"The Analyst" - читать интересную книгу автора (Katzenbach John)Chapter ThreeIt was now just midnight, and he felt stupid and utterly alone. His office was strewn with manila folders and scraps of paper, stacks of stenographer’s notebooks, sheets of foolscap and an old-fashioned microcassette tape deck that had been out of date for a decade resting at the bottom of a small pile of minicassette tapes. Each grouping represented the meager documentation that he had accumulated on his patients over the years. There were notes about dreams, scribbled entries listing critical associations that patients made, or that occurred to him, during the course of treatment-telltale words, phrases, memories. If any sculpture was designed to express the belief that analysis was as much art as medicine, it could do no better than the disarray surrounding him. There were no orderly forms, listing height, weight, race, religion, or place of national origin. He had no cleverly alphabetized documents delineating blood pressure, temperature, pulse rate, and urine output. Nor did he even have organized and accessible charts, listing patients’ names, addresses, next of kin, and diagnosis. Ricky Starks was not an internist or a cardiologist or a pathologist who approached each patient seeking a clearly defined answer to an ailment, and who kept copious and detailed notes on treatment and progress. His chosen specialty defied the science that preoccupied other forms of medicine. It was this quality that madesomething of a medical outsider, and why most of the men and women attracted to the profession found it. But at this moment, Ricky stood in the center of the growing mess and felt like a man emerging from an underground shelter after a tornado has swept overhead. He thought he had ignored what chaos his life really was until something big and disruptive had torn through, unsettling all the careful balances he’d created. Trying to sort his way through decades of patients and hundreds of daily therapies was probably hopeless. Because he already suspected that Rumplestiltskin wasn’t there. At least, not in readily identifiable form. Ricky was absolutely certain that if the person who’d written the letter had ever graced his couch for any measurable length of treatment he would have recognized him. Tone. Style of writing. All the obvious moods of anger, rage, and fury. These elements would have been as distinctive and unmistakable to him as a fingerprint to a detective. Telltale clues that he would have been alert to. He knew that this supposition contained a certain amount of arrogance. And, he thought it would be a poor idea to underestimate Rumplestiltskin until he knew much more about the man. But he was certain that no patient that he’d ever had in any usual course of analysis would return, bitter and enraged, years later, so changed that they could hide their identity from him. They might return, still inwardly bearing the scars that had caused them to seek him out in the first place. They might return frustrated and acting out, because analysis is not some sort of antibiotic for the soul; it doesn’t eradicate the infections of despair that cripple some people. They might be angry, feeling that they had wasted years in talk and nothing much had changed for them. These were all possibilities, though in Ricky’s nearly three decades as an analyst, few such failures had ever happened. At least not that he knew of. But he wasn’t so conceited to believe that every treatment, no matter how long it lasted, was always completely successful. There were bound to be therapies that were less victorious than others. There had to be people he hadn’t helped. Or had helped less. Or had lapsed from the understandings that analysis brings, back to some prior state. Crippled again. In despair again. But Rumplestiltskin presented a far different portrait. The tone of his letter and the message relayed to his fourteen-year-old great-niece showed a calculating, aggressive, and perversely confident person. A psychopath, Ricky thought, giving a clinical term to someone still unclear in his mind. This was not to say that he didn’t think that perhaps once or twice over the decades of his career he hadn’t treated individuals with psychopathic tendencies. But none who had ever displayed the depth of hatred and fixation that Rumplestiltskin did. Yet someone whom he’d treated less than successfully was connected to the letter writer. The trick, he realized, was determining who these ex-patients were, and then tracing them to Rumplestiltskin. Because that was clearly, now that he had thought about it for a few hours, where the connection rested. The person who wanted him to kill himself was someone’s child, spouse, or lover. The first task, Ricky thought aggressively, was determining what patient had left his treatment on the shakiest of circumstances. Then he could start backtracking. He maneuvered amid the mess he’d created back to his desk and picked up Rumplestiltskin’s letter. All right, he said to himself. The first task is to organize my professional history. Find the segments that can be eliminated. He sighed out loud. Did he make some mistake as a hospital resident more than twenty-five years earlier that was now returning to haunt him? Could he even remember those first patients? While he was undergoing his own analytic training he had been engaged in a study of paranoid schizophrenics who had been committed to the psychiatric wards at Bellevue Hospital. The study had been about determining predictability factors for violent crimes and had not been a clinical success. But he’d come to know and been involved in some treatment plans for men who went on to commit serious