oh there's always plenty of time, the Disease is fiendishly patient--how in time they forget what it was like, the ones that've cockily drifted, they forget who and what they are, they forget about the Disease, until like one day they're at like maybe a Celtics-Sixers game, and the good old Fleet/First Interstate Center's hot, and they think what could just one cold foamer hurt, after all this sober time, now that they've gotten `Well.' Just one cold one. What could it hurt. And after that one it's like they'd never stopped, if they've got the Disease. And how in a month or six months or a year they have to Come Back In, back to the Boston AA halls and their old Group, tottering, D.T.ing, with their faces hanging down around their knees all over again, or maybe it's five or ten years before they can get it up to get back In, beaten to shit again, or else their system isn't ready for the recurred abuse again after some sober time and they die Out There--the Crocodiles are always talking in hushed, 'Nam-like tones about Out There--or else, worse, maybe they kill somebody in a blackout and spend the rest of their lives in MCI-Walpole drinking raisin jack fermented in the seatless toilet and trying to recall what they did to get in there, Out There; or else, worst of all, these cocky new guys drift back Out There and have nothing sufficiently horrible to Finish them happen at all, just go back to drinking 24/7/365, to not-living, behind bars, undead, back in the Disease's cage all over again. The Crocodiles talk about how they can't count the number of guys that've Come In for a while and drifted away and gone back Out There and died, or not gotten to die.

Keep his mind on the inner life. He thinks his conversion is something inside him, and his attention is therefore chiefly turned at present to the state of his own mind--or rather to that very expurgated version of them which is all you should allow him to see. Encourage this. Keep his mind off the most elementary duties of directing it to the most advanced and spiritual ones. Aggravate the most useful human characteristics, the horror and neglect of the obvious. You must bring him to a condition in which he can practise self-examination for an hour without discovering any of those facts about himself which are perfectly clear to anyone who has ever lived in the same house with him or worked in the same office. 2. It is, no doubt, impossible to prevent his praying for his mother, but we have means of rendering the prayers innocuous. Make sure that they are always very 'spiritual', that is is always concerned with the state of her soul and never with her rhuematism. Two advantages will follow. In the first place, his attention will be kept on what he regards are her sins, by which, with a little guidance from you, he can be induced to mean any of her actions which are inconvenient or irritating to himself. Thus you can keep rubbing the wounds of the day a little sorer even while he is on his knees; the operation is not at all difficult and you will find it very entertaining. In the second place, since his ideas about her soul will be very crude and often erroneous, he will, in some degree, be praying for an imaginary person, and it will be your task to make that imaginary person daily less and less like the real mother--the sharp-tongued old lady at the breakfast table. In time you may get the cleavage so wide that no thought or feeling from his prayers for the imagined mother will ever flow over into his treatment of the real one. I have had patients of my own so well in hand that they could be turned at a moment's notice from impassioned prayer for a wife's or son's soul to beating or insulting the real wife or son without any qualm. 3. When two humans have lived together for many years it usually happens that each has tones of voice and expressions of face whice are almost unedurably irritating to the other. Work on that. Bring fully into the consciousness of your patient that particular lift of his mother's eyebrows which he learned to dislike in the nursery, and let him think how much he dislikes it. Let him assume that she knows how annoying it is and does it to annoy--if you know your job he will not notice the immense improbablity of the assumption. And, of course, never let him suspect that he has tones and looks which similarly annoy her. As he cannot see or hear himself, this is easily managed.

We will never have any memory of dying. We were so patient about our being, noting down numbers, days, years and months, hair, and the mouths we kiss, and that moment of dying we let pass without a note - we leave it to others as memory, or we leave it simply to water, to water, to air, to time. Nor do we even keep the memory of being born, although to come into being was tumultuous and new; and now you don’t remember a single detail and haven’t kept even a trace of your first light. It’s well known that we are born. It’s well known that in the room or in the wood or in the shelter in the fishermen’s quarter or in the rustling canefields there is a quite unusual silence, a grave and wooden moment as a woman prepares to give birth. It’s well known that we were all born. But if that abrupt translation from not being to existing, to having hands, to seeing, to having eyes, to eating and weeping and overflowing and loving and loving and suffering and suffering, of that transition, that quivering of an electric presence, raising up one body more, like a living cup, and of that woman left empty, the mother who is left there in her blood and her lacerated fullness, and its end and its beginning, and disorder tumbling the pulse, the floor, the covers till everything comes together and adds one knot more to the thread of life, nothing, nothing remains in your memory of the savage sea which summoned up a wave and plucked a shrouded apple from the tree. The only thing you remember is your life." -"Births

