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.

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.

I'm interested in finding new and more humane modes of safety, and in exposing the arbitrary and superficial protections that have failed us.

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.

In Frankenstein there is a transfer first of life into death (in the creation and animation of the monster), and then of death into life, as the monster takes his revenge on the father who gave him life but withheld recognition.

The performance group The Ant Farm redoing JFK's assassination in Dallas was an event that struck a chord with me, especially when one of the members said they'd only intended to do it once, but the Dallas audience insisted they repeat the performance.

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.