“Dr. Adler had instructed me to always say whatever I was thinking, but this was difficult for me, for the act of thinking and the act of articulating those thoughts were not synchronous to me, or even necessarily consecutive. I knew that I thought and spoke in the same language and that theoretically there should be no reason why I could not express my thoughts as they occurred or soon thereafter, but the language in which I thought and the language in which I spoke, though both English, often seemed divided by a gap that could not be simultaneously, or even retrospectively, bridged.”