The year was 1987, but it might as well have been the Summer of Love: I was twenty, had hair down to my shoulders, and was dressed like an Indian rickshaw driver. For those charged with enforcing our nation’s drug laws, it would have been only prudent to subject my luggage to special scrutiny. Happily, I had nothing to hide. “Where are you coming from?” the officer asked, glancing skeptically at my backpack. “India, Nepal, Thailand…” I said. “Did you take any drugs while you were over there?” As it happens, I had. The temptation to lie was obvious—why speak to a customs officer about my recent drug use? But there was no real reason not to tell the truth, apart from the risk that it would lead to an even more thorough search of my luggage (and perhaps of my person) than had already commenced. “Yes,” I said. The officer stopped searching my bag and looked up. “Which drugs did you take? “I smoked pot a few times… And I tried opium in India.” “Opium?” “Yes.” “Opium or heroin? “It was opium.” “You don’t hear much about opium these days.” “I know. It was the first time I’d ever tried it.” “Are you carrying any drugs with you now?” “No.” The officer eyed me warily for a moment and then returned to searching my bag. Given the nature of our conversation, I reconciled myself to being there for a very long time. I was, therefore, as patient as a tree. Which was a good thing, because the officer was now examining my belongings as though any one item—a toothbrush, a book, a flashlight, a bit of nylon cord—might reveal the deepest secrets of the universe. “What is opium like?” he asked after a time. And I told him. In fact, over the next ten minutes, I told this lawman almost everything I knew about the use of mind-altering substances. Eventually he completed his search and closed my luggage. One thing was perfectly obvious at the end of our encounter: We both felt very good about it.

A KING WHO PLACED MIRRORS IN HIS PALACE There lived a king; his comeliness was such The world could not acclaim his charm too much. The world's wealth seemed a portion of his grace; It was a miracle to view his face. If he had rivals,then I know of none; The earth resounded with this paragon. When riding through his streets he did not fail To hide his features with a scarlet veil. Whoever scanned the veil would lose his head; Whoever spoke his name was left for dead, The tongue ripped from his mouth; whoever thrilled With passion for this king was quickly killed. A thousand for his love expired each day, And those who saw his face, in blank dismay Would rave and grieve and mourn their lives away- To die for love of that bewitching sight Was worth a hundred lives without his light. None could survive his absence patiently, None could endure this king's proximity- How strange it was that man could neither brook The presence nor the absence of his look! Since few could bear his sight, they were content To hear the king in sober argument, But while they listened they endure such pain As made them long to see their king again. The king commanded mirrors to be placed About the palace walls, and when he faced Their polished surfaces his image shone With mitigated splendour to the throne. If you would glimpse the beauty we revere Look in your heart-its image will appear. Make of your heart a looking-glass and see Reflected there the Friend's nobility; Your sovereign's glory will illuminate The palace where he reigns in proper state. Search for this king within your heart; His soul Reveals itself in atoms of the Whole. The multitude of forms that masquerade Throughout the world spring from the Simorgh's shade. If you catch sight of His magnificence It is His shadow that beguiles your glance; The Simorgh's shadow and Himself are one; Seek them together, twinned in unison. But you are lost in vague uncertainty... Pass beyond shadows to Reality. How can you reach the Simorgh's splendid court? First find its gateway, and the sun, long-sought, Erupts through clouds; when victory is won, Your sight knows nothing but the blinding sun.

