by Will Self
At noon then. Jane Bowen comes and sits near me, salutes me but does not converse. She rolls one of her withered cigarettes and stares out of the window abstractedly, drawing heavily. Her hair is scraped back tightly from the violet, inverted bruises of her temples. She gazes towards the hill where the idiot lies. I have an impulse to tell her about it, which I repress. The weather outside the hospital is playing tricks again; long, high bands of cirrus cloud are filtering the wan sunlight into vertical bars, which cut across the area that lies between the hospital and the Heath, creating shadows of diminishing perspective, like the exposed working on an artist’s sketch.
Eventually I get up and go and stand beside her. I am conscious of her body retreating from me inside the starched front of her white coat, leaving behind a white buckler. We both look out of the window in silence. My gaze drops from the idiot’s bier-bench (I cannot see any evidence of discovery, service vehicles, or whatever) to the chronics’ balcony below, the open area projecting out from Ward 8.
As once before, two cretins are embracing in a painful muted struggle. Their gowns flap in the wind, they strain against one another, locked in a clumsy bear-hug. Then one moves with surprising speed and agility, changing his hold so that he grips the other from behind, pinning his arms – and at the same time leaning backwards over the rail that runs above the concrete wall bounding the balcony. The two faces tip up towards Jane Bowen and I, white splashes that resolve themselves into … Mark, Busner’s son, who was at school with me, who had a breakdown at university and attempted suicide. He is pinioned by the handsome, black-haired man who I saw in the treatment room with Jane Bowen. The man’s face is glazed over with brutish imbecility. I feel another jolt of nausea, stagger and place my hand against the pane for support. Jane Bowen looks at me pityingly and gestures with her fag.
‘Your predecessor, Misha, our ex-art therapist. Who just happens, purely by coincidence, to be my brother, Gerry.’
‘That’s Mark with him, Busner’s son!’
‘Yes, Zack felt it would be a good idea to have them farmed out to Ward 8 for a little while. He thought you might find it a tad shocking to encounter them as patients.’ She turned to face me and said quite calmly, in a flat kind of a voice, ‘Get out of here, Misha. Get out of here now.’
She wasn’t issuing advice on a career move. This was a fire alarm. I acted on it quickly, but hesitated on my way across the wide expanse of industrial-wear floor covering, skittering on one leg like a cartoon character speeding around a corner that turns into a vase. Abruptly I realise that the Parstelin has completely altered my sense of my own body. I am acutely aware of the connection between each impulse, each message and the nerve-ending it comes from. My whole physical orientation has shifted, but remains whole.
This apprehension occupies me as I run to the lift. Patients ‘O’ at me hysterically, but there is silence, or rather a descending wail that has nothing to do with speech and everything to do with what children hear when they press the flaps of cartilage over their ears, in and out, very fast. Sheuuooosheeeuuooo.
‘A, hehehahahoohoohoohoo!’ Clive does the twist by the coiled hosepipe in an anonymous bay, off the short corridor I run down on my way to the lift.
‘Misha, a word please,’ Valuam comes out from his office, trouser material high on each thigh, scrunched up in marmoset hands. His peeled face tilts toward me, fungus poking out from the door. Another door swings open five yards further on and a hand emerges to pluck at my sleeve, a round, dimpled hand on the end of that dripping sundae body. I run past it and in my mind the flashback of thrust seems hard and mechanical; my penis a rubberised claw torn from a laboratory retort and thrust into the side of a putrefying animal. I must take the stairs.
Four flights down I stop running. They’re going to let me leave the hospital. A drug is just a drug. I was bloody stupid to take it at all, to fuck with Mimi, but if I stop it now my head will clear in a couple of days and I’ll be back to normal. I won’t have this strange sense that I am someone else, someone who is compelled to be reasonable.
There is no cause for alarm. I certainly cannot question the quintessential character of the stairwell. There is no denying its objective status. Thick bars of unpainted concrete punched through with four-inch bolts. The handrail a fire-engine red bar, as thick as an acroprop. Parstelin is a drug – I realise – that makes you acutely aware of things-in-themselves. Their standing into existence is no longer nauseous, but splendidly replete. That said, I gag a little and cough up a whitey dollop, somewhere between sputum and vomit, which plops into the drift of fluff wedged at the back of the stair I stand on.
