“I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.”

“Note to self: being Kurt's son, being an ex-mental patient, getting into Harvard, having written a book, and being a doctor are all things that in and of themselves do not make a life. If you lean on them too hard, you'll find that there's not much there. But if you add up a lot of things that aren't in and of themselves enough, it almost starts to add up to something....”

“The Doc. Virginia and Simon had told me that Dr. Dale was my doctor. I have a fuzzy recollection of walking up to some doctor-looking person and being totally absorbed by his gold tie clip. I suspected it was the button to end the world so I didn't touch it. I'm pretty sure it was Dr. Dale. I don't know who else would be so tasteless as to walk around a mental hospital wearing the button to end the world.”

“If you take good care of any disease by eating well, sleeping well, being aware of your health, consciously wanting to be well, not smoking, et cetera, you are doing all the things you should be doing anyway, but somehow having a disease makes them easier to do. A human without a disease is like a ship without a rudder.”

“…i cani sono fedeli e non dicono bugie perché non sanno parlare.”

“The bond between being and non-being can be only internal. It is within being qua being that non-being must arise, and within non-being that being must spring up; and this relation can not be a fact, a natural law, but an upsurge of the being which is its own nothingness of being.”

“It was not easy to go from being one of the seven righteous pillars holding up the whole planet and human race to being just another mental patient. I remember talking to a woman who was ending racism and asking her if it was part of a bigger program or if racism was the whole deal. As someone who had gone back to the beginning of time and dealt with issues of whether or not life itself was a good idea, I wasn’t sure that just getting rid of racism was a big enough prize.....In the eighties when I was called out of retirement to defeat communism, it was over my strenuous objections. “I don’t even dislike communism all that much,” I objected. “It seems so beside the point.” “The Republicans are going to take credit for this and ride it into the ground,” I correctly predicted. After winning many many preliminary rounds which I honestly hoped I’d lose, I was smuggled into what was thought to be just another psychiatric hospital where the Russian bear took one look at me, declined to dance, and the rest is history. My delusional world always felt kind of tinny and hollow, but that never helped me get out of it.”