No need to be embarassed. After seeing you in my cousin's nightgown, you've got nothing to hide. But why were you crying in the shower?" he murmured into her hair. She could feel his lips moving against her scalp, and feel the press of his hips through the covers, but his arms were an unyielding cage. She tried to turn over to face him, to welcome him under the covers with her, but he wouldn't let her. "I was crying because I'm frustrated! Why are you doing this?" she whispered into her pillow. "We can't, Helen," was all he said. He kissed her neck and said he was sorry over and over, but try as she might, he wouldn't let her face him. She began to feel like she was being used. "Please be patient," he begged as he stopped her hand from reaching back to touch him. She tried to sit up, to push him out of her bed, anything but suffer lying next to someone who would play with her so terribly. They wrestled a bit, but he was much better at it than she was and felt even heavier than he looked. He easily blocked every attempt she made to wrap her arms or legs or lips around him. "Do you want me at all, or do you just think it's fun to tease me like this?" she asked, feeling rejected and humiliated. "Won't you even kiss me?" She finally struggled onto her back where she could at least see his face. "If I kiss you, I won't stop," he said in a desperate whisper as he propped himself up on his elbows to look her in the eye. She looked back at him, really seeing him for the first time that night. His expression was vulnerable and uncertain. His mouth was swollen with want. His body was shaking and there was a fine layer of anxious sweat wilting his clothes. Helen relaxed back into the bed with a sigh. For some reason that obviously had nothing to do with desire, he wouldn't allow himself to be with her. "You're not laughing at me, are you?" she asked warily, just as a precaution. "No. There's nothing funny about this," he answered. He shifted himself off her and lay back down alongside her, still breathing hard. "But for some reason, you and I will never happen," she said, feeling calm. "Never say never," he said urgently, rolling back on top of her and using all of his unusually heavy mass to press her deep into the cocoon of her little-girl bed. "The gods love to toy with people who use absolutes." Lucas ran his lips around her throat and let her put her arms around him, but that was all.

Every time I glanced at Ren, I saw that he was watching me. When we finally reached the end of the tunnel and saw the stone steps that led to the surface, Ren stopped. “Kelsey, I have one final request of you before we head up.” “And what would that be? Want to talk about tiger senses or monkey bites in strange places maybe?” “No. I want you to kiss me.” I sputtered, “What? Kiss you? What for? Don’t you think you got to kiss me enough on this trip?” “Humor me, Kells. This is the end of the line for me. We’re leaving the place where I get to be a man all the time, and I have only my tiger’s life to look forward to. So, yes, I want you to kiss me one more time.” I hesitated. “Well, if this works, you can go around kissing all the girls you want to. So why bother with me right now?” He ran a hand through his hair in frustration. “Because! I don’t want to run around kissing all the other girls! I want to kiss you!” “Fine! If it will shut you up!” I leaned over and pecked him on the cheek. “There!” “No. Not good enough. On the lips, my prema.” I leaned over and pecked him on the lips. “There. Can we go now?” I marched up the first two steps, and he slipped his hand under my elbow and spun me around, twisting me so that I fell forward into his arms. He caught me tightly around the waist. His smirk suddenly turned into a sober expression. “A kiss. A real one. One that I’ll remember.” I was about to say something brilliantly sarcastic, probably about him not having permission, when he captured my mouth with his. I was determined to remain stiff and unaffected, but he was extremely patient. He nibbled on the corners of my mouth and pressed soft, slow kisses against my unyielding lips. It was so hard not to respond to him. I made a valiant struggle, but sometimes the body betrays the mind. He slowly, methodically swept aside my resistance. And, feeling he was winning, he pressed ahead and began seducing me even more skillfully. He held me tightly against his body and ran a hand up to my neck where he began to massage it gently, teasing my flesh with his fingertips. I felt the little love plant inside me stretch, swell, and unfurl its leaves, like he was pouring Love Potion # 9 over the thing. I gave up at that point and decided what the heck. I could always use a rototiller on it. And I rationalized that when he breaks my heart, at least I will have been thoroughly kissed. If nothing else, I’ll have a really good memory to look back on in my multi-cat spinsterhood. Or multi-dog. I think I will have had my fill of cats. I groaned softly. Yep. Dogs for sure.

Every age has its own collective neurosis, and every age needs its own psychotherapy to cope with it. The existential vacuum which is the mass neurosis of the present time can be described as a private and personal form of nihilism; for nihilism can be defined as the contention that being has no meaning. As for psychotherapy, however, it will never be able to cope with this state of affairs on a mass scale if it does not keep itself free from the impact and influence of the contemporary trends of a nihilistic philosophy; otherwise it represents a symptom of the mass neurosis rather than its possible cure. Psychotherapy would not only reflect a nihilistic philosophy but also, even though unwillingly and unwittingly, transmit to the patient what is actually a caricature rather than a true picture of man. First of all, there is a danger inherent in the teaching of man's "nothingbutness," the theory that man is nothing but the result of biological, psychological and sociological conditions, or the product of heredity and environment. such a view of man makes a neurotic believe what he is prone to believe anyway, namely, that he is the pawn and victim of outer influences or inner circumstances. This neurotic fatalism is fostered and strengthened by a psychotherapy which denies that man is free. To be sure, a human being is a finite thing and his freedom is restricted. It is not freedom from conditions, but it is freedom to take a stand toward the conditions. As I once put it: "As a professor in two fields, neurology and psychiatry, I am fully aware of the extent to which man is subject to biological, psychological and sociological conditions. But in addition to being a professor in two fields I am a survivor of four camps-concentration camps, that is-and as such I also bear witness to the unexpected extent to which man is capable of defying and braving even the worst conditions conceivable.

