“Bedlam: an institution with a history so fearsome it gave its name to a synonym for chaos and pandemonium.”

“The killer's name was Michael Stone and he was a known psychopath. He had previous convictions. But the law stated that only patients whose mental disorders were considered treatable could be detained beyond their prison sentences. Psychopaths were considered untreatable and so Michael Stone had to be free.”

“The days that followed passed slowly. I lay in my hotel room and watched the kind of strange European TV that would probably make perfect sense if I understood the language, but because I didn’t, the programs just seemed dreamlike and baffling. In one studio show a group of Scandinavian academics watched as one of them poured liquid plastic into a bucket of cold water. It solidified, they pulled it out, handed it around the circle, and, as far as I could tell, intellectualized on its random misshapenness. I phoned home but my wife didn’t answer. It crossed my mind that she might be dead. I panicked. Then it turned out that she wasn’t dead. She had just been at the shops.”

“Psychiatric diagnoses are getting closer and closer to the boundary of normal,” said Allen Frances. “That boundary is very populous. The most crowded boundary is the boundary with normal.”“Why?” I asked.“There’s a societal push for conformity in all ways,” he said. “There’s less tolerance of difference. And so maybe for some people having a label is better. It can confer a sense of hope and direction. ‘Previously I was laughed at, I was picked on, no one liked me, but now I can talk to fellow bipolar sufferers on the Internet and no longer feel alone.’” He paused. “In the old days some of them may have been given a more stigmatizing label like conduct disorder or personality disorder or oppositional defiant disorder. Childhood bipolar takes the edge of guilt away from parents that maybe they created an oppositional child.”

“I suspect it was probably unusual to suffer from both Generalized Anxiety Disorder and Malingering, unproductiveness tending to make me feel anxious, but there it was. I had both.”

“A stab had clearly once been made at de-uglifying these public spaces by painting a corridor a jaunty yellow. This was because, it turned out, babies come here to have their brains tested and someone thought the yellow might calm them. But I couldn’t see how. Such was the oppressive ugliness of this building it would have been like sticking a red nose on a cadaver and calling it Ronald McDonald.”

“This was truly to be a radical milestone: the world’s first-ever marathon nude psychotherapy session for criminal psychopaths. Elliott’s raw, naked, LSD-fueled sessions lasted for epic eleven day stretches. The psychopaths spent every waking moment journeying to their darkest corners in an attempt to get better. There were no distractions—no television, no clothes, no clocks, no calendars, only a perpetual discussion (at least one hundred hours every week) of their feelings. When they got hungry, they sucked food through straws that protruded through the walls. As during Paul Bindrim’s own nude psychotherapy sessions, the patients were encouraged to go to their rawest emotional places by screaming and clawing at the walls and confessing fantasies of forbidden sexual longing for one another...”