بخش 2-1

کتاب: بیمار خاموش / فصل 3

بیمار خاموش

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بخش 2-1

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PART TWO

Unexpressed emotions will never die. They are buried alive, and will come forth later, in uglier ways.

—SIGMUND FREUD

CHAPTER ONE

Alicia Berenson’s Diary

JULY 16

I never thought I’d be longing for rain. We’re into our fourth week of the heat wave, and it feels like an endurance test. Each day seems hotter than the last. It doesn’t feel like England. More like a foreign country—Greece or somewhere.

I’m writing this on Hampstead Heath. The whole park is strewn with red-faced, semi-naked bodies, like a beach or a battlefield, on blankets or benches or spread out on the grass. I’m sitting under a tree, in the shade. It’s six o’clock, and it has started to cool down. The sun is low and red in a golden sky—the park looks different in this light—darker shadows, brighter colors. The grass looks like it’s on fire, flickering flames under my feet.

I took off my shoes on my way here and walked barefoot. It reminded me of when I was little and I’d play outside. It reminded me of another summer, hot like this one—the summer Mum died—playing outside with Paul, cycling on our bikes through golden fields dotted with wild daisies, exploring abandoned houses and haunted orchards. In my memory that summer lasts forever. I remember Mum and those colorful tops she’d wear, with the yellow stringy straps, so flimsy and delicate—just like her. She was so thin, like a little bird. She would put on the radio and pick me up and dance me around to pop songs on the radio. I remember how she smelled of shampoo and cigarettes and Nivea hand cream, always with an undertone of vodka. How old was she then? Twenty-eight? Twenty-nine? She was younger then than I am now.

That’s an odd thought.

On my way here I saw a small bird on the path, lying by the roots of a tree. I thought it must have fallen from its nest. It wasn’t moving and I wondered if it had broken its wings. I stroked its head gently with my finger. It didn’t react. I nudged it and turned it over—and the underside of the bird was gone, eaten away, leaving a cavity filled with maggots. Fat, white, slippery maggots … twisting, turning, writhing … I felt my stomach turn—I thought I was going to be sick. It was so foul, so disgusting—deathly.

I can’t get it out of my mind.

JULY 17

I’ve started taking refuge from the heat in an air-conditioned café on the high street—Café de l’Artista. It’s icy cold inside, like climbing into a fridge. There’s a table I like by the window, where I sit drinking iced coffee. Sometimes I read or sketch or make notes. Mostly I just let my mind drift, luxuriating in the coldness. The beautiful girl behind the counter stands there looking bored, staring at her phone, checking her watch, and sighing periodically. Yesterday afternoon, her sighs seemed especially long—and I realized she was waiting for me to go, so she could close up. I left reluctantly.

Walking in this heat feels like wading through mud. I feel worn down, battered, beaten up by it. We’re not equipped for it, not in this country—Gabriel and I don’t have air-conditioning at home—who does? But without it, it’s impossible to sleep. At night we throw off the covers and lie there in the dark, naked, drenched in sweat. We leave the windows open, but there’s no hint of a breeze. Just hot dead air.

I bought an electric fan yesterday. I set it up at the foot of the bed on top of the chest.

Gabriel immediately started complaining. “It makes too much noise. We’ll never sleep.” “We can’t sleep anyway. At least we won’t be lying here in a sauna.” Gabriel grumbled, but he fell asleep before I did. I lay there listening to the fan. I like the sound it makes, a gentle whirring. I can shut my eyes and tune in to it and disappear.

I’ve been carrying the fan around the house with me, plugging it in and unplugging it as I move around. This afternoon I took it down to the studio at the end of the garden. Having the fan made it just about bearable. But it’s still too hot to get much work done. I’m falling behind—but too hot to care.

I did have a bit of a breakthrough—I finally understood what’s wrong with the Jesus picture. Why it’s not working. The problem isn’t with the composition—Jesus on the cross—the problem is it’s not a picture of Jesus at all. It doesn’t even look like Him—whatever He looked like. Because it’s not Jesus.

It’s Gabriel.

Incredible that I didn’t see it before. Somehow, without intending to, I’ve put Gabriel up there instead. It’s his face I’ve painted, his body. Isn’t that insane? So I must surrender to that—and do what the painting demands of me.

I know now that when I have an agenda for a picture, a predetermined idea how it should turn out, it never works. It remains stillborn, lifeless. But if I’m really paying attention, really aware, I sometimes hear a whispering voice pointing me in the right direction. And if I give in to it, as an act of faith, it leads me somewhere unexpected, not where I intended, but somewhere intensely alive, glorious—and the result is independent of me, with a life force of its own.

I suppose what scares me is giving in to the unknown. I like to know where I’m going. That’s why I always make so many sketches—trying to control the outcome—no wonder nothing comes to life—because I’m not really responding to what’s going on in front of me. I need to open my eyes and look—and be aware of life as it is happening, and not simply how I want it to be. Now I know it’s a portrait of Gabriel, I can go back to it. I can start again.

I’ll ask him to pose for me. He hasn’t sat for me in a long time. I hope he likes the idea—and doesn’t think it’s sacrilegious or anything.

He can be funny like that sometimes.

JULY 18

I walked down the hill to Camden market this morning. I’ve not been there in years, not since Gabriel and I went together one afternoon in search of his lost youth. He used to go when he was a teenager, when he and his friends had been up all night, dancing, drinking, talking. They’d turn up at the market in the early morning and watch the traders set up their stalls and try and score some grass from the Rastafarian dealers hanging out on the bridge by Camden Lock. The dealers were no longer there when Gabriel and I went—to Gabriel’s dismay. “I don’t recognize it here anymore,” he said. “It’s a sanitized tourist trap.” Walking around today, I wondered if the problem wasn’t that the market had changed as the fact Gabriel had changed. It’s still populated by sixteen-year-olds, embracing the sunshine, sprawled on either side of the canal, a jumble of bodies—boys in rolled-up shorts with bare chests, girls in bikinis or bras—skin everywhere, burning, reddening flesh. The sexual energy was palpable—their hungry, impatient thirst for life. I felt a sudden desire for Gabriel—for his body and his strong legs, his thighs thick lain over mine. When we have sex, I always feel an insatiable hunger for him—for a kind of union between us—something that’s bigger than me, bigger than us, beyond words—something holy.

Suddenly I caught sight of a homeless man, sitting by me on the pavement, staring at me. His trousers were tied up with string, his shoes held together with tape. His skin had sores and a bumpy rash across his face. I felt a sudden sadness and revulsion. He stank of stale sweat and urine. For a second I thought he spoke to me. But he was just swearing to himself under his breath—“fucking” this and “fucking” that. I fished for some change in my bag and gave it to him.

Then I walked home, back up the hill, slowly, step by step. It seemed much steeper now. It took forever in the sweltering heat. For some reason I couldn’t stop thinking about the homeless man. Apart from pity, there was another feeling, unnamable somehow—a kind of fear. I pictured him as a baby in his mother’s arms. Did she ever imagine her baby would end up crazy, dirty and stinking, huddled on the pavement, muttering obscenities?

I thought of my mother. Was she crazy? Is that why she did it? Why she strapped me into the passenger seat of her yellow mini and sped us toward that redbrick wall? I always liked that car, its cheerful canary yellow. The same yellow as in my paint box. Now I hate that color—every time I use it, I think of death.

Why did she do it? I suppose I’ll never know. I used to think it was suicide. Now I think it was attempted murder. Because I was in the car too, wasn’t I? Sometimes I think I was the intended victim—it was me she was trying to kill, not herself. But that’s crazy. Why would she want to kill me?

Tears collected in my eyes as I walked up the hill. I wasn’t crying for my mother—or myself—or even that poor homeless man. I was crying for all of us. There’s so much pain everywhere, and we just close our eyes to it. The truth is we’re all scared. We’re terrified of each other. I’m terrified of myself—and of my mother in me. Is her madness in my blood? Is it? Am I going to— No. Stop. Stop— I’m not writing about that. I’m not.

JULY 20

Last night Gabriel and I went out for dinner. We usually do on Fridays. “Date night” he calls it, in a silly American accent.

Gabriel always downplays his feelings and makes fun of anything he considers “soppy.” He likes to think of himself as cynical and unsentimental. But the truth is he’s a deeply romantic man—in his heart if not his speech. Actions speak louder than words, don’t they? And Gabriel’s actions make me feel totally loved.

“Where do you want to go?” I asked.

“Three guesses.”

“Augusto’s?”

“Got it in one.”

Augusto’s is our local Italian restaurant, just down the road. It’s nothing special, but it’s our home from home, and we’ve spent many happy evenings there. We went around eight o’clock. The air-conditioning wasn’t working, so we sat by the open window in the hot, still, humid air and drank chilled dry white wine. I felt quite drunk by the end, and we laughed a lot, at nothing, really. We kissed outside the restaurant and had sex when we came home.