Among the scraps of silver paper, safety-pins and nameless bits of detritus, a part of me. The fugue is broken by a whoosh of dead air that gusts up the well from below. Someone else has entered the staircase, pushed hard on a pneumatic door, maybe three flights down. The windows on the stairway are cut at oblique angles into the outer wall of the hospital. It is clear from the view, which affords me no sight of the huge bulk that contains me, that the staircase runs down the outer edge of the ziggurat’s sloping wall.
I pick my way down, pausing from time to time to cock an ear and listen for sounds of pursuit, but there are none. It is plain to me now that I have been suffering from a delusion, that the ward has overtaken me in part. I never denied that I was highly strung. I need some bed rest and the opportunity to read the papers. The lower I get the freer I feel. I know I haven’t really escaped from anything – and yet there’s the temptation to laugh and skip, to strike some attitudes.
I calculate that I am still two floors above ground level when the staircase blocks off its own windows. Light is now supplied by yellow discs that shine on the walls. The yellow light disorientates me. It must have done. I can genuinely no longer tell whether I am above or below ground level. The doors that lead off the staircase are blank oblongs. I panic and push at one, it wheezes under my palm and I tumble out into a corridor.
It is immediately clear that the stairway has diverged significantly in its path, that it hasn’t followed the lift shaft and deposited me in one of the open areas that form a natural reception concourse for each floor. Instead, it has thrown me off to one side, into the hinterland of the hospital, added to which I’m not on the mezzanine floor, I’m on the lower ground floor. I recognise where I am. I’m somewhere along the route Simon took me on my first day. I’m on the way to see the giant obsolete machine. I am in the same wetly shining concrete corridor. In either direction the naked neon tubes dash away; even they are hurrying off from this crushing place.
Which way? Whoever entered the stairwell while I was coming down is now on their way up. I can hear the cold slap of feet ascending and this hastens my decision. I turn to the left and start off down the corridor, trusting to my intuition to find my way to casualty and out of the hospital. As I walk I am aware that I’m positioned chemically at the eye of the storm. I no longer feel muzzy; I know that my body is saturated with Parstelin, but I’ve swum into a bubble of clarity. Nevertheless, I still don’t seem able to gain a definitive view of Busner and his ward. What has been happening? Those patients – with their madness – as stylised as a ballet. Were they the logical result of Busner’s philosophy? Were theirs the performances of madmen-as-idealists? Or just idealists? Their symptoms … was it true that they genuinely caricatured the recorded pathologies, all of them, not just Tom, or was my perception of them a function of the Parstelin?
These speculations give me heart. I feel my old self. I pause and look in a stainless steel panel screwed to a door. My reflection, dimpled here and there by the metal, looks back at me, amused, diffident. I feel cosy with my self-observation and immensely reassured by this moment of ordinary, unthinking vanity.
But where am I? No nearer casualty. The corridor has not swapped its concrete floor for tiling, there is no paint on the walls. I have turned the wrong way. Twenty feet ahead I can see the two swing-doors that lead to the conservatory. What the he
ll. I’ll pop in and have a look; it will be the last time I come near the hospital for a while. The doors whicker apart on their rusty rails and as I turn and pull them shut behind me they cut out the steady undertow of thrum that powers the hospital. The light in the high-domed room is the same as before and the obscure machine with its cream bakelite surfaces projects up above me, inviolate.
Tom and Jim step out from behind its flanged base, they move quite unaffectedly into my sight, as if expecting no particular reaction. I am very frightened.
‘Misha, where are you going?’ says Tom. Jim is casting his eyes about with rapid jerks of his head. He keeps flexing and rolling his arms back and forth, opening the palm forwards to disclose plastic mouth tubes – the kind used to stop people who are fitting from biting their tongues off – which he has adapted to some manual exercise routine.
‘I’m going off for the rest of the day, Tom, I came here by accident. I was looking for casualty.’