crimes. It had been the closest he’d ever come to forensic psychiatry and he hadn’t liked it much. When his work with the study was finished, he’d immediately retreated back into the far safer and physically less demanding world of Freud and his followers. Ricky felt a sudden thirst, as if his throat were parched by heat. He realized he knew absolutely next to nothing about crime and criminals. He had no special expertise in violence. Indeed, he had little interest in that field. He doubted that he even knew any forensic psychiatrists. None were included in his extremely small circle of occasional friends and professional acquaintances with whom he kept current. He glanced over at the textbooks lining his shelves. Krafft-Ebing was there, with his seminal work on sexual psychopathology. But that was it, and he rather doubted that Rumplestiltskin was a sexual psychopath, even with the pornographic message he’d sent to Ricky’s great-niece. “Who are you?” he said out loud. Then he shook his head. “No,” he said slowly. “First, what are you?” And then, he told himself, after I can answer that, I will determine who you are. I can do this, Ricky thought, trying to bolster his own confidence. Tomorrow I will sit down and rack my memory and create a list of former patients. I will divide them into categories that represent all the stages of my professional life. Then I will start to investigate. Find the failure that will connect me to this fellow, Rumplestiltskin. Exhausted, not at all certain that he had accomplished anything, Ricky stumbled out of his office and into his small bedroom. It was a simple, monklike room with a bed stand, a chest of drawers, a modest closet, and a single bed. Once there had been a double bed with an ornate headboard and colorful paintings on the walls, but after his wife’s death he’d given away their bed, choosing something simpler and narrower. The bright knickknacks and artwork that his wife had once decorated the room with were mostly gone as well. Her clothing he’d given to charity, her jewelry and personal items had been sent to her sister’s three nieces. He kept a photograph of the two of them on the bureau, taken fifteen years earlier outside their farmhouse in Wellfleet on a clear, azure summer morning. But since her death he’d systematically erased most of the other, outward signs of her onetime presence. A slow and painful death followed by a three-year erasure. Ricky slid out of his clothes, taking time to carefully fold his slacks and hang up his blue blazer. The button-down shirt he wore went into a laundry hamper. He dropped his tie on the bureau surface. Then he plopped down on the edge of the bed in his underwear, thinking that he wished he had more energy. In the bedside drawer, he kept a vial of rarely used sleeping tablets. They were significantly past their expiration date, but he guessed that they would still be potent enough for him that night. He swallowed one and a tiny piece of another, hoping that they would quickly deliver a deep and deadening sleep. He sat for a moment running his hand across the rough cotton sheets and thought it oddly hypocritical for an analyst to face the night and desperately long that his rest not be marred by dreams. Dreams were important, unconscious riddles that mirrored the heart. This he knew, and they were generally welcome avenues to travel. But this night he felt overwhelmed, and he lay back dizzily, feeling his pulse still moving swiftly within him, eager for the medications to push him beneath the veil of dark. Utterly exhausted by the impact of a single threatening letter, he felt far older in that moment than the accumulation of his fifty-three years. His first patient on this final day before his projected monthlong August vacation arrived promptly at seven a.m., signaling her arrival with the three distinctive peals of his waiting room buzzer. The session went well, he thought. Nothing particularly exciting, nothing dramatic. But some steady progress. The young woman on the couch was a third-year psychiatric social worker, seeking to gain her psychoanalytic certificate while bypassing medical school. It was neither the most efficient, nor the easiest route to becoming an analyst, and was a course frowned on by some of his stodgier colleagues because it didn’t include the traditional medical degree, but was a method he’d always admired. It took real passion for the profession, a single-minded devotion to the couch and what it could accomplish. He often conceded to himself that it had been years since he’d been called upon to utilize theM.D. that followed his name. The young woman’s therapy centered around a set of overly aggressive parents who’d created an atmosphere in her childhood charged with accomplishment, but lacking in affection. Consequently, in her sessions with Ricky, she was frequently impatient, eager for insights that dovetailed with her textual readings and course work at the midtown Institute for Psychoanalysis. Ricky was forever reining her in, trying to get her to see that knowing facts is not necessarily the same as understanding. When he coughed slightly, shifted in his seat, and said, “Well, I’m afraid that’s all the time we have for today,” the young woman, who had been describing a new boyfriend of questionable potential, sighed. “Well, we’ll see if he’s still around a month from now…”-which made Ricky smile. The patient swung her feet off the couch and said, “Have a nice vacation, doctor. I’ll see you after Labor Day.” Then she gathered her pocketbook and briskly exited the treatment room. The entire day seemed to fall together in routine normalcy. Patient after patient entered the office, bearing little in the way of