Thankfully, Gabriel has come around to the portable fan, at least when we’re in bed. I positioned it in front of us, and we lay in the cool breeze, wrapped in each other’s arms. He stroked my hair and kissed me. “I love you,” he whispered. I didn’t say anything; I didn’t need to. He knows how I feel.

But I ruined the mood, stupidly, clumsily—by asking if he would sit for me.

“I want to paint you,” I said.

“Again? You already did.”

“That was four years ago. I want to paint you again.”

“Uh-huh.” He didn’t look enthusiastic. “What kind of thing do you have in mind?” I hesitated—and then said it was for the Jesus picture. Gabriel sat up and gave a kind of strangled laugh.

“Oh, come on, Alicia.”

“What?

“I don’t know about that, love. I don’t think so.”

“Why not?”

“Why do you think? Painting me on the cross? What are people going to say?” “Since when do you care what people say?” “I don’t, not about most things, but—I mean, they might think that’s how you see me.” I laughed. “I don’t think you’re the son of God, if that’s what you mean. It’s just an image—something that happened organically while I was painting. I haven’t consciously thought about it.” “Well, maybe you should think about it.” “Why? It’s not a comment on you, or our marriage.”

“Then what is it?”

“How should I know?”

Gabriel laughed at this and rolled his eyes. “All right. Fuck it. If you want. We can try. I suppose you know what you’re doing.” That doesn’t sound like much of an endorsement. But I know Gabriel believes in me and my talent—I’d never be a painter if it weren’t for him. If he hadn’t needled and encouraged and bullied me, I’d never have kept going during those first few dead years after college, when I was painting walls with Jean-Felix. Before I met Gabriel, I lost my way, somehow—I lost myself. I don’t miss those druggy partiers who passed for friends during my twenties. I only ever saw them at night—they vanished at dawn, like vampires fleeing the light. When I met Gabriel, they faded away into nothing, and I didn’t even notice. I didn’t need them anymore; I didn’t need anyone now I had him. He saved me—like Jesus. Maybe that’s what the painting is about. Gabriel is my whole world—and has been since the day we met. I’ll love him no matter what he does, or what happens—no matter how much he upsets me—no matter how untidy or messy he is—how thoughtless, how selfish. I’ll take him just as he is.

Until death do us part.

JULY 21

Today Gabriel came and sat for me in the studio.

“I’m not doing this for days again,” he said. “How long are we talking about?” “It’s going take more than one session to get it right.” “Is this just a ploy to spend more time together? If so, how about we skip the preamble and go to bed?” I laughed. “Maybe afterwards. If you’re good and don’t fidget too much.” I positioned him standing in front of the fan. His hair blew in the breeze.

“How should I look?” He struck a pose.

“Not like that. Just be yourself.”

“Don’t you want me to adopt an anguished expression?”

“I’m not sure Jesus was anguished. I don’t see him like that. Don’t pull any faces—just stand there. And don’t move.” “You’re the boss.” He stood for about twenty minutes. Then he broke the pose, saying he was tired.

“Sit down, then. But don’t talk. I’m working on the face.”

Gabriel sat on a chair and kept quiet while I worked. I enjoyed painting his face. It’s a good face. A strong jaw, high cheekbones, elegant nose. Sitting there with the spotlight on him, he looked like a Greek statue. A hero of some kind.

But something was wrong. I don’t know what—maybe I was pushing too hard. I just couldn’t get the shape of his eyes right, nor the color. The first thing I ever noticed about Gabriel was the sparkle in his eyes—like a tiny diamond in each iris. But now for some reason I couldn’t catch it. Maybe I’m just not skilled enough—or maybe Gabriel has something extra that can’t be captured in paint. The eyes remained dead, lifeless. I could feel myself getting annoyed.

“Fuck,” I said. “It’s not going well.”

“Time for a break?”

“Yeah. Time for a break.”

“Shall we have sex?”

That made me laugh. “Okay.”

Gabriel jumped up, took hold of me, and kissed me. We made love in the studio, there on the floor.

The whole time, I kept glancing at the lifeless eyes in Gabriel’s portrait. They were staring at me, burning into me. I had to turn away.

But I could still feel them watching.

CHAPTER TWO

I WENT TO FIND DIOMEDES to report on my meeting with Alicia. He was in his office, sorting through piles of sheet music.

“Well”—he didn’t look up—“how did it go?”

“It didn’t, really.”

Diomedes gave me a quizzical glance.

I hesitated. “If I’m going to get anywhere with her, I need Alicia to be able to think, and feel.” “Absolutely. And your concern is…?” “It’s impossible to get through to someone when they’re so heavily medicated. It’s like she’s six feet underwater.” Diomedes frowned. “I wouldn’t go that far. I’m not familiar with the exact dose she’s on—” “I checked with Yuri. Sixteen milligrams of risperidone. A horse’s dose.” Diomedes raised an eyebrow. “That’s certainly quite high, yes. It could probably be reduced. You know, Christian is the head of Alicia’s care team. You should talk to him about it.” “I think it’ll sound better coming from you.” “Hmm.” Diomedes gave me a doubtful look. “You and Christian knew each other before, didn’t you? At Broadmoor?” “Very slightly.” Diomedes didn’t respond immediately. He reached over to a little dish of sugared almonds on his desk and offered me one.

I shook my head.

He popped an almond in his mouth and crunched it, watching me as he chewed. “Tell me, is everything friendly between you and Christian?” “That’s an odd question. Why do you ask?” “Because I’m picking up on some hostility.”

“Not on my part.”

“But on his?”

“You’ll have to ask him. I have no problem with Christian.”

“Hmm. Perhaps I’m imagining it. But I’m sensing something.… Keep an eye on it. Any aggression or competitiveness interferes with the work. You two need to work with each other, not against each other.” “I’m aware of that.” “Well, Christian needs to be included in this discussion. You want Alicia to feel, yes. But remember, with greater feeling comes greater danger.” “Danger for whom?” “For Alicia, of course.” Diomedes wagged his finger at me. “Don’t forget she was highly suicidal when we first brought her here. She made numerous attempts to end her life. And the medication keeps her stable. It keeps her alive. If we lower the dose, there’s every chance she will be overwhelmed by her feelings and be unable to cope. Are you prepared to take that risk?” I took what Diomedes said seriously. But I nodded. “It’s a risk I believe we need to take, Professor. Otherwise we’ll never reach her.” Diomedes shrugged. “Then I shall talk to Christian on your behalf.” “Thank you.” “We’ll see how he reacts. Psychiatrists don’t often respond well to being told how to medicate their patients. Of course, I can overrule him, but I don’t tend to do that—let me broach the subject with him subtly. I’ll tell you what he says.” “It might be better not to mention me when you talk to him.” “I see.” Diomedes smiled strangely. “Very well, I won’t.”

He pulled out a little box from his desk, sliding off the cover to reveal a row of cigars. He offered me one. I shook my head.

“You don’t smoke?” He seemed surprised. “You look like a smoker to me.” “No, no. Only the occasional cigarette—just now and then … I’m trying to quit.” “Good, good for you.” He opened the window. “You know that joke, about why you can’t be a therapist and smoke? Because it means you’re still fucked-up.” He laughed and popped one of the cigars into his mouth. “I think we’re all a bit crazy in this place. You know that sign they used to have in offices? ‘You don’t need to be mad to work here, but it helps’?” Diomedes laughed again. He lit the cigar and puffed on it, blowing the smoke outside. I watched him enviously.

CHAPTER THREE

AFTER LUNCH I PROWLED THE CORRIDORS, looking for an exit. I was intending to sneak outside and have a cigarette, but I was discovered by Indira by the fire escape. She assumed I was lost.

“Don’t worry, Theo,” she said, taking my arm. “It took me months to get my bearings around here. Like a maze with no way out. I still get lost sometimes and I’ve been here ten years.” She laughed. Before I could object, she was guiding me upstairs for a cup of tea in the “goldfish bowl.” “I’ll put the kettle on. Bloody miserable weather, isn’t it? I wish it would just snow and get it over with.… Snow is a very powerful imaginative symbol, don’t you think? Wipes everything clean. Have you noticed how the patients keep talking about it? Look out for it. It’s interesting.” To my surprise, she reached into her bag and pulled out a thick slice of cake wrapped in cling film. She thrust it into my hand. “Take it. Walnut cake. I made it last night. For you.” “Oh, thank you, I—” “I know it’s unorthodox, but I always get better results with difficult patients if I give them a slice of cake in the session.” I laughed. “I bet you do. Am I a difficult patient?” Indira laughed. “No, although I find it works just as well on difficult members of staff too—which you’re not either, by the way. A little bit of sugar is a great mood enhancer. I used to make cakes for the canteen, but then Stephanie made such a fuss, all this health-and-safety nonsense about food being brought in from the outside. You’d think I was smuggling in a file. But I still bake a little on the sly. My rebellion against the dictator state. Try it.” This was not a question but a command. I took a bite. It was good. Chewy, nutty, sweet. My mouth was full, so I covered it with my hand as I spoke.

