by Fault lines
For my father,
Theodore Salter, M. D.
1917-1993
He had the gift of healing.
ACKNOWLEDGMENTS
I would first of all like to thank Sandi Gelles-Cole, who edits all my books privately, and who makes an enormous difference in their quality. Sandi has a lot of Michael Stone in her.
I would also like to thank Helen Rees, my wonderful agent, who is warm, humane, and exceedingly competent— a rare combination.
Likewise, I would like to thank Linda Marrow, my editor at Pocket Books, for her vision and her support.
I would like to thank Lt. H. John Wojnaroski III of the Michigan State Police, Polygraph Section, for the use of one of his many superb interrogation techniques.
My appreciation too goes to my colleagues at the Midwest Center for Psychotherapy and Sex Therapy: Dan Brakarsh, Kristi Baker, Harvey Dym, Carol Endicott, Jane James, Pat Patterson, and Lloyd Sinclair. These folks are my professional family.
I would like to thank my long-term mentor and friend, Regina Yando, Ph.D., for her suggestions, her support, and her love.
I would like to thank Minna Alanko for her superb care of my children and for her friendship. Knowing my children are well looked after gives me the ease of mind I need to write.
How can I teach her some way of being human that won't destroy her?
I would like to tell her, Love is enough, I would like to say, Find shelter in another skin.
I would like to say, Dance and be happy. Instead I will say in my crone's voice, Be ruthless when you have to, tell the truth when you can, . . .
— Margaret Atwood
1
"He's dead. He's dead." The woman on the other end of the phone was sobbing. I tried to shake the sleep off. I looked at the number the emergency service had given me —Clarrington. If the call came from Clarrington, chances were she was standing over him with a gun. Clarrington was a small, industrial town twenty miles from the thriving university community where I worked. Mills were closing in Clarrington; people were more or less constantly being put out of work, and maybe because of that—or maybe because of some esoteric reason I knew nothing about —Clarrington was, I thought, the center of violence in the known universe. Clarrington was like that square mile in Mexico where all the monarch butterflies go, only every antisocial, drug-or alcohol-addicted, violent person in the world seemed to pass through Clarrington. "Where is he? Is he there?" I wasn't sure what to say. Nothing in my training as a forensic psychologist specializing in child abuse and domestic violence cases covered some of the things I ran into in the real world when I worked emergency for the Department of Psychiatry at Jefferson University Hospital. I was pretty sure ''How do you feel about that?" wouldn't cover it, at least not until I figured out if she needed an ambulance.
The sobbing woman ignored me. "He's dead," she repeated. She was crying so hard I could hardly hear her. "I read about it in the paper." I slumped down in the bed. This was another ball game, entirely. I glanced at the clock. Three a.m. Grief time, maybe, for my unknown caller. Still, if she cared that much, odd she had to read about it in the paper.
"I'm sorry to hear that," I said. I wasn't sure what she wanted me to say.
"I didn't know," she said, "I didn't know he was alive."
Wait a minute. Someone she didn't know was alive is dead, and she read about it in the paper. Why is she upset if she already thought he was dead? I sat up straight again and rubbed my eyes. Was I dealing with someone who wasn't playing with a full deck?
"If I'd only known he was alive . . . if I'd only known. ..." I waited for the list of regrets: the call never made, the apology never delivered, the amends only planned. "If I'd only known," she wailed, "I'd have killed him myself."
I was stumped. Ah, Clarrington. We all have regrets when someone dies, but being deprived of the chance to murder him? I opened my mouth to say something, I'm not sure what, but my unknown caller hung up. It's just as well. I'm sure there was nothing in my training to cover this.
I glanced at the black emergency book on the table beside me. It was passed back and forth from emergency worker to emergency worker. It included all of the chronic callers —the dependent and the hysterical and the entitled folk, not to mention the truly crazy —that made up the vast bulk of calls on emergency. Without a name I couldn't check to see if my unknown caller made a habit of scaring emergency workers. Certainly, her call didn't fit the pattern of any active emergency caller I had been briefed on. It was a strange fact that almost none of the calls that came in on emergency were true emergencies; mostly they were chronic callers who somehow figured out that a voice on the end of the phone pushed back the night.
I had too much adrenaline from the call to go back to sleep. I got up and walked downstairs and crossed the living room of the tiny A-frame and walked out onto the deck. There was just enough moon to see the small stream glistening below. I glanced at the darkness where I knew the trees began, beyond the stream.
I had retreated to the country a few years ago, to a tiny A-frame with no room for guests. The small deck, the stream below, the hot tub tucked around the bend of the L-shaped deck had all brought something I was looking for. But in my line of work I meet violent folk from time to time, and after I had moved, one had stalked me, gotten into my remote cabin, and eventually tried to kill me. Now there were times when I wouldn't go onto the deck at night without my .38 revolver tucked in my pocket.
On impulse I walked back into the house and picked up the phone to call my office answering machine. At least I think that was the impulse. Maybe I just wanted an excuse to get off the deck, where I felt exposed. I was like a drug addict these days, always thinking up excuses when I didn't want to face the real reason I was doing things. It was more than a little silly to be calling my machine. I checked it before I went to bed, and all my clients had the emergency number for anything urgent enough to be calling at night—but to my surprise there was a message that had come in at two a.m.
