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Susanna Kaysen

Susanna Kaysen Books

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“Now, I would say to myself, you are feeling alienated from people and unlike other people, therefore you are projecting your discomfort onto them. When you look at a face, you see a blob of rubber because you are worried that your face is a blob of rubber. This clarity made me able to behave normally, which posed some interesting questions. Was everybody seeing this stuff and acting as though they weren’t? Was insanity just a matter of dropping the act? If some people didn’t see these things, what was the matter with them? Were they blind or something? These questions had me unsettled.”

“People ask, How did you get in there? What they really want to know is if they are likely to end up in there as well. I can’t answer the real question. All I can tell them is, It’s easy. And it is easy to slip into a parallel universe. There are so many of them: worlds of the insane, the criminal, the crippled, the dying, perhaps of the dead as well. These worlds exist alongside this world and resemble it, but are not in it.… …In the parallel universe the laws of physics are suspended. What goes up does not necessarily come down, a body at rest does not tend to stay at rest; and not every action can be counted on to provoke an equal and opposite reaction. Time, too, is different. It may run in circles, flow backward, skip about from now to then. The very arrangement of molecules is fluid: Tables can be clocks; faces, flowers. These are facts you find out later, though. Another odd feature of the parallel universe is that although it is invisible from this side, once you are in it you can easily see the world you came from. Sometimes the world you came from looks huge and menacing, quivering like a vast pile of jelly; at other times it is miniaturized and alluring, a-spin and shining in its orbit. Either way, it can’t be discounted. Every window on Alcatraz has a view of San Francisco.”

“GoodReads: Do people still ask you about your mental health? Susanna Kaysen: Well, they used to a lot. "Are you still crazy?" was how people put it. And I would say, "Yes, but I'm older, so I'm more used to it." It's familiar. You've been there, you've done that, and it's gone away. I think the fact that you can feel like it's the end of the world and you're going to kill yourself and yet there's some part of you that says "this has happened before." And by the time you get to the point where you can say "this has happened 137 times before," it's better than saying "this has happened four times before." So as you get older, there's a little ironist or cynic or somebody inside you who says, "Yeah, uh-huh. Right, OK, I've heard that, I've heard that.”

“Kaysen elaborates through parts of the book on her thoughts about how mental illness is treated. She explains that families who are willing to pay the rather high costs of hospitalization do so to prove their own sanity. Once one member of the family is hospitalized, it becomes easier for the rest of the family to distance themselves from the problem and to create a clear boundary between the sane and the insane. Recognizing a family member or friend as insane makes others around them, says Kaysen, compare themselves to that individual. Hospitalization allows for distance from this questioning of self that makes us so uncomfortable. Her view that mental illness often includes the entire family means the hospitalized family member becomes an excuse for other family members not to look at their own problems. This explains the willingness to pay the high financial costs of hospitalization.”

“It's important to cultivate detachment. One way to do this is to practice imagining yourself dead, or in the process of dying. If there's a window, you must imagine your body falling out the window. If there's a knife, you must imagine the knife piercing your skin. If there's a train coming, you must imagine your torso flattened under its wheels. These exercises are necessary to achieving the proper distance.”

“Light like this does not exist, but we wish it did. We wish the sun could make us young and beautiful, we wish our clothes could glisten and ripple against our skins, most of all, we wish that everyone we knew could be brightened simply by our looking at them, as are the maid with the letter and the soldier with the hat.”

“For nearly a century the psychoanalysts have been writing op-ed pieces about the workings of a country they've never traveled to, a place that, like China, has been off-limits. Suddenly, the country has opened its borders and is crawling with foreign correspondents, neurobiologists are filing ten stories a week, filled with new data. These two groups of writers, however, don't seem to read each other's work. That's because the analysts are writing about a country they call Mind and the neuroscientists are reporting from a country they call Brain.”

“This clarity made me able to behave normally, which posed some interesting questions. Was everybody seeing this stuff and acting as though they weren't? Was insanity just a matter of dropping the act? If some people didn't see these things, what was the matter with them? Were they blind or something? These questions had me unsettled.”

“Which is worse, overload or underload? Luckily, I never had to choose. One or Pass on to where? Back into my cells to lurk like a virus waiting for the next opportunity? Out into the ether of the world to wait for the circumstances that would provoke its reappearance? Endogenous or exogenous, nature or nurture - it's the great mystery of mental illness.”

“Suicide is a form of murder - premeditated murder. It isn't something you do the first time you think of doing it. It takes getting used to. And you need the means, the opportunity, the motive. A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.”

“The debate was wearing me out. Once you've posed that question, it won't go away. I think many people kill themselves simply to stop the debate about whether they will or they won't. Anything I thought or did was immediately drawn into the debate. Made a stupid remark--why not kill myself? Missed the bus--better put an end to it all. Even the good got in there. I liked that movie--maybe I shouldn't kill myself.”

“Don’t ask me those questions! Don’t ask me what life means or how we know reality or why we have to suffer so much. Don’t talk about how nothing feels real, how everything is coated with gelatin and shining like oil in the sun. I don’t want to hear about the tiger in the corner or the Angel of Death or the phone calls from John the Baptist.”

“Lunatics are similar to designated hitters. Often an entire family is crazy, but since an entire family can't go into the hospital, one person is designated as crazy and goes inside. Then, depending on how the rest of the family is feeling that person is kept inside or snatched out, to prove something about the family's mental health.”

“Don't separate the mind from the body. Don't separate even character - you can't. Our unit of existence is a body, a physical, tangible, sensate entity with perceptions and reactions that express it and form it simultaneously. Disease is one of our languages. Doctors understand what disease has to say about itself. It's up to the person with the disease to understand what the disease has to say to her.”