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By Root 445 0

I conducted a completely uninspired doctoral study about heroin addiction and wrote a correspondingly uninspired dissertation based upon it; then after two weeks of frantically cramming every bit of trivia that I could into my brain, I walked into a room filled with five unsmiling men seated around a table, sat down, and went through the ordeal that is politely known as a Final Oral Examination, or, more aptly, in a military sense, the defense of ones dissertation. Two of the men at the table were the professors with whom I had worked for years; one of them was easy on me, the other was—I suppose in an attempt to demonstrate impartiality—unrelenting. One of the three psycho-pharmacologists, the only one without tenure, felt compelled to give me a particularly bad time, but the other two, who were full professors, clearly felt he had gone too far in establishing his mastery of the minutia of statistics and research design and eventually forced him to return to a less Rottweilerian level of general civility. After three hours of the intricate intellectual ballet that constituted the defense of my thesis, I left the room and stood in the hallway while they voted; endured the requisite moments of agony; and returned to find the same five men who, hours earlier, had seemed so grim and unfriendly. But this time they were smiling; their hands were outstretched to shake mine; and they all said, to my vast relief and pleasure, Congratulations.

The rites of passage in the academic world are arcane and, in their own way, highly romantic, and the tensions and unpleasantries of dissertations and final oral examinations are quickly forgotten in the wonderful moments of the sherry afterward, admission into a very old club, parties of celebration, doctoral gowns, academic rituals, and hearing for the first time “Dr.,” rather than “Miss,” Jamison. I was hired as an assistant professor in the UCLA Department of Psychiatry, got good parking for the first time in my life, joined the faculty club posthaste, and began to work my way up the academic food chain. I had a glorious—as it turns out, too glorious—summer, and, within three months of becoming a professor, I was ravingly psychotic.

Part Two

A NOT SO FINE MADNESS

Flights of the Mind

There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you’re high it’s tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one’s marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends’ faces are replaced by fear and concern. Everything previously moving with the grain is now against—you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew those caves were there. It will never end, for madness carves its own reality.

It goes on and on, and finally there are only others’ recollections of your behavior—your bizarre, frenetic, aimless behaviors—for mania has at least some grace in partially obliterating memories. What then, after the medications, psychiatrist, despair, depression, and overdose? All those incredible feelings to sort through. Who is being too polite to say what? Who knows what? What did I do? Why? And most hauntingly, when will it happen again? Then, too, are the bitter reminders—medicine to take, resent, forget, take, resent, and forget, but always to take. Credit cards revoked, bounced checks to cover, explanations due at work, apologies to make, intermittent memories (what did I do?), friendships gone or drained, a ruined