The situation is established not only to provoke defensiveness but to sidetrack the reformer into answering the wrong questions.... In this, the pattern of discourse resembles that of dinnertime conversations about feminism in the early 1970s. Questions of definition often predominate. Whereas feminists were parlaying questions which trivialized feminism such as "Are you one of those bra burners?" vegetarians must define themselves against the trivializations of "Are you one of those health nuts?" or "Are you one of those animal lovers?" While feminists encountered the response that "men need liberation too," vegetarians are greeted by the postulate that "plants have life too." Or to make the issue appear more ridiculous, the position is forwarded this way: "But what of the lettuce and tomato you are eating; they have feelings too!" The attempt to create defensiveness through trivialization is the first conversational gambit which greets threatening reforms. This pre-establishes the perimeters of discourse. One must explain that no bras were burned at the Miss America pageant, or the symbolic nature of the action of that time, or that this question fails to regard with seriousness questions such as equal pay for equal work. Similarly, a vegetarian, thinking that answering these questions will provide enlightenment, may patiently explain that if plants have life, then why not be responsible solely for the plants one eats at the table rather than for the larger quantities of plants consumed by the herbivorous animals before they become meat? In each case a more radical answer could be forwarded: "Men need first to acknowledge how they benefit from male dominance," "Can anyone really argue that the suffering of this lettuce equals that of a sentient cow who must be bled out before being butchered?" But if the feminist or vegetarian responds this way they will be put back on the defensive by the accusation that they are being aggressive. What to a vegetarian or a feminist is of political, personal, existential, and ethical importance, becomes for others only an entertainment during dinnertime.

A writer is someone who spends years patiently trying to discover the second being inside him, and the world that makes him who he is: when I speak of writing, what comes first to my mind is not a novel, a poem, or literary tradition, it is a person who shuts himself up in a room, sits down at a table, and alone, turns inward; amid its shadows, he builds a new world with words. This man – or this woman – may use a typewriter, profit from the ease of a computer, or write with a pen on paper, as I have done for 30 years. As he writes, he can drink tea or coffee, or smoke cigarettes. From time to time he may rise from his table to look out through the window at the children playing in the street, and, if he is lucky, at trees and a view, or he can gaze out at a black wall. He can write poems, plays, or novels, as I do. All these differences come after the crucial task of sitting down at the table and patiently turning inwards. To write is to turn this inward gaze into words, to study the world into which that person passes when he retires into himself, and to do so with patience, obstinacy, and joy. As I sit at my table, for days, months, years, slowly adding new words to the empty page, I feel as if I am creating a new world, as if I am bringing into being that other person inside me, in the same way someone might build a bridge or a dome, stone by stone. The stones we writers use are words. As we hold them in our hands, sensing the ways in which each of them is connected to the others, looking at them sometimes from afar, sometimes almost caressing them with our fingers and the tips of our pens, weighing them, moving them around, year in and year out, patiently and hopefully, we create new worlds.

