“Doctors tend to enter the arenas of their profession's practice with a brisk good cheer that they have to then stop and try to mute a bit when the arena they're entering is a hospital's fifth floor, a psych ward, where brisk good cheer would amount to a kind of gloating. This is why doctors on psych wards so often wear a vaguely fake frown of puzzled concentration, if and when you see them in fifth-floor halls. And this is why a hospital M.D.--who's usually hale and pink-cheeked and poreless, and who almost always smells unusually clean and good--approaches any psych patient under this care with a professional manner somewhere between bland and deep, a distant but sincere concern that's divided evenly between the patient's subjective discomfort and the hard facts of the case.”

“Over half the admits to psych wards are things like cheerleaders who swallow two bottles of Mydol over a high-school breakup or gray lonely asexual depressing people rendered inconsolableby the death of a pet. The cathartictrauma of actually going in somewhere officially Psych-, some understanding nods, some bare indication somebody gives half a damn – they rally, back out they go.”

“This is apparently a little promotional ¶ where we’re supposed to explain “how and why we came to” the subject of our GD series book (the stuff in quotations is the editor’s words). The overall idea is to humanize the series and make the books and their subjects seem warmer and more accessible. So that people will be more apt to buy the books. I’m pretty sure this is how it works. The obvious objection to such promotional ¶s is that, if the books are any good at all, then the writers’ interest and investment in their subjects will be so resoundingly obvious in the texts themselves that these little pseudo-intimate Why I Cared Enough About Transfinite Math and Where It Came From to Spend a Year Writing a Book About It blurblets are unnecessary; whereas, if the books aren’t any good, it’s hard to see how my telling somebody that as a child I used to cook up what amounted to simplistic versions of Zeno’s Dichotomy and ruminate on them until I literally made myself sick, or that I once almost flunked a basic calc course and have seethed with dislike for conventional higher-math education ever since, or that the ontology and grammar of abstractions have always struck me as one of the most breathtaking problems in human consciousness—how any such stuff will help. The logic of this objection seems airtight to me. In fact, the only way the objection doesn’t apply is if these ¶s are really nothing more than disguised ad copy, in which case I don’t see why anyone reading them should even necessarily believe that the books’ authors actually wrote them—I mean, maybe somebody in the ad-copy department wrote them and all we did was sort of sign off on them. There’d be a kind of twisted integrity about that, though—at least no one would be pretending to pretend.”

“In fact, the likeliest reason why so many of us care so little about politics is that modern politicians makes us sad, hurt us deep down in ways that are hard even to name, much less talk about.”

“Which he said was the big lie they all bought that made doctors and standard therapy such a waste of time for people like us -- they thought that diagnosis was the same as cure. That if you knew why, it would stop. Which is bullshit. You only stop if you stop.”

“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.”

“Lie there panning, looking, all ribs and elbows and dilated eyes. The awake floor is littered with gear and dirty clothes, blond hardwood with sealed seams, two throw-rugs, the bare waxed wood shiny in the windows' snowlight, the floor neutral, faceless, you cannot see any face in the floor, awake, lying there, faceless, blank, dilated, playing beam over floor again and again, not sure all night forever unsure you're not missing something that's right there: you lie there, awake and almost twelve, believing with all your might.”