Tom listens to me, nodding, and then gestures for me to join him and Jim. The three of us then squat down between the outstretched paws of the great instrument, which are bolted heavily to the floor. We are like Africans under some fat-trunked tree, timelessly talking, until Jim drops his adapted muscle expanders on to the cracked tiles of the floor with a clatter.
‘I’m glad you listened to my advice, Misha. You’re leaving, aren’t you?’
‘Just for a couple of days. I … I need a rest. The atmosphere on the ward is quite overwhelming.’
‘Yes, it can be, can’t it. That’s why Jim and I like to come down here and play with the machine, it’s peaceful down here, quiet. Do you think I’m mad, Misha?’
‘What about me, am I mad too?’ Jim chimes in as well. I find myself embarrassed, which is absurd. To be frightened seems right, but to be embarrassed as well, that’s ridiculous.
‘Does the question embarrass you?’ Tom is rolling a cigarette with deft fingers. He flicks over the lip of paper and raises it to his budding, sensual mouth.
‘I hadn’t thought about it in those terms.’
‘Oh, oh, I see, you are a disciple of good Dr Zee, so we’re just behaving in a way which others choose to describe as mad. We’re simply non-conformists.’
‘I think you’re simplifying his position a little.’
‘Of course, of course. Are you mad, Misha?’ Jim snickers and rakes the tiles with long, cracked nails.
I can’t answer. My eyes cast up to the ceiling some twenty feet away. The conservatory is roofed with a glass cupola, the inside of which seems dirtied as if by soot. Beneath this a complete circle of dirty dormer windows lets in the grey light. From the very centre hangs a flex – which dangles a cluster of naked bulbs just above the highest shoulder of the machine.
After a while, Tom reaches out from where he squats and touches me lightly on the arm. ‘I’m sorry Misha, come on, let’s climb.’
‘Yeah, let’s.’ Jim is on his feet in one bound, a foot already on the kidney-shaped step, which is set two feet up into the base of the machine. In turn we haul ourselves up. Tom comes last. The machine is designed to be climbed; we ascend to a horizontal platform about seven feet up. This is girded with massive gimbals, the purpose of which is to tilt the platform under the main barrel of the contraption. What the machine ever did to the patients who were lain out on the platform is obscure. Perhaps it projected something through them: radiation; ultrasound; a light beam, or even something solid … The barrel itself has been de-cored; all that’s left is a hank of plaited black wires, spilling from its mouth.
The three of us then sit in a row on the platform, passing back and forth the wet end of tobacco. The curved well of dead light that falls on to us and the heavy machinery we sit on conspire to effect timelessness. Jews about to be shot or gassed are caught against the straight rod and round wheel of a railway engine. Crash survivors crawl from buckled aluminium sections rammed into the compost earth of the rainforest. We sit and smoke and I hear the ‘peep-peep’ of a small bird, outside the hospital, sounding like a doctor’s pager. It completes the dead finality of my situation. My neck, rigid with absorbed tension, mushy with tranquillisers, feels as if it is welling up over my head to form a fleshly cowl.
The texture of things parodies itself. The creamy hardness of the machine’s surfaces, the dusty clink of the tiled floor, the smelly abrasion of the arm of Tom’s sweater. Even surfaces refuse to be straight with me. Tom’s profile is rippably perfect, a slash of purity. Jim’s bulbous nose and styled, collar-length hair make him absurd, an impression heightened by his simian arms which rest on the platform like the prongs of an idling forklift truck. But he reassures me now. They both reassure me. I put an arm around each of them and they snuggle into me, adults being children, being parents. They are my comrades, my blood brothers.
‘Go now, Misha.’ Tom pulls away and pushes me gently, indicating that I should get down from the platform. I climb down heavily. My limbs have the dripping, melting feeling that I know indicates the absorption of more Parstelin. But I don’t know why; I haven’t taken any. On the floor I turn, not towards the doors, but away from them, and circle the machine. Jim and Tom watch me but say nothing. I pick my way over twisted lianas of defunct cabling, once pinioned to the floor but now adrift. Behind the machine, directly opposite the door to the corridor, the door that faces the Mass Disaster Room is open.