“I think this will definitely put your patients in a good mood.” Indira laughed and looked pleased. I realized why I liked her—she radiated a kind of maternal calm. She reminded me of my old therapist, Ruth. It was hard to imagine her ruffled, or upset.

I glanced around the room as she made the tea. The nurses’ station is always the hub of a psychiatric unit, its heart: staff flow to and from it, and it is where the ward is run from day to day; at least where all the practical decisions are made. The goldfish bowl was the nurses’ nickname for the station, as its walls were made of reinforced glass—meaning staff could keep an eye on the patients in the recreation room, in theory at least. In practice, the patients hovered restlessly outside, staring in, watching us, so we were the ones under constant observation. The small space did not have enough chairs, and the ones that were there were generally occupied by nurses typing up notes. So you mostly stood in the middle of the room or leaned awkwardly against a desk, which gave the space a crowded feel, no matter how many people were in it.

“Here you are, love.” Indira handed me a mug of tea.

“Thanks.”

Christian ambled in and nodded at me. He smelled strongly of the peppermint gum he was always chewing. I remembered he used to smoke heavily when we were at Broadmoor together; it was one of the few things we had in common. Since then Christian had quit, got married, and had a baby daughter. I wondered what kind of father he made. He didn’t strike me as particularly compassionate.

He gave me a cold smile. “Funny seeing you again like this, Theo.” “Small world.”

“In mental health terms, it is—yes.” Christian said this as if to imply he might be found in other, larger worlds. I tried to imagine what they might be. I could only imagine him in the gym or in a scrum on the rugby field.

Christian stared at me for a few seconds. I’d forgotten his habit of pausing, often lengthily, making you wait while he considered his response. It irritated me here just as much as it had done at Broadmoor.

“You’re joining the team at rather an unfortunate moment,” he said eventually. “The sword of Damocles is hanging over the Grove.” “You think it’s as bad as that?” “It’s only a matter of time. The Trust is bound to shut us down sooner or later. So the question is, what are you doing here?” “What do you mean?” “Well, rats desert a sinking ship. They don’t clamber on board.” I was startled by Christian’s undisguised aggression. I decided not to rise to the bait. I shrugged. “Possibly. But I’m not a rat.” Before Christian could reply, a massive thud made us jump. Elif was on the other side of the glass, hammering at it with her fists. Her face was pressed up against it, squashing her nose, distorting her features, making her almost monstrous.

“I won’t take this shit no more. I hate this—these fucking pills, man—” Christian opened a small hatch in the glass and spoke through it. “Now is not the time to discuss this, Elif.” “I’m telling you, I’m not taking them no more, they make me fucking sick—” “I’m not having this conversation now. Make an appointment to see me. Step away, please.” Elif scowled, deliberating for a moment. Then she turned and lumbered off, leaving a faint circle of condensation where her nose had been pressed against the glass.

“Quite a character,” I said.

Christian grunted. “Difficult.”

Indira nodded. “Poor Elif.”

“What’s she in for?”

“Double murder,” Christian said. “Killed her mother and her sister. Suffocated them while they slept.” I peered through the glass. Elif joined the other patients. She towered over them. One of them slipped some money into her hand, which she pocketed.

Then I noticed Alicia at the far end of the room, sitting by herself, by the window, looking out. I watched her for a moment.

Christian followed my gaze and said, “By the way, I’ve been talking to Professor Diomedes about Alicia. I want to see how she does on a lower dose of risperidone. I’ve brought her down to five milligrams.” “I see.” “I thought you might want to know—since I heard you saw her for a session.” “Yes.” “We’ll have to monitor her closely to see how she reacts to the change. And, by the way, next time you have a problem with how I medicate my patients, come to me directly. Don’t sneak off to Diomedes behind my back.” Christian glared at me.

I smiled back at him. “I didn’t sneak anywhere. I have no problem talking to you directly, Christian.” There was an uncomfortable pause. Christian nodded to himself, as if he’d made his mind up about something. “You do realize Alicia is borderline? She won’t respond to therapy. You’re wasting your time.” “How do you know she’s borderline if she can’t talk?” “Won’t talk.”

“You think she’s faking?”

“Yes, as a matter of fact, I do.”

“If she’s faking, then how can she be borderline?”

Christian looked irritated.

Indira interrupted before he could reply. “With all due respect, I don’t feel umbrella terms like borderline are particularly helpful. They don’t tell us anything very useful at all.” She glanced at Christian. “This is a subject Christian and I disagree on frequently.” “And how do you feel about Alicia?” I asked her.

Indira pondered the question for a moment. “I find myself feeling very maternal towards her. That’s my countertransference, that’s what she brings out in me—I feel she needs someone to take care of her.” Indira smiled at me. “And now she has someone. She has you.” Christian laughed that annoying laugh of his. “Forgive me for being so dense, but how can Alicia benefit from therapy if she doesn’t talk?” “Therapy isn’t just about talking,” Indira said. “It’s about providing a safe space—a containing environment. Most communication is nonverbal, as I’m sure you know.” Christian rolled his eyes at me. “Good luck, mate. You’ll need it.” CHAPTER FOUR “HELLO, ALICIA,” I said.

Only a few days had passed since her medication had been lowered, but the difference in Alicia was already apparent. She seemed more fluid in her movements. Her eyes were clearer. The foggy gaze had gone. She seemed like a different person.

She stood at the door with Yuri and hesitated. She stared at me, as if seeing me clearly for the first time, taking me in, sizing me up. I wondered what she was concluding. Evidently she judged it safe to proceed and walked inside. Without being asked, she sat down.

I nodded at Yuri to go. He deliberated for a second, then shut the door behind him.

I sat opposite Alicia. There was silence for a moment. Just the restless sound of the rain outside, raindrops drumming against the window. Eventually I spoke.

“How are you feeling?”

No response. Alicia stared at me. Eyes like lamps, unblinking.

I opened my mouth and closed it again. I was determined to resist the urge to fill the void by talking. Instead, by remaining silent and just sitting there, I hoped to communicate something else, something nonverbal: that it was okay for us to sit together like this, that I wouldn’t hurt her, that she could trust me. To have any success at getting Alicia to talk, I needed to win her trust. And this would take time—nothing would be accomplished overnight. It would move slowly, like a glacier, but it would move.

As we sat there in silence, my head started to throb at the temples. The beginnings of a headache. A telltale symptom. I thought of Ruth, who used to say, “In order to be a good therapist, you must be receptive to your patients’ feelings—but you must not hold on to them—they are not yours—they do not belong to you.” In other words, this thump, thump, thumping in my head wasn’t my pain; it belonged to Alicia. And this sudden wave of sadness—this desire to die, die, die—did not belong to me either. It was hers, all hers. I sat there, feeling it for her, my head pounding, my stomach churning, for what seemed like hours. Eventually, the fifty minutes were up.

I looked at my watch. “We have to finish now.”

Alicia lowered her head and stared at her lap. I hesitated. I lost control of my reserve. I lowered my voice and spoke from the heart.

“I want to help you, Alicia. I need you to believe that. The truth is, I want to help you to see clearly.” At this, Alicia looked up. She stared at me—right through me.

You can’t help me, her eyes shouted. Look at you, you can barely help yourself. You pretend to know so much and be so wise, but you should be sitting here instead of me. Freak. Fraud. Liar. Liar— As she stared at me, I became aware of what had been troubling me the whole session. It’s hard to put into words, but a psychotherapist quickly becomes attuned to recognizing mental distress, from physical behavior and speech and a glint in the eyes—something haunted, afraid, mad. And that’s what bothered me: despite the years of medication, despite everything she had done, and endured, Alicia’s blue eyes remained as clear and cloudless as a summer’s day. She wasn’t mad. So what was she? What was the expression in her eyes? What was the right word? It was— Before I could finish the thought, Alicia leaped from the chair. She threw herself toward me, hands outstretched like claws. I had no time to move or get out the way. She landed on top of me, knocking me off-balance. We fell to the floor.

The back of my head hit the wall with a thud. She bashed my head against the wall again and again, and started scratching, slapping, clawing—it took all my strength to throw her off.

I scrambled along the floor and reached up to the table. I groped for the attack alarm. Just as my fingers grasped it, Alicia jumped on me and knocked the alarm from my hand.