"Dr. Stone, this is Camille." Camille was a new client coming in today for the first time. 'T wondered if it would be okay if I brought my seizure dog to the session today. She's licensed so she's supposed to be able to go anywhere, grocery stores and things like that. Please let me know because I don't think I can come without her." The voice was tiny and had something in it I couldn't identify: not anxiety, not depression, something odd.
A seizure dog. What the heck is a seizure dog? If people can't do anything about someone having a seizure, what's a dog supposed to do? And why is Camille up at two a.m. worrying about this? She was upset enough to be up and calling me, but too polite to call the emergency number I had given her when she made the appointment. That meant the question was important to her and not just an excuse to make contact.
Was she depressed? People who couldn't sleep in the middle of the night were almost always depressed. But maybe I'd be depressed too if I had seizures so often I couldn't go for a fifty-minute therapy session without my seizure dog.
I was still thinking about it on the way into my office the next morning. The drive was fifteen minutes of green, leafy, postcard New England stuff—three quarters of the year. Whoever put together New England decided that it was only fair—given that New England has green, rolling hills dotted with old farmhouses, given that New England has small, winding back roads that meander next to small, curious streams, given that New England has possibly the fewest McDonald's of any place in the nation and, Vermont at least, has people with enough sense to ban highway billboards — given all those gifts, it seemed only fair that New England miss out on something. New England has no spring.
I am a Southerner, born and bred. And while the South has many things that keep me out of it—Mama for one —yo
u have to take your hat off to the South when it comes to spring. Spring starts in February in the South, and the whole world explodes. There is more color in Chapel Hill in February than there is in the entire state of Vermont in May. And the light. In a North Carolina spring there is light —glorious, endless light —light when you wake up and light when you go to bed. But who could go to bed? I remember sitting on my grandmother's porch on the swing in the evening —everybody sat on their porch in the evening —watching the azaleas sway in the breeze off the water.
I glanced at the brown landscape. It was May and the leaves were clearly waiting for mud season to end before they made an appearance. Mud season is the time when the snow melts leaving enough mud that casual visitors assume some sort of flood has gone through. It is also New England's substitute for spring. It looked less like spring and more like a setting for a horror flick.
By 9 A.M. I was sitting in my private practice office waiting for Camille. I had called at eight to let her know I had no problem with her dog. I heard the door to the small waiting room in the old Victorian house open and walked out to meet Camille. A Rottweiler roughly the size of my couch walked in, sat down calmly, and looked at me in a decidedly unfriendly way. She had that I've-got-the-distance-to-your-throat-measured look that attack dogs have. She was definitely a working dog. This is a seizure dog? This dog could cause seizures.
I moved forward to shake hands with the woman on the other end of the leash and saw the dog's muscles bunch. Camille was my height but much rounder. She was pale and looked out-of-shape. Her coloring was all wrong, but I was so focused on the dog it took me a moment to realize why. It was the mismatch. Her skin was fair and her eyebrows were blond, but her hair was dark brown, almost black. Very few natural blondes dye their hair an unflattering shade of dark brown, but she had. She had bright eyes, and somehow the body she was living in, her whole appearance, didn't seem to go with those eyes. She was also shaking noticeably, but if she had seizures, maybe she had cerebral palsy too. The shaking didn't explain the dog. You don't need an attack Rottweiler just to help with seizures. I know you're supposed to call them protection dogs these days, but somehow when I looked at this one, the term "attack dog" just kept coming to mind.
Camille shook hands with me limply. "I don't know if I can stay," she said as soon as we were seated. "I'm not feeling very well." She was sitting across from me, but she kept glancing at the windows over her shoulder.
"Is there anything that would make you more comfortable?" I asked. She looked extremely uncomfortable.
"Not really," she said, and silence filled the room.
I waited a few moments and then asked, "Where would you like to start?" This was clearly not someone I could just fire questions at. Probably the dog was trained to bite anyone who fired questions at her.
"I ..." Her voice trailed off, and she looked down. She seemed to be fighting back tears and trying to steady herself
"Take your time. Say what you can." I considered the options while I waited. Paranoid? No, paranoids are more concerned with what was in the room than what is outside. Paranoids scan the room and inevitably fasten on the couple of videotapes on my bookshelves. Then they look around for a camera. Paranoids keep glancing at the notes I'm writing until I hand them over for inspection.
If not paranoid, what? Battered spouse. Possibly. Battered spouses are often in pretty bad shape, and they are sometimes afraid their husbands will find out they are seeing a therapist. An estranged spouse might be stalking her. But there was something in her level of fear that I had never seen before, not even in a battered spouse. I didn't think it was battering.
"I can't talk about it." She was crying. "But I need to know if I'm ever going to get better. It's been five years. I don't think I'm going to get better. I can't go outside, and I haven't been alone without Keeter since then. And sometimes I think he's in the house, and I know he's not because Keeter is just sitting there, but it really seems like he's there." She paused and cried for a few minutes.