Abraham Lincoln was not, in the fullest sense of the word, either our man or our model. In his interests, in his associations, in his habits of thought, and in his prejudices, he was a white man. [...] Any man can say things that are true of Abraham Lincoln, but no man can say anything that is new of Abraham Lincoln. His personal traits and public acts are better known to the American people than are those of any other man of his age. He was a mystery to no man who saw him and heard him. Though high in position, the humblest could approach him and feel at home in his presence. Though deep, he was transparent; though strong, he was gentle; though decided and pronounced in his convictions, he was tolerant towards those who differed from him, and patient under reproaches. [...] I have said that President Lincoln was a white man, and shared the prejudices common to his countrymen towards the colored race. Looking back to his times and to the condition of his country, we are compelled to admit that this unfriendly feeling on his part may be safely set down as one element of his wonderful success in organizing the loyal American people for the tremendous conflict before them, and bringing them safely through that conflict. His great mission was to accomplish two things: first, to save his country from dismemberment and ruin; and, second, to free his country from the great crime of slavery. To do one or the other, or both, he must have the earnest sympathy and the powerful cooperation of his loyal fellow-countrymen. Without this primary and essential condition to success his efforts must have been vain and utterly fruitless.[...] Viewed from the genuine abolition ground, Mr. Lincoln seemed tardy, cold, dull, and indifferent; but measuring him by the sentiment of his country, a sentiment he was bound as a statesman to consult, he was swift, zealous, radical, and determined. Oration in Memory of Abraham Lincoln. Delivered at the Unveiling of The Freedmen’s Monument in Lincoln Park, Washington, D.C.

After a moment or two a man in brown crimplene looked in at us, did not at all like the look of us and asked us if we were transit passengers. We said we were. He shook his head with infinite weariness and told us that if we were transit passengers then we were supposed to be in the other of the two rooms. We were obviously very crazy and stupid not to have realized this. He stayed there slumped against the door jamb, raising his eyebrows pointedly at us until we eventually gathered our gear together and dragged it off down the corridor to the other room. He watched us go past him shaking his head in wonder and sorrow at the stupid futility of the human condition in general and ours in particular, and then closed the door behind us. The second room was identical to the first. Identical in all respects other than one, which was that it had a hatchway let into one wall. A large vacant-looking girl was leaning through it with her elbows on the counter and her fists jammed up into her cheekbones. She was watching some flies crawling up the wall, not with any great interest because they were not doing anything unexpected, but at least they were doing something. Behind her was a table stacked with biscuits, chocolate bars, cola, and a pot of coffee, and we headed straight towards this like a pack of stoats. Just before we reached it, however, we were suddenly headed off by a man in blue crimplene, who asked us what we thought we were doing in there. We explained that we were transit passengers on our way to Zaire, and he looked at us as if we had completely taken leave of our senses. 'Transit passengers? he said. 'It is not allowed for transit passengers to be in here.' He waved us magnificently away from the snack counter, made us pick up all our gear again, and herded us back through the door and away into the first room where, a minute later, the man in the brown crimplene found us again. He looked at us. Slow incomprehension engulfed him, followed by sadness, anger, deep frustration and a sense that the world had been created specifically to cause him vexation. He leaned back against the wall, frowned, closed his eyes and pinched the bridge of his nose. 'You are in the wrong room,' he said simply. `You are transit passengers. Please go to the other room.' There is a wonderful calm that comes over you in such situations, particularly when there is a refreshment kiosk involved. We nodded, picked up our gear in a Zen-like manner and made our way back down the corridor to the second room. Here the man in blue crimplene accosted us once more but we patiently explained to him that he could fuck off.

In the first chapter, for example, when Job first gets all the bad news about the deaths of his children and the loss of his estate, we are told that “Job got up and tore his robe” and then he “fell to the ground” (Job 1:20), but then the author adds, “In all this Job sinned not” (Job 1:22). Here is a man already behaving in a way that many pious Christians would consider at least unseemly or showing a lack of faith. He rips his clothes, falls to the ground, cries out. He does not show any stoical patience. But the biblical text says, “In all this Job sinned not.” By the middle of the book, Job is cursing the day he is born and comes very close to charging God with injustice in his angry questions. And yet God’s final verdict on Job is surprisingly positive. At the end of the book, God turns to Eliphaz, the first of Job’s friends, and says: “I am angry with you and your two friends, because you have not spoken the truth about me, as my servant Job has. So now take seven bulls and seven rams and go to my servant Job and sacrifice a burnt offering for yourselves. My servant Job will pray for you, and I will accept his prayer and not deal with you according to your folly. You have not spoken the truth about me, as my servant Job has.” So Eliphaz the Temanite, Bildad the Shuhite and Zophar the Naamathite did what the Lord told them; and the Lord accepted Job’s prayer (Job 42:7–9). Job’s grief was expressed with powerful emotion and soaring rhetoric. He did not “make nice” with God, praying politely. He was brutally honest about his feelings. And while God did—as we will see later—forcefully call Job to acknowledge his unfathomable wisdom and majesty, nevertheless God ultimately vindicated him. A Bruised Reed He Will Not Break It is not right, therefore, for us to simply say to a person in grief and sorrow that they need to pull themselves together. We should be more gentle and patient with them. And that means we should also be gentle and patient with ourselves. We should not assume that if we are trusting in God we won’t weep, or feel anger, or feel hopeless.

