“It was in this man's class that I first began to wonder if people who wrote fiction were not suffering from some kind of disorder--from what I've since come to think of, remembering the wild nocturnal rocking of Albert Vetch, as the midnight disease. The midnight disease is a kind of emotional insomnia; at every conscious moment its victim--even if he or she writes at dawn, or in the middle of the afternoon--feels like a person lying in a sweltering bedroom, with the window thrown open, looking up at a sky filled with stars and airplanes, listening to the narrative of a rattling blind, an ambulance, a fly trapped in a Coke bottle, while all around him the neighbors soundly sleep. this is in my opinion why writers--like insomniacs--are so accident-prone, so obsessed with the calculus of bad luck and missed opportunities, so liable to rumination and a concomitant inability to let go of a subject, even when urged repeatedly to do so.”

“The midnight disease is a kind of emotional insomnia; at ever conscious moment its victim—even if he or she writes at dawn, or in the middle of the afternoon—feels like a person lying in a sweltering bedroom, with the window thrown open, looking up at a sky filled with stars and airplanes, listening to the narrative of a rattling blind, an ambulance, a fly trapped in a Coke bottle, while all around him the neighbours soundly sleep.”

“On days like this," Cass said, suddenly, "I remember what it was like--I think I remember--to be young, very young." She looked up at him. "When everything, touching and tasting--everything--was so new, and even suffering was wonderful because it was so complete.”

“All this time he was sitting up in bed and looking at the woman who was lying beside him and holding his hand in her sleep. He felt an ineffable love for her. Her sleep must have been very light at the moment because she opened her eyes and gazed up at him questioningly. “What are you looking at?” she asked.He knew that instead of waking her he should lull her back to sleep, so he tried to come up with an answer that would plant the image of a new dream in her mind.“I’m looking at the stars,” he said.“Don’t say you’re looking at the stars. That’s a lie. You’re looking down.”“That’s because we’re on an airplane. The stars are below us.”“Oh, in an airplane,” said Tereza, squeezing his hand even tighter and falling asleep again. And Tomas knew that Tereza was looking out of the round window of an airplane flying high above the stars.”

“And I know, knew for sure, with an absolute certainty, that this is rock bottom, this what the worst possible thing feels like. It is not some grand, wretched emotional breakdown. It is, in fact, so very mundane:…Rock Bottom is an inability to cope with the commonplace that is so extreme it makes even the grandest and loveliest things unbearable…Rock bottom is feeling that the only thing that matters in all of life is the one bad moment…Rock bottom is everything out of focus. It’s a failure of vision, a failure to see the world how it is, to see the good in what it is, and only to wonder why the hell things look the way they do and not—and not some other way.”

“It seemed to me that Q. was talking about the nature of the midnight disease, which started as a simple feeling of disconnection from other people, an inability to "fit in" by no means unique to writers, a sense of envy and of unbridgeable distance like that felt by someone tossing on a restless pillow in a world full of sleepers. Very quickly, though, what happened with the midnight disease was that you began actually to crave this feeling of apartness, to cultivate and even flourish within it. You pushed yourself farther and farther and farther apart until one black day you woke to discover that you yourself had become the chief object of your own hostile gaze.”