"I didn't used to be like this," she said. "I was never like this. I was a nurse," she said as though that identity was now light-years away, which it probably was.
Rape? A violent, stranger attack? Maybe. I had seen some people in pretty bad shape from that, but never this bad. Something had shattered her whole sense of identity. She was hiding in the dark hair and the overweight body— which I'd be willing to bet she didn't have before —hiding in the house and behind the Rottweiler, but what besides rape would make someone hide like that?
"Most people get better eventually from almost any kind of trauma," I said. I didn't say how much better. Some don't get a whole lot better, but it probably wouldn't help her to hear that right now. "I don't know what happened, and I know you can't tell me right now. But when I learn a little more about what you've been through, maybe I can give you a better idea of time." This woman needed whatever reassurance she could get, even if it was just a vague, most-people type.
"When I talk about it, it makes it worse."
"I'm sure that's true. It kicks off the flashbacks, right?" She nodded. "Tell me about Keeter," I said. She looked up, surprised. She looked at Keeter and then at me. "She won't hurt you," she said. "She's very well trained."
"She looks very well trained," I said. She had to be because it was only her training that was controlling her; this lady sure wasn't emotionally strong enough to control an attack dog right now. "I didn't ask because I was worried," I said gently, which I think was true — although I did know a dog trainer once who was attacked by a Rottweiler while she was sitting behind a desk signing its owner up for a class. The Rottweiler had gone over the desk straight for her throat without any warning. I glanced at Keeter again.
"I asked because you can probably talk about her without kicking off your flashbacks since she wasn't part of whatever happened to you. You got her, afterward, right? So she's related to what happened, but she wasn't there, and maybe I could learn a little bit about your symptoms without triggering anything if you talk about Keeter and your relationship with Keeter."
She looked at me thoughtfully. I was glad to see she could pull out of herself for a moment. It was a good sign, small, but good. "I've been to counselors before. They always want to talk about what happened."
"But you can't, or you start to fall apart, right?"
"Yeah, but then they just let me talk about anything."
"We'll go at this sideways," I said. "We won't hit it directly at first, and we won't go away from it entirely either. We'll get as close as we can without tearing things up for you. Okay?"
She nodded and sighed, looking ever so very slightly relieved. "I do know a little bit about this problem," I said gently. She was lost and frightened, and she needed to know the person she was asking for directions had a clue which way to go. Otherwise, the anxiety about being lost would make the problem worse.
"What's a seizure dog?"
"Well, she's trained to press a button on the phone, which dials a number for medical help, and also, she takes me home if I'm out somewhere and get confused. I've had seizures all my life, but I didn't get a dog until a few years ago. My first dog was a little terrier, and she was wonderful, but I didn't feel safe afterward. I wanted a dog who could protect me too, and I know Keeter can, it's just ... I just don't feel safe anymore, even with Keeter."
"So Keeter's a protection dog who's also trained to deal with seizures?" She nodded. It must have been something, trying to train Keeter to let help in instead of keeping people away if Camille was hurt. The two jobs didn't seem all that compatible, and I wondered which way Keeter would go in a pinch.
Camille's shaking had stopped, and I realized it was more likely anxiety than cerebral palsy. This woman was a train wreck, but what kind of train had hit her and how was she ever going to tell me?
"I was never like this," she said. "I was a nurse," she said again. "I was an ICN nurse." She looked up, and I saw her face fill up. That is part of what happens with
trauma: People end up grieving their own lost lives. Camille couldn't get used to not being who she had been.
And who she had been was probably a whole lot different than who she was now. The Intensive Care Nursery is one place where nurses never get stuck putting patients in and out of examining rooms. Half the preemies are critically ill at any given moment, and codes are as common as visitors. ICN nurses have a ton of responsibility and do some procedures restricted elsewhere only to doctors.
"Tell me about being a nurse."
Her hands stopped twisting the shredded Kleenex in her lap, and she sighed. 'T had a rotating shift. I could have had an escort to the car. I mean, I was on the night shift, and I got out around midnight, and some of the other nurses would call for security to escort them to the parking lot. But I was just never afraid, and security would take twenty minutes, half an hour to come. I just didn't want to sit there. So I always walked down." She stopped abruptly, and when she spoke again all the fluency was gone, and she sounded almost aphasic.
"I just never ... I didn't expect ... I know I locked the car ... It was still locked when ... I still don't know . . . mummy, oh, mummy." Her face had paled, and her eyes were scanning like she was watching something. Keeter stood up, looked at Camille then looked at me. Keeter had a hell of a job. How was she supposed to know whom to attack? I was just sitting there, but Camille was clearly reacting like someone was coming after her with a knife.
Keeter distracted me, and I didn't redirect Camille quickly enough. By the time I opened my mouth to get her back to safer ground she had stood up and was turning to the door. "I have to go," she said.
"Wait," I said urgently. "Don't go yet. Let's pull this together." This was no way for her to leave. I take seriously the idea that therapy shouldn't make people worse. I like to think people leave my office in at least as good shape as they came in. If Camille left now, she would have a dreadful day of flashbacks and fears.