But the Esquire passage I found most poignant and revealing was this one: Mister Rogers' visit to a teenage boy severely afflicted with cerebral palsy and terrible anger. One of the boys' few consolations in life, Junod wrote, was watching Mister Rogers Neighborhood. 'At first, the boy was made very nervous by the thought that Mister Rogers was visiting him. He was so nervous, in fact, that when Mister Rogers did visit, he got mad at himself and began hating himself and hitting himself, and his mother had to take him to another room and talk to him. Mister Rogers didn't leave, though. He wanted something from the boy, and Mister Rogers never leaves when he wants something from somebody. He just waited patiently, and when the boy came back, Mister Rogers talked to him, and then he made his request. He said, 'I would like you to do something for me. Would you do something for me?' On his computer, the boy answered yes, of course, he would do anything for Mister Rogers, so then Mister Rogers said: I would like you to pray for me. Will you pray for me?' And now the boy didn't know how to respond. He was thunderstruck... because nobody had ever asked him for something like that, ever. The boy had always been prayed for. The boy had always been the object of prayer, and now he was being asked to pray for Mister Rogers, and although at first he didn't know how to do it, he said he would, he said he'd try, and ever since then he keeps Mister Rogers in his prayers and doesn't talk about wanting to die anymore, because he figures if Mister Rogers likes him, that must mean that God likes him, too. As for Mister Rogers himself... he doesn't look at the story the same way the boy did or I did. In fact, when Mister Rogers first told me the story, I complimented him on being smart - for knowing that asking the boy for his prayers would make the boy feel better about himself - and Mister Rogers responded by looking at me first with puzzlement and then with surprise. 'Oh heavens no, Tom! I didn't ask him for his prayers for him; I asked for me. I asked him because I think that anyone who has gone through challenges like that must be very close to God. I asked him because I wanted his intercession.

I know this may be a disappointment for some of you, but I don’t believe there is only one right person for you. I think I fell in love with my wife, Harriet, from the first moment I saw her. Nevertheless, had she decided to marry someone else, I believe I would have met and fallen in love with someone else. I am eternally grateful that this didn’t happen, but I don’t believe she was my one chance at happiness in this life, nor was I hers. Another error you might easily make in dating is expecting to find perfection in the person you are with. The truth is, the only perfect people you might know are those you don’t know very well. Everyone has imperfections. Now, I’m not suggesting you lower your standards and marry someone with whom you can’t be happy. But one of the things I’ve realized as I’ve matured in life is that if someone is willing to accept me—imperfect as I am—then I should be willing to be patient with others’ imperfections as well. Since you won’t find perfection in your partner, and your partner won’t find it in you, your only chance at perfection is in creating perfection together. There are those who do not marry because they feel a lack of “magic” in the relationship. By “magic” I assume they mean sparks of attraction. Falling in love is a wonderful feeling, and I would never counsel you to marry someone you do not love. Nevertheless—and here is another thing that is sometimes hard to accept—that magic sparkle needs continuous polishing. When the magic endures in a relationship, it’s because the couple made it happen, not because it mystically appeared due to some cosmic force. Frankly, it takes work. For any relationship to survive, both parties bring their own magic with them and use that to sustain their love. Although I have said that I do not believe in a one-and-only soul mate for anyone, I do know this: once you commit to being married, your spouse becomes your soul mate, and it is your duty and responsibility to work every day to keep it that way. Once you have committed, the search for a soul mate is over. Our thoughts and actions turn from looking to creating. . . . Now, sisters, be gentle. It’s all right if you turn down requests for dates or proposals for marriage. But please do it gently. And brethren, please start asking! There are too many of our young women who never go on dates. Don’t suppose that certain girls would never go out with you. Sometimes they are wondering why no one asks them out. Just ask, and be prepared to move on if the answer is no. One of the trends we see in some parts of the world is our young people only “hanging out” in large groups rather than dating. While there is nothing wrong with getting together often with others your own age, I don’t know if you can really get to know individuals when you’re always in a group. One of the things you need to learn is how to have a conversation with a member of the opposite sex. A great way to learn this is by being alone with someone—talking without a net, so to speak. Dates don’t have to be—and in most cases shouldn’t be—expensive and over-planned affairs. When my wife and I moved from Germany to Salt Lake City, one of the things that most surprised us was the elaborate and sometimes stressful process young people had developed of asking for and accepting dates. Relax. Find simple ways to be together. One of my favorite things to do when I was young and looking for a date was to walk a young lady home after a Church meeting. Remember, your goal should not be to have a video of your date get a million views on YouTube. The goal is to get to know one individual person and learn how to develop a meaningful relationship with the opposite sex.

