Maybe one way to think about it would be in the context of the historical development of germ theory. The problem of childbed fever was not significant until the development of a male-dominated medical establishment made possible the situation in which a professional might move from touching a corpse (for the purposes of study) to putting his unwashed hands up against, or into, a woman in labor.

Is it possible that where the subject is socially approved (tah tah tah TAH tah, it's war) almost no one thinks we're "stuck," but when we think too much about what no one else wants to think about, as well as when we think without the thoughts evolving, then we're seen as trouble (and / or troubled)?

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.

There's a nice clear difference between real protection (wash your hands, or wear a condom) and the fake protection offered by institutions which often come, finally and sadly, to be much too interested first of all in protecting their own power.

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.

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).

When I encountered "The Lady of Shallot" (to take a "for instance" allusion from the many in the book, this one from the "Etiology" section) it was still considered a "great poem." What does that poem - or rather a particular presentation of that poem (hey, admire this!) - do to a young woman?