“Alicia—”

Her fingers were tight around my neck, gripping, choking—I groped for the alarm but couldn’t reach it. Her hands dug deeper—I couldn’t breathe. I made another lunge—this time I managed to grab hold of the alarm. I pressed it.

A wailing scream instantly filled my ears, deafening me. I could hear the distant sound of a door opening and Yuri calling for backup. Alicia was dragged off me, releasing her choke hold—and I gasped for breath.

It took four nurses to hold Alicia down. She writhed and kicked and fought like a creature possessed. She didn’t seem human, more like a wild animal; something monstrous. Christian appeared and sedated her. She lost consciousness.

At last, there was silence.

CHAPTER FIVE

“THIS WILL STING A BIT.”

Yuri was tending to my bleeding scratches in the goldfish bowl. He opened the bottle of antiseptic and applied it to a swab. The medicinal odor transported me to the sick bay at school, conjuring up memories of playground battle scars, grazed knees and scratched elbows. I remembered the warm, cozy feeling of being taken care of by Matron, bandaged and rewarded for my bravery with a boiled sweet. Then the sting of the antiseptic on my skin brought me back sharply to the present, where the injuries I presented were not so easily remedied. I winced.

“My head feels like she hit me with a fucking hammer.”

“It’s a nasty bruise. You’ll have a lump tomorrow. We’d better keep an eye on it.” Yuri shook his head. “I never should have left you alone with her.” “I didn’t give you a choice.” He grunted. “That’s true enough.”

“Thanks for not saying, ‘I told you so.’ It’s noted and appreciated.” Yuri shrugged. “I don’t need to, mate. The professor will say it for me. He’s asked to see you in his office.” “Ah.” “Rather you than me, by the look of him.”

I started getting up.

Yuri watched me carefully. “Don’t rush. Take a minute. Make sure you’re ready. Any dizziness or headaches, let me know.” “I’m fine. Honestly.” That wasn’t strictly true, but I didn’t feel as bad as I looked. Bloody scratches, and black bruises around my throat where she’d tried to strangle me—she’d dug so deep with her fingers, she’d drawn blood.

I knocked on the professor’s door. Diomedes’s eyes widened when he saw me. He tutted. “Po po po. Did you need stitches?” “No, no, of course not. I’m fine.” Diomedes gave me a disbelieving look and ushered me inside. “Come in, Theo. Sit down.” The others were already there. Christian and Stephanie were standing. Indira was sitting by the window. It felt like a formal reception, and I wondered if I was about to get fired.

Diomedes sat behind his desk. He gestured to me to sit in the remaining empty chair. I sat. He stared at me in silence for a moment, drumming his fingers, deliberating what to say, or how to say it. But before he could make up his mind, he was beaten to it by Stephanie.

“This is an unfortunate incident. Extremely unfortunate.” She turned to me. “Obviously we’re all relieved you’re still in one piece. But that doesn’t alter the fact that it raises all kinds of questions. And the first is, what were you doing alone with Alicia?” “It was my fault. I asked Yuri to leave. I take full responsibility.” “On whose authority did you make that decision? If either of you had been seriously injured—” Diomedes interrupted. “Please don’t let’s get dramatic. Thankfully neither was hurt.” He gestured at me dismissively. “A few scratches are hardly grounds for a court-martial.” Stephanie pulled a face. “I don’t think jokes are really appropriate, Professor. I really don’t.” “Who’s joking?” Diomedes turned to me. “I’m deadly serious. Tell us, Theo. What happened?” I felt all their eyes on me; I addressed myself to Diomedes. I chose my words carefully. “Well, she attacked me. That’s what happened.” “That much is obvious. But why? I take it was unprovoked?” “Yes. At least, consciously.”

“And unconsciously?”

“Well, obviously Alicia was reacting to me on some level. I believe it shows us how much she wants to communicate.” Christian laughed. “You call that communication?” “Yes, I do. Rage is a powerful communication. The other patients—the zombies who just sit there, vacant, empty—they’ve given up. Alicia hasn’t. Her attack tells us something she can’t articulate directly—about her pain, her desperation, her anguish. She was telling me not to give up on her. Not yet.” Christian rolled his eyes. “A less poetic interpretation might be that she was off her meds and out of her mind.” He turned to Diomedes. “I told you this would happen, Professor. I warned you about lowering the dose.” “Really, Christian?” I said. “I thought it was your idea.” Christian dismissed me with a roll of his eyes. He was a psychiatrist through and through, I thought. By that I mean psychiatrists tend to be wary of psychodynamic thinking. They favor a more biological, chemical, and, above all, practical approach—such as the cup of pills Alicia was handed at every meal. Christian’s unfriendly, narrow gaze told me that there was nothing I could contribute.

Diomedes, however, eyed me more thoughtfully. “It hasn’t put you off, Theo, what happened?” I shook my head. “On the contrary, I’m encouraged.” Diomedes nodded, looking pleased. “Good. I agree, such an intense reaction to you is certainly worth investigating. I think you should keep going.” At this Stephanie could restrain herself no longer. “That’s absolutely out of the question.” Diomedes kept talking as if she hadn’t spoken. He kept looking at me. “You think you can get her to talk?” Before I could reply, a voice said from behind me, “I believe he can, yes.” It was Indira. I’d almost forgotten she was there. I turned around.

“And in a way,” Indira said, “Alicia has begun to talk. She’s communicating through Theo—he is her advocate. It’s already happening.” Diomedes nodded. He looked pensive for a moment. I knew what was on his mind—Alicia Berenson was a famous patient, and a powerful bargaining tool with the Trust. If we could make demonstrable progress with her, we’d have a much stronger hand in saving the Grove from closure.

“How long to see results?” Diomedes asked.

“I can’t answer that,” I said. “You know that as well as I do. It takes as long as it takes. Six months. A year. Probably longer—it could be years.” “You have six weeks.” Stephanie drew herself up and crossed her arms. “I am the manager of this unit, and I simply cannot allow—” “I am clinical director of the Grove. This is my decision, not yours. I take full responsibility for any injuries incurred upon our long-suffering therapist here,” Diomedes said, winking at me.

Stephanie didn’t say anything further. She glared at Diomedes, then at me. She turned and walked out.

“Oh, dear,” Diomedes said. “You appear to have made an enemy of Stephanie. How unfortunate.” He shared a smile with Indira, then gave me a serious look. “Six weeks. Under my supervision. Understand?” I agreed—I had no choice but to agree. “Six weeks.” “Good.”

Christian stood up, visibly annoyed. “Alicia won’t talk in six weeks, or sixty years. You’re wasting your time.” He walked out. I wondered why Christian was so positive I would fail.

But it made me even more determined to succeed.

CHAPTER SIX

I ARRIVED HOME, FEELING EXHAUSTED. Force of habit made me flick on the light in the hallway, even though the bulb had gone. We’d been meaning to replace it but kept forgetting.

I knew at once that Kathy wasn’t there. It was too quiet; she was incapable of quiet. She wasn’t noisy but her world was full of sound—talking on the phone, reciting lines, watching movies, singing, humming, listening to bands I’d never heard of. But now the flat was silent as a tomb. I called her name. Force of habit, again—or a guilty conscience, perhaps, wanting to make sure I was alone before I transgressed?

“Kathy?”

No reply.

I fumbled my way through the dark into the living room. I turned on the light.

The room leaped out at me in the way new furniture always does until you’re used to it: new chairs, new cushions; new colors, reds and yellows, where there once had been black and white. A vase of pink lilies—Kathy’s favorite flowers—was on the table; their strong musky scent made the air thick and hard to breathe.

What time was it? Eight-thirty. Where was she? Rehearsal? She was in a new production of Othello at the RSC, and it wasn’t going particularly well. Endless rehearsals had been taking their toll. She seemed visibly tired, pale, thinner than usual, fighting a cold. “I’m so fucking sick all the time,” she said. “I’m exhausted.” It was true; she’d come back from rehearsal later and later each night, looking terrible; she’d yawn and stumble straight into bed. So she probably wouldn’t be home for a couple of hours at the earliest. I decided to risk it.

I took the jar of weed from its hiding place and started rolling a joint.

I’d been smoking marijuana since university. I first encountered it during my first term, alone and friendless at a fresher party, too paralyzed with fear to initiate a conversation with any of the good-looking and confident young people around me. I was planning my escape when the girl standing next to me offered me something. I thought it was a cigarette until I smelled the spicy, pungent, curling black smoke. Too shy to refuse, I accepted it and brought the joint to my lips. It was badly rolled and coming unstuck, unraveling at the end. The tip was wet and stained red from her lipstick. It tasted different from a cigarette; it was richer, rawer, more exotic. I swallowed down the thick smoke and tried not to cough. Initially all I felt was a little light on my feet. Like sex, clearly more fuss was made over marijuana than it merited. Then—a minute or so later—something happened. Something incredible. It was like being drenched in an enormous wave of well-being. I felt safe, relaxed, totally at ease, silly and unself-conscious.

