I hope, by being honest about what happened to me, to help nourish a culture of honesty that might make something different - and better - possible. We really need to squarely face the issue of child abuse in America, and to look at our perversity, our illness.

Mary Wollstonecraft Shelley (whose mother died ten days after she was born) wrote a novel that anticipates Semmelweis's discovery and serves as a parable for the destructive power of decaying matter.

The failure of protection, the importance of recognizing the ways in which we influence (and infect) each other - the fact that being an "individual" can't protect you - these are issues I've been thinking about for a while.

Complicated Grief was written in larger and more coherent (if disparate) shapes. The question was how they fit together. The mind is coherent, trust that was the best writing advice I ever got (I got it from Carole Maso and I pass it on). It's true, and clearer and clearer as one grows and gains an improved sense of who one actually is (as versus who one was supposed to be).

It's painful, but it's part of the recognition that makes real healing possible, if healing is possible (the jury is out on that, that's the usual phrase - should I say the jury is deadlocked?). Staying with the pain, attending to it, being present to and with it - that's the task, because that's the only (as far as I can tell) hope of finding a way forward.

In the "Intervention" section of the book we go into that looping from a battery of positions (where healer and sufferer are blurred). I'm very interested in "repetition and revision" (to use Suzan Lori-Parks's phrase) and in the culture's desire to loop or repeat.

Wherever something is "pinned down" there's a little hole - at least one - more likely many.