“I lack the disposition for realism. . . . as soon as I have managed to put together a suitable number of realistic people and placed them in reasonably realistic surroundings where they can live realistic lives, they start to fiddle about, they behave as if they had never before been in contact with real life, but had only lived in a fantasy world. They commit frightful crimes, they die and are resurrected, they ascend to heaven and allow themselves to be misled into all the foolishness the language happens to lead them to, till at last, with oaths and curses, they escape from the planned novel.”

“There are only two kinds of people in this world. The realists and the dreamers. The realists know where they are going and the dreamers have already been there.”

“Unhappy endings might seem more realistic than happy ones, but reality often contained a streak of fantasy that realism lacked.”

“Sometimes dreamy person need to see the real world to live better and the realistic person need to dream to live better”

“Humans need their lives to make sense and to have meaning and purpose. Lack of meaning and purpose can override both the natural pace of progression to death and the instinctive struggle for life. People may sacrifice their lives in order to achieve meaning and purpose, or they may commit suicide in order to avoid meaninglessness. The role of medicine here is to expose false beliefs for which people may sacrifice themselves, and to help find realistic meanings that make life worthwhile.”

“I hadn't lived a real life―I'd had just a model of a life. Everything I did, everything I thought, was suspended safely by strings, too high up for anyone to damage. Zero contact, zero risk. Now those strings had been cut and I was going to die, never having had a chance to live without them.”