That was it. Before long I was smoking weed every day. It became my best friend, my inspiration, my solace. An endless ritual of rolling, licking, lighting. I would get stoned just from the rustling of rolling papers and the anticipation of the warm, intoxicating high.

All kinds of theories have been put forward about the origins of addiction. It could be genetic; it could be chemical; it could be psychological. But marijuana was doing something much more than soothing me: crucially, it altered the way I experienced my emotions; it cradled me and held me safe like a well-loved child.

In other words, it contained me.

The psychoanalyst W. R. Bion came up with the term containment to describe a mother’s ability to manage her baby’s pain. Remember, babyhood is not a time of bliss; it’s one of terror. As babies we are trapped in a strange, alien world, unable to see properly, constantly surprised at our bodies, alarmed by hunger and wind and bowel movements, overwhelmed by our feelings. We are quite literally under attack. We need our mother to soothe our distress and make sense of our experience. As she does so, we slowly learn how to manage our physical and emotional states on our own. But our ability to contain ourselves directly depends on our mother’s ability to contain us—if she had never experienced containment by her own mother, how could she teach us what she did not know? Someone who has never learned to contain himself is plagued by anxious feelings for the rest of his life, feelings that Bion aptly titled nameless dread. Such a person endlessly seeks this unquenchable containment from external sources—he needs a drink or a joint to “take the edge off” this endless anxiety. Hence my addiction to marijuana.

I talked a lot about marijuana in therapy. I wrestled with the idea of giving it up and wondered why the prospect scared me so much. Ruth said that enforcement and constraint never produced anything good, and that, rather than force myself to live without weed, a better starting place might be to acknowledge that I was now dependent on it, and unwilling or unable to abandon it. Whatever marijuana did for me was still working, Ruth argued—until the day it would outlive its usefulness, when I would probably relinquish it with ease.

Ruth was right. When I met Kathy and fell in love, marijuana faded into the background. I was naturally high on love, with no need to artificially induce a good mood. It helped that Kathy didn’t smoke it. Stoners, in her opinion, were weak willed and lazy and lived in slow motion—you pricked them and six days later they’d say, “Ouch.” I stopped smoking weed the day Kathy moved into my flat. And—as Ruth had predicted—once I was secure and happy, the habit fell away from me quite naturally, like dry caked mud from a boot.

I might never have smoked it again if we hadn’t gone to a leaving party for Kathy’s friend Nicole, who was moving to New York. Kathy was monopolized by all her actor friends, and I found myself alone. A short, stubby man, wearing a pair of neon-pink glasses, nudged me and said, “Want some?” I was about to refuse the joint between his fingers, when something stopped me. I’m not sure what. A momentary whim? Or an unconscious attack on Kathy for forcing me to come to this horrible party and then abandoning me? I looked around, and she was nowhere to be seen. Fuck it, I thought. I brought the joint to my lips and inhaled.

Just like that, I was back where I had started, as if there had been no break. My addiction had been patiently waiting for me all this time, like a faithful dog. I didn’t tell Kathy what I had done, and I put it out of my mind. In fact I was waiting for an opportunity, and six weeks later, it presented itself. Kathy went to New York for a week, to visit Nicole. Without Kathy’s influence, lonely and bored, I gave in to temptation. I didn’t have a dealer anymore, so I did what I had done as a student—and made my way to Camden Town market.

As I left the station, I could smell marijuana in the air, mingled with the scent of incense and food stalls frying onions. I walked over to the bridge by Camden Lock. I stood there awkwardly, pushed and nudged by an endless stream of tourists and teenagers trudging back and forth across the bridge.

I scanned the crowd. There was no sign of any of the dealers who used to line the bridge, calling out to you as you passed. I spotted a couple of police officers, unmissable in their bright yellow jackets, patrolling the crowd. They walked away from the bridge, toward the station. Then I heard a low voice by my side: “Want some green, mate?” I looked down and there was a small man. I thought he was a child at first, he was so slight and slender. But his face was a road map of rugged terrain, lined and crossed, like a boy prematurely aged. He was missing his two front teeth, giving his words a slight whistle. “Green?” he repeated.

I nodded.

He jerked his head at me to follow him. He slipped through the crowd and went around the corner and along a backstreet. He entered an old pub and I followed. It was deserted inside, dingy and tattered, and stank of vomit and old cigarette smoke.

“Gissa beer,” he said, hovering at the bar. He was scarcely tall enough to see over it. I begrudgingly bought him half a pint. He took it to a table in the corner. I sat opposite him. He looked around furtively, then reached under the table and slipped me a small package wrapped in cellophane. I gave him some cash.

I went home and I opened the package, half expecting to have been ripped off, but a familiar pungent smell drifted to my nose. I saw the little green buds streaked with gold. My heart raced as though I had encountered a long-lost friend; which I suppose I had.

From then on, I would get high occasionally, whenever I found myself alone in the flat for a few hours, when I was sure Kathy would not be coming back anytime soon.

That night, when I came home, tired and frustrated, and found Kathy out at rehearsal, I quickly rolled a joint. I smoked it out of the bathroom window. But I smoked too much, too fast—it hit me hard, like a punch between the eyes. I was so stoned, even walking felt difficult, like wading through treacle. I went through my usual sanitizing ritual—air freshener, brushing my teeth, taking a shower—and I carefully maneuvered myself to the living room. I sank onto the sofa.

I looked for the TV remote but couldn’t see it. Then I located it, peeking out from behind Kathy’s open laptop on the coffee table. I reached for it, but was so stoned I knocked over the laptop. I propped the laptop up again—and the screen came to life. It was logged into her email account. For some reason, I kept staring at it. I was transfixed—her in-box stared at me like a gaping hole. I couldn’t look away. All kinds of things jumped out before I knew what I was reading: words such as “sexy” and “fuck” in the email headings—and repeated emails from BADBOY22.

If only I’d stopped there. If only I’d got up and walked away—but I didn’t.

I clicked on the most recent email and opened it:

Subject: Re: little miss fuck

From: Katerama_1

To: BADBOY22

I’m on the bus. So horny for you. I can smell you on me. I feel like a slut! Kxx Sent from my iPhone _______________

Subject: Re: re: re: little miss fuck

From: BADBOY22

To: Katerama_1

U r a slut! Lol. C u later? After rehearsal?


Subject: Re: re: re: re: re: little miss fuck

From: BADBOY22

To: Katerama_1

Ok. Will see what time I can get away. I’ll text u.


Subject: Re: re: re: re: little miss fuck

From: Katerama_1

To: BADBOY22

Ok. 830? 9? xx

Sent from my iPhone


I pulled the laptop from the table. I sat with it on my lap, staring at it. I don’t know how long I sat like that. Ten minutes? Twenty minutes? Half an hour? Maybe longer. Time seemed to slow to a crawl.

I tried to process what I had just seen, but I was still so stoned, I wasn’t sure what I had seen. Was it real? Or some kind of misunderstanding—some joke I wasn’t getting because I was so high?

I forced myself to read another email.

And another.

I ended up going through all of Kathy’s emails to BADBOY22. Some were sexual, obscene even. Others were longer, more confessional, emotional, and she sounded drunk—perhaps they were written late at night, after I had gone to bed. I pictured myself in the bedroom, asleep, while Kathy was out here, writing intimate messages to this stranger. This stranger she was fucking.

Time caught up with itself with a jolt. Suddenly I was no longer stoned. I was horribly, painfully sober.

There was a wrenching pain in my stomach. I threw aside the laptop. I ran into the bathroom.

I fell to my knees in front of the toilet and threw up.

CHAPTER SEVEN

“THIS FEELS RATHER DIFFERENT from last time,” I said.

No response.

Alicia sat opposite me in the chair, head turned slightly toward the window. She sat perfectly still, her spine rigid and straight. She looked like a cellist. Or a soldier.

“I’m thinking of how the last session ended. When you physically attacked me and had to be restrained.” No response. I hesitated.

“I wonder if you did it as some kind of test? To see what I’m made of? I think it’s important that you know I’m not easily intimidated. I can take whatever you throw at me.” Alicia looked out the window at the gray sky beyond the bars. I waited a moment.

“There’s something I need to tell you, Alicia. That I’m on your side. Hopefully one day you’ll believe that. Of course, it takes time to build trust. My old therapist used to say intimacy requires the repeated experience of being responded to—and that doesn’t happen overnight.” Alicia stared at me, unblinking, with an inscrutable gaze. The minutes passed. It felt more like an endurance test than a therapy session.

