Most people have learned to live in the moment. The argument goes that if the past has uncertain effect on the present, there is no need to dwell on the past. And if the present has little effect on the future, present actions need not be weighed for their consequence. Rather, each act is an island in time, to be judged on its own. ... It is a world of impulse. It is a world of sincerity. It is a world in which every word spoken speaks just to that moment, every glance given has only one meaning.

In a world without future, each moment is the end of the world.

"The Diagnosis" had ten drafts of very significant changing, where I went through the whole book, wholesale and changed everything. Then the last year or so it was making small changes. I would do something and let it sit for three months... just brood about and decide I needed to slightly change something here or there. Or one character wasn't quite right. But I think everybody goes through this.

Each person who gets stuck in time gets stuck alone.

In this world, there are two times. There is mechanical time and there is body time." "They do not keep clocks in their houses. Instead, they listen to their heartbeats. They feel the rhythms of their moods and desires." "Then there are those who think their bodies don't exist. They live by mechanical time. They rise at seven o'clock in the morning. They eat their lunch at noon and their supper at six. They arrive at their appointments on time, precisely by the clock.

"The Diagnosis" is by far my most ambitious book. I such great hopes for it... there was so much I wanted to do with the book. I was extremely insecure about it for several years. Just didn't know whether I would finish the book much less for it to come close to what I intended. I think that for any novel you never know exactly how the book is going to turn out...

For my students who are trying to learn the craft of writing in a writing class - contemporary literature is what's most useful.