Outside there is a scrap of land, room-sized, open to the air that voyages fifteen storeys down to find it and its tangled side-swipe of nameless shrubs. There, set lopsidedly on the irregular rubbled surface, stands one of the rectangular melamine-topped tables from the dining area on the ward. I can see a fold of belly, a dollop of jowl, a white hand fidgeting with an acrylic rectangle, the failing end of a mohair tie. Dr Busner is trying to solve The Riddle.
‘Ah, there you are, Misha. Come out, come out, don’t hover like that.’ Busner sits, flanked by Valuam and Bowen. On the table in front of them are ranged objects that clearly relate to me: a pot of green pills, Jim’s bas-relief which had so impressed me, a note I had sent to Mimi in an idle moment. I move across the little yard and sit by Valuam, who surprises me by smiling warmly. Flash of recognition: the slashed profile. If the features were un-drowned? Valuam and Tom are brothers.
‘We are all family here, Misha.’
‘What’s that?’
‘We are all family … I see that something is coming home to you, as you have come home to us. It hardly matters whether we are doctors or patients, does it, Misha? The important thing is to be at home.’ Busner rises and starts to pace the area. The massive walls of the hospital are joined irregularly to the squat citadel that houses the Mass Disaster Room. Busner describes a trapezoid on the uneven surface, sketching out with his feet the elevation of the hospital.
‘You see, what we have here is a situation that calls for mutual aid. My son, Jane and Anthony’s siblings, Simon, Jim, Clive, Harriet, indeed all of the patients on the ward, could be said to be casualties of a war that we ourselves have waged. That’s why we felt it was our duty to care for them in a special kind of environment. You, of course, noticed the curious involution of the pathology that they exhibit, Misha, and that was right – you passed the first step. They are not mad in any accepted sense, rather they are metamad. Their madness is a conscious parody of the relation in which the psyche stands to itself … but you know this. Unfortunately, you didn’t do so well on the other tests …’ Busner tipped out some of the Parstelin from the pot on to the table. ‘You took these, Misha, and you fucked Mimi in just about every available cupboard on the ward. This is not the behaviour of a responsible therapist. You had a choice, Misha. On Ward 9 you could have been therapist or patient; it seems that you have decided to become a patient.’
Busner stopped pacing and sat down again at the table. I sat, trapped in sweet gorge. What he said made sense. I did not resent it. Jane Bowen picked her nails with the edge of a Riddle counter. The same bird paged Nature. The four of us sat in
the peculiar space, in silence. One thing confused me.
‘But Dr Busner … Zack, my parents, my father. They had nothing to do with any therapeutic application of psychology, they were both artists. Surely I don’t qualify for the ward?’
‘Later on, Misha, later on … Your father became a sculptor in his thirties. Before that he studied with Alkan. He would have made an excellent analyst, but perhaps he didn’t want you to pay the price.’
The doors behind me clacked in a down draught. The interview was clearly over.
‘Would you take Misha back up to the ward, Anthony. We can foregather and handle the paperwork after lunch.’
Yes, lunch, I felt quite hungry. But I didn’t like it down here. There was something moribund about this patch of ground, cemented with white splashes that streaked the high walls and starred the crusted earth. I wanted to get back upstairs – I want to get back upstairs – ha! Perhaps that’s the effect of the chloropromasine, a kind of continual time lag between thought and self-consciousness – I want to get back upstairs … and lie on my bed. I need a cigarette.
Understanding the Ur-Bororo
When I first met Janner at Reigate in the early Seventies, he’d been an unprepossessing character. He was a driven young man whose wimpy physical appearance all too accurately complemented his obsessive nature. His body looked as if it had been constructed out of pipecleaners dunked repeatedly in flesh-coloured wax. All his features were eroded and soft except for his nose, which was the droplet of wax that hardens as it runs down the shaft of the candle. There was also something fungoid about Janner, it was somehow indefinable, but I always suspected that underneath his clothes Janner had athlete’s foot – all over his entire body.