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).

I had Paterson, and The Art Lover, to guide me for The Tales of Horror (written from 1988-'97 and published in 1999), but I still was so lost, back then, as I tried to understand what I was writing and how it went together. There was a draft of that manuscript that had all these brightly colored paper clips on the pages so I could visualize what I saw as the book's themes and threads - that was a long time ago.

Though we don't have a cure for cancer we at least have stopped being too ashamed to even say the name of the disease - and the trajectory of the AIDS epidemic is edifying, isn't it? Shame shuts down productive thinking, and I'd like to open the doors. It's a first step.

One might say that "Torch Song" is, in part, about the urgency of the effort to pin things down and what wild dart throwing that desire leads to.

In a museum in El Paso, Texas, there's a map that shows all the places the border between the U.S. and Mexico has been (because it shifted) - I find it very clarifying (not confusing) to be reminded that everything we feel like we've really pinned down is transient, arbitrary, and marks the site of a painful if not violent negotiation, one that may not have ended.

I can tell that I shaped the book very deliberately, after a great deal of thought, and that I insisted this piece function as a prologue, but I find the word "intention," confusing ("trust the art," as D.H. Lawrence said, "not the artist"). These speculations are perhaps better responded to by text and reader, rather than author.

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.