Academic achievement was something I'd always sought as a form of reward. Good grades pleased my parents, good grades pleased my teachers; you got them in order to sew up approval.

There's something about sober living and sober thinking, about facing long afternoons without the numbing distraction of anesthesia that disabuses you of the belief in the externals, shows you that strength and hope come not from circumstances or the acquisition of things, but from the simple accumulation of active experience, from gritting the teeth and checking the items off the list, one by one, even if it's painful and you're afraid.

The hard things in life, the things you really learn from, happen with a clear mind.

I once heard a woman who had lost her dog say that she felt as though a color were suddenly missing from her world: the dog had introduced to her field of vision some previously unavailable hue and without a dog, that color was gone. That seemed to capture the experience of loving a dog with eminent simplicity. I'd amend it only slightly and say that if we are open to what they have to give, dogs can introduce us to several colors with names like wildness, nurturance, trust and joy.

Around the time I began starving, in the early eighties, the visual image had begun to supplant text as culture's primary mode of communication, a radical change because images work so differently than words: They're immediate, they hit you at levels way beneath intellect, they come fast and furious.

The freedom to choose...means the freedom to make mistakes, to falter and fail, to come face-to-face with your own flaws and limitations and fears and secrets, to live with the terrible uncertainty that necessarily attends the construction of a self.

Mastery over the body - its impulses, its needs, its size - is paramount; to lose control is to risk beauty, and to risk beauty is to risk desirability, and to risk desirability is to risk entitlement to sexuality and love and self-esteem.