I wasn’t making progress in any direction, it seemed. Perhaps it was all hopeless. Christian had been right to point out that rats desert sinking ships. What the hell was I doing clambering upon this wreck, lashing myself to the mast, preparing to drown?

The answer was sitting in front of me. As Diomedes put it, Alicia was a silent siren, luring me to my doom.

I felt a sudden desperation. I wanted to scream at her, Say something. Anything. Just talk.

But I didn’t say that. Instead, I broke with therapeutic tradition. I stopped treading softly and got directly to the point: “I’d like to talk about your silence. About what it means … what it feels like. And specifically why you stopped talking.” Alicia didn’t look at me. Was she even listening?

“As I sit here with you, a picture keeps coming into my mind—an image of someone biting their fist, holding back a yell, swallowing a scream. I remember when I first started therapy, I found it very hard to cry. I feared I’d be carried away by the flood, overwhelmed. Perhaps that’s what it feels like for you. That’s why it’s important to take your time to feel safe and trust that you won’t be alone in this flood—that I’m treading water here with you.” Silence.

“I think of myself as a relational therapist. Do you know what that means?” Silence.

“It means I think Freud was wrong about a couple of things. I don’t believe a therapist can ever really be a blank slate, as he intended. We leak all kinds of information about ourselves unintentionally—by the color of my socks, or how I sit or the way I talk. Just by sitting here with you, I reveal a great deal about myself. Despite my best efforts at invisibility, I’m showing you who I am.” Alicia looked up. She stared at me, her chin slightly tilted—was there a challenge in that look? At last I had her attention. I shifted in my seat.

“The point is, what can we do about this? We can ignore it and deny it and pretend this therapy is all about you. Or we can acknowledge that this is a two-way street and work with that. And then we can really start to get somewhere.” I held up my hand. I nodded at my wedding ring.

“This ring tells you something, doesn’t it?”

Alicia’s eyes ever so slowly moved in the direction of the ring.

“It tells you I’m a married man. It tells you I have a wife. We’ve been married for nearly nine years.” No response, yet she kept staring at the ring.

“You were married for about seven years, weren’t you?”

No reply.

“I love my wife very much. Did you love your husband?”

Alicia’s eyes moved. They darted up to my face. We stared at each other.

“Love includes all kinds of feelings, doesn’t it? Good and bad. I love my wife—her name is Kathy—but sometimes I get angry with her. Sometimes … I hate her.” Alicia kept staring at me; I felt like a rabbit in the headlights, frozen, unable to look away or move. The attack alarm was on the table, within reach. I made a concerted effort not to look at it.

I knew I shouldn’t keep talking—that I should shut up—but I couldn’t stop myself. I went on compulsively: “And when I say I hate her, I don’t mean all of me hates her. Just a part of me hates. It’s about holding on to both parts at the same time. Part of you loved Gabriel. Part of you hated him.” Alicia shook her head—no. A brief movement, but definite. Finally—a response. I felt a sudden thrill. I should have stopped there, but I didn’t.

“Part of you hated him,” I said again more firmly.

Another shake of the head. Her eyes burned through me. She’s getting angry, I thought.

“It’s true, Alicia. Or you wouldn’t have killed him.”

Alicia suddenly jumped up. I thought she was about to leap on me. My body tensed in anticipation. But instead she turned and marched to the door. She hammered on it with her fists.

There was the sound of a key turning—and Yuri threw open the door. He looked relieved not to find Alicia strangling me on the floor. She pushed past him and ran into the corridor.

“Steady on, slow down, honey.” He glanced back at me. “Everything okay? What happened?” I didn’t reply. Yuri gave me a funny look and left. I was alone.

Idiot, I thought to myself. You idiot. What was I doing? I’d pushed her too far, too hard, too soon. It was horribly unprofessional, not to mention totally fucking inept. It revealed far more about my state of mind than hers.

But that’s what Alicia did for you. Her silence was like a mirror—reflecting yourself back at you.

And it was often an ugly sight.

CHAPTER EIGHT

YOU DON’T NEED TO BE A PSYCHOTHERAPIST to suspect that Kathy had left her laptop open because—unconsciously, at least—she wanted me to find out about her infidelity.

Well, now I had found out. Now I knew.

I hadn’t spoken to her since the other night, feigning sleep when she got back, and leaving the flat in the morning before she woke up. I was avoiding her—avoiding myself. I was in shock. I knew I had to take a look at myself—or risk losing myself. Get a grip, I muttered under my breath as I rolled a joint. I smoked it out of the window, and then, suitably stoned, I poured a glass of wine in the kitchen.

The glass slipped out of my grasp as I picked it up. I tried to catch it as it fell, but only succeeded in thrusting my hand into a shard of glass as it smashed on the table, slicing a chunk of flesh from my finger.

Suddenly blood was everywhere: blood trickling down my arm, blood on broken glass, blood mingling with white wine on the table. I struggled to tear off some kitchen paper and bound my finger tight to stem the flow. I held my hand above my head, watching blood stream down my arm in tiny diverging rivulets, mimicking the pattern of veins beneath my skin.

I thought of Kathy.

It was Kathy I would reach for in a moment of crisis—when I needed sympathy or reassurance or someone to kiss it better. I wanted her to look after me. I thought about calling her, but even as I had this thought, I imagined a door closing fast, slamming shut, locking her out of reach. Kathy was gone—I had lost her. I wanted to cry, but couldn’t—I was blocked up inside, packed with mud and shit.

“Fuck,” I kept repeating to myself, “fuck.”

I became conscious of the clock ticking. It seemed louder now somehow. I tried to focus on it and anchor my spinning thoughts: tick, tick, tick—but the chorus of voices in my head grew louder and wouldn’t be silenced. She was bound to be unfaithful, I thought, this had to happen, it was inevitable—I was never good enough for her, I was useless, ugly, worthless, nothing—she was bound to tire of me eventually—I didn’t deserve her, I didn’t deserve anything—it went on and on, one horrible thought after another punching me.

How little I knew her. Those emails demonstrated I’d been living with a stranger. Now I saw the truth. Kathy hadn’t saved me—she wasn’t capable of saving anyone. She was no heroine to be admired—just a frightened, fucked-up girl, a cheating liar. This whole mythology of us that I had built up, our hopes and dreams, likes and dislikes, our plans for the future; a life that had seemed so secure, so sturdy, now collapsed in seconds—like a house of cards in a gust of wind.

My mind went to that cold room at college, all those years ago—tearing open packets of paracetamol with clumsy, numb fingers. The same numbness overtook me now, that same desire to curl up and die. I thought of my mother. Could I call her? Turn to her in my moment of desperation and need? I imagined her answering the phone, her voice shaky; just how shaky depended on my father’s mood, and if she’d been drinking. She might listen sympathetically to me, but her mind would be elsewhere, one eye on my dad and his temper. How could she help me? How can one drowning rat save another?

I had to get out. I couldn’t breathe in here, in this flat with these stinking lilies. I needed some air. I needed to breathe.

I left the flat. I dug my hands in my pockets and kept my head low. I pounded the streets, walking fast, going nowhere. In my mind I kept going back over our relationship, scene by scene, remembering it, examining it, turning it over, looking for clues. I remembered unresolved fights, unexplained absences, and frequent lateness. But I also remembered small acts of kindness—affectionate notes she’d leave for me in unexpected places, moments of sweetness and apparently genuine love. How was this possible? Had she been acting the whole time? Had she ever loved me?

I remembered the flicker of doubt I’d had upon meeting her friends. They were all actors; loud, narcissistic, preening, endlessly talking about themselves and people I didn’t know. Suddenly I was transported back to school, hovering alone on the fringes of the playground, watching the other kids play. I convinced myself Kathy wasn’t like them at all—but clearly she was. If had I encountered them that first night at the bar when I met her, would they have put me off her? I doubt it. Nothing could have prevented our union: from the moment I saw Kathy, my fate was written.

What should I do?

Confront her, of course. Tell her everything I had seen. She’d react by denying it—then, seeing it was hopeless, she would admit the truth and prostrate herself, stricken with remorse. She’d beg my forgiveness, wouldn’t she?

What if she didn’t? What if she scorned me? What if she laughed, turned on her heel, and left? What then?

Between the two of us, I had the most to lose, that was obvious. Kathy would survive—she was fond of saying she was tough as nails. She’d pick herself up, dust herself off, and forget all about me. But I wouldn’t forget about her. How could I? Without Kathy, I’d return to that empty, solitary existence I had endured before. I’d never meet anyone like her again, never have that same connection or experience that depth of feeling for another human being. She was the love of my life—she was my life—and I wasn’t ready to give her up. Not yet. Even though she had betrayed me, I still loved her.

Perhaps I was crazy, after all.