There was once a town in the heart of America where all life seemed to live in harmony with its surroundings. The town lay in the midst of a checkerboard of prosperous farms, with fields of grain and hillsides of orchards where, in spring, white clouds of bloom drifted above the green fields. In autumn, oak and maple and birch set up a blaze of color that flamed and flickered across a backdrop of pines. Then foxes barked in the hills and deer silently crossed the fields, half hidden in the mists of the fall mornings. Along the roads, laurel, viburnum, and alder, great ferns and wildflowers delighted the traveler's eye through much of the year. Even in winter the roadsides were places of beauty, where countless birds came to feed on the berries and on the seed heads of the dried weeds rising above the snow. The countryside was, in fact, famous for the abundance and variety of its bird life, and when the flood of migrants was pouring through in spring and fall people traveled from great distances to observe them. Others came to fish the streams, which flowed clear and cold out of the hills and contained shady pools where trout lay. So it had been from the days many years ago when the first settlers raised their homes, sank their wells, and built their barns. Then a strange blight crept over the area and everything began to change. Some evil spell had settled on the community: mysterious maladies swept the flocks of chickens, the cattle, and sheep sickened and died. Everywhere was a shadow of death. The farmers spoke of much illness among their families. In the town the doctors had become more and more puzzled by new kinds of sickness appearing among their patients. There had been sudden and unexplained deaths, not only among adults but even among children whoe would be stricken suddently while at play and die within a few hours. There was a strange stillness. The birds, for example--where had they gone? Many people spoke of them, puzzled and disturbed. The feeding stations in the backyards were deserted. The few birds seen anywhere were moribund; they trembled violently and could not fly. It was a spring without voices. On the mornings that had once throbbed with the dawn chorus of robins, catbirds, doves, jays, wrens, and scores of other bird voices there was no sound; only silence lay over the fields and woods and marsh. On the farms the hens brooded, but no chicks hatched. The farmers complained that they were unable to raise any pigs--the litters were small and the young survived only a few days. The apple trees were coming into bloom but no bees droned among the blossoms, so there was no pollination and there would be no fruit. The roadsides, once so attractive, were now lined with browned and withered vegetation as though swept by fire. These, too, were silent, deserted by all living things. Even the streams were not lifeless. Anglers no longer visited them, for all the fish had died. In the gutters under the eaves and between the shingles of the roofs, a white granular powder still showed a few patches; some weeks before it had fallen like snow upon the roofs and the lawns, the fields and streams. No witchcraft, no enemy action had silenced the rebirth of life in this stricken world. The people had done it to themselves.