emotional adventure. They were mostly veterans of vacation time, and he suspected more than once that they unconsciously believed it wise to withhold feelings that were going to be delayed a month in examination. Of course, what was held back was as intriguing as what might have been said, and with each patient he was alert to these holes in the narrative. He had immense trust in his ability to precisely remember words and phrases uttered beside him that might lurk profitably over the month hiatus. In the minutes between sessions, he busily started to backtrack over his own years, starting to create a list of patients, jotting down names on a blank steno pad. As the day lengthened, so did the list. His memory, he thought, was still acute, which encouraged him. The only decision he had to make that day was at lunchtime, when he ordinarily would have stepped out on his daily walk, just as Rumplestiltskin had described. This day, he paused, part of him wanting to break the routine that the letter writer had so accurately portrayed, as some sort of act of defiance. Then, he’d realized that it was far more defiant to stick to the routine, and hope that the person watching him saw that he was uncowed by the letter. So out he went at noontime, walking the same path as always, putting his feet down in the same sidewalk squares, taking breaths of heavy city air with the same regularity as he did each day. He was unsure whether he wanted Rumplestiltskin to follow him, or not. But he discovered that every pace he took seemed to be echoed, and more than once he had to fight the urge to pivot quickly and see if he was being trailed. When he returned to his apartment, he was breathing heavily with relief. The afternoon patients followed the same pattern as the morning group. A few had some bitterness toward the upcoming vacation; this was as he expected. Some expressed a bit of fear and more than a little anxiety. The routine of daily fifty-minute sessions was powerful, and it was unsettling for several to know that even for a short time they would be without that particular anchor. Still, they and he knew that the time would pass, and as with everything in analysis, the time spent away from the couch could lead to insights about the process. Everything, every moment, anything during the day-to-day of life, might be associated with insight. It was what made the process fascinating for both patient and doctor. At one minute before five, he glanced out his window. The summer day was still dominating the world outside the office: bright sun, temperatures creeping up into the nineties. The city heat had an insistence to it, demanding to be acknowledged. He listened to the hum of the air conditioner, and suddenly recalled what it was like when he was first starting out, and an open window and a rattling old oscillating fan was all the relief he could afford from the hazy, stultifying atmosphere of the city in July. Sometimes, he thought, it seems as if there is no air anywhere. He tore his eyes away from the window when he heard the three peals of the buzzer. He pushed himself to his feet, and walked over to the door, pulling it open quickly to allow Mr. Zimmerman with all his impatience to enter immediately. Zimmerman did not like to wait in the anteroom. He showed up seconds before the session was to begin, and expected to be admitted instantaneously. Ricky had once spied the man marching up and down the sidewalk outside the apartment building on a bitter winter evening, furiously glancing at his watch every few seconds, trying to will the time to pass so that he did not have to wait inside. On more than one occasion, Ricky had been tempted to let the man cool his heels for a few minutes, to see if he could stimulate some understanding on Zimmerman’s part as to why being so precise was so important. But he had not done this. Instead, Ricky swung open the door at exactly five o ’clock every weekday, so that the angry man could barrel into the treatment room, toss himself down on the couch, and launch immediately into sarcasm and fury over all the wrongs that had been perpetrated on him that day. Ricky took a deep breath as he opened his door, and adopted his best poker face. Regardless of whether Ricky felt inside he was holding a full house or a jack-high bust, Zimmerman got the same noncommittal look each day. “Good afternoon,” he started, his standard greeting. But it was not Roger Zimmerman in the waiting room. Instead, Ricky was suddenly eye-to-eye with a striking and statuesque young woman. She wore a long black belted raincoat that dropped to her shoes, far out of place on the hot summer day, dark sunglasses, which she removed quickly, revealing penetrating vibrant green eyes. He would have guessed her age at somewhere just on the better side of thirty. A woman whose considerable looks were at their peak and whose understanding of the world had sharpened past youth. “I’m sorry…” Ricky said hesitantly. “But…” “Oh,” the young woman replied airily, shaking shoulder-length blond hair and gesturing smoothly with her hand. “Zimmerman won’t be here today. I came instead.” “But he…” “He won’t be needing you any longer,” she continued. “He decided to conclude his treatment at precisely two-thirty-seven this afternoon. Curiously enough, he was at the 92nd Street subway station when he reached this decision after the briefest of conversations with Mr. R. It was Mr. R. who persuaded him that he no longer needed or desired your services. And to our surprise, it wasn’t all that difficult for Zimmerman to reach that conclusion, either.” And then she pushed past the startled doctor into his office. |
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