A solitary bird shrieked above my head, startling me. I stopped and looked around. I’d gone much farther than I thought. Shocked, I saw where my feet had carried me—I had walked to within a couple of streets of Ruth’s front door.

Without intending to, I had unconsciously made my way to my old therapist in a time of trouble, as I had done so many times in the past. It was a testament to how upset I was that I considered going up to her door and ringing the bell and asking for help.

And why not? I thought suddenly; yes, it was unprofessional and highly improper conduct, but I was desperate, and I needed help. Before I knew it, I was standing in front of Ruth’s green door, watching my hand reach up to the buzzer and press it.

It took her a few moments to answer it. A light went on the hallway, then she opened the door, keeping the chain on.

Ruth peered out through the crack. She looked older. She must be in her eighties now; smaller, frailer than I remembered, and slightly stooped. She was wearing a gray cardigan over a pale pink nightgown.

“Hello?” she said nervously. “Who’s there?

“Hello, Ruth.” I stepped into the light.

She recognized me and looked surprised. “Theo? What on earth—” Her eyes went from my face to the clumsy, improvised bandage around my finger, with blood seeping through it. “Are you all right?” “Not really. May I come in? I—I need to talk to you.” Ruth didn’t hesitate, only looked concerned. She nodded. “Of course. Come in.” She undid the chain and opened the door.

I stepped inside.

CHAPTER NINE

RUTH SHOWED ME INTO THE LIVING ROOM. “Would you like a cup of tea?” The room was as it had always been, as I’d always remembered it—the rug, the heavy drapes, the silver clock ticking on the mantel, the armchair, the faded blue couch. I felt instantly reassured.

“To be honest, I could do with something stronger.”

Ruth shot me a brief, piercing glance, but didn’t comment. Nor did she refuse, as I half expected.

She poured me a glass of sherry and handed it to me. I sat on the couch. Force of habit made me sit where I had always done for therapy, on the far left side, resting my arm on the armrest. The fabric underneath my fingertips had been worn thin by the anxious rubbing of many patients, myself included.

I took a sip of sherry. It was warm, sweet, and little sickly, but I drank it down, conscious of Ruth watching me the whole time. Her gaze was obvious but not heavy or uncomfortable; in twenty years Ruth had never managed to make me feel uncomfortable. I didn’t speak again until I had finished the sherry and the glass was empty.

“It feels odd to be sitting here with a glass in my hand. I know you’re not in the habit of offering drinks to your patients.” “You’re not my patient anymore. Just a friend—and by the look of you,” she added gently, “you need a friend right now.” “Do I look that bad?” “You do, I’m afraid. And it must be serious, or you wouldn’t come over uninvited like this. Certainly not at ten o’clock at night.” “You’re right. I felt—I felt I had no choice.” “What is it, Theo? What’s the matter?”

“I don’t how to tell you. I don’t know where to start.”

“How about the beginning?”

I nodded. I took a breath and began. I told her about everything that had happened; I told her about starting marijuana again, and how I had been smoking it secretly—and how it had led to my discovering Kathy’s emails and her affair. I spoke quickly, breathlessly, wanting to get it off my chest. I felt as if I were at confession.

Ruth listened without interruption until I had finished. It was hard to read her expression. Finally she said, “I am very sorry this happened, Theo. I know how much Kathy means to you. How much you love her.” “Yes. I love—” I stopped, unable to say her name. There was a tremor in my voice. Ruth picked up on it and edged the box of tissues toward me. I used to get angry when she would do that in our sessions; I’d accuse her of trying to make me cry. She would generally succeed. But not tonight. Tonight my tears were frozen. A reservoir of ice.

I had been seeing Ruth for a long time before I met Kathy, and I continued therapy for the first three years of our relationship. I remember the advice Ruth gave me when Kathy and I first got together: “Choosing a lover is a lot like choosing a therapist. We need to ask ourselves, is this someone who will be honest with me, listen to criticism, admit making mistakes, and not promise the impossible?” I told all this to Kathy at the time, and she suggested we make a pact. We swore never to lie to each other. Never pretend. Always be truthful.

“What happened?” I said. “What went wrong?”

Ruth hesitated before she spoke. What she said surprised me.

“I suspect you know the answer to that. If you would just admit it to yourself.” “I don’t know.” I shook my head. “I don’t.” I fell into indignant silence—yet I had a sudden image of Kathy writing all those emails, and how passionate they were, how charged, as if she was getting high from writing them, from the clandestine nature of her relationship with this man. She enjoyed lying and sneaking around: it was like acting, but offstage.

“I think she’s bored,” I said eventually.

“What makes you say that?”

“Because she needs excitement. Drama. She always has. She’s been complaining—for a while, I suppose—that we don’t have any fun anymore, that I’m always stressed, that I work too hard. We fought about it recently. She kept using the word fireworks.” “Fireworks?” “As in there aren’t any. Between us.”

“Ah. I see.” Ruth nodded. “We’ve talked about this before. Haven’t we?” “About fireworks?” “About love. About how we often mistake love for fireworks—for drama and dysfunction. But real love is very quiet, very still. It’s boring, if seen from the perspective of high drama. Love is deep and calm—and constant. I imagine you do give Kathy love—in the true sense of the word. Whether or not she is capable of giving it back to you is another question.” I stared at the box of tissues on the table in front of me. I didn’t like where Ruth was going. I tried to deflect her.

“There are faults on both sides. I lied to her too. About the weed.” Ruth smiled sadly. “I don’t know if persistent sexual and emotional betrayal with another human being is on the same level as getting stoned every now and then. I think it points to a very different kind of individual—someone who is able to lie repeatedly and lie well, who can betray their partner without feeling any remorse—” “You don’t know that.” I sounded as pathetic as I felt. “She might feel terrible.” But even as I said that, I didn’t believe it.

Neither did Ruth. “I don’t think so. I think her behavior suggests she is quite damaged—lacking in empathy and integrity and just plain kindness—all the qualities you brim with.” I shook my head. “That’s not true.” “It is true, Theo.” Ruth hesitated. “Don’t you think perhaps you’ve been here before?” “With Kathy?” Ruth shook her head. “I don’t mean that. I mean with your parents. When you were younger. If there’s a childhood dynamic here you might be replaying.” “No.” I suddenly felt irritated. “What’s happening with Kathy has got nothing to do with my childhood.” “Oh, really?” Ruth sounded disbelieving. “Trying to please someone unpredictable, someone emotionally unavailable, uncaring, unkind—trying to keep them happy, win their love—is this not an old story, Theo? A familiar story?” I clenched my fist and didn’t speak.

Ruth went on hesitantly, “I know how sad you feel. But I want you to consider the possibility that you felt this sadness long before you met Kathy. It’s a sadness you’ve been carrying around for many years. You know, Theo, one of the hardest things to admit is that we weren’t loved when we needed it most. It’s a terrible feeling, the pain of not being loved.” She was right. I had been groping for the right words to express that murky feeling of betrayal inside, the horrible hollow ache, and to hear Ruth say it—“the pain of not being loved”—I saw how it pervaded my entire consciousness and was at once the story of my past, present, and future. This wasn’t just about Kathy: it was about my father, and my childhood feelings of abandonment; my grief for everything I never had and, in my heart, still believed I never would have. Ruth was saying that was why I chose Kathy. What better way for me to prove that my father was correct—that I’m worthless and unlovable—than by pursuing someone who will never love me?

I buried my head in my hands. “So all this was inevitable? That’s what you’re saying—I set myself up for this? It’s fucking hopeless?” “It’s not hopeless. You’re not a boy at the mercy of your father anymore. You’re a grown man now—and you have a choice. Use this as another confirmation of how unworthy you are—or break with the past. Free yourself from endlessly repeating it.” “How do I do that? You think I should leave her?” “I think it’s a very difficult situation.”

“But you think I should leave, don’t you?”

“You’ve come too far and worked too hard to return to a life of dishonesty and denial and emotional abuse. You deserve someone who treats you better, much better—” “Just say it, Ruth. Say it. You think I should leave.” Ruth looked me in the eyes. She held my gaze. “I think you must leave. And I’m not saying this as your old therapist—but as your old friend. I don’t think you could go back, even if you wanted to. It might last a little while perhaps, but in a few months something else will happen and you’ll end up back here on this couch. Be honest with yourself, Theo—about Kathy and this situation—and everything built on lies and untruths will fall away from you. Remember, love that doesn’t include honesty doesn’t deserve to be called love.” I sighed, deflated, depressed, and tired.

“Thank you, Ruth—for your honesty. It means a lot.”

Ruth gave me a hug at the door as I left. She’d never done that before. She was fragile in my arms, her bones so delicate; I breathed in her faint flowery scent and the wool of her cardigan and again I felt like crying. But I didn’t, or couldn’t, cry.