Last month, on a very windy day, I was returning from a lecture I had given to a group in Fort Washington. I was beginning to feel unwell. I was feeling increasing spasms in my legs and back and became anxious as I anticipated a difficult ride back to my office. Making matters worse, I knew I had to travel two of the most treacherous high-speed roads near Philadelphia – the four-lane Schuylkill Expressway and the six-lane Blue Route. You’ve been in my van, so you know how it’s been outfitted with everything I need to drive. But you probably don’t realize that I often drive more slowly than other people. That’s because I have difficulty with body control. I’m especially careful on windy days when the van can be buffeted by sudden gusts. And if I’m having problems with spasms or high blood pressure, I stay way over in the right hand lane and drive well below the speed limit. When I’m driving slowly, people behind me tend to get impatient. They speed up to my car, blow their horns, drive by, stare at me angrily, and show me how long their fingers can get. (I don't understand why some people are so proud of the length of their fingers, but there are many things I don't understand.) Those angry drivers add stress to what already is a stressful experience of driving. On this particular day, I was driving by myself. At first, I drove slowly along back roads. Whenever someone approached, I pulled over and let them pass. But as I neared the Blue Route, I became more frightened. I knew I would be hearing a lot of horns and seeing a lot of those long fingers. And then I did something I had never done in the twenty-four years that I have been driving my van. I decided to put on my flashers. I drove the Blue Route and the Schuylkyll Expressway at 35 miles per hour. Now…Guess what happened? Nothing! No horns and no fingers. But why? When I put on my flashers, I was saying to the other drivers, “I have a problem here – I am vulnerable and doing the best I can.” And everyone understood. Several times, in my rearview mirror I saw drivers who wanted to pass. They couldn’t get around me because of the stream of passing traffic. But instead of honking or tailgating, they waited for the other cars to pass, knowing the driver in front of them was in some way weak. Sam, there is something about vulnerability that elicits compassion. It is in our hard wiring. I see it every day when people help me by holding doors, pouring cream in my coffee, or assist me when I put on my coat. Sometimes I feel sad because from my wheelchair perspective, I see the best in people. But those who appear strong and invulnerably typically are not exposed to the kindness I see daily. Sometimes situations call for us to act strong and brave even when we don't feel that way. But those are a few and far between. More often, there is a better pay-off if you don't pretend you feel strong when you feel weak, or pretend that you are brave when you’re scared. I really believe the world might be a safer place if everyone who felt vulnerable wore flashers that said, “I have a problem and I’m doing the best I can. Please be patient!

That night at the Brooklyn party, I was playing the girl who was in style, the girl a man like Nick wants: the Cool Girl. Men always say that as the defining compliment, don’t they? She’s a cool girl. Being the Cool Girl means I am a hot, brilliant, funny woman who adores football, poker, dirty jokes, and burping, who plays video games, drinks cheap beer, loves threesomes and anal sex, and jams hot dogs and hamburgers into her mouth like she’s hosting the world’s biggest culinary gang bang while somehow maintaining a size 2, because Cool Girls are above all hot. Hot and understanding. Cool Girls never get angry; they only smile in a chagrined, loving manner and let their men do whatever they want. Go ahead, shit on me, I don’t mind, I’m the Cool Girl. Men actually think this girl exists. Maybe they’re fooled because so many women are willing to pretend to be this girl. For a long time Cool Girl offended me. I used to see men—friends, coworkers, strangers—giddy over these awful pretender women, and I’d want to sit these men down and calmly say: You are not dating a woman, you are dating a woman who has watched too many movies written by socially awkward men who’d like to believe that this kind of woman exists and might kiss them. I’d want to grab the poor guy by his lapels or messenger bag and say: The bitch doesn’t really love chili dogs that much—no one loves chili dogs that much! And the Cool Girls are even more pathetic: They’re not even pretending to be the woman they want to be, they’re pretending to be the woman a man wants them to be. Oh, and if you’re not a Cool Girl, I beg you not to believe that your man doesn’t want the Cool Girl. It may be a slightly different version—maybe he’s a vegetarian, so Cool Girl loves seitan and is great with dogs; or maybe he’s a hipster artist, so Cool Girl is a tattooed, bespectacled nerd who loves comics. There are variations to the window dressing, but believe me, he wants Cool Girl, who is basically the girl who likes every fucking thing he likes and doesn’t ever complain. (How do you know you’re not Cool Girl? Because he says things like: “I like strong women.” If he says that to you, he will at some point fuck someone else. Because “I like strong women” is code for “I hate strong women.”) I waited patiently—years—for the pendulum to swing the other way, for men to start reading Jane Austen, learn how to knit, pretend to love cosmos, organize scrapbook parties, and make out with each other while we leer. And then we’d say, Yeah, he’s a Cool Guy. But it never happened. Instead, women across the nation colluded in our degradation! Pretty soon Cool Girl became the standard girl. Men believed she existed—she wasn’t just a dreamgirl one in a million. Every girl was supposed to be this girl, and if you weren’t, then there was something wrong with you. But it’s tempting to be Cool Girl. For someone like me, who likes to win, it’s tempting to want to be the girl every guy wants. When I met Nick, I knew immediately that was what he wanted, and for him, I guess I was willing to try. I will accept my portion of blame. The thing is, I was crazy about him at first. I found him perversely exotic, a good ole Missouri boy. He was so damn nice to be around. He teased things out in me that I didn’t know existed: a lightness, a humor, an ease. It was as if he hollowed me out and filled me with feathers. He helped me be Cool