What occurs to people when they read Kurt [Vonnegut] is that things are much more up for grabs than they thought they were. The world is a slightly different place just because they read a damn book. Imagine that.

What occurs to people when they read Kurt [Vonnegut] is that things are much more up for grabs than they thought they were. The world is a slightly different place just because they read a damn book. Imagine that.

I don't think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can't make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.

Life for the unwell is discontinuous and unpredictable. Things just come out of nowhere. People try but mostly do a lousy job of taking care of you.

And if you're lucky enough to survive going crazy and get back to the point where you can pass for normal, it builds a question into the rest of your life. You have to forgive people for wondering, 'How all right can he be?'

I saw a study the other day showing that some atypical anti-psychotic was at least as good as mood stabilizers in preventing suicide. It's a very good thing to decrease suicide but we should care at least a little if I'm not killing myself because I feel better or if I just can't remember where I put the damn gun.

Most adults have forgotten what they had to do to survive childhood.