Instead I walked away and didn’t look back.

I caught a bus back home. I sat by the window, staring out, thinking of Kathy, of her white skin, and those beautiful green eyes. I was filled with such a longing—for the sweet taste of her lips, her softness. But Ruth was right. Love that doesn’t include honesty doesn’t deserve to be called love.

I had to go home and confront Kathy.

I had to leave her.

CHAPTER TEN

KATHY WAS THERE WHEN I GOT HOME. She was sitting on the couch, texting.

“Where were you?” she asked without looking up.

“Just a walk. How was rehearsal?”

“All right. Tiring.”

I watched her texting, wondering who she was writing to. I knew this was my moment to speak. I know you’re having an affair—I want a divorce. I opened my mouth to say it. But I found I was mute. Before I could recover my voice, Kathy beat me to it. She stopped texting and put down her phone.

“Theo, we need to talk.”

“What about?”

“Don’t you have something to tell me?” Her voice had a stern note.

I avoided looking at her, in case she could read my thoughts. I felt ashamed and furtive—as if I were the one with the guilty secret.

And I was, as far as she was concerned. Kathy reached behind the sofa and picked something up. At once my heart sank. She was holding the small jar where I kept the grass. I’d forgotten to hide it back in the spare room after I’d cut my finger.

“What’s this?” She held it up.

“It’s weed.”

“I’m aware of that. What’s it doing here?”

“I bought some. I fancied it.”

“Fancied what? Getting high? Are you—serious?”

I shrugged, evading her eye, like a naughty child.

“What the fuck? I mean, Jesus—” Kathy shook her head, outraged. “Sometimes I think I don’t know you at all.” I wanted to hit her. I wanted to leap on her and beat her with my fists. I wanted to smash up the room, break the furniture against the walls. I wanted to weep and howl and bury myself in her arms.

I did none of this.

“Let’s go to bed,” I said, and walked out.

We went to bed in silence. I lay in the dark next to her. I lay awake for hours, feeling the heat from her body, staring at her while she slept.

Why didn’t you come to me? I wanted to say. Why didn’t you talk to me? I was your best friend. If you had said just one word, we could have worked through it. Why didn’t you talk to me? I’m here. I’m right here.

I wanted to reach out and pull her close. I wanted to hold her. But I couldn’t. Kathy had gone—the person I loved so much had disappeared forever, leaving this stranger in her place.

A sob rose at the back of my throat. Finally, the tears came, streaming down my cheeks.

Silently, in the darkness, I wept.


The next morning, we got up and performed the usual routine—she went into the bathroom while I made coffee. I handed her a cup when she came into the kitchen.

“You were making strange sounds in the night,” she said. “You were talking in your sleep.” “What did I say?” “I don’t know. Nothing. Didn’t make sense. Probably because you were so stoned.” She gave me a withering look and glanced at her watch. “I have to go. I’ll be late.” Kathy finished her coffee and placed the cup in the sink. She gave me a quick kiss on the cheek. The touch of her lips almost made me flinch.

After she left, I showered. I turned up the temperature until it was almost scalding. The hot water lashed against my face as I wept, burning away messy, babyish tears. As I dried myself afterward, I caught a glimpse of my reflection in the mirror. I was shocked—I was ashen, shrunken, had aged thirty years overnight. I was old, exhausted, my youth evaporated.

I made a decision, there and then.

Leaving Kathy would be like tearing off a limb. I simply wasn’t prepared to mutilate myself like that. No matter what Ruth said. Ruth wasn’t infallible. Kathy was not my father; I wasn’t condemned to repeat the past. I could change the future. Kathy and I were happy before; we could be again. One day she might confess it all to me, tell me about it, and I would forgive her. We would work through this.

I would not let Kathy go. Instead I would say nothing. I would pretend I had never read those emails. Somehow, I’d forget. I’d bury it. I had no choice but to go on. I refused to give in to this; I refused to break down and fall apart.

After all, I wasn’t just responsible for myself. What about the patients in my care? Certain people depended on me.

I couldn’t let them down.

CHAPTER ELEVEN

“I’M LOOKING FOR ELIF, Any idea where I can find her?” Yuri gave me a curious look. “Any reason you want her?” “Just to say a quick hello. I want to meet all the patients—let them know who I am, that I’m here.” Yuri looked doubtful. “Right. Well, don’t take it personally if she’s not very receptive.” He glanced at the clock on the wall. “It’s after half past, so she’s just out of art therapy. Your best bet is the recreation room.” “Thanks.”

The recreation area was a large circular room furnished with battered couches, low tables, a bookcase full of tattered books no one wanted to read. It smelled of stale tea and old cigarette smoke that had stained the furnishings. A couple of patients were playing backgammon in a corner. Elif was alone at the pool table. I approached with a smile.

“Hello, Elif.”

She looked up with scared, mistrustful eyes. “What?” “Don’t worry, there’s nothing wrong. I just want a quick word.” “You ain’t my doctor. I already got one.”

“I’m not a doctor. I’m a psychotherapist.”

Elif grunted contemptuously. “I got one of them too.” I smiled, secretly relieved she was Indira’s patient and not mine. Up close Elif was even more intimidating. It wasn’t just her massive size, but also the rage etched deep into her face—a permanent scowl and angry black eyes, eyes that were quite clearly disturbed. She stank of sweat and the hand-rolled cigarettes she was always smoking, that had left her fingertips stained black and her nails and teeth a dark yellow.

“I just wanted to ask you a couple of questions, if that’s okay—about Alicia.” Elif scowled and banged the cue on the table. She starting setting up the balls for another game. Then she stopped. She just stood there, looking distracted, in silence.

“Elif?”

She didn’t respond. I could tell from her expression what was wrong. “Are you hearing voices, Elif?” A suspicious glance. A shrug.

“What are they saying?”

“You ain’t safe. Telling me to watch out.”

“I see. Quite right. You don’t know me—so it’s sensible not to trust me. Not yet. Perhaps, over time, that will change.” Elif gave me a look that suggested she doubted it.

I nodded at the pool table. “Fancy a game?” “Nope.”

“Why not?”

She shrugged. “Other cue’s broke. They ain’t replaced it yet.” “But I can share your cue, can’t I?”

The cue was resting on the table. I went to touch it—and she yanked it out of reach. “It’s my fuckin’ cue! Get your own!” I stepped back, unnerved by the ferocity of her reaction. She played a shot with considerable force. I watched her play for a moment. Then I tried again.

“I was wondering if you could tell me about something that happened when Alicia was first admitted to the Grove. Do you remember?” Elif shook her head.

“I read in her file that you had an altercation in the canteen. You were on the receiving end of an attack?” “Oh, yeah, yeah, she tried to kill me, innit? Tried to cut my fucking throat.” “According to the handover notes, a nurse saw you whisper something to Alicia before the attack. I was wondering what it was?” “No.” Elif shook her head furiously. “I didn’t say nothing.” “I’m not trying to suggest you provoked her. I’m just curious. What was it?” “I asked her something, so fucking what?”

“What did you ask?”

“I asked if he deserved it.”

“Who?”

“Him. Her bloke.” Elif smiled, although it wasn’t really a smile, more a misshapen grimace.

“You mean her husband?” I hesitated, unsure if I understood. “You asked Alicia if her husband deserved to be killed?” Elif nodded and played a shot. “And I asked what he looked like. When she shot him and his skull was broke, and his brains all spilled out.” Elif laughed.

I felt a sudden wave of disgust—similar to the feelings I imagined Elif had provoked in Alicia. Elif made you feel repulsion and hatred—that was her pathology, that was how her mother had made her feel as a small child. Hateful and repulsive. So Elif unconsciously provoked you to hate her—and mostly she succeeded.

“And how are things now? Are you and Alicia on good terms?” “Oh, yeah, mate. We’re real tight. Best mates.” Elif laughed again.

Before I could respond, I felt my phone vibrating in my pocket. I checked it. I didn’t recognize the number.

“I should answer this. Thank you. You’ve been very helpful.” Elif muttered something unintelligible and went back to her game.


I walked into the corridor and answered the phone. “Hello?” “Is that Theo Faber?”

“Speaking. Who’s this?”

“Max Berenson here, returning your call.”

“Oh, yes. Hi. Thanks for calling me back. I was wondering if we could have a conversation about Alicia?” “Why? What’s happened? Is something wrong?” “No. I mean, not exactly—I’m treating her, and I wanted to ask you a couple of questions about her. Whenever’s convenient.” “I don’t suppose we could do it on the phone? I’m rather busy.” “I’d rather talk in person, if possible.”

Max Berenson sighed and mumbled as he spoke to someone off the phone. And then: “Tomorrow evening, seven o’clock, my office.” I was about to ask for the address—but he hung up.

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